HCPCS 17004

Procedure (ClaimLight category; the code descriptor is not shown)

Procedures Work RVU per service 1.37 (2020 fee schedule)

8,270
97th percentile among 6,116 codes billed · 2020
$81M
97th percentile among 6,116 codes billed · 2020
706K
94th percentile among 6,116 codes billed · 2020
42
72nd percentile among 6,116 codes billed · 2020
293
75th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M$100M2020: $81M paid20202021: $95M paid20212022: $95M paid20222023: $96M paid20232024: $94M paid2024$94M$0$50M$100M2020: $81M paid20202021: $95M paid20212022: $95M paid20222023: $96M paid20232024: $94M paid2024$94M$0$50M$100M2020: $81M paid20202021: $95M paid20212022: $95M paid20222023: $96M paid20232024: $94M paid2024$94M$0$50M$100M2020: $81M paid20202021: $95M paid20212022: $95M paid20222023: $96M paid20232024: $94M paid2024$94M

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

Billers

05,00010K2020: 8,270 providers20202021: 8,905 providers20212022: 9,276 providers20222023: 9,638 providers20232024: 10K providers202410K05,00010K2020: 8,270 providers20202021: 8,905 providers20212022: 9,276 providers20222023: 9,638 providers20232024: 10K providers202410K05,00010K2020: 8,270 providers20202021: 8,905 providers20212022: 9,276 providers20222023: 9,638 providers20232024: 10K providers202410K05,00010K2020: 8,270 providers20202021: 8,905 providers20212022: 9,276 providers20222023: 9,638 providers20232024: 10K providers202410K

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
202410,014$93,928,956-2%807,938402681.37
20239,638$96,330,309+1%802,133412721.37
20229,276$95,338,088+0%790,025422891.37
20218,905$95,207,432+18%781,157423001.37
20208,270$80,747,114first year in data706,473422931.37

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
California1,028$16,347,553126,59156482
Florida1,044$11,806,787104,04949336
Texas630$5,802,69253,45144279
New York371$4,610,75334,08043306
Arizona280$2,664,19224,50849237
Georgia283$2,434,67623,37248277
North Carolina304$2,177,42420,54941205
Virginia220$2,052,55017,76742302
New Jersey191$1,924,15514,63940287
South Carolina145$1,921,00318,09249391
Nevada92$1,604,80114,44666514
Maryland149$1,582,93512,39739275
Illinois220$1,578,45514,48435177
Ohio220$1,468,36313,99238206
Massachusetts186$1,437,69811,44234169

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 2020.

Top metro areas

observed calculated calculated calculated calculated
Los Angeles-Long Beach-Anaheim, CA364$6,226,25246,72355
New York-Newark-Jersey City, NY-NJ392$5,249,71337,48047
Miami-Fort Lauderdale-West Palm Beach, FL249$3,266,34226,97848
Phoenix-Mesa-Chandler, AZ195$1,908,70717,37749
Dallas-Fort Worth-Arlington, TX180$1,730,81615,54942
San Diego-Chula Vista-Carlsbad, CA136$1,639,33712,90654
Riverside-San Bernardino-Ontario, CA88$1,421,77811,80364
Washington-Arlington-Alexandria, DC-VA-MD-WV153$1,339,79710,27239
North Port-Bradenton-Sarasota, FL75$1,293,17711,37869
San Francisco-Oakland-Fremont, CA112$1,242,8078,87242
Boston-Cambridge-Newton, MA-NH151$1,185,1579,35834
Houston-Pasadena-The Woodlands, TX146$1,153,00810,30135
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD151$1,078,8658,58137
Tampa-St. Petersburg-Clearwater, FL163$1,064,4639,75032
Las Vegas-Henderson-North Las Vegas, NV54$1,063,5459,36953

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 90 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 17004 nationally

Dermatology accounts for 80% of payment for 17004 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Dermatology5,51967%$64,530,28180%541,60998
Physician Assistant1,75521%$9,901,46412%103,42459
Nurse Practitioner7108.6%$3,954,6354.9%41,55159
Family Practice1281.5%$839,2041.0%7,39058
Internal Medicine680.82%$499,3580.62%3,93458
Plastic and Reconstructive Surgery270.33%$268,5460.33%2,24183
General Practice140.17%$217,7950.27%1,732124
General Surgery120.15%$140,9670.17%1,284107

Not listed: 15 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 2020.

Top billers of 17004 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