HCPCS 87636

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

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

2,132
91st percentile among 6,326 codes billed · 2022
$30M
94th percentile among 6,326 codes billed · 2022
214K
89th percentile among 6,326 codes billed · 2022
28
57th percentile among 6,326 codes billed · 2022
183
68th percentile among 6,326 codes billed · 2022
+168.8%
Medicare payment on the code vs 2021; billers +83.5% · 2022

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 Jersey54$6,165,42844,010192,114
California54$1,810,68512,94362893
Tennessee241$1,710,65312,47930127
Texas165$1,601,85311,49822178
New York182$1,583,21411,38020142
Kentucky226$1,511,47110,83133142
Florida36$1,419,82210,097412,032
North Carolina90$1,365,0829,71428118
Illinois81$1,198,4028,51729175
Massachusetts88$896,8756,38830131
Pennsylvania14$789,2955,620651,615
Washington108$776,1465,67938101
Georgia25$758,1255,42617215
Arizona20$722,5295,158301,838
Maryland28$636,9024,68632371

Not listed: 20 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-NJ126$7,073,38750,53318
Louisville/Jefferson County, KY-IN217$1,434,72510,27230
Chicago-Naperville-Elgin, IL-IN78$1,151,3258,18529
Los Angeles-Long Beach-Anaheim, CA23$1,089,8147,75091
Nashville-Davidson--Murfreesboro--Franklin, TN137$1,069,7267,84736
Atlanta-Sandy Springs-Roswell, GA13$728,1315,17019
Phoenix-Mesa-Chandler, AZ17$692,6004,94333
Dallas-Fort Worth-Arlington, TX13$630,5954,54157
Boston-Cambridge-Newton, MA-NH44$622,4734,43726
Baltimore-Columbia-Towson, MD18$516,2783,67827
Detroit-Warren-Dearborn, MI40$497,4023,57129
Kiryas Joel-Poughkeepsie-Newburgh, NY60$482,3343,46135
Charleston-North Charleston, SC50$478,7123,43467
Austin-Round Rock-San Marcos, TX98$399,5992,83919
Seattle-Tacoma-Bellevue, WA66$388,6062,89237

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 34 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 87636 nationally

Clinical Laboratory accounts for 62% of payment for 87636 nationally in 2022, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory1677.8%$18,396,70362%131,184786
Nurse Practitioner72434%$4,066,70214%29,46641
Family Practice53325%$3,287,72411%23,83945
Physician Assistant33116%$1,713,5825.7%12,40537
Internal Medicine27113%$1,251,4194.2%9,03933
Emergency Medicine432.0%$455,4791.5%3,25876
Pathology110.52%$221,4120.74%1,626148
General Practice130.61%$164,2750.55%1,20393

Not listed: 21 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 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