HCPCS 52000

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

Procedures Work RVU per service 1.53 (2022 fee schedule)

8,506
97th percentile among 6,326 codes billed · 2022
$130M
98th percentile among 6,326 codes billed · 2022
820K
95th percentile among 6,326 codes billed · 2022
76
83rd percentile among 6,326 codes billed · 2022
228
71st percentile among 6,326 codes billed · 2022
-2.2%
Medicare payment on the code vs 2021; billers -0.0% · 2022

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
Florida652$12,155,25572,23283294
California686$11,971,34663,72975230
New York608$9,304,21051,15067211
Texas600$7,695,59547,42068171
Pennsylvania414$5,948,55240,17166210
Maryland210$5,332,10336,752115614
Illinois316$5,230,51030,60981235
New Jersey290$4,665,12823,02965199
Massachusetts249$4,566,58125,53481227
Arizona190$4,186,97424,753109305
Georgia266$3,867,77327,12276235
Virginia220$3,811,65822,10487215
Ohio344$3,751,22730,00670200
North Carolina287$3,648,19223,38270185
Tennessee195$3,209,54522,04885237

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ606$9,862,24648,87562
Chicago-Naperville-Elgin, IL-IN259$4,177,47223,84679
Los Angeles-Long Beach-Anaheim, CA257$3,741,09319,74856
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD204$3,409,97322,59178
Baltimore-Columbia-Towson, MD128$3,328,04523,879116
Phoenix-Mesa-Chandler, AZ136$3,168,67918,275113
Boston-Cambridge-Newton, MA-NH180$3,028,27516,68071
Washington-Arlington-Alexandria, DC-VA-MD-WV147$2,757,67115,47582
Miami-Fort Lauderdale-West Palm Beach, FL168$2,290,01812,37947
Atlanta-Sandy Springs-Roswell, GA158$2,142,72315,09965
Dallas-Fort Worth-Arlington, TX159$2,101,32711,42961
Houston-Pasadena-The Woodlands, TX156$1,828,26211,70156
Detroit-Warren-Dearborn, MI123$1,735,72210,20269
Tampa-St. Petersburg-Clearwater, FL96$1,562,6959,35879
San Francisco-Oakland-Fremont, CA80$1,496,0327,28279

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 52000 nationally

Urology accounts for 84% of payment for 52000 nationally in 2022, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology7,61690%$109,547,25084%715,75894
Ambulatory Surgical Center2082.4%$16,169,85012%74,966360
Obstetrics & Gynecology4515.3%$2,838,4692.2%17,64739
Physician Assistant840.99%$539,6390.42%5,06660
Nurse Practitioner891.0%$456,1590.35%3,59340
General Surgery120.14%$132,0890.10%1,15296
Gynecological Oncology170.20%$47,2200.04%56533

Not listed: 12 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 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