	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	240	$3,690,899	436,024	27	8,165
New Jersey	264	$2,241,899	264,649	32	272
Texas	260	$2,087,342	246,409	37	1,569
California	47	$2,010,005	237,228	1,011	22,811
North Carolina	109	$1,744,282	206,001	33	1,239
Ohio	115	$948,260	112,010	22	1,891
Illinois	38	$811,542	95,795	70	11,830
New York	317	$808,332	95,383	26	343
Arizona	87	$707,394	83,523	28	213
Maryland	16	$633,099	74,696	668	23,844
Alabama	61	$626,372	74,080	39	1,938
Georgia	64	$599,699	70,784	23	341
Massachusetts	113	$517,357	61,023	18	647
Kansas	11	$478,838	56,495	362	22,821
Pennsylvania	17	$418,130	49,344	1,916	9,408

Not listed: 17 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 2023.

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	383	$2,924,515	345,153	29
Miami-Fort Lauderdale-West Palm Beach, FL	21	$2,056,892	242,696	358
Dallas-Fort Worth-Arlington, TX	111	$907,290	107,163	46
Chicago-Naperville-Elgin, IL-IN	20	$844,582	99,732	1,465
Los Angeles-Long Beach-Anaheim, CA	20	$777,003	91,700	1,033
Phoenix-Mesa-Chandler, AZ	20	$690,381	81,513	111
Atlanta-Sandy Springs-Roswell, GA	19	$584,922	69,022	23
Birmingham, AL	49	$547,438	64,727	36
Columbus, OH	66	$494,256	58,407	20
Boston-Cambridge-Newton, MA-NH	119	$487,979	57,555	19
Austin-Round Rock-San Marcos, TX	36	$410,329	48,396	17
Seattle-Tacoma-Bellevue, WA	66	$355,037	42,019	20
Washington-Arlington-Alexandria, DC-VA-MD-WV	15	$353,211	41,701	291
Cincinnati, OH-KY-IN	37	$255,058	30,090	27
Virginia Beach-Chesapeake-Norfolk, VA-NC	103	$133,065	15,758	39

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 29 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing 87186 nationally

Clinical Laboratory accounts for 93% of payment for 87186 nationally in 2023, across 11 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Clinical Laboratory	433	15%	$20,696,024	93%	2,443,555	5,643
Pathology	32	1.1%	$565,621	2.6%	66,864	2,090
Urology	468	17%	$369,089	1.7%	43,726	93
Family Practice	557	20%	$158,249	0.71%	18,743	34
Internal Medicine	457	16%	$116,047	0.52%	13,785	30
Nurse Practitioner	378	13%	$98,564	0.44%	11,667	31
Physician Assistant	302	11%	$87,618	0.40%	10,382	34
Obstetrics & Gynecology	32	1.1%	$14,626	0.07%	1,735	54
Emergency Medicine	71	2.5%	$13,578	0.06%	1,607	23
Nephrology	23	0.82%	$6,229	0.03%	743	32
Dermatology	11	0.39%	$2,371	0.01%	280	25

Not listed: 22 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 2023.

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