HCPCS 82728

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

Laboratory Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

8,811
97th percentile among 6,253 codes billed · 2021
$41M
95th percentile among 6,253 codes billed · 2021
3.0M
98th percentile among 6,253 codes billed · 2021
42
70th percentile among 6,253 codes billed · 2021
725
85th percentile among 6,253 codes billed · 2021
+11.6%
Medicare payment on the code vs 2020; billers +7.1% · 2021

Trend

Medicare payment on the code

$0$20M$40M2020: $36M paid20202021: $41M paid20212022: $41M paid20222023: $43M paid20232024: $45M paid2024$45M$0$20M$40M2020: $36M paid20202021: $41M paid20212022: $41M paid20222023: $43M paid20232024: $45M paid2024$45M$0$20M$40M2020: $36M paid20202021: $41M paid20212022: $41M paid20222023: $43M paid20232024: $45M paid2024$45M$0$20M$40M2020: $36M paid20202021: $41M paid20212022: $41M paid20222023: $43M paid20232024: $45M paid2024$45M

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

Billers

05,0002020: 8,227 providers20202021: 8,811 providers20212022: 8,617 providers20222023: 8,797 providers20232024: 8,894 providers20248,89405,0002020: 8,227 providers20202021: 8,811 providers20212022: 8,617 providers20222023: 8,797 providers20232024: 8,894 providers20248,89405,0002020: 8,227 providers20202021: 8,811 providers20212022: 8,617 providers20222023: 8,797 providers20232024: 8,894 providers20248,89405,0002020: 8,227 providers20202021: 8,811 providers20212022: 8,617 providers20222023: 8,797 providers20232024: 8,894 providers20248,894

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
20248,894$45,282,197+6%3,396,801396740.00
20238,797$42,786,900+5%3,210,076396650.00
20228,617$40,734,537-0%3,033,170416480.00
20218,811$40,743,608+12%2,996,170427250.00
20208,227$36,496,254first year in data2,700,609417340.00

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
Florida903$5,363,356394,72080946
California426$4,776,258350,8941052,750
New Jersey169$4,327,327317,672441,955
New York764$3,426,200251,683451,184
Texas756$3,257,618239,54956434
North Carolina535$2,534,891186,23435251
Arizona134$1,739,022127,734413,964
Tennessee591$1,270,34193,81036430
Ohio197$1,196,89587,91831656
Illinois289$1,173,02386,25951607
Alabama267$1,166,79385,99634453
Georgia322$1,098,69380,74240455
Massachusetts330$1,048,18376,97128183
Pennsylvania115$840,26761,740572,016
Kansas79$735,51754,01934651

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

Not listed: 6 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-NJ620$7,312,720536,90358
Los Angeles-Long Beach-Anaheim, CA267$2,623,473192,64590
Tampa-St. Petersburg-Clearwater, FL92$1,953,106143,535249
Burlington, NC12$1,814,995133,26424
Dallas-Fort Worth-Arlington, TX235$1,349,99499,27667
Phoenix-Mesa-Chandler, AZ60$1,139,72683,75948
Chicago-Naperville-Elgin, IL-IN199$1,023,76975,28634
Miami-Fort Lauderdale-West Palm Beach, FL113$994,44973,039117
Boston-Cambridge-Newton, MA-NH232$960,60270,51227
Birmingham, AL64$857,52863,10234
Atlanta-Sandy Springs-Roswell, GA87$775,80856,94534
Houston-Pasadena-The Woodlands, TX65$757,69055,64827
San Diego-Chula Vista-Carlsbad, CA30$732,49053,800189
Columbus, OH116$667,69849,02725
Kansas City, MO-KS56$645,49047,40231

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 84 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 82728 nationally

Clinical Laboratory accounts for 67% of payment for 82728 nationally in 2021, across 20 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory6157.0%$27,252,32267%2,002,2173,256
Hematology-Oncology1,32315%$5,050,83912%372,180281
Internal Medicine2,53629%$2,611,7206.4%192,32976
Medical Oncology4324.9%$1,352,5403.3%99,639231
Family Practice1,65619%$1,200,6522.9%88,53353
Nurse Practitioner8159.2%$944,6252.3%69,51685
Pathology370.42%$670,3271.6%49,3441,334
Nephrology3203.6%$375,9090.92%27,72287
Endocrinology1241.4%$324,1760.80%23,886193
Physician Assistant3524.0%$168,5160.41%12,42135
Cardiology540.61%$141,2470.35%10,388192
Rheumatology1081.2%$134,4660.33%9,94492
Neurology140.16%$124,3050.31%9,124652
Gastroenterology2112.4%$113,1320.28%8,39440
Hematology230.26%$80,2240.20%5,907257

Not listed: 22 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 82728 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