HCPCS 87811

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

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

4,787
94th percentile among 6,253 codes billed · 2021
$11M
88th percentile among 6,253 codes billed · 2021
258K
90th percentile among 6,253 codes billed · 2021
25
52nd percentile among 6,253 codes billed · 2021
132
61st percentile among 6,253 codes billed · 2021
+9010.8%
Medicare payment on the code vs 2020; billers +4212.6% · 2021

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 York484$2,083,41350,37025220
Illinois243$759,59118,39825113
Florida301$700,75416,96825168
Texas296$622,86915,08523128
South Carolina193$564,28113,69042223
California174$496,31412,06426205
North Carolina165$471,78011,41627192
Tennessee269$423,28410,3062689
Alabama257$401,21910,1522894
Louisiana258$390,7619,50725104
Pennsylvania140$311,0797,57525169
Missouri136$289,8257,3124198
New Jersey139$262,9766,45925118
Maryland128$258,1706,25025137
Mississippi133$233,9865,71732109

Not listed: 2 billers with an armed-forces or unknown state code (AE, AP); they are in the national totals.

Not listed: 16 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
New York-Newark-Jersey City, NY-NJ345$1,978,87847,84529
Chicago-Naperville-Elgin, IL-IN220$735,69517,78826
St. Louis, MO-IL103$262,4326,35048
Dallas-Fort Worth-Arlington, TX71$231,0455,58725
Los Angeles-Long Beach-Anaheim, CA59$180,6654,36837
Miami-Fort Lauderdale-West Palm Beach, FL44$163,4813,96629
Charleston-North Charleston, SC37$137,3823,33371
Washington-Arlington-Alexandria, DC-VA-MD-WV55$132,3743,24023
Tampa-St. Petersburg-Clearwater, FL66$127,6163,08420
Scranton--Wilkes-Barre, PA29$113,2572,74239
Detroit-Warren-Dearborn, MI46$109,0672,65124
Orlando-Kissimmee-Sanford, FL44$104,1532,52219
Baltimore-Columbia-Towson, MD71$101,7532,45923
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD71$96,4282,33623
Austin-Round Rock-San Marcos, TX16$86,8572,09924

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 83 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 87811 nationally

Nurse Practitioner accounts for 29% of payment for 87811 nationally in 2021, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner1,83238%$3,017,85229%73,76840
Physician Assistant1,20325%$2,348,00822%57,02847
Family Practice94420%$1,816,11117%44,96648
Internal Medicine3938.2%$992,4649.4%24,24262
Clinical Laboratory481.0%$657,9656.2%15,915332
Emergency Medicine1673.5%$638,1386.0%15,45493
Pediatric Medicine130.27%$484,3404.6%11,708901
General Practice491.0%$180,7931.7%4,45291
Gastroenterology140.29%$73,6560.70%1,781127
Pulmonary Disease180.38%$42,7040.40%1,03357

Not listed: 35 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 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