HCPCS 17004

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

Procedures Work RVU per service 1.37 (2021 fee schedule)

8,905
97th percentile among 6,253 codes billed · 2021
$95M
97th percentile among 6,253 codes billed · 2021
781K
94th percentile among 6,253 codes billed · 2021
42
70th percentile among 6,253 codes billed · 2021
300
75th percentile among 6,253 codes billed · 2021
+17.9%
Medicare payment on the code vs 2020; billers +7.7% · 2021

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
California1,115$19,567,103141,87259484
Florida1,114$13,624,649113,34948345
Texas653$6,466,58955,68844276
New York419$6,238,01642,69937359
Arizona301$3,031,29426,55246256
Georgia299$2,607,87723,62643314
North Carolina329$2,578,68523,10540208
Virginia234$2,449,49019,82141272
New Jersey219$2,385,48916,93839264
South Carolina155$2,122,29819,00751370
Illinois260$1,945,14816,94234182
Massachusetts214$1,929,32014,62536176
Maryland161$1,892,68513,92942253
Nevada96$1,867,49015,61860457
Pennsylvania250$1,731,13213,94535153

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 2021.

Top metro areas

observed calculated calculated calculated calculated
Los Angeles-Long Beach-Anaheim, CA396$7,673,04254,05161
New York-Newark-Jersey City, NY-NJ451$7,108,37947,31842
Miami-Fort Lauderdale-West Palm Beach, FL259$3,739,84029,24448
Phoenix-Mesa-Chandler, AZ209$2,174,45518,80346
Dallas-Fort Worth-Arlington, TX183$2,035,23617,21143
San Diego-Chula Vista-Carlsbad, CA140$1,918,25813,98856
Boston-Cambridge-Newton, MA-NH184$1,676,48612,65435
Riverside-San Bernardino-Ontario, CA95$1,652,47912,91068
Washington-Arlington-Alexandria, DC-VA-MD-WV172$1,601,07511,60341
North Port-Bradenton-Sarasota, FL87$1,542,95112,90361
San Francisco-Oakland-Fremont, CA122$1,481,8239,90647
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD173$1,434,36010,78538
Las Vegas-Henderson-North Las Vegas, NV56$1,263,73310,39354
Houston-Pasadena-The Woodlands, TX152$1,257,66210,43334
Tampa-St. Petersburg-Clearwater, FL169$1,239,05310,66935

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 91 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 17004 nationally

Dermatology accounts for 77% of payment for 17004 nationally in 2021, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Dermatology5,65263%$73,545,82077%576,497102
Physician Assistant2,04623%$12,678,99613%123,94461
Nurse Practitioner8289.3%$5,371,3335.6%52,19563
Micrographic Dermatologic Surgery1021.1%$1,096,7751.2%8,71685
Family Practice1181.3%$899,5220.94%7,34662
Internal Medicine650.73%$529,8460.56%3,93260
Plastic and Reconstructive Surgery280.31%$297,0790.31%2,33083
General Practice150.17%$257,7680.27%1,927128

Not listed: 17 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 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