HCPCS 27130
Procedure (ClaimLight category; the code descriptor is not shown)
Procedures Work RVU per service 19.60 (2022 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 8,193 | $333,464,072 | +12% | 286,125 | 26 | 87 | 19.60 |
| 2023 | 8,062 | $298,569,576 | +16% | 274,801 | 26 | 84 | 19.60 |
| 2022 | 7,781 | $257,888,980 | +20% | 261,929 | 25 | 83 | 19.60 |
| 2021 | 7,343 | $214,494,828 | +40% | 239,294 | 24 | 82 | 19.60 |
| 2020 | 6,616 | $152,710,063 | first year in data | 205,552 | 24 | 75 | 20.72 |
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 | |
|---|---|---|---|---|---|---|
| Florida | 570 | $22,016,592 | 21,686 | 27 | 105 | |
| California | 536 | $17,514,577 | 19,387 | 25 | 93 | |
| New York | 348 | $13,623,895 | 12,359 | 25 | 97 | |
| Ohio | 324 | $11,803,951 | 10,163 | 23 | 75 | |
| Illinois | 319 | $10,379,655 | 11,083 | 27 | 91 | |
| Texas | 415 | $10,173,423 | 12,553 | 23 | 71 | |
| Pennsylvania | 326 | $9,434,579 | 10,878 | 26 | 75 | |
| Georgia | 221 | $8,702,992 | 7,266 | 23 | 72 | |
| Michigan | 254 | $8,677,739 | 6,875 | 21 | 67 | |
| Arizona | 199 | $8,429,798 | 7,567 | 29 | 83 | |
| Virginia | 212 | $8,220,692 | 8,796 | 34 | 102 | |
| North Carolina | 295 | $8,159,828 | 9,699 | 26 | 78 | |
| Indiana | 206 | $7,966,824 | 6,626 | 24 | 74 | |
| Maryland | 167 | $7,885,703 | 5,991 | 25 | 94 | |
| Washington | 231 | $7,392,244 | 7,583 | 25 | 77 |
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 2022.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 301 | $10,917,283 | 11,368 | 28 | |
| Chicago-Naperville-Elgin, IL-IN | 229 | $8,752,582 | 8,768 | 28 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 125 | $6,104,519 | 4,774 | 27 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 124 | $5,886,665 | 5,511 | 36 | |
| Boston-Cambridge-Newton, MA-NH | 143 | $5,503,316 | 5,605 | 28 | |
| Atlanta-Sandy Springs-Roswell, GA | 91 | $5,353,501 | 3,180 | 23 | |
| Los Angeles-Long Beach-Anaheim, CA | 146 | $4,708,310 | 5,687 | 24 | |
| Phoenix-Mesa-Chandler, AZ | 136 | $4,557,368 | 5,013 | 28 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 99 | $4,353,799 | 4,045 | 25 | |
| Detroit-Warren-Dearborn, MI | 97 | $4,239,368 | 2,937 | 25 | |
| Seattle-Tacoma-Bellevue, WA | 121 | $3,605,151 | 3,795 | 23 | |
| Columbus, OH | 58 | $3,425,890 | 2,497 | 34 | |
| Minneapolis-St. Paul-Bloomington, MN-WI | 97 | $3,297,652 | 2,496 | 19 | |
| Dallas-Fort Worth-Arlington, TX | 130 | $3,214,551 | 4,150 | 24 | |
| San Francisco-Oakland-Fremont, CA | 60 | $3,206,750 | 2,583 | 31 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 93 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 27130 nationally
Orthopedic Surgery accounts for 61% of payment for 27130 nationally in 2022, across 6 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Orthopedic Surgery | 4,463 | 57% | $156,913,890 | 61% | 156,882 | 35 |
| Ambulatory Surgical Center | 319 | 4.1% | $86,934,614 | 34% | 12,594 | 39 |
| Physician Assistant | 2,585 | 33% | $11,232,310 | 4.4% | 80,405 | 31 |
| Nurse Practitioner | 341 | 4.4% | $1,356,064 | 0.53% | 10,017 | 29 |
| Sports Medicine | 32 | 0.41% | $864,470 | 0.34% | 832 | 26 |
| General Surgery | 12 | 0.15% | $131,936 | 0.05% | 390 | 33 |
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 2022.
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