	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	161	$4,294,205	-55%	104,577	124	3,555	0.00
2023	286	$9,586,898	-65%	232,596	118	3,523	0.00
2022	698	$27,712,263	-44%	665,309	65	3,582	0.00
2021	1,481	$49,817,552	+0%	1,184,606	38	1,597	0.00
2020	2,011	$49,643,748	first year in data	1,182,789	34	822

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
New Jersey	104	$12,408,341	294,616	30	3,493
New York	271	$7,274,922	172,798	34	1,415
California	118	$6,743,688	160,752	97	3,579
Florida	186	$5,326,069	126,571	37	1,093
North Carolina	79	$3,386,499	80,505	37	404
Texas	114	$3,090,433	73,436	50	2,531
Alabama	52	$1,372,166	32,591	50	599
Arizona	36	$1,274,056	30,270	26	3,700
Ohio	20	$1,237,362	29,415	127	4,813
Georgia	32	$1,068,762	25,424	40	1,441
Tennessee	70	$1,064,288	25,394	21	745
Illinois	45	$828,501	19,690	22	923
Massachusetts	15	$623,334	14,797	43	4,847
Pennsylvania	20	$501,516	11,914	147	2,357
Kansas	20	$497,525	11,822	35	1,273

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 2021.

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	330	$19,594,697	465,304	35
Los Angeles-Long Beach-Anaheim, CA	82	$2,970,773	71,155	82
Tampa-St. Petersburg-Clearwater, FL	14	$2,525,912	59,987	39
Miami-Fort Lauderdale-West Palm Beach, FL	69	$2,176,372	51,674	78
Dallas-Fort Worth-Arlington, TX	32	$1,266,779	30,105	135
Phoenix-Mesa-Chandler, AZ	23	$1,256,572	29,854	63
Birmingham, AL	15	$1,181,027	28,044	21
Chicago-Naperville-Elgin, IL-IN	45	$872,780	20,746	22
Houston-Pasadena-The Woodlands, TX	15	$747,271	17,748	56
Memphis, TN-MS-AR	18	$440,453	10,495	34
Greensboro-High Point, NC	29	$332,574	7,913	60
Baltimore-Columbia-Towson, MD	14	$312,096	7,425	32
Detroit-Warren-Dearborn, MI	32	$229,719	5,691	25
Ocala, FL	23	$200,118	4,762	42
Washington-Arlington-Alexandria, DC-VA-MD-WV	19	$130,772	3,142	29

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 23 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 86769 nationally

Clinical Laboratory accounts for 90% of payment for 86769 nationally in 2021, across 14 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Clinical Laboratory	411	28%	$45,021,298	90%	1,069,951	2,603
Internal Medicine	418	28%	$2,264,830	4.5%	53,992	129
Family Practice	240	16%	$834,851	1.7%	20,101	84
Rheumatology	43	2.9%	$499,488	1.0%	11,935	278
Endocrinology	34	2.3%	$201,802	0.41%	4,846	143
Nurse Practitioner	88	5.9%	$173,871	0.35%	4,140	47
Physician Assistant	45	3.0%	$139,371	0.28%	3,338	74
Hematology-Oncology	61	4.1%	$117,606	0.24%	2,835	46
Gastroenterology	14	0.95%	$115,643	0.23%	2,766	198
Pathology	12	0.81%	$78,642	0.16%	1,894	158
Cardiology	21	1.4%	$72,632	0.15%	1,725	82
Nephrology	13	0.88%	$46,933	0.09%	1,120	86
Medical Oncology	21	1.4%	$24,646	0.05%	588	28
Emergency Medicine	13	0.88%	$15,175	0.03%	361	28

Not listed: 19 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 86769 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