HCPCS 88112

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

Laboratory Work RVU per service 0.56 (2020 fee schedule)

4,912
95th percentile among 6,116 codes billed · 2020
$26M
94th percentile among 6,116 codes billed · 2020
822K
95th percentile among 6,116 codes billed · 2020
82
85th percentile among 6,116 codes billed · 2020
441
80th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$10M$20M2020: $26M paid20202021: $27M paid20212022: $25M paid20222023: $25M paid20232024: $24M paid2024$24M$0$10M$20M2020: $26M paid20202021: $27M paid20212022: $25M paid20222023: $25M paid20232024: $24M paid2024$24M$0$10M$20M2020: $26M paid20202021: $27M paid20212022: $25M paid20222023: $25M paid20232024: $24M paid2024$24M$0$10M$20M2020: $26M paid20202021: $27M paid20212022: $25M paid20222023: $25M paid20232024: $24M paid2024$24M

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

Billers

02,0004,0002020: 4,912 providers20202021: 4,949 providers20212022: 4,937 providers20222023: 4,868 providers20232024: 4,818 providers20244,81802,0004,0002020: 4,912 providers20202021: 4,949 providers20212022: 4,937 providers20222023: 4,868 providers20232024: 4,818 providers20244,81802,0004,0002020: 4,912 providers20202021: 4,949 providers20212022: 4,937 providers20222023: 4,868 providers20232024: 4,818 providers20244,81802,0004,0002020: 4,912 providers20202021: 4,949 providers20212022: 4,937 providers20222023: 4,868 providers20232024: 4,818 providers20244,818

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
20244,818$23,802,074-3%812,667824180.56
20234,868$24,661,162-3%827,246804260.56
20224,937$25,408,766-4%829,651794280.56
20214,949$26,603,617+2%849,065824430.56
20204,912$26,081,065first year in data822,103824410.56

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 York330$2,936,23675,520108584
Florida316$2,422,00769,33691466
California432$2,257,01362,99477407
New Jersey134$1,935,79449,410882,292
Pennsylvania266$1,279,09144,40189393
Tennessee149$1,257,18635,768981,029
Massachusetts203$1,234,63143,833104620
Texas267$1,110,04834,92851404
Maryland88$1,064,66924,60291717
Illinois223$899,13928,72665336
Michigan168$711,67825,247100313
North Carolina148$676,04426,85199428
Oklahoma32$626,38020,2501551,069
Ohio251$611,17425,83082257
Arizona103$520,28517,929118344

Not listed: 4 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

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ290$4,294,437104,066115
Los Angeles-Long Beach-Anaheim, CA144$1,135,47427,08176
Washington-Arlington-Alexandria, DC-VA-MD-WV86$943,94922,68776
Boston-Cambridge-Newton, MA-NH140$904,49430,73599
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD125$838,46227,17791
Chicago-Naperville-Elgin, IL-IN178$813,68025,40075
Dallas-Fort Worth-Arlington, TX76$631,75317,81963
Memphis, TN-MS-AR21$614,14915,492136
Tampa-St. Petersburg-Clearwater, FL68$548,30317,06875
Oklahoma City, OK16$525,06216,213174
Miami-Fort Lauderdale-West Palm Beach, FL71$466,33213,84275
Phoenix-Mesa-Chandler, AZ83$441,81515,246124
Detroit-Warren-Dearborn, MI77$434,49112,61088
Nashville-Davidson--Murfreesboro--Franklin, TN69$376,76511,09772
Atlanta-Sandy Springs-Roswell, GA71$303,31310,29771

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 80 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 88112 nationally

Pathology accounts for 69% of payment for 88112 nationally in 2020, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,45491%$17,953,75469%604,139136
Clinical Laboratory2625.3%$7,466,77829%196,593750
Urology1853.8%$634,0522.4%20,365110

Not listed: 10 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 88112 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