HCPCS 87637

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

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

1,141
87th percentile among 6,405 codes billed · 2023
$81M
97th percentile among 6,405 codes billed · 2023
578K
94th percentile among 6,405 codes billed · 2023
27
55th percentile among 6,405 codes billed · 2023
406
78th percentile among 6,405 codes billed · 2023
+566.6%
Medicare payment on the code vs 2022; billers +20.4% · 2023

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
Illinois54$30,091,525215,2884928,702
Texas69$27,887,223199,57740558
California185$11,457,24581,984191,343
New York66$2,071,66114,85834924
New Jersey25$1,102,2347,89245347
North Carolina73$968,3866,95933169
South Carolina103$965,7147,01544174
Arizona40$855,1326,12222750
Maryland15$592,4274,3101311,039
Ohio12$545,2503,953451,553
Indiana92$507,1823,6612876
Florida25$416,7963,01044321
Michigan18$414,7802,97181519
Oklahoma13$399,3512,860311,102
Wisconsin23$290,1622,07915142

Not listed: 21 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
Chicago-Naperville-Elgin, IL-IN55$30,100,602215,36852
Dallas-Fort Worth-Arlington, TX13$27,366,275195,829185
Los Angeles-Long Beach-Anaheim, CA48$8,874,67763,49631
New York-Newark-Jersey City, NY-NJ57$2,820,84320,21035
San Jose-Sunnyvale-Santa Clara, CA25$1,127,3168,06616
San Francisco-Oakland-Fremont, CA36$951,5046,81518
Columbia, SC95$834,9946,07544
Detroit-Warren-Dearborn, MI13$390,7382,799110
Evansville, IN68$288,7412,07426
Houston-Pasadena-The Woodlands, TX11$227,2991,62871
Kansas City, MO-KS34$159,0051,14525
Asheville, NC18$142,7431,02849
Tucson, AZ34$116,20983521
Durham-Chapel Hill, NC15$107,80077533
Kiryas Joel-Poughkeepsie-Newburgh, NY13$105,02175868

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 23 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 87637 nationally

Clinical Laboratory accounts for 91% of payment for 87637 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory21719%$73,020,60791%522,5572,408
Emergency Medicine635.5%$1,454,7931.8%10,462166
Nurse Practitioner30126%$1,394,7011.7%10,06733
Family Practice24622%$1,041,4341.3%7,54431
Physician Assistant20318%$892,2231.1%6,42132
Internal Medicine726.3%$788,4480.98%5,67679

Not listed: 16 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 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