HCPCS 36903

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

Procedures Work RVU per service 6.39 (2023 fee schedule)

289
76th percentile among 6,405 codes billed · 2023
$27M
94th percentile among 6,405 codes billed · 2023
8,839
66th percentile among 6,405 codes billed · 2023
20
41st percentile among 6,405 codes billed · 2023
83
51st percentile among 6,405 codes billed · 2023
-4.8%
Medicare payment on the code vs 2022; billers -0.7% · 2023

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
California33$4,271,3711,1881996
New Jersey16$3,159,77293533177
New York22$2,991,2037942578
Texas34$2,188,5367951655
North Carolina14$1,623,9975291791
Illinois14$1,426,70450519106
Arizona12$1,272,2204283371
Florida17$1,254,4734592453
Virginia12$828,7032791950
Georgia11$598,6351751328
Ohio11$496,0081791622

Not listed: 27 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ30$4,061,4011,06226
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD15$2,940,69596645
Los Angeles-Long Beach-Anaheim, CA14$2,433,05568037
Washington-Arlington-Alexandria, DC-VA-MD-WV11$829,16228919
Houston-Pasadena-The Woodlands, TX14$551,33525215

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 5 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing 36903 nationally

Ambulatory Surgical Center accounts for 52% of payment for 36903 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center6924%$14,002,91452%2,61038
Nephrology8228%$4,280,11016%2,21427
Vascular Surgery4817%$3,389,68413%1,20825
Interventional Radiology4716%$2,953,79811%1,49232
Diagnostic Radiology144.8%$1,448,7765.4%69049
General Surgery165.5%$510,5471.9%36023

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 2023.

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