HCPCS 99336

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

Evaluation and management Work RVU per service 2.46 (2021 fee schedule)

8,151
96th percentile among 6,253 codes billed · 2021
$163M
98th percentile among 6,253 codes billed · 2021
1.8M
97th percentile among 6,253 codes billed · 2021
94
86th percentile among 6,253 codes billed · 2021
854
87th percentile among 6,253 codes billed · 2021
+6.9%
Medicare payment on the code vs 2020; billers +4.0% · 2021

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
Florida1,009$28,122,593300,3431321,109
California453$13,354,376129,9001261,162
North Carolina438$12,712,338146,2081491,412
Texas549$9,474,897105,02583680
New York295$8,836,44578,554941,146
Pennsylvania468$6,301,01765,47265491
Virginia295$5,984,80365,360105824
New Jersey296$5,861,77657,63688793
Ohio428$5,566,11163,84482572
Arizona254$5,516,24762,253106906
Michigan306$5,268,13060,88791785
Illinois304$4,990,17051,32278675
Maryland227$4,632,12248,019100670
South Carolina187$4,136,61147,428931,197
Indiana275$3,889,72446,09392581

Not listed: 4 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-NJ417$12,438,528111,824102
Tampa-St. Petersburg-Clearwater, FL241$7,306,93778,559156
Miami-Fort Lauderdale-West Palm Beach, FL260$7,302,49774,047134
Los Angeles-Long Beach-Anaheim, CA205$5,857,07354,719126
Chicago-Naperville-Elgin, IL-IN290$4,829,17949,72182
Phoenix-Mesa-Chandler, AZ197$4,684,04652,713122
Charlotte-Concord-Gastonia, NC-SC124$4,604,27253,807135
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD282$4,078,42141,35073
Durham-Chapel Hill, NC80$3,320,50637,617369
Washington-Arlington-Alexandria, DC-VA-MD-WV179$3,293,53833,51180
Minneapolis-St. Paul-Bloomington, MN-WI191$3,141,67836,614120
Denver-Aurora-Centennial, CO134$2,928,72533,220125
Houston-Pasadena-The Woodlands, TX157$2,922,28831,04384
Dallas-Fort Worth-Arlington, TX141$2,881,41032,503122
Baltimore-Columbia-Towson, MD124$2,784,52229,004118

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 92 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 99336 nationally

Nurse Practitioner accounts for 52% of payment for 99336 nationally in 2021, across 15 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner4,49655%$85,042,00852%988,316220
Internal Medicine1,24315%$26,912,43817%253,701204
Family Practice88811%$17,256,62911%169,777191
Physician Assistant6057.4%$15,672,8189.6%180,089298
Geriatric Medicine2182.7%$3,132,5091.9%30,093138
General Practice901.1%$3,122,7361.9%30,087334
Podiatry1782.2%$3,006,9931.8%28,799162
Psychiatry1331.6%$2,593,0681.6%23,997180
Optometry420.52%$770,6600.47%7,386176
Certified Clinical Nurse Specialist460.56%$550,0730.34%6,290137
Cardiology180.22%$498,4690.31%4,643258
Emergency Medicine240.29%$391,4220.24%3,881162
Hospitalist310.38%$354,9790.22%3,453111
Physical Medicine and Rehabilitation150.18%$315,6480.19%3,127208
Hospice and Palliative Care130.16%$86,1690.05%87567

Not listed: 31 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 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