HCPCS 52000

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

Procedures Work RVU per service 1.53 (2021 fee schedule)

8,510
97th percentile among 6,253 codes billed · 2021
$133M
98th percentile among 6,253 codes billed · 2021
855K
95th percentile among 6,253 codes billed · 2021
80
84th percentile among 6,253 codes billed · 2021
237
72nd percentile among 6,253 codes billed · 2021
+16.7%
Medicare payment on the code vs 2020; billers +1.3% · 2021

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
Florida643$12,542,42975,12187306
California668$11,640,69163,61180228
New York615$9,372,76152,86768219
Texas596$7,747,57248,92367182
Pennsylvania413$6,199,17642,33672223
Illinois319$5,329,23932,00482236
Maryland216$5,264,23236,368114607
New Jersey288$4,677,56424,20469195
Massachusetts234$4,579,19526,00792245
Arizona189$4,138,28624,737115283
Georgia265$3,988,47128,56980257
Virginia225$3,955,57423,55894223
Ohio342$3,950,69832,09375227
North Carolina289$3,800,24624,67572193
Tennessee203$3,262,94122,83886222

Not listed: 3 billers with an armed-forces or unknown state code (AE, 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ608$9,906,31150,82565
Chicago-Naperville-Elgin, IL-IN249$4,002,19223,41582
Los Angeles-Long Beach-Anaheim, CA251$3,614,05719,69961
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD198$3,437,30622,86083
Baltimore-Columbia-Towson, MD136$3,315,31623,610110
Boston-Cambridge-Newton, MA-NH167$3,129,39617,37186
Phoenix-Mesa-Chandler, AZ135$3,059,41317,890118
Washington-Arlington-Alexandria, DC-VA-MD-WV148$2,708,08915,52577
Miami-Fort Lauderdale-West Palm Beach, FL161$2,268,91612,40345
Atlanta-Sandy Springs-Roswell, GA161$2,267,59716,14165
Dallas-Fort Worth-Arlington, TX153$2,072,57311,46270
Houston-Pasadena-The Woodlands, TX150$1,719,63711,28357
Detroit-Warren-Dearborn, MI122$1,691,11810,33066
Tampa-St. Petersburg-Clearwater, FL93$1,597,3219,65583
San Francisco-Oakland-Fremont, CA75$1,438,7887,02391

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 2021.

Specialties billing 52000 nationally

Urology accounts for 85% of payment for 52000 nationally in 2021, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology7,64790%$112,541,86185%749,69198
Ambulatory Surgical Center2072.4%$16,446,97312%76,833371
Obstetrics & Gynecology4355.1%$2,637,7682.0%17,00539
Physician Assistant881.0%$504,1650.38%4,84055
Nurse Practitioner760.89%$430,3740.32%3,41245
General Surgery140.16%$128,3870.10%1,02373
Gynecological Oncology210.25%$54,1710.04%67232

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 2021.

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