HCPCS 92928

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

Other services Work RVU per service 10.96 (2023 fee schedule)

5,112
95th percentile among 6,405 codes billed · 2023
$73M
97th percentile among 6,405 codes billed · 2023
171K
88th percentile among 6,405 codes billed · 2023
26
54th percentile among 6,405 codes billed · 2023
80
50th percentile among 6,405 codes billed · 2023
-3.3%
Medicare payment on the code vs 2022; billers +0.6% · 2023

Trend

Medicare payment on the code

$0$50M2020: $84M paid20202021: $82M paid20212022: $75M paid20222023: $73M paid20232024: $70M paid2024$70M$0$50M2020: $84M paid20202021: $82M paid20212022: $75M paid20222023: $73M paid20232024: $70M paid2024$70M$0$50M2020: $84M paid20202021: $82M paid20212022: $75M paid20222023: $73M paid20232024: $70M paid2024$70M$0$50M2020: $84M paid20202021: $82M paid20212022: $75M paid20222023: $73M paid20232024: $70M paid2024$70M

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

Billers

02,0004,0002020: 5,273 providers20202021: 5,340 providers20212022: 5,084 providers20222023: 5,112 providers20232024: 5,030 providers20245,03002,0004,0002020: 5,273 providers20202021: 5,340 providers20212022: 5,084 providers20222023: 5,112 providers20232024: 5,030 providers20245,03002,0004,0002020: 5,273 providers20202021: 5,340 providers20212022: 5,084 providers20222023: 5,112 providers20232024: 5,030 providers20245,03002,0004,0002020: 5,273 providers20202021: 5,340 providers20212022: 5,084 providers20222023: 5,112 providers20232024: 5,030 providers20245,030

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
20245,030$69,817,918-4%167,246257910.96
20235,112$72,515,697-3%171,363268010.96
20225,084$75,022,844-9%172,220268010.96
20215,340$82,151,643-2%188,368278510.96
20205,273$83,661,358first year in data186,642278510.96

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
Florida400$6,996,18815,1142998
Texas416$5,534,84812,8242379
New York250$5,444,43610,83330109
California371$5,124,28012,3962580
Illinois218$3,361,5497,3442875
Pennsylvania225$2,829,6796,6972566
Ohio218$2,807,7436,8102371
New Jersey175$2,114,3034,6412255
Michigan168$2,064,1554,7322260
Georgia153$1,987,3664,8812667
North Carolina144$1,986,1194,9822591
Arizona142$1,916,2494,4112665
Virginia131$1,750,5094,1852567
Missouri128$1,662,2704,1712771
Tennessee130$1,585,3204,2152781

Not listed: 6 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-NJ313$6,006,20911,83427
Chicago-Naperville-Elgin, IL-IN166$2,474,8515,47927
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD117$1,540,3083,47824
Phoenix-Mesa-Chandler, AZ100$1,439,5563,25126
Los Angeles-Long Beach-Anaheim, CA102$1,429,3743,33522
Dallas-Fort Worth-Arlington, TX109$1,383,6383,41422
Detroit-Warren-Dearborn, MI89$1,158,5152,57922
Tampa-St. Petersburg-Clearwater, FL70$1,036,5112,36828
Miami-Fort Lauderdale-West Palm Beach, FL71$1,026,3162,11125
Boston-Cambridge-Newton, MA-NH74$1,015,4132,32128
Houston-Pasadena-The Woodlands, TX91$946,2972,22619
Washington-Arlington-Alexandria, DC-VA-MD-WV69$903,1641,97822
Atlanta-Sandy Springs-Roswell, GA64$804,9241,95824
San Antonio-New Braunfels, TX41$787,4481,57725
Baltimore-Columbia-Towson, MD40$773,2471,68430

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 87 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 92928 nationally

Interventional Cardiology accounts for 52% of payment for 92928 nationally in 2023, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Interventional Cardiology2,56850%$37,544,33252%90,19335
Cardiology2,34346%$31,394,91943%74,79032
Internal Medicine1332.6%$1,743,2162.4%4,28132
Advanced Heart Failure and Transplant Cardiology110.22%$100,6640.14%23722

Not listed: 11 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 92928 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