HCPCS 88185

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

Laboratory Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

618
83rd percentile among 6,405 codes billed · 2023
$39M
95th percentile among 6,405 codes billed · 2023
2.0M
97th percentile among 6,405 codes billed · 2023
698
95th percentile among 6,405 codes billed · 2023
12,170
98th percentile among 6,405 codes billed · 2023
+9.9%
Medicare payment on the code vs 2022; billers +0.8% · 2023

Trend

Medicare payment on the code

$0$20M$40M2020: $33M paid20202021: $37M paid20212022: $36M paid20222023: $39M paid20232024: $39M paid2024$39M$0$20M$40M2020: $33M paid20202021: $37M paid20212022: $36M paid20222023: $39M paid20232024: $39M paid2024$39M$0$20M$40M2020: $33M paid20202021: $37M paid20212022: $36M paid20222023: $39M paid20232024: $39M paid2024$39M$0$20M$40M2020: $33M paid20202021: $37M paid20212022: $36M paid20222023: $39M paid20232024: $39M paid2024$39M

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

Billers

02505002020: 606 providers20202021: 595 providers20212022: 613 providers20222023: 618 providers20232024: 624 providers202462402505002020: 606 providers20202021: 595 providers20212022: 613 providers20222023: 618 providers20232024: 624 providers202462402505002020: 606 providers20202021: 595 providers20212022: 613 providers20222023: 618 providers20232024: 624 providers202462402505002020: 606 providers20202021: 595 providers20212022: 613 providers20222023: 618 providers20232024: 624 providers2024624

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
2024624$38,818,547-1%2,005,3867459,9400.00
2023618$39,186,530+10%1,970,12269812,1700.00
2022613$35,641,963-4%1,914,68573414,1600.00
2021595$37,055,439+12%1,894,94378214,5410.00
2020606$33,106,678first year in data1,760,19477212,5540.00

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 York95$7,118,274310,2811,20911,143
New Jersey22$5,845,558266,70469141,243
California35$4,873,557226,7271,55933,113
Florida21$4,672,278249,2054,72326,651
Texas76$3,474,412194,1575573,446
Virginia59$2,026,51297,7956193,374
Tennessee32$1,638,155106,30168611,066
Arizona17$1,039,88261,39991815,878
Maryland29$642,53828,2817482,776
Illinois20$566,79629,6976583,892
Alabama28$429,85026,5314923,256
Washington21$421,11121,7845734,194
Arkansas16$295,69918,7597843,271
Colorado14$206,38610,6675241,555
Georgia11$203,65312,8505293,929

Not listed: 28 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-NJ112$12,786,375568,9021,188
Los Angeles-Long Beach-Anaheim, CA17$4,321,304197,3411,994
Dallas-Fort Worth-Arlington, TX21$2,496,425140,944575
Washington-Arlington-Alexandria, DC-VA-MD-WV43$1,988,93488,513690
Phoenix-Mesa-Chandler, AZ15$984,74458,318918
Chicago-Naperville-Elgin, IL-IN14$494,43125,550658
San Antonio-New Braunfels, TX22$368,02020,718461
Virginia Beach-Chesapeake-Norfolk, VA-NC25$354,63520,422616
Houston-Pasadena-The Woodlands, TX13$312,94116,7751,038
Seattle-Tacoma-Bellevue, WA15$266,03413,516345
Memphis, TN-MS-AR12$201,40312,384958
Little Rock-North Little Rock-Conway, AR15$197,38612,587759
Tulsa, OK11$151,3019,086760

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 13 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 88185 nationally

Clinical Laboratory accounts for 58% of payment for 88185 nationally in 2023, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Clinical Laboratory11218%$22,890,71358%1,153,82810,302
Pathology10717%$6,554,15417%345,9043,233
Hematology-Oncology27645%$6,292,58516%308,5771,118
Medical Oncology7712%$1,717,3914.4%83,4891,084
Internal Medicine162.6%$699,4391.8%31,4831,968

Not listed: 8 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 88185 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