HCPCS 36905

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

Procedures Work RVU per service 9.00 (2024 fee schedule)

380
79th percentile among 6,471 codes billed · 2024
$28M
93rd percentile among 6,471 codes billed · 2024
12K
68th percentile among 6,471 codes billed · 2024
23
47th percentile among 6,471 codes billed · 2024
82
50th percentile among 6,471 codes billed · 2024
+0.1%
Medicare payment on the code vs 2023; billers -4.0% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $50M paid20202021: $34M paid20212022: $29M paid20222023: $28M paid20232024: $28M paid2024$28M$0$20M$40M2020: $50M paid20202021: $34M paid20212022: $29M paid20222023: $28M paid20232024: $28M paid2024$28M$0$20M$40M2020: $50M paid20202021: $34M paid20212022: $29M paid20222023: $28M paid20232024: $28M paid2024$28M$0$20M$40M2020: $50M paid20202021: $34M paid20212022: $29M paid20222023: $28M paid20232024: $28M paid2024$28M

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

Billers

05002020: 788 providers20202021: 585 providers20212022: 443 providers20222023: 396 providers20232024: 380 providers202438005002020: 788 providers20202021: 585 providers20212022: 443 providers20222023: 396 providers20232024: 380 providers202438005002020: 788 providers20202021: 585 providers20212022: 443 providers20222023: 396 providers20232024: 380 providers202438005002020: 788 providers20202021: 585 providers20212022: 443 providers20222023: 396 providers20232024: 380 providers2024380

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
2024380$27,768,179+0%12,15323829.00
2023396$27,749,120-6%12,69623809.00
2022443$29,372,409-14%14,53122879.00
2021585$34,001,784-32%19,90722929.00
2020788$49,807,411first year in data31,002241189.00

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
California59$5,116,3212,1352499
Texas49$3,711,9791,6582482
New York21$1,720,0367782691
Maryland15$1,658,47869826112
Florida21$1,439,9896512854
New Jersey14$1,386,80955422104
Pennsylvania14$1,339,4864932974
Virginia11$1,334,89252233129
Illinois20$1,083,7934692040
Georgia14$1,055,1394252354
North Carolina12$741,2593302065
Ohio11$717,0552281736
Alabama11$492,7152562142
South Carolina12$468,8373502360

Not listed: 23 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ29$2,775,5211,17826
Los Angeles-Long Beach-Anaheim, CA23$2,672,6201,11839
Washington-Arlington-Alexandria, DC-VA-MD-WV13$1,948,83779644
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD18$1,577,90861128
Dallas-Fort Worth-Arlington, TX11$1,359,67558837
Chicago-Naperville-Elgin, IL-IN16$842,14636220

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 6 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 36905 nationally

Ambulatory Surgical Center accounts for 72% of payment for 36905 nationally in 2024, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center9224%$19,870,77972%4,14345
Nephrology13435%$3,620,57813%3,65327
Vascular Surgery4412%$1,761,3846.3%1,26829
Interventional Radiology4712%$1,297,6994.7%1,49832
Diagnostic Radiology359.2%$770,3912.8%93827
General Surgery133.4%$105,3970.38%24419

Not listed: 3 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 2024.

Top billers of 36905 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