HCPCS 23472

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

Procedures Work RVU per service 22.13 (2020 fee schedule)

2,489
91st percentile among 6,116 codes billed · 2020
$52M
96th percentile among 6,116 codes billed · 2020
62K
82nd percentile among 6,116 codes billed · 2020
19
38th percentile among 6,116 codes billed · 2020
57
44th percentile among 6,116 codes billed · 2020

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
Florida174$4,488,0715,4062282
California143$3,195,8183,5701857
Ohio120$2,621,5483,1701958
Texas129$2,505,3983,1821962
Pennsylvania99$2,058,3872,2431845
North Carolina114$2,044,3462,5991952
Illinois90$1,995,7552,2492054
New York65$1,856,9721,7662162
Virginia71$1,802,6312,1132660
Arizona81$1,603,8252,1242355
Missouri68$1,569,5211,8391874
Michigan75$1,550,2971,6171838
Washington78$1,466,4531,8501949
Colorado60$1,424,0831,8102380
Tennessee63$1,362,1451,6812454

Not listed: 8 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
New York-Newark-Jersey City, NY-NJ54$1,529,9151,35020
Chicago-Naperville-Elgin, IL-IN57$1,296,4381,42121
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD39$1,118,2931,11122
Phoenix-Mesa-Chandler, AZ54$1,076,9791,46521
Boston-Cambridge-Newton, MA-NH42$1,057,5111,03917
Dallas-Fort Worth-Arlington, TX44$942,5161,28821
St. Louis, MO-IL30$800,02478618
Baltimore-Columbia-Towson, MD30$790,31786421
Seattle-Tacoma-Bellevue, WA40$784,08095321
Washington-Arlington-Alexandria, DC-VA-MD-WV31$717,37885722
Detroit-Warren-Dearborn, MI33$708,62074718
Cleveland, OH27$703,34989120
Columbus, OH29$644,91273620
Los Angeles-Long Beach-Anaheim, CA33$628,32161917
Miami-Fort Lauderdale-West Palm Beach, FL18$622,86268321

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 59 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 23472 nationally

Orthopedic Surgery accounts for 86% of payment for 23472 nationally in 2020, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery1,49860%$44,516,56686%38,74526
Physician Assistant75230%$2,815,3345.4%17,53623
Sports Medicine702.8%$2,237,3874.3%1,87327
Hand Surgery632.5%$1,813,5323.5%1,53524
Nurse Practitioner933.7%$381,9720.74%2,42526

Not listed: 9 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 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