HCPCS 99336

Evaluation and management service (ClaimLight category; the code descriptor is not shown)

Evaluation and management Work RVU per service 2.46 (2022 fee schedule)

8,704
97th percentile among 6,326 codes billed · 2022
$175M
99th percentile among 6,326 codes billed · 2022
2.0M
97th percentile among 6,326 codes billed · 2022
94
85th percentile among 6,326 codes billed · 2022
888
87th percentile among 6,326 codes billed · 2022
+7.9%
Medicare payment on the code vs 2021; billers +6.8% · 2022

Trend

Medicare payment on the code

$0$100M2020: $152M paid20202021: $163M paid20212022: $175M paid2022$175M$0$100M2020: $152M paid20202021: $163M paid20212022: $175M paid2022$175M$0$100M2020: $152M paid20202021: $163M paid20212022: $175M paid2022$175M$0$100M2020: $152M paid20202021: $163M paid20212022: $175M paid2022$175M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

Billers

05,0002020: 7,839 providers20202021: 8,151 providers20212022: 8,704 providers20228,70405,0002020: 7,839 providers20202021: 8,151 providers20212022: 8,704 providers20228,70405,0002020: 7,839 providers20202021: 8,151 providers20212022: 8,704 providers20228,70405,0002020: 7,839 providers20202021: 8,151 providers20212022: 8,704 providers20228,704

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

observed calculated calculated calculated calculated calculated reported
20228,704$175,447,393+8%1,962,033948882.46
20218,151$162,644,142+7%1,761,690948542.46
20207,839$152,108,753first year in data1,630,916858462.46

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

By state

observed calculated calculated calculated calculated calculated
Florida1,083$30,683,561337,2501411,135
California488$16,009,424157,9441311,368
North Carolina431$13,134,674155,6981861,429
Texas576$10,132,158115,95896683
New York339$9,544,78488,102941,184
Virginia301$6,755,81974,961109917
New Jersey337$6,728,61370,31189910
Pennsylvania494$6,643,35271,86463510
Arizona252$5,500,15263,627122919
Ohio472$5,497,36568,70871548
Illinois309$5,490,40758,69281784
South Carolina216$5,369,75963,4371071,125
Michigan320$5,081,32161,01698708
Maryland232$4,980,68152,963103741
Indiana310$4,327,05252,87782574

Not listed: 5 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-NJ474$13,396,127125,800112
Miami-Fort Lauderdale-West Palm Beach, FL291$8,586,64889,955138
Tampa-St. Petersburg-Clearwater, FL253$7,737,48986,225169
Los Angeles-Long Beach-Anaheim, CA220$7,531,58871,763146
Chicago-Naperville-Elgin, IL-IN293$5,315,75956,90781
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD305$4,847,69452,43167
Phoenix-Mesa-Chandler, AZ202$4,720,37154,371131
Charlotte-Concord-Gastonia, NC-SC119$4,464,58553,356259
Washington-Arlington-Alexandria, DC-VA-MD-WV182$4,196,01543,05299
Minneapolis-St. Paul-Bloomington, MN-WI212$3,741,21044,200116
Dallas-Fort Worth-Arlington, TX160$3,331,72838,537124
Durham-Chapel Hill, NC76$3,326,98139,373375
San Diego-Chula Vista-Carlsbad, CA93$3,308,41934,034164
Columbia, SC87$3,000,69035,897148
Baltimore-Columbia-Towson, MD129$2,903,65831,252136

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 95 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 99336 nationally

Nurse Practitioner accounts for 55% of payment for 99336 nationally in 2022, across 15 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner5,01958%$96,968,62055%1,155,731230
Internal Medicine1,22414%$28,428,86716%277,272227
Family Practice8559.8%$16,422,6129.4%166,593195
Physician Assistant6777.8%$15,858,2529.0%187,623277
Podiatry1852.1%$3,300,9431.9%33,071179
General Practice860.99%$3,279,7101.9%32,714380
Geriatric Medicine2412.8%$2,754,2451.6%27,389114
Psychiatry1251.4%$2,443,1271.4%22,929183
Optometry430.49%$894,3390.51%8,794205
Emergency Medicine330.38%$806,6940.46%8,003243
Cardiology140.16%$519,6680.30%4,935353
Certified Clinical Nurse Specialist360.41%$427,0080.24%5,074141
Hospitalist300.34%$274,1260.16%2,83795
Physical Medicine and Rehabilitation160.18%$252,1210.14%2,484155
Hospice and Palliative Care120.14%$101,7950.06%1,02886

Not listed: 32 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 99336 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