HCPCS 90837

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

Other services Work RVU per service 3.31 (2022 fee schedule)

14,936
98th percentile among 6,326 codes billed · 2022
$353M
99th percentile among 6,326 codes billed · 2022
3.6M
98th percentile among 6,326 codes billed · 2022
181
91st percentile among 6,326 codes billed · 2022
624
83rd percentile among 6,326 codes billed · 2022
-3.4%
Medicare payment on the code vs 2021; billers -0.5% · 2022

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
California1,286$50,811,512455,970293834
Florida1,212$39,021,101388,631224908
New York764$25,001,658239,374249773
Illinois866$21,293,237215,349197589
Pennsylvania832$21,166,452206,605180670
New Jersey511$14,267,751142,142242686
Massachusetts582$14,017,872148,040215604
Michigan650$13,847,597145,190137579
Texas611$13,425,844139,757177567
Maryland473$11,345,831115,086197576
North Carolina601$10,229,016113,701152491
Ohio585$8,270,61489,560123366
Georgia289$6,994,20674,791174613
Virginia327$6,508,11269,964187478
Colorado277$6,265,08264,510172592

Not listed: 2 billers with an armed-forces or unknown state code (XX); 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ914$32,039,817305,929277
Los Angeles-Long Beach-Anaheim, CA409$18,821,498162,827336
Chicago-Naperville-Elgin, IL-IN715$18,632,104185,019209
Miami-Fort Lauderdale-West Palm Beach, FL409$16,775,338161,264287
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD500$15,794,647150,178233
Boston-Cambridge-Newton, MA-NH383$9,346,74496,741208
Detroit-Warren-Dearborn, MI335$9,002,86391,930143
Washington-Arlington-Alexandria, DC-VA-MD-WV263$7,984,17178,752254
San Francisco-Oakland-Fremont, CA129$5,486,64446,467327
San Diego-Chula Vista-Carlsbad, CA166$5,450,68449,077247
Baltimore-Columbia-Towson, MD249$5,291,48654,423186
Dallas-Fort Worth-Arlington, TX197$4,644,12847,497183
Atlanta-Sandy Springs-Roswell, GA152$4,399,57347,322206
Tampa-St. Petersburg-Clearwater, FL145$4,215,06843,569208
Phoenix-Mesa-Chandler, AZ156$3,704,42237,494195

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 2022.

Specialties billing 90837 nationally

Psychologist, Clinical accounts for 47% of payment for 90837 nationally in 2022, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Psychologist, Clinical5,26435%$165,459,68947%1,443,083274
Licensed Clinical Social Worker8,69958%$162,761,18246%1,926,052221
Psychiatry5793.9%$16,077,9564.5%147,278254
Nurse Practitioner2181.5%$3,730,2011.1%38,518177
Certified Clinical Nurse Specialist690.46%$1,745,4430.49%18,041261
Family Practice420.28%$763,0590.22%6,949165
Internal Medicine200.13%$452,2590.13%3,789189
Physician Assistant150.10%$175,5370.05%1,876125

Not listed: 16 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 2022.

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