HCPCS 88307

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

Laboratory Work RVU per service 1.59 (2020 fee schedule)

8,510
97th percentile among 6,116 codes billed · 2020
$66M
97th percentile among 6,116 codes billed · 2020
884K
95th percentile among 6,116 codes billed · 2020
82
85th percentile among 6,116 codes billed · 2020
255
73rd percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$25M$50M2020: $66M paid20202021: $66M paid20212022: $63M paid20222023: $61M paid20232024: $59M paid2024$59M$0$25M$50M2020: $66M paid20202021: $66M paid20212022: $63M paid20222023: $61M paid20232024: $59M paid2024$59M$0$25M$50M2020: $66M paid20202021: $66M paid20212022: $63M paid20222023: $61M paid20232024: $59M paid2024$59M$0$25M$50M2020: $66M paid20202021: $66M paid20212022: $63M paid20222023: $61M paid20232024: $59M paid2024$59M

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

Billers

05,0002020: 8,510 providers20202021: 8,609 providers20212022: 8,539 providers20222023: 8,511 providers20232024: 8,514 providers20248,51405,0002020: 8,510 providers20202021: 8,609 providers20212022: 8,539 providers20222023: 8,511 providers20232024: 8,514 providers20248,51405,0002020: 8,510 providers20202021: 8,609 providers20212022: 8,539 providers20222023: 8,511 providers20232024: 8,514 providers20248,51405,0002020: 8,510 providers20202021: 8,609 providers20212022: 8,539 providers20222023: 8,511 providers20232024: 8,514 providers20248,514

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
20248,514$59,335,934-3%881,889812611.59
20238,511$61,185,252-2% (2023 changed hospital and observation visit codes)887,379822641.59
20228,539$62,529,430-5%887,291822581.59
20218,609$66,047,784– (Not compared: 2021 changed office visit values)912,696832601.59
20208,510$65,751,112first year in data884,414822551.59

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
California724$7,521,95282,69584269
Florida489$4,604,12062,26599308
Texas641$4,324,80658,47671213
New York611$4,246,07053,82566228
Pennsylvania484$3,220,45545,96175218
Illinois396$2,607,62337,04479213
Massachusetts329$2,292,87431,02572239
North Carolina245$2,124,49229,67692312
Ohio370$2,123,90031,26371184
Maryland177$1,874,11822,175111267
Tennessee226$1,770,49524,92391272
Virginia172$1,764,30624,127127309
Michigan313$1,705,66124,96471168
Missouri208$1,566,47222,03980277
Georgia198$1,556,84921,40991244

Not listed: 2 billers with an armed-forces or unknown state code (ZZ); they are in the national totals.

Not listed: 2 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-NJ536$4,148,72950,92169
Los Angeles-Long Beach-Anaheim, CA275$3,631,44934,35475
Chicago-Naperville-Elgin, IL-IN316$2,165,45530,50479
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD239$1,941,67426,57387
Boston-Cambridge-Newton, MA-NH251$1,814,17924,36373
Dallas-Fort Worth-Arlington, TX175$1,389,27816,94376
Washington-Arlington-Alexandria, DC-VA-MD-WV117$1,219,92414,41399
Houston-Pasadena-The Woodlands, TX206$1,131,82415,76158
Baltimore-Columbia-Towson, MD120$1,111,13114,486110
Phoenix-Mesa-Chandler, AZ90$1,021,53914,394152
Miami-Fort Lauderdale-West Palm Beach, FL140$1,004,38513,62979
Atlanta-Sandy Springs-Roswell, GA115$976,93712,75383
St. Louis, MO-IL135$957,55213,05076
Nashville-Davidson--Murfreesboro--Franklin, TN114$929,32113,66296
Seattle-Tacoma-Bellevue, WA101$838,02110,891105

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 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 88307 nationally

Pathology accounts for 90% of payment for 88307 nationally in 2020, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology8,23297%$59,158,14490%832,582101
Clinical Laboratory2122.5%$5,989,0399.1%47,370223
Dermatology210.25%$355,1270.54%2,08099
Oral Surgery (Dentist only)170.20%$113,1280.17%78546

Not listed: 16 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 88307 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