	observed	calculated	calculated	calculated	calculated	calculated
2024	105	$611,137	-83%	2,508	15	57
2023	626	$3,698,341	-74% (2023 changed hospital and observation visit codes)	14,952	15	39
2022	2,882	$14,278,872	-71%	58,326	14	32
2021	10,529	$49,212,632	– (Not compared: 2021 changed office visit values)	207,668	15	33
2020	32,863	$181,274,229	first year in data	808,232	18	51

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	166	$2,630,602	10,579	15	33
California	317	$1,674,689	6,791	16	42
Illinois	186	$802,010	3,249	15	32
Texas	196	$788,140	3,237	14	30
New York	162	$728,589	2,973	15	33
Indiana	145	$570,263	2,343	14	29
New Jersey	125	$552,809	2,273	14	33
North Carolina	122	$511,068	2,104	14	36
Maryland	117	$477,790	1,940	15	28
Virginia	90	$373,064	1,541	15	31
Pennsylvania	94	$348,238	1,406	14	22
Oklahoma	74	$337,745	1,370	15	31
Tennessee	82	$318,405	1,322	14	32
Ohio	80	$315,175	1,274	15	26
Georgia	86	$310,667	1,287	13	28

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
Orlando-Kissimmee-Sanford, FL	23	$1,962,822	7,861	15
New York-Newark-Jersey City, NY-NJ	226	$1,026,016	4,186	15
Chicago-Naperville-Elgin, IL-IN	188	$840,090	3,412	15
Los Angeles-Long Beach-Anaheim, CA	97	$566,835	2,316	15
Washington-Arlington-Alexandria, DC-VA-MD-WV	72	$297,022	1,208	15
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	62	$239,959	968	14
Phoenix-Mesa-Chandler, AZ	47	$212,821	858	14
Baltimore-Columbia-Towson, MD	49	$204,646	825	15
Boston-Cambridge-Newton, MA-NH	50	$203,281	844	15
Dallas-Fort Worth-Arlington, TX	49	$189,884	779	13
Detroit-Warren-Dearborn, MI	47	$187,918	787	14
San Francisco-Oakland-Fremont, CA	36	$179,247	720	17
Atlanta-Sandy Springs-Roswell, GA	39	$148,412	603	13
Denver-Aurora-Centennial, CO	11	$137,665	567	13
Indianapolis-Carmel-Greenwood, IN	37	$136,149	565	13

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 54 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 90670 nationally

Family Practice accounts for 37% of payment for 90670 nationally in 2022, across 11 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Family Practice	1,304	45%	$5,314,951	37%	21,852	17
Internal Medicine	1,143	40%	$4,994,354	35%	20,407	18
Centralized Flu	14	0.49%	$2,150,893	15%	8,637	617
Nurse Practitioner	182	6.3%	$706,508	4.9%	2,908	16
Mass Immunizer Roster Biller	46	1.6%	$238,030	1.7%	960	21
Physician Assistant	56	1.9%	$216,897	1.5%	880	16
Pulmonary Disease	24	0.83%	$118,207	0.83%	486	20
Geriatric Medicine	16	0.56%	$82,675	0.58%	334	21
Pharmacy	18	0.62%	$74,981	0.53%	304	17
Cardiology	13	0.45%	$67,500	0.47%	278	21
General Practice	12	0.42%	$60,458	0.42%	244	20

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 90670 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