HCPCS 87653

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

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

974
86th percentile among 6,471 codes billed · 2024
$28M
93rd percentile among 6,471 codes billed · 2024
804K
95th percentile among 6,471 codes billed · 2024
106
84th percentile among 6,471 codes billed · 2024
3,610
94th percentile among 6,471 codes billed · 2024
+36.2%
Medicare payment on the code vs 2023; billers +8.9% · 2024

Trend

Medicare payment on the code

$0$20M2020: $12M paid20202021: $14M paid20212022: $16M paid20222023: $20M paid20232024: $28M paid2024$28M$0$20M2020: $12M paid20202021: $14M paid20212022: $16M paid20222023: $20M paid20232024: $28M paid2024$28M$0$20M2020: $12M paid20202021: $14M paid20212022: $16M paid20222023: $20M paid20232024: $28M paid2024$28M$0$20M2020: $12M paid20202021: $14M paid20212022: $16M paid20222023: $20M paid20232024: $28M paid2024$28M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

05001,0002020: 611 providers20202021: 1,003 providers20212022: 1,105 providers20222023: 894 providers20232024: 974 providers202497405001,0002020: 611 providers20202021: 1,003 providers20212022: 1,105 providers20222023: 894 providers20232024: 974 providers202497405001,0002020: 611 providers20202021: 1,003 providers20212022: 1,105 providers20222023: 894 providers20232024: 974 providers202497405001,0002020: 611 providers20202021: 1,003 providers20212022: 1,105 providers20222023: 894 providers20232024: 974 providers2024974

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
2024974$27,635,710+36%804,2031063,6100.00
2023894$20,294,272+30%590,661852,6940.00
20221,105$15,639,966+10%451,847711,5670.00
20211,003$14,252,252+15%406,597791,5680.00
2020611$12,373,073first year in data354,823662,1380.00

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
Texas240$8,883,903258,5321083,205
California73$3,071,89389,3363254,456
Florida92$2,962,68486,1891303,129
Pennsylvania17$2,637,38176,69999515,649
Maryland46$929,40627,0511271,274
Illinois39$878,45025,5783012,377
New Jersey41$876,70925,526873,974
Arkansas30$847,56124,693605,842
Colorado48$773,36722,492432,919
New York38$765,72222,296555,396
Mississippi44$707,25820,6001632,271
Oklahoma39$653,05519,0231681,777
Louisiana22$408,07611,8721102,085
Virginia16$344,29910,013353,351
Delaware22$148,2084,31684306

Not listed: 23 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, TX100$5,115,429148,84497
Houston-Pasadena-The Woodlands, TX55$2,903,38184,496146
Los Angeles-Long Beach-Anaheim, CA58$2,686,03778,116662
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD22$2,338,17467,99790
New York-Newark-Jersey City, NY-NJ61$1,353,31439,39081
Tampa-St. Petersburg-Clearwater, FL13$999,62429,098440
Little Rock-North Little Rock-Conway, AR25$724,99121,11664
Washington-Arlington-Alexandria, DC-VA-MD-WV23$655,46919,06393
Denver-Aurora-Centennial, CO19$641,13318,64322
Chicago-Naperville-Elgin, IL-IN31$629,18018,315216
Baltimore-Columbia-Towson, MD34$503,64814,669135
San Antonio-New Braunfels, TX50$437,57212,745107
Memphis, TN-MS-AR19$352,96010,288151
Oklahoma City, OK28$290,8798,480147
Jackson, MS14$179,8775,23372

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 24 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 87653 nationally

Clinical Laboratory accounts for 86% of payment for 87653 nationally in 2024, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory38740%$23,875,77386%694,5821,795
Urology33735%$1,871,7746.8%54,592162
Pathology313.2%$1,106,8524.0%32,2441,040
Nurse Practitioner929.4%$282,7191.0%8,25990
Physician Assistant596.1%$180,3890.65%5,25589
Podiatry242.5%$120,5770.44%3,508146
Internal Medicine151.5%$85,9000.31%2,499167
Obstetrics & Gynecology121.2%$38,4850.14%1,12193

Not listed: 5 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 87653 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