HCPCS 88307

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

Laboratory Work RVU per service 1.59 (2022 fee schedule)

8,539
97th percentile among 6,326 codes billed · 2022
$63M
97th percentile among 6,326 codes billed · 2022
887K
95th percentile among 6,326 codes billed · 2022
82
84th percentile among 6,326 codes billed · 2022
258
72nd percentile among 6,326 codes billed · 2022
-5.3%
Medicare payment on the code vs 2021; billers -0.8% · 2022

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
California747$6,807,43383,16485273
Florida494$4,410,43661,55594293
New York626$4,395,79359,05868261
Texas660$4,226,47260,44970228
Pennsylvania465$2,888,30043,71376225
Illinois396$2,573,48638,26881232
Massachusetts337$2,395,02434,16976253
Ohio376$2,109,39532,74879183
North Carolina229$1,832,27526,87093277
Maryland173$1,772,80421,695114290
Virginia167$1,719,58524,218130308
Tennessee218$1,669,05224,17089264
Michigan311$1,551,36624,17563174
Georgia200$1,502,27621,52385235
New Jersey185$1,464,15218,71285268

Not listed: 4 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ554$4,460,67157,91776
Los Angeles-Long Beach-Anaheim, CA287$2,903,35932,31783
Chicago-Naperville-Elgin, IL-IN315$2,137,81431,35880
Boston-Cambridge-Newton, MA-NH268$1,959,99427,73177
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD229$1,792,38325,97485
Dallas-Fort Worth-Arlington, TX186$1,400,11618,15771
Washington-Arlington-Alexandria, DC-VA-MD-WV126$1,246,74415,501104
Houston-Pasadena-The Woodlands, TX210$1,165,29717,32564
Miami-Fort Lauderdale-West Palm Beach, FL142$1,109,81515,42970
Baltimore-Columbia-Towson, MD115$1,024,45514,117112
Phoenix-Mesa-Chandler, AZ101$1,011,34914,871123
Atlanta-Sandy Springs-Roswell, GA115$958,17312,93979
Nashville-Davidson--Murfreesboro--Franklin, TN110$844,33812,78593
Seattle-Tacoma-Bellevue, WA109$824,39811,33897
St. Louis, MO-IL126$817,83412,12588

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 88307 nationally

Pathology accounts for 91% of payment for 88307 nationally in 2022, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology8,26397%$56,737,47991%841,248102
Clinical Laboratory2032.4%$5,174,8638.3%40,806201
Dermatology260.30%$374,1880.60%2,57699
Oral Surgery (Dentist only)120.14%$95,1180.15%70459

Not listed: 14 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 2022.

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