HCPCS 90837

Other service (ClaimLight category; the code descriptor is not shown)

Other services Work RVU per service 3.47 (2024 fee schedule)

15,804
98th percentile among 6,471 codes billed · 2024
$373M
99th percentile among 6,471 codes billed · 2024
3.8M
98th percentile among 6,471 codes billed · 2024
182
89th percentile among 6,471 codes billed · 2024
613
81st percentile among 6,471 codes billed · 2024
+6.1%
Medicare payment on the code vs 2023; billers +3.6% · 2024

Trend

Medicare payment on the code

$0$200M$400M2020: $358M paid20202021: $366M paid20212022: $353M paid20222023: $351M paid20232024: $373M paid2024$373M$0$200M$400M2020: $358M paid20202021: $366M paid20212022: $353M paid20222023: $351M paid20232024: $373M paid2024$373M$0$200M$400M2020: $358M paid20202021: $366M paid20212022: $353M paid20222023: $351M paid20232024: $373M paid2024$373M$0$200M$400M2020: $358M paid20202021: $366M paid20212022: $353M paid20222023: $351M paid20232024: $373M paid2024$373M

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

Billers

010K2020: 16K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 16K providers202416K010K2020: 16K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 16K providers202416K010K2020: 16K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 16K providers202416K010K2020: 16K providers20202021: 15K providers20212022: 15K providers20222023: 15K providers20232024: 16K providers202416K

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
202415,804$372,578,448+6%3,792,5551826133.47
202315,257$351,071,588-1%3,691,2191826243.31
202214,936$353,404,091-3%3,604,7351816243.31
202115,011$365,855,912+2%3,651,6451836373.31
202016,183$358,101,857first year in data3,880,2081806353.00

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
California1,489$59,257,988529,034277900
Florida1,321$40,253,342403,706220862
New York832$27,932,376270,176261811
Pennsylvania868$20,298,468200,024184554
Illinois894$18,693,305193,905187484
New Jersey636$17,644,143176,416253599
Massachusetts696$16,407,480172,223214551
Texas669$14,696,987153,056173576
Maryland517$12,041,893124,410210541
Michigan545$10,181,008106,085148512
North Carolina559$9,635,346107,570152484
Georgia302$9,055,47897,204180677
Ohio583$8,688,93894,223129361
Virginia388$7,656,49982,602181472
Arizona279$7,582,80977,626202734

Not listed: 4 billers with an armed-forces or unknown state code (AP, XX, 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,066$36,810,703355,490282
Los Angeles-Long Beach-Anaheim, CA476$22,516,997195,167318
Miami-Fort Lauderdale-West Palm Beach, FL423$16,665,143161,836276
Chicago-Naperville-Elgin, IL-IN739$16,241,912165,849197
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD555$15,288,032148,158225
Boston-Cambridge-Newton, MA-NH438$10,931,082113,381215
Washington-Arlington-Alexandria, DC-VA-MD-WV301$8,545,27484,770252
San Francisco-Oakland-Fremont, CA176$6,822,92756,657261
Atlanta-Sandy Springs-Roswell, GA180$6,513,94870,357191
San Diego-Chula Vista-Carlsbad, CA199$6,461,76357,480246
Detroit-Warren-Dearborn, MI278$6,137,61062,276162
Baltimore-Columbia-Towson, MD258$5,545,42158,270201
Phoenix-Mesa-Chandler, AZ178$4,843,23949,460201
Dallas-Fort Worth-Arlington, TX208$4,722,72148,655178
Tampa-St. Petersburg-Clearwater, FL168$4,342,76744,760191

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 2024.

Specialties billing 90837 nationally

Licensed Clinical Social Worker accounts for 46% of payment for 90837 nationally in 2024, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Licensed Clinical Social Worker8,72455%$171,509,92246%2,001,664229
Psychologist, Clinical5,07232%$165,737,69444%1,428,078282
Psychiatry4923.1%$13,538,4433.6%122,225248
Licensed Professional Counselor1,0006.3%$11,287,3453.0%130,585131
Nurse Practitioner2281.4%$5,444,6021.5%57,234251
Marriage and Family Therapist1570.99%$2,196,8570.59%24,851158
Certified Clinical Nurse Specialist550.35%$1,563,4190.42%16,114293
Family Practice150.09%$208,0970.06%1,915128
Physician Assistant110.07%$199,9980.05%2,103191

Not listed: 20 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 2024.

Top billers of 90837 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