HCPCS 87635

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

Laboratory Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

14,278
98th percentile among 6,326 codes billed · 2022
$44M
95th percentile among 6,326 codes billed · 2022
880K
95th percentile among 6,326 codes billed · 2022
30
59th percentile among 6,326 codes billed · 2022
175
67th percentile among 6,326 codes billed · 2022
+7.7%
Medicare payment on the code vs 2021; billers +8.6% · 2022

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
New York1,198$6,469,890127,94238330
California1,158$6,182,387122,08733228
Tennessee853$1,951,57038,88229130
Texas684$1,864,74936,88728182
Georgia598$1,716,43034,18235162
North Carolina771$1,602,35131,76626105
Massachusetts273$1,601,83431,70130211
Michigan409$1,535,53430,46841207
New Jersey405$1,421,19828,12134229
Illinois496$1,420,33028,12930152
Florida280$1,374,09227,26634288
Alabama474$1,362,21227,00535160
South Carolina424$1,181,21023,49643130
Missouri365$1,153,00722,80940177
Mississippi311$1,019,20920,32944176

Not listed: 6 billers with an armed-forces or unknown state code (AE, AP); they are in the national totals.

Not listed: 3 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,209$6,860,296135,58642
Los Angeles-Long Beach-Anaheim, CA304$2,803,60355,32135
Boston-Cambridge-Newton, MA-NH189$1,190,27023,55627
San Francisco-Oakland-Fremont, CA251$1,172,07223,14532
Detroit-Warren-Dearborn, MI275$1,149,15322,74848
Atlanta-Sandy Springs-Roswell, GA368$1,073,41521,26137
Chicago-Naperville-Elgin, IL-IN340$865,81817,12128
Charlotte-Concord-Gastonia, NC-SC437$813,04816,13225
St. Louis, MO-IL183$772,99415,29076
Dallas-Fort Worth-Arlington, TX142$563,89111,15631
Washington-Arlington-Alexandria, DC-VA-MD-WV153$560,53011,07939
Miami-Fort Lauderdale-West Palm Beach, FL83$557,08811,09135
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD154$517,07910,22436
Memphis, TN-MS-AR155$494,6999,82841
Kiryas Joel-Poughkeepsie-Newburgh, NY123$452,4849,00956

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 2022.

Specialties billing 87635 nationally

Nurse Practitioner accounts for 25% of payment for 87635 nationally in 2022, across 22 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner4,40431%$11,252,26225%223,14551
Family Practice3,65926%$9,712,01122%192,71353
Physician Assistant2,99721%$8,552,47319%169,24956
Clinical Laboratory2071.4%$4,795,82011%94,743458
Internal Medicine1,59911%$4,724,13111%93,68459
Emergency Medicine6004.2%$2,435,2185.5%48,20580
Gastroenterology1200.84%$393,2060.89%7,79165
General Practice1080.76%$340,8140.77%6,77463
Pulmonary Disease930.65%$290,6410.65%5,79562
Cardiology450.32%$182,4390.41%3,60480
Geriatric Medicine300.21%$160,2750.36%3,166106
Hematology-Oncology270.19%$131,6630.30%2,59096
Pathology210.15%$126,2200.28%2,491119
General Surgery380.27%$88,8160.20%1,83948
Pediatric Medicine330.23%$83,5960.19%1,65250

Not listed: 40 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 2022.

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