RxDoctor Payments Data

CPT 83037

Hemoglobin a1c level, by device for home use

$9.30Medicare-allowed amount per service, averaged across 63,680 services
Providers submitted
$34.32

Asking price, not received

Medicare allowed
$9.30

The fee schedule figure

Medicare paid
$9.30

Balance is patient coinsurance

Providers submitted an average of $34.32 for this code and Medicare allowed $9.303.7× 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 $9.30 (100%); the rest is the patient’s coinsurance and deductible.

Services
63,680

Medicare Part B, 2024

Beneficiaries
39,724
Providers billing it
830
Total allowed
$592,224

Services × allowed amount

What Medicare pays for CPT 83037

Across 63,680 services billed by 830 providers to 39,724 beneficiaries, Medicare allowed an average of $9.30 per service. That is 1.6 services per beneficiary, so this is a code patients typically receive more than once. 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 83037

SpecialtyServicesBeneficiariesAvg allowedProviders
Family Practice19,47112,346$9.22323
Internal Medicine14,6898,214$9.15164
Endocrinology8,3564,721$9.4450
Nurse Practitioner8,1125,389$9.46197
Clinical Laboratory7,6795,588$9.526
Physician Assistant1,5161,072$9.4339
General Practice1,484828$9.5013
Cardiology555363$9.486
Emergency Medicine525312$7.536
Nephrology434247$9.504
Pulmonary Disease270262$9.456
Geriatric Medicine16297$9.402
Hematology-Oncology10040$9.521
Optometry6652$9.521
Hospitalist5036$9.522

83037 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
California9,348$8.38$8.3956
Illinois3,999$9.46$9.5247
Missouri3,985$9.48$9.5218
New Jersey3,836$9.50$9.5217
Alabama3,776$9.38$9.5230
Michigan3,508$9.48$9.5226
Indiana3,507$9.40$9.5254
Texas3,207$9.44$9.5255
Florida2,712$9.49$9.5238
Washington1,900$9.43$9.5232
Arizona1,742$9.50$9.5235
New York1,646$9.50$9.5223
Mississippi1,371$9.47$9.5232
Maryland1,305$9.50$9.5225
Tennessee1,013$9.51$9.5222
New Mexico993$9.41$9.5221
Idaho989$9.24$9.5222
Georgia968$9.45$9.5217
Ohio964$9.41$9.5230
North Carolina956$9.38$9.5219
Colorado937$9.52$9.5214
Virginia917$9.50$9.5213
District of Columbia891$9.46$9.5210
Delaware864$9.46$9.5211
Connecticut863$9.49$9.5216
Massachusetts839$9.52$9.5230
Oklahoma716$9.51$9.524
Louisiana686$9.44$9.529
Pennsylvania647$9.52$9.5212
Arkansas607$9.49$9.5211
U.S. Virgin Islands584$9.52$9.524
Maine583$9.42$9.5218
Iowa468$9.45$9.527
Kentucky410$9.50$9.5210
Oregon318$9.49$9.524
Hawaii302$9.52$9.522
South Carolina276$9.47$9.526
Wisconsin179$9.39$9.526
Montana171$9.48$9.523
West Virginia170$9.43$9.525
North Dakota153$9.52$9.523
Rhode Island125$9.37$9.524
Utah62$9.42$9.523
Alaska59$9.25$9.521
Wyoming32$9.52$9.521
Kansas31$9.52$9.521
Minnesota31$9.52$9.521
Nevada20$9.52$9.521
New Hampshire14$9.52$9.521

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.