HCPCS 87811

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

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

12,806
98th percentile among 6,471 codes billed · 2024
$32M
94th percentile among 6,471 codes billed · 2024
784K
95th percentile among 6,471 codes billed · 2024
26
52nd percentile among 6,471 codes billed · 2024
108
56th percentile among 6,471 codes billed · 2024
+3.6%
Medicare payment on the code vs 2023; billers +26.4% · 2024

Trend

Medicare payment on the code

$0$20M2020: $116K paid20202021: $11M paid20212022: $24M paid20222023: $30M paid20232024: $32M paid2024$32M$0$20M2020: $116K paid20202021: $11M paid20212022: $24M paid20222023: $30M paid20232024: $32M paid2024$32M$0$20M2020: $116K paid20202021: $11M paid20212022: $24M paid20222023: $30M paid20232024: $32M paid2024$32M$0$20M2020: $116K paid20202021: $11M paid20212022: $24M paid20222023: $30M paid20232024: $32M paid2024$32M

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

Billers

05,00010K2020: 111 providers20202021: 4,787 providers20212022: 8,790 providers20222023: 10K providers20232024: 13K providers202413K05,00010K2020: 111 providers20202021: 4,787 providers20212022: 8,790 providers20222023: 10K providers20232024: 13K providers202413K05,00010K2020: 111 providers20202021: 4,787 providers20212022: 8,790 providers20222023: 10K providers20232024: 13K providers202413K05,00010K2020: 111 providers20202021: 4,787 providers20212022: 8,790 providers20222023: 10K providers20232024: 13K providers202413K

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
202412,806$31,519,685+4%783,946261080.00
202310,132$30,411,197+25%756,135271180.00
20228,790$24,393,052+131%603,628311840.00
20214,787$10,551,167+9011%257,603251320.00
2020111$115,809first year in data2,8121562

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 York741$8,559,673211,23433157
Texas953$3,122,01478,2532392
California537$3,088,45276,48123120
Tennessee883$1,394,87434,8283099
Alabama685$1,309,02533,52134133
Florida736$1,301,05832,23629119
Louisiana581$1,074,38326,78435115
New Jersey472$924,51222,92932125
Georgia747$921,75622,9862475
Maryland303$787,68219,53043178
North Carolina508$746,34418,53625102
Pennsylvania595$709,47717,5982265
South Carolina382$679,34416,97929117
Oklahoma339$654,30816,34135122
Illinois354$645,91116,0172473

Not listed: 3 billers with an armed-forces or unknown state code (AP); they are in the national totals.

Not listed: 7 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
New York-Newark-Jersey City, NY-NJ889$9,056,538223,55139
Dallas-Fort Worth-Arlington, TX181$1,858,93045,88924
San Jose-Sunnyvale-Santa Clara, CA13$1,565,47338,60622
Los Angeles-Long Beach-Anaheim, CA179$881,19621,74426
Chicago-Naperville-Elgin, IL-IN351$662,28116,44325
Houston-Pasadena-The Woodlands, TX273$519,27613,84420
Atlanta-Sandy Springs-Roswell, GA417$461,31011,48823
Baltimore-Columbia-Towson, MD150$425,96810,54155
Washington-Arlington-Alexandria, DC-VA-MD-WV245$397,0919,86729
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD242$327,7458,10825
Birmingham, AL168$304,5817,84433
Tampa-St. Petersburg-Clearwater, FL139$281,0166,94433
Memphis, TN-MS-AR121$276,8856,90137
Detroit-Warren-Dearborn, MI219$253,0776,29324
Oklahoma City, OK128$248,5266,19434

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 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 87811 nationally

Clinical Laboratory accounts for 30% of payment for 87811 nationally in 2024, across 12 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory290.23%$9,427,03030%232,4808,017
Nurse Practitioner5,70945%$8,684,96828%216,49338
Physician Assistant3,08024%$4,685,75815%116,23938
Family Practice2,27318%$3,552,80211%89,97940
Internal Medicine1,0568.2%$1,661,1355.3%41,78140
Emergency Medicine4093.2%$886,0862.8%22,02454
General Practice830.65%$592,6941.9%14,839179
Pulmonary Disease150.12%$92,4200.29%2,282152
Hospitalist180.14%$35,2940.11%87549
Pediatric Medicine220.17%$34,8830.11%86539
General Surgery160.12%$31,7490.10%80250
Geriatric Medicine150.12%$22,2540.07%55637

Not listed: 31 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 87811 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