HCPCS 88307

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

Laboratory Work RVU per service 1.59 (2023 fee schedule)

8,511
97th percentile among 6,405 codes billed · 2023
$61M
97th percentile among 6,405 codes billed · 2023
887K
95th percentile among 6,405 codes billed · 2023
82
83rd percentile among 6,405 codes billed · 2023
264
72nd percentile among 6,405 codes billed · 2023
-2.1%
Medicare payment on the code vs 2022; billers -0.3% · 2023

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%887,379822641.59
20228,539$62,529,430-5%887,291822581.59
20218,609$66,047,784+0%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$6,847,88585,72390296
Florida488$4,339,46661,96596325
New York617$4,328,66259,64371260
Texas664$3,915,87358,15471216
Pennsylvania462$2,752,79842,63269220
Massachusetts351$2,639,62138,42582312
Illinois391$2,367,10635,88778218
Ohio373$1,983,97031,59577182
North Carolina229$1,755,36426,13093266
Maryland176$1,701,28521,364105286
Virginia172$1,643,13223,787116293
Tennessee215$1,612,49723,18693222
New Jersey188$1,589,08220,63495275
Washington180$1,514,16821,432106258
Georgia186$1,441,21021,07594269

Not listed: 5 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ556$4,574,15260,58179
Los Angeles-Long Beach-Anaheim, CA279$2,834,32132,51287
Boston-Cambridge-Newton, MA-NH280$2,203,37031,76985
Chicago-Naperville-Elgin, IL-IN321$2,040,79630,72579
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD221$1,758,43726,09898
Washington-Arlington-Alexandria, DC-VA-MD-WV129$1,167,94214,92595
Miami-Fort Lauderdale-West Palm Beach, FL141$1,158,83016,44971
Houston-Pasadena-The Woodlands, TX225$1,155,49417,67861
Dallas-Fort Worth-Arlington, TX172$1,147,98515,65577
Baltimore-Columbia-Towson, MD120$1,121,66214,727111
Phoenix-Mesa-Chandler, AZ104$1,083,09016,237134
Atlanta-Sandy Springs-Roswell, GA103$936,96912,89298
Seattle-Tacoma-Bellevue, WA114$857,18712,17092
San Francisco-Oakland-Fremont, CA91$814,69110,966101
St. Louis, MO-IL123$809,37312,19587

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 2023.

Specialties billing 88307 nationally

Pathology accounts for 91% of payment for 88307 nationally in 2023, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology8,23597%$55,688,62591%842,391102
Clinical Laboratory1992.3%$4,894,3318.0%40,072201
Dermatology300.35%$370,4640.61%2,40180
Oral Surgery (Dentist only)130.15%$91,9250.15%67052

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 2023.

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