HCPCS 27130

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

Procedures Work RVU per service 19.60 (2023 fee schedule)

8,062
96th percentile among 6,405 codes billed · 2023
$299M
99th percentile among 6,405 codes billed · 2023
275K
91st percentile among 6,405 codes billed · 2023
26
54th percentile among 6,405 codes billed · 2023
84
51st percentile among 6,405 codes billed · 2023
+15.8%
Medicare payment on the code vs 2022; billers +3.6% · 2023

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
Florida589$25,685,38322,48126108
California543$22,173,70620,86327104
New York353$14,231,45812,7782692
Ohio344$13,352,26710,7532475
Illinois344$11,584,11412,1272988
Texas431$11,503,46713,0002367
Pennsylvania357$11,164,91111,8492582
Georgia211$10,423,6217,2162568
Maryland179$10,016,5306,9433094
North Carolina318$9,791,4659,9842574
Michigan239$9,761,2056,9632369
Virginia210$9,641,6559,15236104
Arizona207$9,466,9117,5022690
Tennessee173$9,192,8146,2972894
Indiana224$9,158,1587,1582572

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ304$11,348,97511,77028
Chicago-Naperville-Elgin, IL-IN247$9,582,5179,35230
Washington-Arlington-Alexandria, DC-VA-MD-WV126$7,761,0975,33332
Atlanta-Sandy Springs-Roswell, GA94$7,154,5733,37925
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD131$7,014,8885,62635
Boston-Cambridge-Newton, MA-NH146$6,327,8735,85231
Los Angeles-Long Beach-Anaheim, CA150$5,775,7716,06929
Phoenix-Mesa-Chandler, AZ147$5,754,5185,14826
Detroit-Warren-Dearborn, MI97$5,142,8083,16826
Miami-Fort Lauderdale-West Palm Beach, FL108$5,086,5544,43128
San Francisco-Oakland-Fremont, CA59$4,433,3182,91631
Seattle-Tacoma-Bellevue, WA121$4,299,6613,84026
Columbus, OH62$4,164,6012,55632
Baltimore-Columbia-Towson, MD97$3,567,6693,84833
Minneapolis-St. Paul-Bloomington, MN-WI113$3,495,3872,64518

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 94 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 27130 nationally

Orthopedic Surgery accounts for 53% of payment for 27130 nationally in 2023, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery4,50656%$159,229,07653%161,22136
Ambulatory Surgical Center4185.2%$124,923,41142%17,25041
Physician Assistant2,71234%$11,474,9843.8%83,47031
Nurse Practitioner3594.5%$1,437,5500.48%10,84430
Sports Medicine330.41%$907,0280.30%87126

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 2023.

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