HCPCS 87637

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

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

1,421
89th percentile among 6,471 codes billed · 2024
$40M
95th percentile among 6,471 codes billed · 2024
285K
91st percentile among 6,471 codes billed · 2024
28
55th percentile among 6,471 codes billed · 2024
384
76th percentile among 6,471 codes billed · 2024
-50.8%
Medicare payment on the code vs 2023; billers +24.5% · 2024

Trend

Medicare payment on the code

$0$50M2020: $220K paid20202021: $4.1M paid20212022: $12M paid20222023: $81M paid20232024: $40M paid2024$40M$0$50M2020: $220K paid20202021: $4.1M paid20212022: $12M paid20222023: $81M paid20232024: $40M paid2024$40M$0$50M2020: $220K paid20202021: $4.1M paid20212022: $12M paid20222023: $81M paid20232024: $40M paid2024$40M$0$50M2020: $220K paid20202021: $4.1M paid20212022: $12M paid20222023: $81M 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

01,0002020: 21 providers20202021: 345 providers20212022: 948 providers20222023: 1,141 providers20232024: 1,421 providers20241,42101,0002020: 21 providers20202021: 345 providers20212022: 948 providers20222023: 1,141 providers20232024: 1,421 providers20241,42101,0002020: 21 providers20202021: 345 providers20212022: 948 providers20222023: 1,141 providers20232024: 1,421 providers20241,42101,0002020: 21 providers20202021: 345 providers20212022: 948 providers20222023: 1,141 providers20232024: 1,421 providers20241,421

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
20241,421$39,649,683-51%285,069283840.00
20231,141$80,656,525+567%577,583274060.00
2022948$12,099,935+194%86,499252600.00
2021345$4,114,908+1774%28,934262510.00
202021$219,573first year in data1,56223437

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
California217$14,319,781102,973242,350
Texas71$10,869,81078,09457829
New York50$2,481,29917,77933814
New Jersey14$1,735,65112,4281993,416
Illinois42$1,283,5809,19274748
Maryland127$1,189,9318,59943194
South Carolina94$968,7997,02237139
North Carolina113$911,1006,59628106
Arizona31$721,7955,16420787
Pennsylvania11$495,1383,548811,422
Indiana89$494,0943,5522383
Oklahoma16$474,3633,41143900
Florida24$457,7303,27872515
Michigan17$361,6472,58936510
Ohio24$297,1742,18417179

Not listed: 2 billers with an armed-forces or unknown state code (AE, AP); they are in the national totals.

Not listed: 18 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
Dallas-Fort Worth-Arlington, TX18$10,293,61473,947114
Los Angeles-Long Beach-Anaheim, CA31$6,993,80050,549212
New York-Newark-Jersey City, NY-NJ34$3,960,09928,35344
San Jose-Sunnyvale-Santa Clara, CA44$2,881,61520,61722
San Francisco-Oakland-Fremont, CA57$2,732,55819,55121
Chicago-Naperville-Elgin, IL-IN44$1,256,9899,00370
Baltimore-Columbia-Towson, MD67$803,2495,78745
Columbia, SC88$690,3075,02637
Washington-Arlington-Alexandria, DC-VA-MD-WV87$462,6223,34428
Evansville, IN64$280,5612,01723
Sacramento-Roseville-Folsom, CA28$192,9511,38318
Boston-Cambridge-Newton, MA-NH34$179,4781,28525
Kansas City, MO-KS36$151,1321,08628
Asheville, NC16$116,38784242
Kiryas Joel-Poughkeepsie-Newburgh, NY21$111,61481036

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 28 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 87637 nationally

Clinical Laboratory accounts for 78% of payment for 87637 nationally in 2024, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory23216%$30,813,34478%221,375954
Emergency Medicine835.8%$3,045,9447.7%21,849263
Nurse Practitioner40829%$1,873,0144.7%13,58633
Family Practice29921%$1,323,5783.3%9,55832
Physician Assistant25818%$1,148,8982.9%8,32332
Internal Medicine1077.5%$853,1282.2%6,13057
Pathology120.84%$413,2811.0%2,964247

Not listed: 10 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 87637 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