HCPCS 88173

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

Laboratory Work RVU per service 1.39 (2020 fee schedule)

4,188
94th percentile among 6,116 codes billed · 2020
$21M
92nd percentile among 6,116 codes billed · 2020
289K
91st percentile among 6,116 codes billed · 2020
41
71st percentile among 6,116 codes billed · 2020
187
68th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$10M$20M2020: $21M paid20202021: $22M paid20212022: $21M paid20222023: $22M paid20232024: $22M paid2024$22M$0$10M$20M2020: $21M paid20202021: $22M paid20212022: $21M paid20222023: $22M paid20232024: $22M paid2024$22M$0$10M$20M2020: $21M paid20202021: $22M paid20212022: $21M paid20222023: $22M paid20232024: $22M paid2024$22M$0$10M$20M2020: $21M paid20202021: $22M paid20212022: $21M paid20222023: $22M paid20232024: $22M paid2024$22M

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

Billers

02,0004,0002020: 4,188 providers20202021: 4,294 providers20212022: 4,250 providers20222023: 4,276 providers20232024: 4,283 providers20244,28302,0004,0002020: 4,188 providers20202021: 4,294 providers20212022: 4,250 providers20222023: 4,276 providers20232024: 4,283 providers20244,28302,0004,0002020: 4,188 providers20202021: 4,294 providers20212022: 4,250 providers20222023: 4,276 providers20232024: 4,283 providers20244,28302,0004,0002020: 4,188 providers20202021: 4,294 providers20212022: 4,250 providers20222023: 4,276 providers20232024: 4,283 providers20244,283

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
20244,283$22,318,231+2%342,543502161.39
20234,276$21,796,575+3%325,855472071.39
20224,250$21,243,088-3%309,937441971.39
20214,294$21,789,570+6%310,706431991.39
20204,188$20,579,775first year in data288,601411871.39

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
California309$3,106,92131,90939195
New York244$2,639,24426,14043219
Florida250$1,261,35918,44644189
Texas279$1,155,17917,38336174
Pennsylvania249$954,29715,73541179
Illinois208$742,64412,40044161
North Carolina129$659,92810,52963217
Tennessee123$623,6439,37644285
Ohio192$605,2909,86439128
Massachusetts147$604,6409,50553167
New Jersey117$504,3806,96538151
Virginia101$485,4917,06239228
Michigan144$435,9847,46739140
Indiana91$431,0676,99156217
Arizona80$429,5825,92954203

Not listed: 3 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-NJ231$2,685,54926,01443
San Francisco-Oakland-Fremont, CA56$1,592,23613,99039
Chicago-Naperville-Elgin, IL-IN160$632,71610,49652
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD127$586,8329,34148
Los Angeles-Long Beach-Anaheim, CA106$519,4376,71636
Boston-Cambridge-Newton, MA-NH109$419,7086,51048
Houston-Pasadena-The Woodlands, TX73$367,4636,01845
Washington-Arlington-Alexandria, DC-VA-MD-WV46$367,2724,32870
Phoenix-Mesa-Chandler, AZ58$316,5354,57368
Dallas-Fort Worth-Arlington, TX83$300,5664,52431
Nashville-Davidson--Murfreesboro--Franklin, TN58$247,6503,92045
Sacramento-Roseville-Folsom, CA15$245,7632,29380
St. Louis, MO-IL54$242,1894,09150
Indianapolis-Carmel-Greenwood, IN29$238,3613,65290
Baltimore-Columbia-Towson, MD53$229,7313,73444

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 88173 nationally

Pathology accounts for 74% of payment for 88173 nationally in 2020, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology3,96995%$15,331,81074%238,71760
Clinical Laboratory2085.0%$5,211,99025%49,456238

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 88173 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