HCPCS 90837

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

Other services Work RVU per service 3.31 (2023 fee schedule)

15,257
98th percentile among 6,405 codes billed · 2023
$351M
99th percentile among 6,405 codes billed · 2023
3.7M
98th percentile among 6,405 codes billed · 2023
182
91st percentile among 6,405 codes billed · 2023
624
82nd percentile among 6,405 codes billed · 2023
-0.7%
Medicare payment on the code vs 2022; billers +2.1% · 2023

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
California1,430$53,855,100496,863271861
Florida1,240$37,898,610391,032215878
New York823$25,434,922253,325249748
Pennsylvania874$20,622,217208,689177601
Illinois889$18,971,639202,565191514
New Jersey559$15,423,009159,849250681
Massachusetts618$14,706,988160,189214593
Texas637$14,455,088154,234183617
Maryland479$11,342,308119,311209580
Michigan584$10,959,534120,256137542
North Carolina580$9,448,675109,085151477
Ohio584$8,528,40695,108133378
Georgia292$7,054,69977,974180625
Virginia368$7,031,13478,691191485
Arizona245$6,439,28267,990227693

Not listed: 6 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,005$33,097,240329,791282
Los Angeles-Long Beach-Anaheim, CA462$20,190,148179,751294
Chicago-Naperville-Elgin, IL-IN749$16,629,605174,719196
Miami-Fort Lauderdale-West Palm Beach, FL408$16,015,136159,593279
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD544$15,512,506153,699220
Boston-Cambridge-Newton, MA-NH390$9,663,021103,828215
Washington-Arlington-Alexandria, DC-VA-MD-WV276$7,983,28381,687260
Detroit-Warren-Dearborn, MI302$6,676,50472,338151
San Francisco-Oakland-Fremont, CA146$5,982,99351,624293
San Diego-Chula Vista-Carlsbad, CA193$5,893,66254,828230
Baltimore-Columbia-Towson, MD251$5,384,58557,114189
Dallas-Fort Worth-Arlington, TX208$4,723,64849,886191
Atlanta-Sandy Springs-Roswell, GA163$4,491,05249,855195
Tampa-St. Petersburg-Clearwater, FL161$4,140,51643,910189
Phoenix-Mesa-Chandler, AZ154$4,038,33541,743233

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 2023.

Specialties billing 90837 nationally

Licensed Clinical Social Worker accounts for 47% of payment for 90837 nationally in 2023, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Licensed Clinical Social Worker8,95059%$164,654,49947%2,003,672224
Psychologist, Clinical5,29935%$162,269,70546%1,453,466274
Psychiatry5943.9%$16,028,1574.6%149,881252
Nurse Practitioner2541.7%$4,531,8891.3%48,674192
Certified Clinical Nurse Specialist610.40%$1,641,4620.47%17,321284
Family Practice320.21%$385,2320.11%3,670115
Internal Medicine170.11%$324,1970.09%2,784164
Physician Assistant120.08%$247,0250.07%2,686224

Not listed: 14 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 2023.

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