HCPCS 87653

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

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

1,003
85th percentile among 6,253 codes billed · 2021
$14M
90th percentile among 6,253 codes billed · 2021
407K
92nd percentile among 6,253 codes billed · 2021
79
84th percentile among 6,253 codes billed · 2021
1,568
92nd percentile among 6,253 codes billed · 2021
+15.2%
Medicare payment on the code vs 2020; billers +64.2% · 2021

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
Texas138$1,926,77054,978761,348
South Carolina31$1,913,06754,52537874
California90$1,811,40851,637951,775
Pennsylvania13$1,090,17531,07212810,994
Florida34$654,95418,669832,177
Maryland34$640,12818,2591083,136
Georgia51$630,88318,0041201,378
Indiana41$542,49815,47694493
Alabama37$523,90114,953662,868
New Jersey16$449,36312,8063382,906
Arizona51$430,46312,285117577
Michigan45$379,67610,83285741
Oklahoma28$377,37010,7842481,554
New York65$346,4689,90248815
Arkansas17$334,2479,5731011,831

Not listed: 15 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
Los Angeles-Long Beach-Anaheim, CA55$1,395,02339,76772
Dallas-Fort Worth-Arlington, TX59$887,65225,32156
New York-Newark-Jersey City, NY-NJ73$596,26617,00648
Houston-Pasadena-The Woodlands, TX31$540,24515,404101
Baltimore-Columbia-Towson, MD24$396,56111,316126
Phoenix-Mesa-Chandler, AZ46$392,34511,198110
Indianapolis-Carmel-Greenwood, IN13$376,39910,73660
Detroit-Warren-Dearborn, MI40$343,0779,78994
Little Rock-North Little Rock-Conway, AR17$334,2479,573101
Washington-Arlington-Alexandria, DC-VA-MD-WV14$284,1058,105132
Oklahoma City, OK19$252,3117,216244
Atlanta-Sandy Springs-Roswell, GA23$233,4896,65545
Raleigh-Cary, NC21$214,6566,11987
Chicago-Naperville-Elgin, IL-IN33$190,0185,43864
Louisville/Jefferson County, KY-IN32$188,9515,393155

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 25 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 87653 nationally

Clinical Laboratory accounts for 72% of payment for 87653 nationally in 2021, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory22422%$10,308,46272%293,9001,312
Urology57157%$2,723,11419%77,815136
Pathology363.6%$800,7315.6%22,881636
Nurse Practitioner636.3%$139,5800.98%3,98763
Podiatry383.8%$92,0780.65%2,62669
Physician Assistant333.3%$57,2160.40%1,63850
Obstetrics & Gynecology121.2%$53,4570.38%1,530128
Family Practice141.4%$32,3380.23%92666

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 2021.

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