HCPCS 83540

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

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

8,283
96th percentile among 6,253 codes billed · 2021
$20M
92nd percentile among 6,253 codes billed · 2021
3.1M
98th percentile among 6,253 codes billed · 2021
40
69th percentile among 6,253 codes billed · 2021
742
85th percentile among 6,253 codes billed · 2021
+11.5%
Medicare payment on the code vs 2020; billers +6.6% · 2021

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
Florida861$2,525,958391,71182951
California388$2,342,877362,6131022,816
New Jersey161$2,317,895358,682412,657
New York656$1,609,650249,595471,190
Texas767$1,569,139243,07253434
North Carolina507$1,285,232198,89338213
Arizona144$891,941138,071394,028
Ohio194$650,662100,65730712
Tennessee600$601,18193,43634355
Alabama244$598,42892,77938524
Illinois289$559,03486,58547731
Georgia274$513,63579,50844504
Massachusetts313$487,90875,46528154
Kansas65$411,02063,607421,618
Pennsylvania123$396,78861,433532,039

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ541$3,760,375582,33756
Los Angeles-Long Beach-Anaheim, CA251$1,354,818209,50886
Tampa-St. Petersburg-Clearwater, FL87$960,223148,652238
Dallas-Fort Worth-Arlington, TX245$642,35699,53160
Phoenix-Mesa-Chandler, AZ45$598,92792,77363
Miami-Fort Lauderdale-West Palm Beach, FL108$505,52378,210116
Chicago-Naperville-Elgin, IL-IN203$487,26075,48334
Boston-Cambridge-Newton, MA-NH232$446,77269,08426
Birmingham, AL53$436,26967,56339
Columbus, OH111$380,18058,81824
San Diego-Chula Vista-Carlsbad, CA29$373,56757,816198
Atlanta-Sandy Springs-Roswell, GA69$361,23455,86032
Kansas City, MO-KS50$358,51255,47535
Houston-Pasadena-The Woodlands, TX73$358,27655,44125
Austin-Round Rock-San Marcos, TX101$306,06447,34838

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 2021.

Specialties billing 83540 nationally

Clinical Laboratory accounts for 71% of payment for 83540 nationally in 2021, across 18 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory6247.5%$14,077,64171%2,179,6673,493
Hematology-Oncology1,18714%$2,062,04510%320,077270
Internal Medicine2,31128%$1,135,8775.7%176,18076
Medical Oncology4024.9%$559,5442.8%86,848216
Family Practice1,61820%$554,6882.8%86,16953
Nurse Practitioner7999.6%$427,8012.2%66,29483
Pathology340.41%$299,2261.5%46,3931,365
Nephrology3273.9%$187,8530.95%29,18389
Endocrinology991.2%$112,3640.57%17,435176
Physician Assistant3464.2%$77,2160.39%11,99335
Cardiology490.59%$66,4430.33%10,280210
Neurology130.16%$65,6720.33%10,164782
Rheumatology1051.3%$56,9520.29%8,84784
Gastroenterology1932.3%$54,0460.27%8,44544
Hematology170.21%$30,0710.15%4,662274

Not listed: 23 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 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