HCPCS 90837

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

Other services Work RVU per service 3.00 (2020 fee schedule)

16,183
98th percentile among 6,116 codes billed · 2020
$358M
99th percentile among 6,116 codes billed · 2020
3.9M
98th percentile among 6,116 codes billed · 2020
180
92nd percentile among 6,116 codes billed · 2020
635
84th percentile among 6,116 codes billed · 2020

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
California1,332$48,196,688459,104284832
Florida1,336$42,620,248445,734245908
New York772$24,688,367246,867235821
Pennsylvania939$21,483,182223,053173627
Illinois879$19,578,933209,955199565
Michigan819$13,777,166156,525130586
Texas645$13,364,021147,509180549
North Carolina710$12,879,227151,168167539
New Jersey450$12,448,008132,233232765
Massachusetts527$12,252,182135,807217624
Maryland447$10,309,977109,048192594
Ohio638$8,721,313101,043119395
Georgia350$7,503,36784,471175556
Virginia381$6,849,82677,690178465
Colorado303$6,810,71674,108178628

Not listed: 2 billers with an armed-forces or unknown state code (XX, 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-NJ853$29,181,590291,146270
Miami-Fort Lauderdale-West Palm Beach, FL461$18,009,149180,890293
Chicago-Naperville-Elgin, IL-IN716$17,159,117180,878208
Los Angeles-Long Beach-Anaheim, CA408$16,329,805148,666281
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD514$14,769,097148,808218
Detroit-Warren-Dearborn, MI398$7,953,06588,397146
Boston-Cambridge-Newton, MA-NH338$7,813,13985,083202
Washington-Arlington-Alexandria, DC-VA-MD-WV274$7,353,35175,986228
San Francisco-Oakland-Fremont, CA147$5,870,40352,881304
San Diego-Chula Vista-Carlsbad, CA167$5,084,00348,164223
Baltimore-Columbia-Towson, MD230$4,864,82151,457184
Dallas-Fort Worth-Arlington, TX213$4,674,03550,904191
Atlanta-Sandy Springs-Roswell, GA194$4,633,73653,181193
Tampa-St. Petersburg-Clearwater, FL173$4,322,50547,436199
North Port-Bradenton-Sarasota, FL113$4,159,69745,456298

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 2020.

Specialties billing 90837 nationally

Psychologist, Clinical accounts for 47% of payment for 90837 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Psychologist, Clinical5,84036%$170,084,10147%1,574,449270
Licensed Clinical Social Worker9,28757%$165,061,19946%2,076,594224
Psychiatry6584.1%$15,929,9774.4%154,349235
Nurse Practitioner2141.3%$2,932,4510.82%32,603152
Certified Clinical Nurse Specialist710.44%$1,657,5420.46%18,400259
Family Practice350.22%$878,7870.25%8,654247
Internal Medicine160.10%$289,8290.08%2,748172
Physician Assistant160.10%$143,4470.04%1,703106

Not listed: 19 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 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