HCPCS 83540

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

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

7,771
96th percentile among 6,116 codes billed · 2020
$18M
92nd percentile among 6,116 codes billed · 2020
2.8M
98th percentile among 6,116 codes billed · 2020
39
69th percentile among 6,116 codes billed · 2020
759
86th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$10M$20M2020: $18M paid20202021: $20M paid20212022: $20M paid20222023: $21M paid20232024: $22M paid2024$22M$0$10M$20M2020: $18M paid20202021: $20M paid20212022: $20M paid20222023: $21M paid20232024: $22M paid2024$22M$0$10M$20M2020: $18M paid20202021: $20M paid20212022: $20M paid20222023: $21M paid20232024: $22M paid2024$22M$0$10M$20M2020: $18M paid20202021: $20M paid20212022: $20M paid20222023: $21M paid20232024: $22M paid2024$22M

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

Billers

05,0002020: 7,771 providers20202021: 8,283 providers20212022: 8,287 providers20222023: 8,510 providers20232024: 8,692 providers20248,69205,0002020: 7,771 providers20202021: 8,283 providers20212022: 8,287 providers20222023: 8,510 providers20232024: 8,692 providers20248,69205,0002020: 7,771 providers20202021: 8,283 providers20212022: 8,287 providers20222023: 8,510 providers20232024: 8,692 providers20248,69205,0002020: 7,771 providers20202021: 8,283 providers20212022: 8,287 providers20222023: 8,510 providers20232024: 8,692 providers20248,692

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
20248,692$22,309,606+6%3,526,157386830.00
20238,510$21,021,217+5%3,323,950386660.00
20228,287$19,938,459+1%3,128,010406470.00
20218,283$19,833,845+12%3,072,941407420.00
20207,771$17,781,435first year in data2,772,709397590.00

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
Florida782$2,375,546370,785931,009
California370$2,150,342335,0291002,762
New Jersey135$1,964,439306,072503,066
Texas738$1,456,526227,06045441
New York652$1,423,161221,795441,054
North Carolina449$1,164,292181,41838238
Arizona134$631,55098,463471,793
Ohio155$567,27688,35929800
Alabama220$539,61484,28740521
Tennessee561$536,75883,92730329
Illinois254$518,65680,808521,093
Massachusetts292$454,23370,67226225
Pennsylvania122$438,68668,337611,948
Georgia255$434,84067,76045454
Maryland153$326,74250,90141808

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

Not listed: 7 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
New York-Newark-Jersey City, NY-NJ510$3,231,659503,53068
Los Angeles-Long Beach-Anaheim, CA249$1,240,561193,08889
Tampa-St. Petersburg-Clearwater, FL81$899,810140,247249
Dallas-Fort Worth-Arlington, TX223$585,77291,31553
Phoenix-Mesa-Chandler, AZ42$515,82980,46370
Miami-Fort Lauderdale-West Palm Beach, FL102$480,55274,830129
Chicago-Naperville-Elgin, IL-IN185$455,71470,98545
Boston-Cambridge-Newton, MA-NH206$414,00564,38724
Birmingham, AL49$400,32362,46933
San Diego-Chula Vista-Carlsbad, CA26$350,44654,591181
Houston-Pasadena-The Woodlands, TX65$333,72151,94123
Columbus, OH101$331,00751,54724
Atlanta-Sandy Springs-Roswell, GA57$301,33546,89231
Austin-Round Rock-San Marcos, TX79$271,38242,29248
Kansas City, MO-KS40$252,14339,25729

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 82 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 83540 nationally

Clinical Laboratory accounts for 72% of payment for 83540 nationally in 2020, across 21 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory6388.2%$12,743,00072%1,985,6873,112
Hematology-Oncology1,10814%$1,881,32911%293,948265
Internal Medicine2,27929%$1,082,8556.1%168,95574
Medical Oncology4005.1%$540,1553.0%84,376211
Family Practice1,48019%$465,2522.6%72,76249
Pathology380.49%$263,6161.5%41,1681,083
Nurse Practitioner6167.9%$193,1081.1%30,14649
Nephrology3314.3%$185,3361.0%28,98788
Endocrinology1001.3%$101,3160.57%15,831158
Cardiology500.64%$59,3290.33%9,256185
Physician Assistant2383.1%$56,5840.32%8,83137
Gastroenterology2032.6%$52,6940.30%8,23541
Rheumatology961.2%$49,1240.28%7,69480
Hematology210.27%$24,2680.14%3,792181
General Practice340.44%$19,5650.11%3,05390

Not listed: 19 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 83540 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