HCPCS 83540

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

Laboratory Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

8,510
97th percentile among 6,405 codes billed · 2023
$21M
92nd percentile among 6,405 codes billed · 2023
3.3M
98th percentile among 6,405 codes billed · 2023
38
67th percentile among 6,405 codes billed · 2023
666
83rd percentile among 6,405 codes billed · 2023
+5.4%
Medicare payment on the code vs 2022; billers +2.7% · 2023

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
Florida630$2,784,470439,831461,004
New Jersey183$2,662,082420,894341,547
California375$2,548,695402,658933,393
Texas839$1,721,769272,17153420
New York756$1,706,940269,737461,081
North Carolina546$1,547,338244,48934218
Ohio215$656,867103,87331860
Arizona156$650,729102,86533305
Alabama235$591,75093,78941627
Illinois296$589,38693,17251731
Massachusetts309$483,78876,37326235
Georgia279$482,17176,17338453
Tennessee715$481,50476,42831324
Kansas69$461,57072,842421,747
Maryland173$405,33964,00050794

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ629$4,188,799662,09353
Los Angeles-Long Beach-Anaheim, CA257$1,460,784230,54274
Tampa-St. Petersburg-Clearwater, FL37$966,304152,46731
Cape Coral-Fort Myers, FL73$745,780117,83126
Dallas-Fort Worth-Arlington, TX278$712,693112,69468
Phoenix-Mesa-Chandler, AZ56$620,47898,09329
Chicago-Naperville-Elgin, IL-IN202$525,20783,03345
Miami-Fort Lauderdale-West Palm Beach, FL84$504,97479,647104
San Diego-Chula Vista-Carlsbad, CA28$443,59070,147189
Boston-Cambridge-Newton, MA-NH229$436,59268,89023
Birmingham, AL49$434,66068,79141
Kansas City, MO-KS54$406,16164,08036
Houston-Pasadena-The Woodlands, TX78$401,54763,38627
Columbus, OH128$364,58757,63527
Austin-Round Rock-San Marcos, TX111$328,71051,88843

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 79 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing 83540 nationally

Clinical Laboratory accounts for 73% of payment for 83540 nationally in 2023, across 18 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory6647.8%$15,366,32073%2,428,1963,657
Hematology-Oncology99712%$1,693,1748.1%268,350269
Internal Medicine2,29027%$1,086,0915.2%171,91375
Pathology450.53%$965,3254.6%152,5893,391
Family Practice1,73120%$546,1382.6%86,60850
Medical Oncology3424.0%$407,5401.9%64,591189
Nurse Practitioner1,09113%$294,6341.4%46,70443
Nephrology3253.8%$177,9310.85%28,17687
Physician Assistant4545.3%$107,9200.51%17,12238
Endocrinology971.1%$107,3810.51%17,003175
Rheumatology1111.3%$57,3890.27%9,10282
Cardiology430.51%$54,5350.26%8,624201
Gastroenterology1401.6%$49,6870.24%7,96857
Hematology190.22%$36,5790.17%5,792305
General Practice250.29%$15,6060.07%2,48099

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 2023.

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