RxDoctor Payments Data

CPT 82272

Stool analysis for blood, by peroxidase activity

$4.14Medicare-allowed amount per service, averaged across 20,309 services
Providers submitted
$26.77

Asking price, not received

Medicare allowed
$4.14

The fee schedule figure

Medicare paid
$4.14

Balance is patient coinsurance

Providers submitted an average of $26.77 for this code and Medicare allowed $4.146.5× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $4.14 (100%); the rest is the patient’s coinsurance and deductible.

Services
20,309

Medicare Part B, 2024

Beneficiaries
18,634
Providers billing it
353
Total allowed
$84,079

Services × allowed amount

What Medicare pays for CPT 82272

Across 20,309 services billed by 353 providers to 18,634 beneficiaries, Medicare allowed an average of $4.14 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 82272

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory7,1016,490$4.1551
Gastroenterology5,4624,862$4.1392
Internal Medicine2,5782,499$4.1570
Family Practice1,3581,267$4.1347
Urology690533$4.132
Nurse Practitioner557544$4.1320
Obstetrics & Gynecology519518$4.1411
Hematology-Oncology495477$4.1122
General Surgery493469$4.135
Colorectal Surgery (Proctology)314257$4.154
Pathology210209$4.214
Physician Assistant196193$4.157
Medical Oncology183173$4.159
General Practice5652$4.154
Radiation Oncology4842$4.152

82272 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
New York5,202$4.13$4.1580
Texas1,631$4.15$4.1520
New Jersey1,544$4.14$4.1518
Florida1,477$4.14$4.1526
California1,346$4.15$4.1523
Illinois1,176$4.13$4.1514
Mississippi1,099$4.15$4.158
Pennsylvania796$4.14$4.1513
Arizona689$4.14$4.153
Tennessee659$4.11$4.1522
Alabama646$4.10$4.1514
Virginia603$4.15$4.1513
Massachusetts596$4.15$4.1515
Georgia403$4.15$4.159
North Carolina302$4.14$4.159
Ohio215$4.11$4.155
Kansas212$4.15$4.152
Nebraska193$4.15$4.152
South Carolina152$4.12$4.155
Oklahoma143$4.15$4.152
Missouri141$4.18$4.155
Connecticut104$4.15$4.154
New Hampshire99$4.15$4.153
Maryland90$4.06$4.155
New Mexico90$4.15$4.152
Hawaii87$4.03$4.152
Louisiana80$4.15$4.154
Indiana78$4.10$4.153
Arkansas74$4.15$4.152
Michigan69$4.09$4.153
Kentucky52$4.15$4.153
South Dakota42$4.31$4.153
Montana38$4.15$4.151
Washington37$4.15$4.151
Minnesota31$4.15$4.152
Vermont26$4.15$4.151
Utah22$4.15$4.151
West Virginia20$3.99$4.151
North Dakota12$4.15$4.151
Rhode Island11$4.15$4.151
Oregon11$4.15$4.151
Iowa11$4.15$4.151

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.