HCPCS 88360

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

Laboratory Work RVU per service 0.85 (2021 fee schedule)

5,029
95th percentile among 6,253 codes billed · 2021
$29M
94th percentile among 6,253 codes billed · 2021
580K
93rd percentile among 6,253 codes billed · 2021
57
78th percentile among 6,253 codes billed · 2021
264
73rd percentile among 6,253 codes billed · 2021
+10.6%
Medicare payment on the code vs 2020; billers +8.2% · 2021

Trend

Medicare payment on the code

$0$20M2020: $26M paid20202021: $29M paid20212022: $29M paid20222023: $31M paid20232024: $32M paid2024$32M$0$20M2020: $26M paid20202021: $29M paid20212022: $29M paid20222023: $31M paid20232024: $32M paid2024$32M$0$20M2020: $26M paid20202021: $29M paid20212022: $29M paid20222023: $31M paid20232024: $32M paid2024$32M$0$20M2020: $26M paid20202021: $29M paid20212022: $29M paid20222023: $31M paid20232024: $32M paid2024$32M

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

Billers

02,5005,0002020: 4,647 providers20202021: 5,029 providers20212022: 5,186 providers20222023: 5,330 providers20232024: 5,559 providers20245,55902,5005,0002020: 4,647 providers20202021: 5,029 providers20212022: 5,186 providers20222023: 5,330 providers20232024: 5,559 providers20245,55902,5005,0002020: 4,647 providers20202021: 5,029 providers20212022: 5,186 providers20222023: 5,330 providers20232024: 5,559 providers20245,55902,5005,0002020: 4,647 providers20202021: 5,029 providers20212022: 5,186 providers20222023: 5,330 providers20232024: 5,559 providers20245,559

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
20245,559$32,293,932+4%682,151582750.85
20235,330$31,074,472+6%641,727582710.85
20225,186$29,316,664+3%603,514562650.85
20215,029$28,558,471+11%579,896572640.85
20204,647$25,819,971first year in data508,338542450.85

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
Arizona101$6,177,63788,88386478
California504$4,204,09578,90175336
New York404$2,238,78543,23154302
Texas361$2,106,53144,27455324
Illinois264$1,512,56128,67859258
Florida261$1,395,26629,22165338
Massachusetts255$1,133,51223,60650196
North Carolina107$748,23614,83472344
Pennsylvania287$727,06720,61446213
Washington110$636,84813,52865332
Maryland102$527,31810,15662278
Ohio215$519,77715,16656170
Virginia117$488,40213,58191301
New Jersey108$486,95810,54758275
Tennessee120$476,45910,54852291

Not listed: 1 billers with an armed-forces or unknown state code (ZZ); they are in the national totals.

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 2021.

Top metro areas

observed calculated calculated calculated calculated
Phoenix-Mesa-Chandler, AZ71$5,976,47285,12686
Los Angeles-Long Beach-Anaheim, CA190$2,457,74644,12474
New York-Newark-Jersey City, NY-NJ370$2,321,20143,63854
Chicago-Naperville-Elgin, IL-IN245$1,513,11128,70460
Dallas-Fort Worth-Arlington, TX98$1,309,29523,12747
Boston-Cambridge-Newton, MA-NH195$1,016,85520,07052
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD148$397,74910,81450
Houston-Pasadena-The Woodlands, TX143$388,33410,65456
Cape Coral-Fort Myers, FL19$315,7764,514117
Nashville-Davidson--Murfreesboro--Franklin, TN73$299,4566,92355
Seattle-Tacoma-Bellevue, WA67$297,4416,83272
Miami-Fort Lauderdale-West Palm Beach, FL65$291,4107,29266
San Jose-Sunnyvale-Santa Clara, CA54$277,6045,95885
San Francisco-Oakland-Fremont, CA68$268,9876,64279
Baltimore-Columbia-Towson, MD59$261,6165,95260

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 80 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 88360 nationally

Pathology accounts for 53% of payment for 88360 nationally in 2021, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Pathology4,81796%$15,230,99653%393,48682
Clinical Laboratory1833.6%$13,187,19846%184,4121,008

Not listed: 10 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 2021.

Top billers of 88360 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