HCPCS 36905

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

Procedures Work RVU per service 9.00 (2020 fee schedule)

788
84th percentile among 6,116 codes billed · 2020
$50M
96th percentile among 6,116 codes billed · 2020
31K
77th percentile among 6,116 codes billed · 2020
24
52nd percentile among 6,116 codes billed · 2020
118
60th percentile among 6,116 codes billed · 2020

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
Texas97$8,878,2945,42830180
California81$5,998,4913,18023119
New York42$3,517,3301,63031117
Georgia55$2,983,8202,0792692
Florida55$2,723,9981,88123106
New Jersey20$2,452,3551,29346152
Virginia31$2,370,0751,2212290
Pennsylvania25$2,188,2261,22529123
Maryland19$2,163,0201,15949179
Illinois40$1,981,4221,1612075
North Carolina32$1,504,9751,0512191
Michigan25$1,495,5968493269
Ohio20$1,072,13767024101
Alabama23$1,021,9788142287
Louisiana20$938,25364518112

Not listed: 22 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ47$5,099,3342,29235
Dallas-Fort Worth-Arlington, TX23$3,826,7892,14627
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD30$3,017,5841,69237
Washington-Arlington-Alexandria, DC-VA-MD-WV18$2,335,2981,14139
Los Angeles-Long Beach-Anaheim, CA21$2,212,6591,14439
Atlanta-Sandy Springs-Roswell, GA28$1,918,4901,02128
Houston-Pasadena-The Woodlands, TX25$1,642,07998631
Chicago-Naperville-Elgin, IL-IN37$1,623,82096319
Baltimore-Columbia-Towson, MD13$1,109,79565049
Detroit-Warren-Dearborn, MI14$963,22953738
Miami-Fort Lauderdale-West Palm Beach, FL11$930,35159947
San Antonio-New Braunfels, TX12$889,16353028
San Francisco-Oakland-Fremont, CA12$723,08330418
Phoenix-Mesa-Chandler, AZ11$674,35937421
St. Louis, MO-IL13$407,52045125

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 17 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 36905 nationally

Ambulatory Surgical Center accounts for 43% of payment for 36905 nationally in 2020, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center8911%$21,474,01643%6,49373
Nephrology25632%$13,121,77726%9,83738
Interventional Radiology11314%$4,922,9169.9%4,56640
Vascular Surgery10814%$4,168,0828.4%3,00428
Diagnostic Radiology14218%$3,456,4556.9%4,19930
Internal Medicine243.0%$1,219,7412.4%1,22251
General Surgery455.7%$1,082,7312.2%1,41431

Not listed: 8 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 2020.

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