HCPCS 88173

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

Laboratory Work RVU per service 1.39 (2021 fee schedule)

4,294
94th percentile among 6,253 codes billed · 2021
$22M
92nd percentile among 6,253 codes billed · 2021
311K
91st percentile among 6,253 codes billed · 2021
43
71st percentile among 6,253 codes billed · 2021
199
68th percentile among 6,253 codes billed · 2021
+5.9%
Medicare payment on the code vs 2020; billers +2.5% · 2021

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
California336$3,352,15335,37145206
New York251$2,931,96929,03245226
Florida258$1,288,91019,07743179
Texas283$1,206,20718,43938239
Pennsylvania240$936,24315,94545159
Illinois217$791,77113,48043182
Massachusetts162$659,24610,61947164
Ohio202$646,26710,91540139
North Carolina123$643,39110,67369249
Tennessee114$643,2289,90753305
New Jersey114$555,5357,83145174
Virginia99$503,2967,61345266
Maryland88$495,4157,13354250
Michigan147$439,9307,79039123
Indiana95$437,8547,20346199

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ232$3,004,11729,21845
San Francisco-Oakland-Fremont, CA61$1,680,31414,88441
Chicago-Naperville-Elgin, IL-IN165$685,03511,57453
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD127$630,40310,30361
Los Angeles-Long Beach-Anaheim, CA110$597,8478,01745
Boston-Cambridge-Newton, MA-NH124$475,5997,56443
Washington-Arlington-Alexandria, DC-VA-MD-WV48$447,8205,19860
Houston-Pasadena-The Woodlands, TX78$394,3466,61740
Phoenix-Mesa-Chandler, AZ58$326,7394,78262
Dallas-Fort Worth-Arlington, TX79$295,3024,44437
Baltimore-Columbia-Towson, MD49$271,9594,48360
Nashville-Davidson--Murfreesboro--Franklin, TN54$260,5494,17654
Sacramento-Roseville-Folsom, CA17$256,9592,50166
Miami-Fort Lauderdale-West Palm Beach, FL48$250,6153,66844
Indianapolis-Carmel-Greenwood, IN28$244,4623,76697

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 82 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 88173 nationally

Pathology accounts for 75% of payment for 88173 nationally in 2021, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,07895%$16,328,72575%259,83364
Clinical Laboratory2014.7%$5,415,80025%50,297250

Not listed: 9 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 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