HCPCS 23472

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

Procedures Work RVU per service 22.13 (2023 fee schedule)

3,439
93rd percentile among 6,405 codes billed · 2023
$73M
97th percentile among 6,405 codes billed · 2023
93K
85th percentile among 6,405 codes billed · 2023
20
41st percentile among 6,405 codes billed · 2023
66
46th percentile among 6,405 codes billed · 2023
+13.0%
Medicare payment on the code vs 2022; billers +11.3% · 2023

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
Florida238$6,132,6667,8552194
California190$4,947,8805,6382176
Texas195$3,918,3805,2081960
Pennsylvania135$3,148,1283,5532156
Ohio145$3,022,6183,8621866
New York105$2,869,8772,8252066
Illinois125$2,676,3483,1722066
Virginia100$2,654,7923,3822683
North Carolina132$2,360,2663,1801853
Arizona109$2,285,5203,1482263
Colorado101$2,179,8892,9602094
Washington99$2,055,0062,6442271
Massachusetts80$2,043,3332,3592367
Tennessee84$1,950,6552,4472163
Missouri80$1,946,7802,3492273

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ92$2,620,7502,44820
Chicago-Naperville-Elgin, IL-IN85$1,851,6062,19220
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD50$1,733,4441,80926
Boston-Cambridge-Newton, MA-NH62$1,650,8451,84823
Phoenix-Mesa-Chandler, AZ71$1,540,9662,18422
Los Angeles-Long Beach-Anaheim, CA52$1,297,2061,38821
Dallas-Fort Worth-Arlington, TX53$1,206,4681,72024
Seattle-Tacoma-Bellevue, WA50$1,168,1151,36523
Baltimore-Columbia-Towson, MD33$1,119,3511,18424
Washington-Arlington-Alexandria, DC-VA-MD-WV41$1,039,5641,29227
St. Louis, MO-IL39$973,9211,03022
Miami-Fort Lauderdale-West Palm Beach, FL23$922,1271,12928
Denver-Aurora-Centennial, CO37$902,8751,15523
San Francisco-Oakland-Fremont, CA27$894,10997720
North Port-Bradenton-Sarasota, FL23$875,4501,28641

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 73 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 23472 nationally

Orthopedic Surgery accounts for 83% of payment for 23472 nationally in 2023, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery1,96757%$60,811,21683%55,00928
Sports Medicine1313.8%$4,581,9306.3%4,06931
Physician Assistant1,09732%$4,150,5285.7%27,18725
Hand Surgery902.6%$2,800,5333.8%2,48328
Nurse Practitioner1424.1%$585,4270.80%3,87227

Not listed: 7 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 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