HCPCS 36905

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

Procedures Work RVU per service 9.00 (2022 fee schedule)

443
79th percentile among 6,326 codes billed · 2022
$29M
94th percentile among 6,326 codes billed · 2022
15K
70th percentile among 6,326 codes billed · 2022
22
45th percentile among 6,326 codes billed · 2022
87
52nd percentile among 6,326 codes billed · 2022
-13.6%
Medicare payment on the code vs 2021; billers -24.3% · 2022

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
Texas59$4,549,7052,3002492
California57$4,275,2382,03624101
New York22$1,969,21284929101
New Jersey15$1,855,42173833107
Maryland13$1,726,49580049124
Pennsylvania18$1,646,1986712391
Virginia18$1,351,7785932377
Illinois23$1,339,9136132062
Florida20$1,003,1065482646
Ohio11$785,0982922156
Alabama16$716,0774352050
Arizona11$695,7032981486
Michigan14$670,6823662738
North Carolina12$579,4073032156
Georgia20$539,7454991869

Not listed: 24 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ29$3,299,2101,34533
Dallas-Fort Worth-Arlington, TX14$2,080,40192445
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD23$2,066,74486126
Los Angeles-Long Beach-Anaheim, CA18$1,611,61075734
Washington-Arlington-Alexandria, DC-VA-MD-WV12$1,528,69371346
Chicago-Naperville-Elgin, IL-IN19$1,059,44749520
Houston-Pasadena-The Woodlands, TX17$613,55237918
Atlanta-Sandy Springs-Roswell, GA11$340,34820317

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 8 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 36905 nationally

Ambulatory Surgical Center accounts for 58% of payment for 36905 nationally in 2022, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center7818%$17,103,40058%3,88150
Nephrology15836%$6,155,32421%4,66630
Interventional Radiology6214%$2,049,0317.0%2,12934
Vascular Surgery4911%$1,892,6316.4%1,27326
Diagnostic Radiology5713%$1,270,9664.3%1,45526
Internal Medicine184.1%$501,4751.7%61834

Not listed: 6 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 2022.

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