HCPCS 23472

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

Procedures Work RVU per service 22.13 (2022 fee schedule)

3,089
93rd percentile among 6,326 codes billed · 2022
$65M
97th percentile among 6,326 codes billed · 2022
81K
84th percentile among 6,326 codes billed · 2022
19
38th percentile among 6,326 codes billed · 2022
64
45th percentile among 6,326 codes billed · 2022
+11.1%
Medicare payment on the code vs 2021; billers +11.0% · 2022

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
Florida234$5,616,1317,0971979
California164$4,103,0354,7642070
Texas165$3,178,9934,1591953
Ohio126$2,911,7573,5341963
Pennsylvania117$2,519,8322,8571952
New York87$2,444,9702,4302172
Illinois103$2,407,5612,6871968
North Carolina130$2,310,5002,9731849
Virginia90$2,280,9042,7752382
Arizona101$2,066,7562,9082168
Colorado89$2,018,6532,5842278
Michigan96$1,931,6272,2361845
Missouri76$1,836,2762,1721970
Washington88$1,775,2882,2682160
Tennessee77$1,760,9142,1622067

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ71$2,083,1391,97421
Chicago-Naperville-Elgin, IL-IN68$1,634,3761,84621
Phoenix-Mesa-Chandler, AZ67$1,427,7272,08022
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD44$1,380,8351,42224
Boston-Cambridge-Newton, MA-NH53$1,275,8111,47921
Los Angeles-Long Beach-Anaheim, CA43$1,061,5791,11721
Dallas-Fort Worth-Arlington, TX50$1,033,4051,41822
Baltimore-Columbia-Towson, MD31$1,025,3951,13727
Washington-Arlington-Alexandria, DC-VA-MD-WV42$983,5131,22322
Seattle-Tacoma-Bellevue, WA43$964,4851,14018
Denver-Aurora-Centennial, CO37$887,3751,12026
Detroit-Warren-Dearborn, MI41$882,22298518
St. Louis, MO-IL32$854,66188724
Miami-Fort Lauderdale-West Palm Beach, FL25$834,18290725
North Port-Bradenton-Sarasota, FL24$823,0381,17530

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 2022.

Specialties billing 23472 nationally

Orthopedic Surgery accounts for 84% of payment for 23472 nationally in 2022, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery1,77457%$54,113,23084%48,13227
Sports Medicine1163.8%$3,934,6406.1%3,40629
Physician Assistant98032%$3,663,5615.7%23,54024
Hand Surgery802.6%$2,350,4303.6%2,05026
Nurse Practitioner1244.0%$521,1940.80%3,38527

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 2022.

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