HCPCS 80307

Laboratory test (ClaimLight category; the code descriptor is not shown)

Laboratory Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

4,698
94th percentile among 6,116 codes billed · 2020
$150M
98th percentile among 6,116 codes billed · 2020
2.5M
98th percentile among 6,116 codes billed · 2020
168
91st percentile among 6,116 codes billed · 2020
1,573
92nd percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$100M2020: $150M paid20202021: $146M paid20212022: $133M paid20222023: $121M paid20232024: $114M paid2024$114M$0$100M2020: $150M paid20202021: $146M paid20212022: $133M paid20222023: $121M paid20232024: $114M paid2024$114M$0$100M2020: $150M paid20202021: $146M paid20212022: $133M paid20222023: $121M paid20232024: $114M paid2024$114M$0$100M2020: $150M paid20202021: $146M paid20212022: $133M paid20222023: $121M paid20232024: $114M paid2024$114M

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

Billers

02,0004,0002020: 4,698 providers20202021: 4,686 providers20212022: 4,823 providers20222023: 4,760 providers20232024: 4,731 providers20244,73102,0004,0002020: 4,698 providers20202021: 4,686 providers20212022: 4,823 providers20222023: 4,760 providers20232024: 4,731 providers20244,73102,0004,0002020: 4,698 providers20202021: 4,686 providers20212022: 4,823 providers20222023: 4,760 providers20232024: 4,731 providers20244,73102,0004,0002020: 4,698 providers20202021: 4,686 providers20212022: 4,823 providers20222023: 4,760 providers20232024: 4,731 providers20244,731

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
20244,731$113,859,278-6%1,887,9561271,1050.00
20234,760$120,855,747-9%2,003,5701361,1620.00
20224,823$132,723,340-9%2,181,8351461,2490.00
20214,686$145,771,476-3%2,366,0491661,4970.00
20204,698$150,417,642first year in data2,458,3171681,5730.00

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
North Carolina402$16,271,479266,764153878
Texas486$12,447,080203,3621731,471
California159$11,484,044186,6602336,613
Tennessee265$9,531,844156,6431671,306
Georgia236$9,248,365150,8763281,437
Florida401$8,087,229131,9311401,000
Massachusetts146$6,525,343106,0991791,369
Pennsylvania93$6,290,392102,3192255,547
Kentucky181$5,969,56497,6092601,747
Oklahoma152$5,414,75488,4842052,019
New Jersey96$5,109,68283,1712813,171
Maryland195$4,766,70177,8062211,163
Washington125$3,689,06160,6021621,109
Michigan108$3,638,28059,3161391,954
Alabama104$3,505,30257,8532381,753

Not listed: 9 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
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD99$5,937,08696,613291
New York-Newark-Jersey City, NY-NJ101$5,920,59896,248215
Nashville-Davidson--Murfreesboro--Franklin, TN81$5,480,27889,581168
Atlanta-Sandy Springs-Roswell, GA129$5,075,75482,578352
Dallas-Fort Worth-Arlington, TX153$4,349,12970,884142
San Diego-Chula Vista-Carlsbad, CA26$3,696,05060,106114
Los Angeles-Long Beach-Anaheim, CA63$3,606,25358,593189
Boston-Cambridge-Newton, MA-NH77$3,509,92557,139231
Chicago-Naperville-Elgin, IL-IN61$2,885,90547,040166
Detroit-Warren-Dearborn, MI75$2,743,41844,744158
Durham-Chapel Hill, NC17$2,653,77843,687112
Springfield, MA30$2,605,45442,320117
Oklahoma City, OK68$2,490,55140,771139
Las Vegas-Henderson-North Las Vegas, NV67$2,459,37040,133170
Providence-Warwick, RI-MA26$2,300,37037,399170

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 75 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 80307 nationally

Clinical Laboratory accounts for 48% of payment for 80307 nationally in 2020, across 19 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory56412%$72,445,56848%1,180,6252,093
Nurse Practitioner1,14324%$14,705,7929.8%241,073211
Pain Management47410%$12,440,4068.3%203,985430
Interventional Pain Management4008.5%$11,510,8927.7%188,897472
Anesthesiology4078.7%$10,598,6517.0%173,814427
Physical Medicine and Rehabilitation3016.4%$7,855,5465.2%128,902428
Physician Assistant52511%$5,746,3863.8%94,158179
Family Practice2836.0%$4,185,0492.8%68,327241
Internal Medicine2294.9%$3,250,6932.2%53,086232
Neurology410.87%$1,367,4400.91%22,505549
Psychiatry681.4%$1,249,3560.83%20,308299
General Practice300.64%$763,2520.51%12,451415
Orthopedic Surgery420.89%$738,6500.49%12,059287
Emergency Medicine290.62%$525,7440.35%8,576296
Addiction Medicine160.34%$396,9950.26%6,490406

Not listed: 27 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 80307 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