HCPCS 87635

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

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

13,151
98th percentile among 6,253 codes billed · 2021
$41M
95th percentile among 6,253 codes billed · 2021
806K
94th percentile among 6,253 codes billed · 2021
30
59th percentile among 6,253 codes billed · 2021
183
67th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

Trend

Medicare payment on the code

$0$20M$40M2020: $21M paid20202021: $41M paid20212022: $44M paid20222023: $47M paid20232024: $40M paid2024$40M$0$20M$40M2020: $21M paid20202021: $41M paid20212022: $44M paid20222023: $47M paid20232024: $40M paid2024$40M$0$20M$40M2020: $21M paid20202021: $41M paid20212022: $44M paid20222023: $47M paid20232024: $40M paid2024$40M$0$20M$40M2020: $21M paid20202021: $41M paid20212022: $44M paid20222023: $47M paid20232024: $40M paid2024$40M

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

Billers

010K2020: 5,821 providers20202021: 13K providers20212022: 14K providers20222023: 9,976 providers20232024: 8,131 providers20248,131010K2020: 5,821 providers20202021: 13K providers20212022: 14K providers20222023: 9,976 providers20232024: 8,131 providers20248,131010K2020: 5,821 providers20202021: 13K providers20212022: 14K providers20222023: 9,976 providers20232024: 8,131 providers20248,131010K2020: 5,821 providers20202021: 13K providers20212022: 14K providers20222023: 9,976 providers20232024: 8,131 providers20248,131

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
20248,131$40,035,029-14%798,991231380.00
20239,976$46,700,410+5% (2023 changed hospital and observation visit codes)931,742251500.00
202214,278$44,401,744+8%879,838301750.00
202113,151$41,215,387– (Not compared: 2021 changed office visit values)806,032301830.00
20205,821$21,084,711first year in data416,73728198

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
California1,020$5,075,88799,10030238
New York1,200$4,684,75191,51935295
Texas761$2,305,32145,08631191
Tennessee717$1,798,15335,29130133
Alabama469$1,693,55333,21045212
New Jersey466$1,659,13832,40633240
Florida358$1,539,47330,08431221
Louisiana468$1,467,46628,71247167
North Carolina672$1,451,02528,34826120
South Carolina386$1,379,01427,04052165
Georgia474$1,338,18326,19329163
Missouri396$1,164,13222,72639174
Michigan322$1,110,75521,69947164
Illinois315$1,024,80720,00227127
Mississippi348$1,013,13219,88335156

Not listed: 7 billers with an armed-forces or unknown state code (AE, AP, XX, ZZ); they are in the national totals.

Not listed: 2 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-NJ1,300$5,366,922104,79037
Los Angeles-Long Beach-Anaheim, CA299$2,241,54343,79335
San Francisco-Oakland-Fremont, CA216$874,62117,04929
Detroit-Warren-Dearborn, MI224$776,12615,13554
Atlanta-Sandy Springs-Roswell, GA243$752,95714,69336
Chicago-Naperville-Elgin, IL-IN294$685,85213,37725
St. Louis, MO-IL184$680,73513,28460
Dallas-Fort Worth-Arlington, TX142$658,20512,85336
Miami-Fort Lauderdale-West Palm Beach, FL73$652,82912,72630
Charlotte-Concord-Gastonia, NC-SC338$628,53112,27126
Washington-Arlington-Alexandria, DC-VA-MD-WV156$616,40012,04135
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD148$597,86311,70332
Boston-Cambridge-Newton, MA-NH167$585,58011,42938
Birmingham, AL155$520,37710,18041
Memphis, TN-MS-AR157$500,2689,79545

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 96 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 87635 nationally

Nurse Practitioner accounts for 26% of payment for 87635 nationally in 2021, across 29 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner4,10631%$10,533,22926%206,01950
Family Practice3,21624%$9,248,66222%181,16256
Physician Assistant2,65920%$7,623,70418%148,92156
Internal Medicine1,43611%$4,167,45110%81,56657
Clinical Laboratory2161.6%$3,950,3309.6%77,066357
Emergency Medicine6194.7%$2,149,1945.2%42,02768
Gastroenterology1421.1%$444,1691.1%8,68061
General Practice1170.89%$424,2911.0%8,36672
Pathology190.14%$390,4390.95%7,627401
Pediatric Medicine400.30%$188,3880.46%3,67692
Hematology-Oncology280.21%$163,6790.40%3,199114
Pulmonary Disease670.51%$149,4660.36%2,92344
General Surgery440.33%$128,0720.31%2,50657
Geriatric Medicine260.20%$119,0330.29%2,32389
Pain Management180.14%$93,2650.23%1,825101

Not listed: 37 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 87635 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