HCPCS 72197

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

Imaging Work RVU per service 2.20 (2022 fee schedule)

4,470
94th percentile among 6,326 codes billed · 2022
$41M
95th percentile among 6,326 codes billed · 2022
257K
90th percentile among 6,326 codes billed · 2022
34
64th percentile among 6,326 codes billed · 2022
179
67th percentile among 6,326 codes billed · 2022
+9.4%
Medicare payment on the code vs 2021; billers +8.8% · 2022

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
California473$5,804,80930,96638206
New York327$5,611,97529,18245258
Florida322$4,421,73321,71235219
Texas295$2,534,56617,24832159
Massachusetts176$1,812,04911,35839245
Pennsylvania193$1,497,15011,32135178
New Jersey115$1,489,6836,39535159
Arizona83$1,372,2947,51851280
Maryland105$1,367,9796,30148150
Illinois223$1,337,58610,38935117
Virginia128$1,244,5208,11431202
Minnesota151$1,079,6866,42024130
North Carolina123$796,0296,59938130
Georgia110$677,9586,41040153
Washington88$647,6904,10930158

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

Not listed: 5 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-NJ328$5,985,10629,78648
Los Angeles-Long Beach-Anaheim, CA169$2,394,26212,61433
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD139$1,404,0158,47235
Boston-Cambridge-Newton, MA-NH153$1,273,5128,64637
Chicago-Naperville-Elgin, IL-IN186$1,122,7148,78538
Baltimore-Columbia-Towson, MD82$1,082,8685,02450
Phoenix-Mesa-Chandler, AZ69$989,0935,55149
Miami-Fort Lauderdale-West Palm Beach, FL71$936,1964,95131
Dallas-Fort Worth-Arlington, TX85$874,1795,44030
Washington-Arlington-Alexandria, DC-VA-MD-WV62$788,2004,19242
San Diego-Chula Vista-Carlsbad, CA56$740,4843,62541
Cape Coral-Fort Myers, FL16$702,3642,87652
Houston-Pasadena-The Woodlands, TX116$670,5886,19339
San Francisco-Oakland-Fremont, CA58$646,5683,64344
Jacksonville, FL50$625,0853,01934

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 75 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 72197 nationally

Diagnostic Radiology accounts for 87% of payment for 72197 nationally in 2022, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology4,11692%$35,476,45787%233,06557
Independent Diagnostic Testing Facility (IDTF)1944.3%$3,958,6779.8%16,02083
Interventional Radiology440.98%$328,1710.81%2,53358
Urology551.2%$276,9360.68%1,42126
Nuclear Medicine120.27%$144,3700.36%96480
Radiation Oncology130.29%$107,2190.26%65450

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 2022.

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