HCPCS 87637

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

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

948
85th percentile among 6,326 codes billed · 2022
$12M
90th percentile among 6,326 codes billed · 2022
86K
84th percentile among 6,326 codes billed · 2022
25
52nd percentile among 6,326 codes billed · 2022
260
73rd percentile among 6,326 codes billed · 2022
+194.1%
Medicare payment on the code vs 2021; billers +174.8% · 2022

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 Jersey19$1,611,91111,470214,354
New York71$1,230,8778,77722596
South Carolina107$1,082,7537,82545200
Kentucky21$1,015,5957,169261,075
California87$985,5637,13821218
North Carolina47$815,0725,82733310
Texas45$718,7475,11444374
Illinois37$592,6524,22818547
Indiana88$486,3393,4622793
Virginia15$412,6902,91626777
Maryland19$410,7503,00619527
Massachusetts41$225,7221,60727125
Wisconsin20$224,9231,60725278
Arizona35$221,0291,57820107
Tennessee14$206,7751,48020420

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ54$1,653,60711,77826
Columbia, SC100$1,018,4457,36145
Chicago-Naperville-Elgin, IL-IN35$569,6804,06418
Los Angeles-Long Beach-Anaheim, CA28$565,6924,14026
Baltimore-Columbia-Towson, MD14$316,9362,27818
Evansville, IN67$307,8902,19026
Houston-Pasadena-The Woodlands, TX12$192,0491,36847
Asheville, NC16$189,0621,35158
Boston-Cambridge-Newton, MA-NH30$157,5231,11929
Washington-Arlington-Alexandria, DC-VA-MD-WV21$135,7711,02616
Kansas City, MO-KS32$135,60897020
Tucson, AZ30$109,66478020
Kiryas Joel-Poughkeepsie-Newburgh, NY14$69,31949730
Russellville, AR16$50,02935816
Henderson, KY11$49,71535319

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 18 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 87637 nationally

Clinical Laboratory accounts for 59% of payment for 87637 nationally in 2022, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory12513%$7,083,91759%50,434403
Nurse Practitioner26428%$1,389,98411%9,95738
Family Practice21022%$1,041,9178.6%7,48036
Physician Assistant18119%$893,3497.4%6,37535
Internal Medicine808.4%$646,4575.3%4,63158
Emergency Medicine535.6%$514,8154.3%3,69770

Not listed: 17 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 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