HCPCS 36905

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

Procedures Work RVU per service 9.00 (2021 fee schedule)

585
81st percentile among 6,253 codes billed · 2021
$34M
94th percentile among 6,253 codes billed · 2021
20K
73rd percentile among 6,253 codes billed · 2021
22
46th percentile among 6,253 codes billed · 2021
92
54th percentile among 6,253 codes billed · 2021
-31.7%
Medicare payment on the code vs 2020; billers -25.8% · 2021

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
Texas71$5,318,6473,01824115
California65$4,770,5442,3392294
New York39$2,880,0971,2591879
Pennsylvania23$1,901,7741,01622127
New Jersey18$1,808,98594736114
Maryland17$1,712,98591746131
Virginia23$1,608,7168142675
Illinois35$1,607,2148622158
Florida34$1,146,4349882469
Michigan19$1,003,0975402546
Ohio16$860,7764822082
Georgia25$854,4737922275
Tennessee11$823,96951628119
North Carolina16$795,5404992468
Alabama16$728,4775932284

Not listed: 26 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-NJ47$4,116,9931,83726
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD27$2,465,5601,32939
Dallas-Fort Worth-Arlington, TX15$2,428,1731,31742
Los Angeles-Long Beach-Anaheim, CA18$1,847,79186037
Washington-Arlington-Alexandria, DC-VA-MD-WV11$1,691,53181255
Chicago-Naperville-Elgin, IL-IN31$1,435,85475222
Baltimore-Columbia-Towson, MD13$942,98855746
Detroit-Warren-Dearborn, MI11$721,06237031
Houston-Pasadena-The Woodlands, TX18$720,39346022
Atlanta-Sandy Springs-Roswell, GA12$440,32337325

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 10 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 36905 nationally

Ambulatory Surgical Center accounts for 43% of payment for 36905 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center7112%$14,769,50643%4,36762
Nephrology20435%$9,022,45127%6,40331
Interventional Radiology8915%$3,363,2579.9%3,03134
Vascular Surgery7713%$2,756,6938.1%1,89325
Diagnostic Radiology8715%$2,209,3686.5%2,33727
General Surgery305.1%$725,8242.1%81527

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 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