HCPCS 87636

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

Laboratory Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

2,192
91st percentile among 6,405 codes billed · 2023
$41M
95th percentile among 6,405 codes billed · 2023
294K
91st percentile among 6,405 codes billed · 2023
27
55th percentile among 6,405 codes billed · 2023
170
65th percentile among 6,405 codes billed · 2023
+36.1%
Medicare payment on the code vs 2022; billers +2.8% · 2023

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 York180$9,881,24770,73121150
California87$6,142,96044,006432,049
Illinois115$5,754,22041,182321,357
Texas161$5,008,49836,5572097
New Jersey34$2,878,43220,599181,516
Tennessee223$1,342,2569,79228123
Kentucky196$1,111,7428,07528117
North Carolina89$640,2954,66027158
South Carolina68$590,8434,30555149
Washington103$578,4654,3153472
Massachusetts102$565,7844,0682693
Mississippi98$551,6923,9853296
Florida49$493,4053,63523415
Ohio38$428,0913,13323426
Pennsylvania21$418,6303,02526699

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

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ106$12,176,27887,13222
Chicago-Naperville-Elgin, IL-IN115$5,757,01541,20234
Dallas-Fort Worth-Arlington, TX15$2,808,58020,73025
Los Angeles-Long Beach-Anaheim, CA35$2,361,95016,911123
Houston-Pasadena-The Woodlands, TX17$1,634,25611,69532
Louisville/Jefferson County, KY-IN180$1,034,5227,50528
Nashville-Davidson--Murfreesboro--Franklin, TN121$721,1225,27928
Charleston-North Charleston, SC46$453,4833,30377
Kiryas Joel-Poughkeepsie-Newburgh, NY64$450,8363,24123
Boston-Cambridge-Newton, MA-NH63$371,7982,67829
Memphis, TN-MS-AR62$327,9512,36326
Jackson, MS56$313,8182,25832
Austin-Round Rock-San Marcos, TX87$303,4122,18616
Seattle-Tacoma-Bellevue, WA62$285,4992,17731
Detroit-Warren-Dearborn, MI23$278,5391,99940

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 43 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing 87636 nationally

Clinical Laboratory accounts for 74% of payment for 87636 nationally in 2023, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory1647.5%$30,092,20474%216,1381,318
Nurse Practitioner74834%$3,767,8119.3%27,44837
Family Practice48822%$2,819,4356.9%20,52842
Physician Assistant41019%$1,897,9124.7%13,79134
Internal Medicine25912%$1,159,4092.8%8,61733
Emergency Medicine703.2%$470,6731.2%3,50150
General Practice130.59%$155,9430.38%1,15589
Pathology110.50%$152,0740.37%1,177107

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 2023.

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