HCPCS 23472

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

Procedures Work RVU per service 22.13 (2024 fee schedule)

4,044
94th percentile among 6,471 codes billed · 2024
$172M
98th percentile among 6,471 codes billed · 2024
111K
86th percentile among 6,471 codes billed · 2024
21
43rd percentile among 6,471 codes billed · 2024
67
45th percentile among 6,471 codes billed · 2024
+135.6%
Medicare payment on the code vs 2023; billers +17.6% · 2024

Trend

Medicare payment on the code

$0$100M2020: $52M paid20202021: $58M paid20212022: $65M paid20222023: $73M paid20232024: $172M paid2024$172M$0$100M2020: $52M paid20202021: $58M paid20212022: $65M paid20222023: $73M paid20232024: $172M paid2024$172M$0$100M2020: $52M paid20202021: $58M paid20212022: $65M paid20222023: $73M paid20232024: $172M paid2024$172M$0$100M2020: $52M paid20202021: $58M paid20212022: $65M paid20222023: $73M paid20232024: $172M paid2024$172M

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

Billers

02,0004,0002020: 2,489 providers20202021: 2,783 providers20212022: 3,089 providers20222023: 3,439 providers20232024: 4,044 providers20244,04402,0004,0002020: 2,489 providers20202021: 2,783 providers20212022: 3,089 providers20222023: 3,439 providers20232024: 4,044 providers20244,04402,0004,0002020: 2,489 providers20202021: 2,783 providers20212022: 3,089 providers20222023: 3,439 providers20232024: 4,044 providers20244,04402,0004,0002020: 2,489 providers20202021: 2,783 providers20212022: 3,089 providers20222023: 3,439 providers20232024: 4,044 providers20244,044

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
20244,044$172,363,206+136%111,038216722.13
20233,439$73,165,842+13%93,167206622.13
20223,089$64,769,598+11%81,056196422.13
20212,783$58,303,195+12%71,794196322.13
20202,489$51,925,903first year in data62,480195722.13

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
Florida292$16,474,7039,73221101
California222$10,536,1106,6902382
Ohio171$8,870,3154,9722075
Texas229$6,864,3756,0592061
Tennessee105$6,826,8923,1832372
Arizona133$6,794,1743,8792366
Illinois150$6,607,8253,7732156
Virginia124$6,485,3883,9082584
North Carolina168$5,991,2533,8991949
Michigan108$5,741,3332,8182057
New York122$5,330,3843,4032067
Pennsylvania158$5,324,7764,0632155
Washington112$5,219,6053,0572162
South Carolina98$4,792,9562,8332460
Indiana132$4,375,2513,0481956

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 2024.

Top metro areas

observed calculated calculated calculated calculated
Chicago-Naperville-Elgin, IL-IN104$5,325,2412,69521
Seattle-Tacoma-Bellevue, WA61$3,979,2931,72920
Phoenix-Mesa-Chandler, AZ83$3,799,9352,60724
North Port-Bradenton-Sarasota, FL29$3,799,1071,73631
New York-Newark-Jersey City, NY-NJ108$3,767,1683,01419
Detroit-Warren-Dearborn, MI47$3,093,2421,36720
Boston-Cambridge-Newton, MA-NH75$2,962,1592,32423
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD54$2,811,4741,90927
Cincinnati, OH-KY-IN34$2,741,3551,18928
Dallas-Fort Worth-Arlington, TX72$2,439,3862,11823
Washington-Arlington-Alexandria, DC-VA-MD-WV54$2,241,8301,61925
Knoxville, TN27$2,127,03089126
Los Angeles-Long Beach-Anaheim, CA67$2,109,0161,76522
Baltimore-Columbia-Towson, MD39$2,048,7531,32824
San Francisco-Oakland-Fremont, CA23$1,926,16081427

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 74 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 23472 nationally

Ambulatory Surgical Center accounts for 55% of payment for 23472 nationally in 2024, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center3258.0%$94,308,55155%8,95628
Orthopedic Surgery2,07051%$64,450,90837%59,19129
Sports Medicine1473.6%$5,134,2513.0%4,59031
Physician Assistant1,24531%$4,662,9582.7%30,96325
Nurse Practitioner1523.8%$592,4680.34%4,05027

Not listed: 8 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 2024.

Top billers of 23472 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