HCPCS 17004

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

Procedures Work RVU per service 1.37 (2022 fee schedule)

9,276
97th percentile among 6,326 codes billed · 2022
$95M
98th percentile among 6,326 codes billed · 2022
790K
95th percentile among 6,326 codes billed · 2022
42
70th percentile among 6,326 codes billed · 2022
289
74th percentile among 6,326 codes billed · 2022
+0.1%
Medicare payment on the code vs 2021; billers +4.2% · 2022

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
California1,179$19,796,876143,78757463
Florida1,140$13,005,349109,52850334
Texas683$6,617,28957,64344281
New York438$6,566,40645,21437340
Arizona317$2,852,71425,49947240
North Carolina336$2,548,18123,02939239
Georgia306$2,536,86523,38244254
New Jersey214$2,526,04618,01347256
Virginia241$2,435,23319,87243286
South Carolina170$2,165,26419,75947344
Illinois265$1,947,88817,14333188
Massachusetts237$1,880,68614,38633192
Maryland168$1,865,95013,89341260
Nevada101$1,846,45315,69656332
Pennsylvania245$1,833,96414,84936166

Not listed: 3 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 2022.

Top metro areas

observed calculated calculated calculated calculated
Los Angeles-Long Beach-Anaheim, CA415$7,665,09353,76856
New York-Newark-Jersey City, NY-NJ449$7,465,43949,77645
Miami-Fort Lauderdale-West Palm Beach, FL259$3,553,16627,87050
Phoenix-Mesa-Chandler, AZ224$2,068,25418,19745
Dallas-Fort Worth-Arlington, TX195$2,061,95217,70743
San Diego-Chula Vista-Carlsbad, CA150$2,011,60014,56361
Boston-Cambridge-Newton, MA-NH204$1,695,14512,90934
Riverside-San Bernardino-Ontario, CA94$1,671,15813,19471
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD174$1,532,86411,65939
Washington-Arlington-Alexandria, DC-VA-MD-WV174$1,526,87611,04136
San Francisco-Oakland-Fremont, CA126$1,481,5339,89450
North Port-Bradenton-Sarasota, FL91$1,352,15411,46946
Houston-Pasadena-The Woodlands, TX166$1,307,07010,98335
Chicago-Naperville-Elgin, IL-IN188$1,272,59010,35831
Las Vegas-Henderson-North Las Vegas, NV59$1,216,80610,18452

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 89 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 17004 nationally

Dermatology accounts for 75% of payment for 17004 nationally in 2022, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Dermatology5,71462%$71,834,80275%564,99999
Physician Assistant2,25924%$14,118,74315%139,51162
Nurse Practitioner93410%$5,947,8096.2%58,24062
Micrographic Dermatologic Surgery951.0%$1,018,2711.1%8,17686
Family Practice1141.2%$919,3090.96%7,53866
Internal Medicine650.70%$517,7820.54%3,82859
Plastic and Reconstructive Surgery240.26%$258,9880.27%2,04885
General Practice170.18%$221,5840.23%1,66798
Pathology110.12%$96,2140.10%74568

Not listed: 14 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 2022.

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