HCPCS 87636

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

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

1,162
86th percentile among 6,253 codes billed · 2021
$11M
89th percentile among 6,253 codes billed · 2021
78K
83rd percentile among 6,253 codes billed · 2021
28
55th percentile among 6,253 codes billed · 2021
148
64th percentile among 6,253 codes billed · 2021
+546.4%
Medicare payment on the code vs 2020; billers +718.3% · 2021

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
California32$1,515,32210,289391,300
Kentucky149$911,6566,42629108
New York129$891,5976,25828126
New Jersey18$783,0225,506291,683
Tennessee156$721,2845,1332477
Massachusetts62$554,0613,88733189
North Carolina48$544,0903,82735148
Illinois12$423,0172,965341,192
Washington86$406,4602,8392868
Texas28$372,6952,61723501
Louisiana51$352,5702,49945110
Florida21$350,0432,47630483
Ohio20$201,5361,41629262
South Carolina42$200,5741,4282869
Maryland14$178,1611,42126355

Not listed: 24 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-NJ48$1,016,6087,14926
Louisville/Jefferson County, KY-IN147$896,3626,31328
Kiryas Joel-Poughkeepsie-Newburgh, NY83$555,0333,89330
Nashville-Davidson--Murfreesboro--Franklin, TN94$458,7133,27927
Chicago-Naperville-Elgin, IL-IN11$415,6422,91434
Boston-Cambridge-Newton, MA-NH27$277,9291,95129
Worcester, MA33$259,1591,81833
Shreveport-Bossier City, LA36$236,3381,65842
Seattle-Tacoma-Bellevue, WA53$223,6691,57626
Washington-Arlington-Alexandria, DC-VA-MD-WV13$199,5171,570102
Charleston-North Charleston, SC38$182,9941,29630
Phoenix-Mesa-Chandler, AZ14$134,74691624
Detroit-Warren-Dearborn, MI16$103,22773329
Spokane-Spokane Valley, WA14$99,94468445
Hickory-Lenoir-Morganton, NC19$92,13964732

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 23 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 87636 nationally

Clinical Laboratory accounts for 47% of payment for 87636 nationally in 2021, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory1018.7%$5,186,85447%36,130358
Nurse Practitioner39134%$1,849,43517%13,22834
Family Practice29025%$1,696,82815%12,01241
Physician Assistant17015%$939,4008.4%6,67239
Internal Medicine1149.8%$612,3365.5%4,32638
Emergency Medicine262.2%$402,0953.6%2,797108
Gastroenterology141.2%$63,1720.57%44732
Cardiology110.95%$26,8020.24%18817

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 2021.

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