HCPCS 27130

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

Procedures Work RVU per service 19.60 (2024 fee schedule)

8,193
97th percentile among 6,471 codes billed · 2024
$333M
99th percentile among 6,471 codes billed · 2024
286K
91st percentile among 6,471 codes billed · 2024
26
52nd percentile among 6,471 codes billed · 2024
87
51st percentile among 6,471 codes billed · 2024
+11.7%
Medicare payment on the code vs 2023; billers +1.6% · 2024

Trend

Medicare payment on the code

$0$200M2020: $153M paid20202021: $214M paid20212022: $258M paid20222023: $299M paid20232024: $333M paid2024$333M$0$200M2020: $153M paid20202021: $214M paid20212022: $258M paid20222023: $299M paid20232024: $333M paid2024$333M$0$200M2020: $153M paid20202021: $214M paid20212022: $258M paid20222023: $299M paid20232024: $333M paid2024$333M$0$200M2020: $153M paid20202021: $214M paid20212022: $258M paid20222023: $299M paid20232024: $333M paid2024$333M

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

Billers

05,0002020: 6,616 providers20202021: 7,343 providers20212022: 7,781 providers20222023: 8,062 providers20232024: 8,193 providers20248,19305,0002020: 6,616 providers20202021: 7,343 providers20212022: 7,781 providers20222023: 8,062 providers20232024: 8,193 providers20248,19305,0002020: 6,616 providers20202021: 7,343 providers20212022: 7,781 providers20222023: 8,062 providers20232024: 8,193 providers20248,19305,0002020: 6,616 providers20202021: 7,343 providers20212022: 7,781 providers20222023: 8,062 providers20232024: 8,193 providers20248,193

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
20248,193$333,464,072+12%286,125268719.60
20238,062$298,569,576+16%274,801268419.60
20227,781$257,888,980+20%261,929258319.60
20217,343$214,494,828+40%239,294248219.60
20206,616$152,710,063first year in data205,552247520.72

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
Florida601$28,492,59123,52628112
California582$26,440,16922,56028109
New York356$14,772,11913,11426100
Illinois354$14,472,40712,5252788
Texas463$13,885,89414,0832273
Ohio353$13,881,42911,1082573
Pennsylvania335$12,182,95612,1752788
Virginia227$11,762,1459,92335100
North Carolina312$11,470,75910,0092481
Georgia207$11,447,0527,3582683
Tennessee193$10,760,8126,9762890
Arizona213$10,487,1288,0803187
Maryland174$10,341,7157,04330115
Indiana239$10,251,2067,6312578
Michigan234$9,684,4326,7962267

Not listed: 2 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
New York-Newark-Jersey City, NY-NJ327$13,084,69312,68826
Chicago-Naperville-Elgin, IL-IN264$12,568,8349,82427
Washington-Arlington-Alexandria, DC-VA-MD-WV122$8,829,9995,46232
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD140$8,712,0326,65440
Atlanta-Sandy Springs-Roswell, GA95$8,061,0883,73226
Boston-Cambridge-Newton, MA-NH159$8,021,9726,55133
San Francisco-Oakland-Fremont, CA72$6,613,0773,82639
Phoenix-Mesa-Chandler, AZ151$6,608,7695,70330
Los Angeles-Long Beach-Anaheim, CA147$6,395,7546,08230
Miami-Fort Lauderdale-West Palm Beach, FL103$5,315,8534,48227
Detroit-Warren-Dearborn, MI86$5,151,5353,04525
Columbus, OH70$5,054,2122,94833
Seattle-Tacoma-Bellevue, WA122$4,583,2803,77723
Dallas-Fort Worth-Arlington, TX158$4,527,2054,79423
Minneapolis-St. Paul-Bloomington, MN-WI114$3,851,3892,68819

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 95 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 27130 nationally

Orthopedic Surgery accounts for 48% of payment for 27130 nationally in 2024, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery4,51355%$160,372,93548%164,71336
Ambulatory Surgical Center4946.0%$158,598,48848%22,49146
Physician Assistant2,74233%$11,587,6583.5%85,52931
Nurse Practitioner3864.7%$1,493,1500.45%11,43730
Sports Medicine300.37%$861,4420.26%84628

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 27130 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