HCPCS 52000

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

Procedures Work RVU per service 1.53 (2020 fee schedule)

8,401
97th percentile among 6,116 codes billed · 2020
$114M
98th percentile among 6,116 codes billed · 2020
808K
95th percentile among 6,116 codes billed · 2020
75
84th percentile among 6,116 codes billed · 2020
230
71st percentile among 6,116 codes billed · 2020

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
Florida615$10,729,76570,62485300
California657$9,504,99058,66270225
New York595$7,492,56247,87364201
Texas596$6,684,20847,38866178
Pennsylvania402$5,359,61139,17071218
Maryland212$4,731,94333,885112542
Illinois309$4,343,12729,45179215
New Jersey282$3,829,93821,97964182
Massachusetts228$3,609,18422,94184234
Georgia270$3,561,48627,10973283
North Carolina292$3,504,57825,29872208
Arizona191$3,462,77923,227108269
Ohio335$3,426,07629,76568216
Virginia224$3,238,19221,82588207
Tennessee199$2,876,25222,17781231

Not listed: 1 billers with an armed-forces or unknown state code (AE); 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ582$7,853,99745,08662
Chicago-Naperville-Elgin, IL-IN239$3,314,30621,65683
Baltimore-Columbia-Towson, MD135$3,059,84522,544110
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD207$2,952,16020,46273
Los Angeles-Long Beach-Anaheim, CA239$2,832,70217,41958
Phoenix-Mesa-Chandler, AZ134$2,537,49716,628110
Boston-Cambridge-Newton, MA-NH167$2,442,12815,33272
Washington-Arlington-Alexandria, DC-VA-MD-WV143$2,115,51313,29062
Atlanta-Sandy Springs-Roswell, GA163$1,947,23514,68561
Miami-Fort Lauderdale-West Palm Beach, FL153$1,884,67111,58446
Dallas-Fort Worth-Arlington, TX146$1,792,20911,21070
Houston-Pasadena-The Woodlands, TX149$1,477,68410,68857
Detroit-Warren-Dearborn, MI112$1,437,8199,51771
Tampa-St. Petersburg-Clearwater, FL94$1,376,3149,45784
St. Louis, MO-IL86$1,138,8957,52984

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 2020.

Specialties billing 52000 nationally

Urology accounts for 84% of payment for 52000 nationally in 2020, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology7,60491%$96,065,98284%711,54894
Ambulatory Surgical Center2052.4%$14,739,20113%71,936351
Obstetrics & Gynecology4094.9%$2,072,5601.8%15,14237
Physician Assistant720.86%$376,2390.33%3,88054
Nurse Practitioner560.67%$285,3730.25%2,67248
General Surgery140.17%$111,6270.10%84861
Gynecological Oncology200.24%$32,6520.03%53327

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 2020.

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