	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	576	$71,167,475	+7%	12,311	16	48	5.10
2023	561	$66,248,675	+30%	12,077	16	43	2.45
2022	458	$50,983,248	+6%	9,835	16	42	2.45
2021	437	$47,910,660	+41%	9,461	16	41	2.45
2020	308	$34,048,503	first year in data	6,629	17	45	2.45

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
Florida	91	$15,419,227	2,279	17	59
Texas	56	$7,719,677	1,106	17	38
Arkansas	20	$5,613,709	913	16	247
Arizona	23	$4,339,030	614	18	92
Mississippi	19	$4,090,489	686	24	73
Maryland	21	$3,130,589	439	19	42
California	21	$2,817,744	345	14	30
Georgia	22	$2,596,362	426	17	36
Tennessee	26	$2,412,402	513	17	38
Colorado	18	$2,022,073	297	15	27
Nebraska	11	$1,783,800	232	18	43
Oklahoma	19	$1,627,165	312	13	28
South Carolina	18	$1,619,770	335	15	34
Pennsylvania	13	$1,431,512	240	14	42
New York	17	$1,417,291	333	17	40

Not listed: 24 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
Phoenix-Mesa-Chandler, AZ	21	$3,744,295	554	18
Dallas-Fort Worth-Arlington, TX	20	$3,359,012	453	19
Tampa-St. Petersburg-Clearwater, FL	18	$2,950,006	425	17
Jackson, MS	11	$2,555,322	439	24
Austin-Round Rock-San Marcos, TX	14	$2,078,127	285	20
Atlanta-Sandy Springs-Roswell, GA	14	$2,067,721	293	16
Baltimore-Columbia-Towson, MD	14	$2,061,197	310	19
Nashville-Davidson--Murfreesboro--Franklin, TN	11	$1,235,421	229	16
New York-Newark-Jersey City, NY-NJ	17	$984,888	282	14
Miami-Fort Lauderdale-West Palm Beach, FL	11	$907,977	168	15

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 10 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 64590 nationally

Ambulatory Surgical Center accounts for 99% of payment for 64590 nationally in 2024, across 4 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Ambulatory Surgical Center	185	32%	$70,180,402	99%	4,991	27
Urology	243	42%	$586,146	0.82%	4,284	18
Obstetrics & Gynecology	94	16%	$259,994	0.37%	1,951	21
Pain Management	11	1.9%	$19,303	0.03%	159	14

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 2024.

Top billers of 64590 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