	observed	calculated	calculated	calculated	calculated	calculated
2024	974	$27,635,710	+36%	804,203	106	3,610
2023	894	$20,294,272	+30%	590,661	85	2,694
2022	1,105	$15,639,966	+10%	451,847	71	1,567
2021	1,003	$14,252,252	+15%	406,597	79	1,568
2020	611	$12,373,073	first year in data	354,823	66	2,138

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
Texas	180	$2,966,483	85,911	95	1,227
Pennsylvania	16	$1,923,960	55,682	225	17,313
California	98	$1,811,308	52,225	135	2,244
Florida	55	$1,155,452	33,378	151	2,586
Maryland	42	$807,044	23,316	153	2,614
Oklahoma	31	$790,870	22,912	288	2,628
South Carolina	14	$565,373	16,167	72	5,708
New York	50	$546,819	15,829	35	2,260
Arizona	53	$519,702	14,992	96	409
Alabama	33	$506,942	14,634	68	2,907
New Jersey	19	$499,740	14,438	253	2,724
Arkansas	19	$438,445	12,697	108	1,357
Indiana	33	$374,092	10,781	30	191
Illinois	46	$349,397	10,118	62	1,028
Mississippi	25	$216,857	6,291	136	752

Not listed: 12 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
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	17	$1,819,300	52,657	70
Dallas-Fort Worth-Arlington, TX	73	$1,628,657	47,168	85
Los Angeles-Long Beach-Anaheim, CA	56	$1,428,918	41,218	184
Houston-Pasadena-The Woodlands, TX	43	$928,612	26,863	103
New York-Newark-Jersey City, NY-NJ	60	$781,307	22,589	43
Oklahoma City, OK	21	$553,862	16,056	288
Phoenix-Mesa-Chandler, AZ	48	$473,737	13,665	87
Washington-Arlington-Alexandria, DC-VA-MD-WV	15	$462,421	13,365	78
Little Rock-North Little Rock-Conway, AR	17	$429,815	12,446	104
Baltimore-Columbia-Towson, MD	31	$415,117	11,991	153
San Antonio-New Braunfels, TX	43	$244,993	7,100	120
Chicago-Naperville-Elgin, IL-IN	37	$210,161	6,087	60
Las Vegas-Henderson-North Las Vegas, NV	17	$161,044	4,628	31
Pensacola-Ferry Pass-Brent, FL	13	$148,750	4,295	103
Detroit-Warren-Dearborn, MI	41	$136,624	3,923	37

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 2022.

Specialties billing 87653 nationally

Clinical Laboratory accounts for 75% of payment for 87653 nationally in 2022, across 9 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Clinical Laboratory	282	26%	$11,688,005	75%	337,647	1,197
Urology	577	52%	$2,516,921	16%	72,723	126
Pathology	41	3.7%	$911,384	5.8%	26,353	643
Nurse Practitioner	54	4.9%	$149,167	0.95%	4,315	80
Podiatry	41	3.7%	$112,178	0.72%	3,234	79
Physician Assistant	41	3.7%	$86,580	0.55%	2,502	61
Obstetrics & Gynecology	15	1.4%	$53,908	0.34%	1,553	104
Internal Medicine	17	1.5%	$43,844	0.28%	1,266	74
Family Practice	16	1.4%	$39,020	0.25%	1,128	71

Not listed: 9 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 87653 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