HCPCS 88173

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

Laboratory Work RVU per service 1.39 (2023 fee schedule)

4,276
94th percentile among 6,405 codes billed · 2023
$22M
93rd percentile among 6,405 codes billed · 2023
326K
92nd percentile among 6,405 codes billed · 2023
47
73rd percentile among 6,405 codes billed · 2023
207
68th percentile among 6,405 codes billed · 2023
+2.6%
Medicare payment on the code vs 2022; billers +0.6% · 2023

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
California354$3,416,40937,84748275
New York252$3,014,51430,71255231
Florida281$1,314,46020,38447200
Texas291$1,166,21619,21039232
Pennsylvania218$860,87015,79443184
Illinois211$812,80914,78453184
Massachusetts162$666,18711,27349178
Ohio207$602,14510,81539133
Tennessee123$592,8718,88839242
North Carolina120$591,77710,39570212
New Jersey107$563,4458,14553176
Maryland81$486,0057,66460292
Michigan144$471,2728,70048155
Arizona86$466,7306,78054207
Indiana91$450,4837,69861188

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ226$3,116,93131,03760
San Francisco-Oakland-Fremont, CA53$1,605,61514,63052
Chicago-Naperville-Elgin, IL-IN170$723,83913,10760
Los Angeles-Long Beach-Anaheim, CA125$604,8938,08042
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD112$561,4779,91860
Boston-Cambridge-Newton, MA-NH119$484,8618,00950
Houston-Pasadena-The Woodlands, TX80$428,1907,58843
Washington-Arlington-Alexandria, DC-VA-MD-WV51$411,5475,11865
Phoenix-Mesa-Chandler, AZ61$333,9485,02065
Baltimore-Columbia-Towson, MD49$285,6044,98660
Atlanta-Sandy Springs-Roswell, GA61$284,4084,23552
Tampa-St. Petersburg-Clearwater, FL66$279,3884,70544
Nashville-Davidson--Murfreesboro--Franklin, TN56$273,3274,38447
San Jose-Sunnyvale-Santa Clara, CA31$262,6103,39552
Sacramento-Roseville-Folsom, CA21$257,7102,86785

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 2023.

Specialties billing 88173 nationally

Pathology accounts for 76% of payment for 88173 nationally in 2023, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,07995%$16,610,76076%277,45768
Clinical Laboratory1844.3%$5,149,31124%47,886260

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 2023.

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