HCPCS 87637

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

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

345
77th percentile among 6,253 codes billed · 2021
$4.1M
81st percentile among 6,253 codes billed · 2021
29K
76th percentile among 6,253 codes billed · 2021
26
54th percentile among 6,253 codes billed · 2021
251
72nd percentile among 6,253 codes billed · 2021
+1774.1%
Medicare payment on the code vs 2020; billers +1542.9% · 2021

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
New York22$646,9704,53643491
South Carolina76$444,6423,15231103
Texas13$406,0682,847171,029
North Carolina32$370,8382,60435153
Arkansas32$222,6811,5652887
Georgia12$87,4326145499
Massachusetts11$79,73055913221
Arizona14$70,92348017102
Indiana17$63,7564471663

Not listed: 32 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-NJ14$738,2535,17758
Columbia, SC73$431,8053,06131
Asheville, NC12$138,49497290
Russellville, AR18$94,42166524
Tucson, AZ11$34,77523516
Evansville, IN13$30,95121716
Kansas City, MO-KS12$24,67517314

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 7 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 87637 nationally

Clinical Laboratory accounts for 60% of payment for 87637 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory4814%$2,455,76260%17,113357
Family Practice8324%$419,61410%2,97736
Nurse Practitioner9828%$390,6129.5%2,74728
Physician Assistant5014%$275,9846.7%1,93439
Emergency Medicine267.5%$204,3895.0%1,44856
Internal Medicine277.8%$130,8543.2%90934

Not listed: 9 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 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