HCPCS 36905

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

Procedures Work RVU per service 9.00 (2023 fee schedule)

396
79th percentile among 6,405 codes billed · 2023
$28M
94th percentile among 6,405 codes billed · 2023
13K
69th percentile among 6,405 codes billed · 2023
23
48th percentile among 6,405 codes billed · 2023
80
50th percentile among 6,405 codes billed · 2023
-5.5%
Medicare payment on the code vs 2022; billers -10.6% · 2023

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
California47$3,914,4481,66824108
Texas50$3,831,4041,8112587
New York27$2,309,1761,0412485
New Jersey17$1,738,78670931113
Virginia15$1,576,07271934124
Maryland16$1,561,63372141104
Florida22$1,473,5316852660
Pennsylvania15$1,450,6925433281
Illinois20$1,274,8915262352
Michigan14$707,2503671857
Georgia14$633,6273572053
Indiana11$421,5502412035
Mississippi12$355,8292771940
South Carolina12$354,3543032445

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ35$3,564,8551,49526
Washington-Arlington-Alexandria, DC-VA-MD-WV14$1,954,74589958
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD20$1,859,41774233
Los Angeles-Long Beach-Anaheim, CA14$1,557,35667240
Chicago-Naperville-Elgin, IL-IN19$1,085,25247121
Baltimore-Columbia-Towson, MD12$933,18343437
Houston-Pasadena-The Woodlands, TX13$510,94625316

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 7 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 36905 nationally

Ambulatory Surgical Center accounts for 64% of payment for 36905 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center8020%$17,650,32364%3,83248
Nephrology14537%$4,941,94018%4,10928
Vascular Surgery5213%$2,113,9487.6%1,35026
Interventional Radiology4812%$1,447,3015.2%1,53532
Diagnostic Radiology358.8%$856,9913.1%96528
General Surgery174.3%$321,1341.2%38723

Not listed: 4 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 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