HCPCS 52000

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

Procedures Work RVU per service 1.53 (2024 fee schedule)

8,677
97th percentile among 6,471 codes billed · 2024
$121M
98th percentile among 6,471 codes billed · 2024
800K
95th percentile among 6,471 codes billed · 2024
71
79th percentile among 6,471 codes billed · 2024
221
69th percentile among 6,471 codes billed · 2024
-2.7%
Medicare payment on the code vs 2023; billers +1.5% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $114M paid20202021: $133M paid20212022: $130M paid20222023: $124M paid20232024: $121M paid2024$121M$0$50M$100M2020: $114M paid20202021: $133M paid20212022: $130M paid20222023: $124M paid20232024: $121M paid2024$121M$0$50M$100M2020: $114M paid20202021: $133M paid20212022: $130M paid20222023: $124M paid20232024: $121M paid2024$121M$0$50M$100M2020: $114M paid20202021: $133M paid20212022: $130M paid20222023: $124M paid20232024: $121M paid2024$121M

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

Billers

05,0002020: 8,401 providers20202021: 8,510 providers20212022: 8,506 providers20222023: 8,548 providers20232024: 8,677 providers20248,67705,0002020: 8,401 providers20202021: 8,510 providers20212022: 8,506 providers20222023: 8,548 providers20232024: 8,677 providers20248,67705,0002020: 8,401 providers20202021: 8,510 providers20212022: 8,506 providers20222023: 8,548 providers20232024: 8,677 providers20248,67705,0002020: 8,401 providers20202021: 8,510 providers20212022: 8,506 providers20222023: 8,548 providers20232024: 8,677 providers20248,677

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
20248,677$120,811,085-3%800,242712211.53
20238,548$124,210,177-4%816,005742251.53
20228,506$129,943,457-2%820,214762281.53
20218,510$132,915,733+17%854,746802371.53
20208,401$113,856,030first year in data807,877752301.53

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
Florida682$11,469,30370,91075289
California729$11,288,82563,77069225
New York625$8,570,79850,80361199
Texas604$6,908,55444,26061175
Pennsylvania409$5,542,43039,41469200
Maryland203$5,397,20736,687117610
Illinois316$4,636,80629,66376223
Arizona192$4,302,70427,397112353
New Jersey298$4,291,50322,94161194
Massachusetts241$4,061,27524,08783231
Georgia266$3,954,89227,81480233
Virginia225$3,437,77221,69287218
Ohio335$3,431,25329,24266196
North Carolina300$3,217,42721,56062165
Tennessee192$2,858,46320,00974219

Not listed: 1 billers with an armed-forces or unknown state code (ZZ); they are in the national totals.

Not listed: 3 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-NJ617$8,955,13347,89357
Los Angeles-Long Beach-Anaheim, CA274$3,780,50721,22359
Chicago-Naperville-Elgin, IL-IN255$3,762,50323,41875
Baltimore-Columbia-Towson, MD129$3,535,68424,542114
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD219$3,488,76423,59674
Phoenix-Mesa-Chandler, AZ142$3,391,15821,114121
Boston-Cambridge-Newton, MA-NH174$2,716,72215,93071
Washington-Arlington-Alexandria, DC-VA-MD-WV139$2,621,80315,09687
Atlanta-Sandy Springs-Roswell, GA163$2,395,57816,59576
Miami-Fort Lauderdale-West Palm Beach, FL162$1,999,99011,56144
Dallas-Fort Worth-Arlington, TX160$1,944,30811,08963
Detroit-Warren-Dearborn, MI129$1,650,26210,42268
Houston-Pasadena-The Woodlands, TX165$1,622,66410,82348
Tampa-St. Petersburg-Clearwater, FL105$1,510,1129,76375
San Francisco-Oakland-Fremont, CA82$1,352,2676,94465

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 97 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 52000 nationally

Urology accounts for 81% of payment for 52000 nationally in 2024, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology7,67988%$98,446,14981%688,09590
Ambulatory Surgical Center2052.4%$17,896,63015%79,155386
Obstetrics & Gynecology4765.5%$2,744,7602.3%17,97838
Physician Assistant1471.7%$747,0720.62%6,78446
Nurse Practitioner1201.4%$637,9400.53%5,16843
General Surgery130.15%$142,2620.12%1,310101
Gynecological Oncology130.15%$21,7510.02%29923

Not listed: 10 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 52000 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