HCPCS 87653

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

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

894
85th percentile among 6,405 codes billed · 2023
$20M
92nd percentile among 6,405 codes billed · 2023
591K
94th percentile among 6,405 codes billed · 2023
85
84th percentile among 6,405 codes billed · 2023
2,694
93rd percentile among 6,405 codes billed · 2023
+29.8%
Medicare payment on the code vs 2022; billers -19.1% · 2023

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
Texas228$5,470,032159,264742,392
Pennsylvania16$2,812,66781,79636120,667
Florida72$2,217,04564,5121752,579
California65$1,812,39352,7062222,674
Illinois56$845,82224,632752,529
Oklahoma32$785,74122,8842144,115
Maryland49$785,71622,8601221,305
Arkansas33$754,37021,991612,348
New Jersey33$665,97019,3871002,887
New York18$585,89217,071824,536
Mississippi42$571,55316,6561261,259
Colorado47$395,90611,51527880
Virginia24$371,84210,817513,475
Louisiana14$344,32210,014953,135
Massachusetts28$126,9653,69561373

Not listed: 22 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
Dallas-Fort Worth-Arlington, TX97$3,177,85792,50155
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD18$2,507,50972,92190
Houston-Pasadena-The Woodlands, TX45$1,659,81148,340112
Los Angeles-Long Beach-Anaheim, CA51$1,545,96644,957271
New York-Newark-Jersey City, NY-NJ43$995,91628,99182
Little Rock-North Little Rock-Conway, AR29$647,49218,87972
Chicago-Naperville-Elgin, IL-IN46$641,78618,67959
Washington-Arlington-Alexandria, DC-VA-MD-WV20$491,52014,29562
Oklahoma City, OK21$489,48514,263241
Baltimore-Columbia-Towson, MD35$470,44813,691135
San Antonio-New Braunfels, TX54$310,9589,06482
Denver-Aurora-Centennial, CO22$280,6928,16328
Memphis, TN-MS-AR16$254,9767,423123
Richmond, VA11$183,3125,33474
Pensacola-Ferry Pass-Brent, FL14$168,9954,916156

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 20 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 87653 nationally

Clinical Laboratory accounts for 82% of payment for 87653 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory31135%$16,696,46482%485,7491,562
Urology38043%$1,996,2159.8%58,240153
Pathology293.2%$1,010,6595.0%29,4471,015
Nurse Practitioner647.2%$210,6141.0%6,14996
Podiatry414.6%$156,2390.77%4,545111
Physician Assistant394.4%$102,7090.51%2,98977

Not listed: 8 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 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