HCPCS 87636

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

Laboratory Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

2,407
92nd percentile among 6,471 codes billed · 2024
$27M
93rd percentile among 6,471 codes billed · 2024
198K
89th percentile among 6,471 codes billed · 2024
24
49th percentile among 6,471 codes billed · 2024
113
57th percentile among 6,471 codes billed · 2024
-32.6%
Medicare payment on the code vs 2023; billers +9.8% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $1.7M paid20202021: $11M paid20212022: $30M paid20222023: $41M paid20232024: $27M paid2024$27M$0$20M$40M2020: $1.7M paid20202021: $11M paid20212022: $30M paid20222023: $41M paid20232024: $27M paid2024$27M$0$20M$40M2020: $1.7M paid20202021: $11M paid20212022: $30M paid20222023: $41M paid20232024: $27M paid2024$27M$0$20M$40M2020: $1.7M paid20202021: $11M paid20212022: $30M paid20222023: $41M paid20232024: $27M paid2024$27M

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

Billers

01,0002,0002020: 142 providers20202021: 1,162 providers20212022: 2,132 providers20222023: 2,192 providers20232024: 2,407 providers20242,40701,0002,0002020: 142 providers20202021: 1,162 providers20212022: 2,132 providers20222023: 2,192 providers20232024: 2,407 providers20242,40701,0002,0002020: 142 providers20202021: 1,162 providers20212022: 2,132 providers20222023: 2,192 providers20232024: 2,407 providers20242,40701,0002,0002020: 142 providers20202021: 1,162 providers20212022: 2,132 providers20222023: 2,192 providers20232024: 2,407 providers20242,407

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
20242,407$27,424,401-33%198,171241130.00
20232,192$40,693,901+36%293,634271700.00
20222,132$29,890,138+169%214,400281830.00
20211,162$11,119,977+546%78,236281480.00
2020142$1,720,403first year in data12,15421261

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 York177$7,067,94150,60721114
California101$5,581,13739,972352,416
Ohio40$2,135,62115,29524169
Texas204$1,847,65913,52819121
Tennessee217$1,012,3137,43124100
Kentucky214$1,010,9357,3782488
New Jersey23$983,8337,042381,699
Illinois107$751,0525,3912792
Massachusetts121$693,1434,9693295
Washington116$633,4154,6363071
Mississippi101$514,0473,7343274
Maryland121$483,3923,5411874
South Carolina92$466,0893,3862378
North Carolina85$435,7603,3122193
Louisiana63$411,9192,98535113

Not listed: 1 billers with an armed-forces or unknown state code (ZZ); they are in the national totals.

Not listed: 15 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ109$7,573,01754,20124
Los Angeles-Long Beach-Anaheim, CA27$2,365,59816,92548
San Francisco-Oakland-Fremont, CA13$1,723,38912,33120
Louisville/Jefferson County, KY-IN174$822,1245,95825
Chicago-Naperville-Elgin, IL-IN100$735,6765,28130
Nashville-Davidson--Murfreesboro--Franklin, TN119$506,1963,72622
Boston-Cambridge-Newton, MA-NH80$460,7043,30633
Kiryas Joel-Poughkeepsie-Newburgh, NY53$383,2652,75533
Washington-Arlington-Alexandria, DC-VA-MD-WV74$367,2222,66720
Seattle-Tacoma-Bellevue, WA77$333,0952,45026
Jackson, MS61$323,8252,33434
Dallas-Fort Worth-Arlington, TX41$290,1942,23319
Charleston-North Charleston, SC61$288,0222,10132
Memphis, TN-MS-AR53$278,4322,01226
Shreveport-Bossier City, LA39$269,4591,95139

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 45 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 87636 nationally

Clinical Laboratory accounts for 61% of payment for 87636 nationally in 2024, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory1194.9%$16,666,63061%119,2951,002
Nurse Practitioner85335%$3,684,96613%27,01032
Family Practice50621%$2,510,1009.2%18,39836
Physician Assistant49821%$2,220,0978.1%16,34633
Internal Medicine30713%$1,333,8734.9%9,85732
Emergency Medicine632.6%$479,3601.7%3,44655
Pathology140.58%$174,3180.64%1,25590
General Practice150.62%$172,8980.63%1,25984

Not listed: 19 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 2024.

Top billers of 87636 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