HCPCS 17004

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

Procedures Work RVU per service 1.37 (2023 fee schedule)

9,638
97th percentile among 6,405 codes billed · 2023
$96M
98th percentile among 6,405 codes billed · 2023
802K
95th percentile among 6,405 codes billed · 2023
41
69th percentile among 6,405 codes billed · 2023
272
72nd percentile among 6,405 codes billed · 2023
+1.0%
Medicare payment on the code vs 2022; billers +3.9% · 2023

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
California1,232$20,247,263147,66457425
Florida1,206$13,468,591113,77549325
Texas715$6,480,72256,54340241
New York450$6,170,63243,10938342
Arizona317$2,943,57726,30648221
New Jersey240$2,670,13719,39737242
Georgia307$2,568,40123,54343231
North Carolina343$2,406,21522,07138200
Virginia249$2,366,23019,54340283
South Carolina171$2,171,78220,36446378
Illinois276$2,028,65217,77935202
Maryland182$2,008,18115,16844254
Massachusetts246$1,942,61314,84233190
Pennsylvania254$1,927,92715,99636164
Nevada110$1,901,41416,41861300

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 2023.

Top metro areas

observed calculated calculated calculated calculated
Los Angeles-Long Beach-Anaheim, CA430$7,913,94855,75957
New York-Newark-Jersey City, NY-NJ476$7,294,97849,50043
Miami-Fort Lauderdale-West Palm Beach, FL266$3,616,87528,32750
San Diego-Chula Vista-Carlsbad, CA153$2,079,77415,09558
Phoenix-Mesa-Chandler, AZ217$2,055,25318,10047
Dallas-Fort Worth-Arlington, TX201$2,054,25017,65837
Riverside-San Bernardino-Ontario, CA101$1,755,01714,03060
Boston-Cambridge-Newton, MA-NH207$1,693,86812,83533
Washington-Arlington-Alexandria, DC-VA-MD-WV176$1,605,69611,91236
San Francisco-Oakland-Fremont, CA139$1,588,84310,54342
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD181$1,560,38812,09737
North Port-Bradenton-Sarasota, FL98$1,351,32011,45051
Tampa-St. Petersburg-Clearwater, FL182$1,330,52011,55239
Chicago-Naperville-Elgin, IL-IN208$1,319,11310,80428
Las Vegas-Henderson-North Las Vegas, NV65$1,290,56910,92253

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 94 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing 17004 nationally

Dermatology accounts for 74% of payment for 17004 nationally in 2023, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Dermatology5,69659%$71,097,84974%559,44198
Physician Assistant2,54826%$15,504,65516%152,95560
Nurse Practitioner1,02511%$6,257,7816.5%62,19261
Micrographic Dermatologic Surgery940.98%$1,046,7141.1%8,33489
Family Practice1131.2%$919,1910.95%7,46266
Internal Medicine640.66%$541,8910.56%4,14765
Plastic and Reconstructive Surgery320.33%$279,2930.29%2,19669
General Practice140.15%$212,4020.22%1,597114
Pathology110.11%$118,8320.12%93785
Otolaryngology110.11%$93,3820.10%77570

Not listed: 16 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 2023.

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