HCPCS 52000

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

Procedures Work RVU per service 1.53 (2023 fee schedule)

8,548
97th percentile among 6,405 codes billed · 2023
$124M
98th percentile among 6,405 codes billed · 2023
816K
95th percentile among 6,405 codes billed · 2023
74
82nd percentile among 6,405 codes billed · 2023
225
69th percentile among 6,405 codes billed · 2023
-4.4%
Medicare payment on the code vs 2022; billers +0.5% · 2023

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
Florida674$11,757,76272,57877280
California717$11,468,99562,98769224
New York618$8,853,38251,24963195
Texas602$7,202,05045,73261170
Pennsylvania401$5,569,38939,85569202
Maryland201$5,181,69537,256119624
Illinois314$4,976,32130,42684229
New Jersey286$4,430,65723,25366188
Arizona195$4,425,06627,743111354
Massachusetts242$4,268,81024,67385231
Georgia272$3,741,93627,50072233
Ohio341$3,595,39430,23169199
Virginia219$3,506,24821,23781222
North Carolina283$3,422,67522,50068179
Tennessee200$3,091,09021,86086242

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ606$9,213,99948,27260
Chicago-Naperville-Elgin, IL-IN256$3,992,20423,77783
Los Angeles-Long Beach-Anaheim, CA274$3,798,39420,84460
Phoenix-Mesa-Chandler, AZ145$3,468,67121,218118
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD210$3,358,46323,58579
Baltimore-Columbia-Towson, MD121$3,246,85624,357126
Boston-Cambridge-Newton, MA-NH174$2,827,92316,11972
Washington-Arlington-Alexandria, DC-VA-MD-WV145$2,681,16315,65578
Miami-Fort Lauderdale-West Palm Beach, FL168$2,154,72512,00250
Atlanta-Sandy Springs-Roswell, GA161$2,081,39415,31066
Dallas-Fort Worth-Arlington, TX164$2,033,25411,51364
Houston-Pasadena-The Woodlands, TX161$1,741,30411,49449
Detroit-Warren-Dearborn, MI125$1,664,84810,26368
Tampa-St. Petersburg-Clearwater, FL101$1,514,5549,59975
San Francisco-Oakland-Fremont, CA76$1,386,5176,88279

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 96 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 52000 nationally

Urology accounts for 83% of payment for 52000 nationally in 2023, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology7,64389%$103,359,83183%703,99392
Ambulatory Surgical Center2062.4%$16,592,86613%81,438395
Obstetrics & Gynecology4475.2%$2,834,3212.3%18,10140
Physician Assistant1011.2%$550,8030.44%5,17551
Nurse Practitioner991.2%$538,7710.43%4,26443
General Surgery130.15%$113,1260.09%1,06882
Gynecological Oncology150.18%$41,6210.03%51634

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 2023.

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