	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	256	$3,494,669	409,377	29	6,485
New Jersey	197	$2,078,364	243,549	22	452
Texas	279	$2,010,434	235,599	32	1,003
California	46	$1,976,495	231,639	917	22,902
North Carolina	72	$1,654,951	193,875	42	2,446
Ohio	117	$975,954	114,334	21	1,466
New York	281	$814,597	95,488	28	456
Arizona	84	$690,156	80,872	28	270
Georgia	57	$652,756	76,494	23	1,712
Maryland	16	$637,843	74,774	573	24,191
Tennessee	77	$627,666	73,617	31	1,789
Illinois	44	$613,366	72,020	37	4,550
Alabama	45	$569,675	66,807	43	2,059
Massachusetts	108	$502,223	58,830	19	653
Washington	106	$386,693	45,451	21	687

Not listed: 1 billers with an armed-forces or unknown state code (AA); they are in the national totals.

Not listed: 18 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
New York-Newark-Jersey City, NY-NJ	301	$2,782,543	326,052	26
Miami-Fort Lauderdale-West Palm Beach, FL	15	$1,983,776	232,368	6,213
Dallas-Fort Worth-Arlington, TX	124	$918,846	107,705	43
Los Angeles-Long Beach-Anaheim, CA	21	$849,312	99,552	830
Phoenix-Mesa-Chandler, AZ	22	$673,805	78,959	116
Chicago-Naperville-Elgin, IL-IN	19	$654,376	76,826	1,102
Atlanta-Sandy Springs-Roswell, GA	17	$639,856	74,957	21
Columbus, OH	74	$522,208	61,174	17
Houston-Pasadena-The Woodlands, TX	11	$503,771	59,009	544
Birmingham, AL	33	$491,002	57,563	38
Boston-Cambridge-Newton, MA-NH	115	$479,638	56,183	18
Austin-Round Rock-San Marcos, TX	42	$422,734	49,485	18
Washington-Arlington-Alexandria, DC-VA-MD-WV	12	$375,946	44,084	381
Seattle-Tacoma-Bellevue, WA	75	$339,113	39,876	20
Cincinnati, OH-KY-IN	35	$237,844	27,866	29

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 30 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 87186 nationally

Clinical Laboratory accounts for 93% of payment for 87186 nationally in 2022, across 10 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Clinical Laboratory	419	16%	$19,997,296	93%	2,343,443	5,593
Pathology	34	1.3%	$616,378	2.9%	72,300	2,126
Urology	479	18%	$346,373	1.6%	40,717	85
Family Practice	522	20%	$149,333	0.70%	17,573	34
Internal Medicine	447	17%	$127,469	0.59%	15,084	34
Nurse Practitioner	358	13%	$92,479	0.43%	10,876	30
Physician Assistant	250	9.3%	$67,836	0.32%	7,979	32
Obstetrics & Gynecology	28	1.0%	$12,938	0.06%	1,522	54
Emergency Medicine	58	2.2%	$9,937	0.05%	1,172	20
Nephrology	17	0.64%	$5,598	0.03%	660	39

Not listed: 21 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 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