HCPCS 72197

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

Imaging Work RVU per service 2.20 (2021 fee schedule)

4,108
94th percentile among 6,253 codes billed · 2021
$37M
95th percentile among 6,253 codes billed · 2021
220K
89th percentile among 6,253 codes billed · 2021
31
60th percentile among 6,253 codes billed · 2021
165
66th percentile among 6,253 codes billed · 2021
+22.8%
Medicare payment on the code vs 2020; billers +11.8% · 2021

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
New York317$5,247,86225,68342222
California415$4,901,52524,47232184
Florida300$4,357,14519,55232221
Texas266$2,362,70814,77034185
Massachusetts177$1,773,12410,38537163
New Jersey107$1,561,7536,10731161
Maryland108$1,333,8816,04045126
Arizona88$1,279,1196,61435261
Virginia105$1,256,4947,53851201
Pennsylvania177$1,217,5549,16334165
Minnesota133$1,168,9855,86627135
Illinois195$1,121,0108,30027109
North Carolina115$662,7295,29128127
Georgia105$635,0675,87538160
Ohio126$629,1185,93732130

Not listed: 4 billers with an armed-forces or unknown state code (AA, XX, ZZ); they are in the national totals.

Not listed: 6 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-NJ303$5,709,80226,67845
Los Angeles-Long Beach-Anaheim, CA138$2,011,06010,20736
Boston-Cambridge-Newton, MA-NH150$1,232,9707,91835
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD128$1,215,3127,23532
Baltimore-Columbia-Towson, MD80$1,042,2594,68447
Chicago-Naperville-Elgin, IL-IN166$975,3667,32028
Phoenix-Mesa-Chandler, AZ70$891,6754,68737
Miami-Fort Lauderdale-West Palm Beach, FL66$821,3974,25430
Dallas-Fort Worth-Arlington, TX73$815,1504,74734
Washington-Arlington-Alexandria, DC-VA-MD-WV66$775,1314,10139
Rochester, MN52$728,5392,98530
Cape Coral-Fort Myers, FL15$708,5772,58433
Jacksonville, FL44$627,1042,71231
Houston-Pasadena-The Woodlands, TX96$626,3035,19939
San Diego-Chula Vista-Carlsbad, CA55$568,9022,74533

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 73 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 72197 nationally

Diagnostic Radiology accounts for 88% of payment for 72197 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology3,80593%$32,592,38488%201,77253
Independent Diagnostic Testing Facility (IDTF)1674.1%$3,558,4079.6%13,23979
Interventional Radiology400.97%$290,9520.78%1,97549
Urology320.78%$192,2620.52%76824
Radiation Oncology140.34%$125,0590.34%66247
Nuclear Medicine120.29%$100,6140.27%68657

Not listed: 16 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 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