HCPCS 84153

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

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

8,813
97th percentile among 6,116 codes billed · 2020
$55M
97th percentile among 6,116 codes billed · 2020
3.0M
98th percentile among 6,116 codes billed · 2020
42
72nd percentile among 6,116 codes billed · 2020
596
83rd percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$25M$50M2020: $55M paid20202021: $57M paid20212022: $57M paid20222023: $57M paid20232024: $58M paid2024$58M$0$25M$50M2020: $55M paid20202021: $57M paid20212022: $57M paid20222023: $57M paid20232024: $58M paid2024$58M$0$25M$50M2020: $55M paid20202021: $57M paid20212022: $57M paid20222023: $57M paid20232024: $58M paid2024$58M$0$25M$50M2020: $55M paid20202021: $57M paid20212022: $57M paid20222023: $57M paid20232024: $58M paid2024$58M

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

Billers

05,0002020: 8,813 providers20202021: 8,716 providers20212022: 8,502 providers20222023: 8,151 providers20232024: 8,103 providers20248,10305,0002020: 8,813 providers20202021: 8,716 providers20212022: 8,502 providers20222023: 8,151 providers20232024: 8,103 providers20248,10305,0002020: 8,813 providers20202021: 8,716 providers20212022: 8,502 providers20222023: 8,151 providers20232024: 8,103 providers20248,10305,0002020: 8,813 providers20202021: 8,716 providers20212022: 8,502 providers20222023: 8,151 providers20232024: 8,103 providers20248,103

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
20248,103$58,001,445+3%3,225,143436120.00
20238,151$56,523,427-0%3,143,326426000.00
20228,502$56,658,212-1%3,126,705425900.00
20218,716$57,356,826+5%3,125,832425940.00
20208,813$54,665,849first year in data2,998,015425960.00

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
California414$6,914,916378,849762,652
Florida751$5,789,834317,33952552
New Jersey146$5,571,522305,005642,170
Texas763$4,607,904252,74243466
North Carolina403$3,440,984188,61339460
New York724$2,889,719158,23544486
Arizona154$2,146,927117,66837652
Tennessee454$1,714,81494,37533515
Pennsylvania116$1,637,92989,636563,821
Illinois301$1,539,22984,39244515
Ohio189$1,529,29383,77840716
Alabama252$1,404,72577,59640435
Massachusetts249$1,323,45272,42729462
Georgia306$1,207,87066,30347440
Maryland193$1,143,83262,69335406

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ601$7,976,729436,56758
Los Angeles-Long Beach-Anaheim, CA269$3,764,848206,27775
Tampa-St. Petersburg-Clearwater, FL66$2,640,133144,64353
Phoenix-Mesa-Chandler, AZ60$2,045,024112,08347
Dallas-Fort Worth-Arlington, TX223$1,774,99097,24753
Miami-Fort Lauderdale-West Palm Beach, FL121$1,428,36078,24481
San Diego-Chula Vista-Carlsbad, CA25$1,408,02977,13187
Chicago-Naperville-Elgin, IL-IN218$1,386,25775,97541
Boston-Cambridge-Newton, MA-NH168$1,194,59365,33128
Houston-Pasadena-The Woodlands, TX79$1,102,37260,43129
Birmingham, AL89$1,051,41357,80631
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD16$984,85453,878317
Austin-Round Rock-San Marcos, TX45$895,30849,13843
Columbus, OH99$877,55348,05931
Atlanta-Sandy Springs-Roswell, GA108$866,84147,447106

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 81 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 84153 nationally

Clinical Laboratory accounts for 69% of payment for 84153 nationally in 2020, across 19 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory7648.7%$37,632,10169%2,061,2532,698
Urology1,66219%$7,889,15814%434,111261
Pathology570.65%$2,513,0074.6%138,1622,424
Internal Medicine2,37227%$2,371,6804.3%130,24555
Family Practice1,97622%$1,441,7112.6%79,26340
Hematology-Oncology7328.3%$1,198,5612.2%65,97790
Medical Oncology2312.6%$399,3450.73%21,96395
Nurse Practitioner3724.2%$394,0270.72%21,64658
Physician Assistant2402.7%$314,1260.57%17,25572
Radiation Oncology860.98%$111,5110.20%6,11871
Cardiology520.59%$106,3340.19%5,840112
Endocrinology860.98%$81,1290.15%4,46652
General Practice380.43%$44,5920.08%2,45465
Hematology130.15%$32,1790.06%1,761135
Pediatric Medicine130.15%$22,2130.04%1,21694

Not listed: 17 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 84153 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