HCPCS 90837

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

Other services Work RVU per service 3.31 (2021 fee schedule)

15,011
98th percentile among 6,253 codes billed · 2021
$366M
99th percentile among 6,253 codes billed · 2021
3.7M
98th percentile among 6,253 codes billed · 2021
183
91st percentile among 6,253 codes billed · 2021
637
83rd percentile among 6,253 codes billed · 2021
+2.2%
Medicare payment on the code vs 2020; billers -7.2% · 2021

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
California1,244$50,132,391447,622307861
Florida1,254$42,381,796409,876232929
New York707$24,811,117230,210259788
Pennsylvania828$22,281,951212,391187696
Illinois833$20,935,825205,674197582
Michigan712$14,399,683147,635136606
New Jersey469$14,132,369136,989242705
Texas604$13,991,967142,151184553
Massachusetts527$13,229,127136,560222602
North Carolina644$11,644,140126,092153504
Maryland434$10,886,099106,535201623
Ohio585$8,943,50994,361117398
Georgia297$6,998,69772,524173611
Colorado283$6,825,46968,462178658
Virginia341$6,515,09068,467176441

Not listed: 4 billers with an armed-forces or unknown state code (AE, 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ844$31,554,857291,844288
Miami-Fort Lauderdale-West Palm Beach, FL439$18,502,848172,174286
Chicago-Naperville-Elgin, IL-IN687$18,416,245177,574202
Los Angeles-Long Beach-Anaheim, CA394$17,906,567151,939318
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD486$15,784,580146,599237
Detroit-Warren-Dearborn, MI357$8,844,30488,311152
Boston-Cambridge-Newton, MA-NH342$8,769,10988,229215
Washington-Arlington-Alexandria, DC-VA-MD-WV255$7,593,77372,850240
San Francisco-Oakland-Fremont, CA128$5,799,80148,470354
San Diego-Chula Vista-Carlsbad, CA162$5,261,28246,039238
Baltimore-Columbia-Towson, MD221$4,941,57148,412180
Dallas-Fort Worth-Arlington, TX191$4,612,35345,948188
Tampa-St. Petersburg-Clearwater, FL162$4,352,97744,321210
Atlanta-Sandy Springs-Roswell, GA164$4,210,77444,012172
North Port-Bradenton-Sarasota, FL110$3,846,24339,150271

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 2021.

Specialties billing 90837 nationally

Psychologist, Clinical accounts for 47% of payment for 90837 nationally in 2021, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Psychologist, Clinical5,39336%$173,374,75847%1,481,737275
Licensed Clinical Social Worker8,64558%$167,014,88246%1,936,126224
Psychiatry5833.9%$17,062,7734.7%152,630262
Nurse Practitioner2121.4%$3,603,9930.99%36,719173
Certified Clinical Nurse Specialist720.48%$1,739,1870.48%17,925249
Family Practice360.24%$628,2830.17%5,749160
Internal Medicine150.10%$314,6970.09%2,676178
Physician Assistant130.09%$122,9520.03%1,298100

Not listed: 15 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 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