HCPCS 87811
Laboratory test (ClaimLight category; the code descriptor is not shown)
Laboratory
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 12,806 | $31,519,685 | +4% | 783,946 | 26 | 108 | 0.00 |
| 2023 | 10,132 | $30,411,197 | +25% | 756,135 | 27 | 118 | 0.00 |
| 2022 | 8,790 | $24,393,052 | +131% | 603,628 | 31 | 184 | 0.00 |
| 2021 | 4,787 | $10,551,167 | +9011% | 257,603 | 25 | 132 | 0.00 |
| 2020 | 111 | $115,809 | first year in data | 2,812 | 15 | 62 |
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 | |
|---|---|---|---|---|---|---|
| South Carolina | 13 | $21,766 | 526 | 23 | 92 | |
| New York | 21 | $14,483 | 350 | 12 | 34 |
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 2020.
Top metro areas
No metro area has a reportable line for 87811 in 2020.
Specialties billing 87811 nationally
Nurse Practitioner accounts for 37% of payment for 87811 nationally in 2020, across 3 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Nurse Practitioner | 46 | 41% | $43,366 | 37% | 1,050 | 23 |
| Family Practice | 17 | 15% | $22,800 | 20% | 554 | 33 |
| Physician Assistant | 28 | 25% | $18,939 | 16% | 466 | 17 |
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 2020.
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