	observed	calculated	calculated	calculated	calculated	calculated
2024	2,406	$23,016,992	+4%	2,718,641	28	3,809
2023	2,821	$22,171,349	+3%	2,618,249	28	2,690
2022	2,676	$21,468,942	+0%	2,516,461	27	2,549
2021	2,532	$21,369,073	-1%	2,472,694	28	2,767
2020	2,645	$21,675,304	first year in data	2,524,394	29	2,620

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	252	$3,497,329	404,422	32	5,236
California	47	$2,141,904	247,702	1,361	24,640
Texas	280	$2,048,831	237,092	35	807
New Jersey	88	$1,909,610	220,824	27	6,284
North Carolina	42	$1,701,794	196,860	34	5,550
Ohio	97	$1,086,387	125,676	22	2,005
New York	292	$815,279	94,327	27	499
Arizona	90	$669,609	77,477	27	336
Tennessee	74	$665,640	77,076	27	2,237
Georgia	64	$658,999	76,235	22	956
Alabama	40	$611,860	70,807	42	1,948
Illinois	38	$584,903	67,790	43	4,793
Massachusetts	94	$516,466	59,720	20	868
Maryland	14	$484,038	55,997	568	18,919
Pennsylvania	15	$428,262	49,545	1,946	9,579

Not listed: 16 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	224	$2,624,920	303,565	34
Miami-Fort Lauderdale-West Palm Beach, FL	12	$1,850,621	213,960	7,353
Tampa-St. Petersburg-Clearwater, FL	11	$1,333,357	154,174	1,604
Los Angeles-Long Beach-Anaheim, CA	19	$1,006,917	116,448	1,942
Dallas-Fort Worth-Arlington, TX	120	$999,531	115,706	47
Phoenix-Mesa-Chandler, AZ	22	$651,617	75,395	179
Atlanta-Sandy Springs-Roswell, GA	21	$638,270	73,827	19
Chicago-Naperville-Elgin, IL-IN	20	$615,182	71,306	664
Columbus, OH	55	$591,088	68,371	17
San Diego-Chula Vista-Carlsbad, CA	12	$546,037	63,146	72
Birmingham, AL	31	$513,807	59,446	41
Boston-Cambridge-Newton, MA-NH	109	$501,430	57,981	20
Austin-Round Rock-San Marcos, TX	49	$427,551	49,440	21
Seattle-Tacoma-Bellevue, WA	61	$369,060	42,834	18
Cincinnati, OH-KY-IN	35	$329,612	38,110	25

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 32 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 87186 nationally

Clinical Laboratory accounts for 93% of payment for 87186 nationally in 2021, across 10 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Clinical Laboratory	396	16%	$19,939,137	93%	2,306,726	5,825
Pathology	34	1.3%	$571,690	2.7%	66,254	1,949
Urology	405	16%	$365,022	1.7%	42,338	105
Family Practice	546	22%	$152,737	0.71%	17,725	32
Internal Medicine	449	18%	$126,464	0.59%	14,780	33
Nurse Practitioner	338	13%	$89,981	0.42%	10,450	31
Physician Assistant	223	8.8%	$58,081	0.27%	6,750	30
Obstetrics & Gynecology	26	1.0%	$10,704	0.05%	1,241	48
Emergency Medicine	37	1.5%	$7,948	0.04%	923	25
Nephrology	23	0.91%	$7,329	0.03%	850	37

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 87186 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