HCPCS 72197

Imaging service (ClaimLight category; the code descriptor is not shown)

Imaging Work RVU per service 2.20 (2020 fee schedule)

3,674
93rd percentile among 6,116 codes billed · 2020
$30M
94th percentile among 6,116 codes billed · 2020
177K
89th percentile among 6,116 codes billed · 2020
28
58th percentile among 6,116 codes billed · 2020
143
64th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$20M$40M2020: $30M paid20202021: $37M paid20212022: $41M paid20222023: $44M paid20232024: $50M paid2024$50M$0$20M$40M2020: $30M paid20202021: $37M paid20212022: $41M paid20222023: $44M paid20232024: $50M paid2024$50M$0$20M$40M2020: $30M paid20202021: $37M paid20212022: $41M paid20222023: $44M paid20232024: $50M paid2024$50M$0$20M$40M2020: $30M paid20202021: $37M paid20212022: $41M paid20222023: $44M paid20232024: $50M paid2024$50M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

02,0004,0002020: 3,674 providers20202021: 4,108 providers20212022: 4,470 providers20222023: 4,732 providers20232024: 5,267 providers20245,26702,0004,0002020: 3,674 providers20202021: 4,108 providers20212022: 4,470 providers20222023: 4,732 providers20232024: 5,267 providers20245,26702,0004,0002020: 3,674 providers20202021: 4,108 providers20212022: 4,470 providers20222023: 4,732 providers20232024: 5,267 providers20245,26702,0004,0002020: 3,674 providers20202021: 4,108 providers20212022: 4,470 providers20222023: 4,732 providers20232024: 5,267 providers20245,267

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
20245,267$50,423,013+15%348,355382052.20
20234,732$44,006,208+9%287,696361862.20
20224,470$40,546,833+9%256,506341792.20
20214,108$37,072,441+23%220,308311652.20
20203,674$30,190,966first year in data176,669281432.20

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
California356$4,049,41419,30131161
New York279$4,025,70819,73238188
Florida276$3,817,00517,00930204
Texas250$1,908,29711,94925168
Massachusetts157$1,364,1537,74428134
New Jersey100$1,333,2704,96730148
Arizona73$1,109,7445,22343234
Maryland100$1,071,3084,88436100
Pennsylvania165$989,4617,78530126
Virginia107$978,9295,79329154
Illinois176$950,9096,7912699
Minnesota107$861,4184,73422165
North Carolina105$543,0524,50629103
Ohio116$512,3624,71331105
Georgia90$501,2344,68142134

Not listed: 3 billers with an armed-forces or unknown state code (AA, XX, ZZ); they are in the national totals.

Not listed: 7 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-NJ275$4,472,11620,63042
Los Angeles-Long Beach-Anaheim, CA121$1,617,5287,93533
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD116$978,1026,11831
Boston-Cambridge-Newton, MA-NH133$932,5815,86427
Chicago-Naperville-Elgin, IL-IN145$813,9835,91027
Baltimore-Columbia-Towson, MD72$773,5343,53838
Phoenix-Mesa-Chandler, AZ57$724,4103,39344
Miami-Fort Lauderdale-West Palm Beach, FL58$695,2703,63729
Cape Coral-Fort Myers, FL17$671,7572,31922
Dallas-Fort Worth-Arlington, TX75$642,8593,90523
Washington-Arlington-Alexandria, DC-VA-MD-WV66$628,5343,45036
San Francisco-Oakland-Fremont, CA53$588,0872,77227
Rochester, MN47$556,1452,76826
Houston-Pasadena-The Woodlands, TX93$519,4194,18732
Jacksonville, FL40$509,2532,28130

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 66 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 72197 nationally

Diagnostic Radiology accounts for 88% of payment for 72197 nationally in 2020, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology3,40593%$26,418,74088%161,48447
Independent Diagnostic Testing Facility (IDTF)1524.1%$2,917,4049.7%10,71671
Interventional Radiology330.90%$248,4740.82%1,44044
Urology340.93%$208,8350.69%81024
Radiation Oncology120.33%$108,4420.36%57948
Nuclear Medicine110.30%$88,0800.29%71265

Not listed: 11 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 72197 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