HCPCS 76536

Imaging service (ClaimLight category; the code descriptor is not shown)

Imaging Work RVU per service 0.56 (2021 fee schedule)

15,463
98th percentile among 6,253 codes billed · 2021
$47M
96th percentile among 6,253 codes billed · 2021
842K
95th percentile among 6,253 codes billed · 2021
33
63rd percentile among 6,253 codes billed · 2021
164
65th percentile among 6,253 codes billed · 2021
+16.8%
Medicare payment on the code vs 2020; billers +2.5% · 2021

Trend

Medicare payment on the code

$0$20M$40M2020: $40M paid20202021: $47M paid20212022: $45M paid20222023: $45M paid20232024: $44M paid2024$44M$0$20M$40M2020: $40M paid20202021: $47M paid20212022: $45M paid20222023: $45M paid20232024: $44M paid2024$44M$0$20M$40M2020: $40M paid20202021: $47M paid20212022: $45M paid20222023: $45M paid20232024: $44M paid2024$44M$0$20M$40M2020: $40M paid20202021: $47M paid20212022: $45M paid20222023: $45M paid20232024: $44M paid2024$44M

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

Billers

010K2020: 15K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 15K providers202415K010K2020: 15K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 15K providers202415K010K2020: 15K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 15K providers202415K010K2020: 15K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 15K providers202415K

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
202414,783$43,860,579-3%901,656361890.56
202315,007$45,181,889+1%878,259351780.56
202215,219$44,718,589-4%845,057341700.56
202115,463$46,502,172+17%841,979331640.56
202015,086$39,827,908first year in data740,887311450.56

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
New York1,066$6,962,34092,83444288
California1,455$6,178,48484,02834168
Florida1,089$4,842,28569,95037216
Texas1,021$2,989,59352,65831164
New Jersey529$2,656,46832,42539170
Maryland334$2,009,56927,98049238
Arizona299$1,451,03621,75242229
North Carolina506$1,435,83327,02231166
Illinois655$1,271,09832,39836132
Pennsylvania688$1,263,29838,44039166
Virginia392$1,162,88421,90137168
Tennessee418$998,43119,61529146
Massachusetts429$960,77524,79038173
Georgia447$883,65120,14030123
Ohio500$782,36623,84532133

Not listed: 4 billers with an armed-forces or unknown state code (AA, AP, XX, ZZ); they are in the national totals.

Not listed: 2 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-NJ1,077$7,898,91397,26249
Los Angeles-Long Beach-Anaheim, CA563$3,246,38540,65436
Washington-Arlington-Alexandria, DC-VA-MD-WV219$1,240,14015,22739
Miami-Fort Lauderdale-West Palm Beach, FL263$1,220,19217,05639
Baltimore-Columbia-Towson, MD207$1,156,09416,65243
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD389$1,125,36322,80740
Phoenix-Mesa-Chandler, AZ190$1,094,69215,83149
Chicago-Naperville-Elgin, IL-IN506$1,057,44526,61537
Dallas-Fort Worth-Arlington, TX249$942,88214,25933
Tampa-St. Petersburg-Clearwater, FL178$728,37111,12040
Boston-Cambridge-Newton, MA-NH324$685,30018,27136
Orlando-Kissimmee-Sanford, FL144$548,1608,39039
Atlanta-Sandy Springs-Roswell, GA232$487,07010,89930
Las Vegas-Henderson-North Las Vegas, NV114$476,3896,06729
San Antonio-New Braunfels, TX96$462,8675,98939

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 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 76536 nationally

Diagnostic Radiology accounts for 55% of payment for 76536 nationally in 2021, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology11,65075%$25,594,92555%579,67350
Endocrinology1,2057.8%$9,948,44921%116,66997
Independent Diagnostic Testing Facility (IDTF)5833.8%$3,412,3097.3%43,81175
Internal Medicine5293.4%$2,420,6435.2%27,55652
Otolaryngology3152.0%$1,236,6782.7%15,93751
Family Practice2941.9%$809,2191.7%10,29435
General Surgery1841.2%$604,4791.3%9,97654
Interventional Radiology3232.1%$589,9371.3%14,59145
Pathology210.14%$335,7360.72%3,303157
General Practice370.24%$274,9500.59%2,79175
Nurse Practitioner670.43%$159,7690.34%2,52338
Cardiology340.22%$121,8410.26%1,29738
Physician Assistant310.20%$93,5860.20%1,36744
Nuclear Medicine300.19%$74,8550.16%1,56952
Emergency Medicine170.11%$62,9550.14%79947

Not listed: 31 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 76536 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