HCPCS 36903

Procedure (ClaimLight category; the code descriptor is not shown)

Procedures Work RVU per service 6.39 (2021 fee schedule)

343
77th percentile among 6,253 codes billed · 2021
$35M
95th percentile among 6,253 codes billed · 2021
11K
68th percentile among 6,253 codes billed · 2021
22
46th percentile among 6,253 codes billed · 2021
83
52nd percentile among 6,253 codes billed · 2021
-27.5%
Medicare payment on the code vs 2020; billers -19.3% · 2021

Trend

Medicare payment on the code

$0$20M$40M2020: $49M paid20202021: $35M paid20212022: $28M paid20222023: $27M paid20232024: $26M paid2024$26M$0$20M$40M2020: $49M paid20202021: $35M paid20212022: $28M paid20222023: $27M paid20232024: $26M paid2024$26M$0$20M$40M2020: $49M paid20202021: $35M paid20212022: $28M paid20222023: $27M paid20232024: $26M paid2024$26M$0$20M$40M2020: $49M paid20202021: $35M paid20212022: $28M paid20222023: $27M paid20232024: $26M paid2024$26M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

02004002020: 425 providers20202021: 343 providers20212022: 291 providers20222023: 289 providers20232024: 282 providers202428202004002020: 425 providers20202021: 343 providers20212022: 291 providers20222023: 289 providers20232024: 282 providers202428202004002020: 425 providers20202021: 343 providers20212022: 291 providers20222023: 289 providers20232024: 282 providers202428202004002020: 425 providers20202021: 343 providers20212022: 291 providers20222023: 289 providers20232024: 282 providers2024282

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
2024282$25,748,428-4%8,62720846.39
2023289$26,857,626-5%8,83920836.39
2022291$28,212,271-20%9,27322806.39
2021343$35,233,207-28%10,88822836.39
2020425$48,618,590first year in data15,142231016.39

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
California38$5,448,7751,4162287
New York29$5,184,2861,1133285
Texas41$3,092,3591,1202069
North Carolina16$2,548,17370329123
New Jersey12$2,245,73260837121
Florida24$1,746,5516432156
Pennsylvania14$1,667,4695392883
Virginia13$1,616,8794812681
Illinois14$1,314,5703591754
Georgia15$666,5662881629

Not listed: 33 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ36$6,542,5611,46532
Los Angeles-Long Beach-Anaheim, CA16$2,759,82569325
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD14$2,439,63972540
Houston-Pasadena-The Woodlands, TX17$897,91943523

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 4 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 36903 nationally

Ambulatory Surgical Center accounts for 35% of payment for 36903 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center5917%$12,315,79935%2,38140
Nephrology9728%$7,403,12521%2,92930
Vascular Surgery7422%$5,442,31415%1,79524
Interventional Radiology4613%$4,821,56214%1,87041
Diagnostic Radiology257.3%$2,834,2508.0%88735
General Surgery236.7%$929,7002.6%56024

Not listed: 5 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2021.

Top billers of 36903 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations