	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	10,253	$140,257,392	-3%	2,079,420	120	644	2.35
2023	10,713	$145,125,769	-12%	2,202,964	126	636	2.24
2022	11,741	$165,178,475	-15%	2,428,884	128	640	2.24
2021	13,346	$195,114,701	+0%	2,803,072	132	642	2.24
2020	15,042	$194,207,589	first year in data	3,100,980	130	628	2.00

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
New York	1,317	$31,265,158	437,821	241	983
California	682	$12,905,719	171,075	149	812
Massachusetts	833	$12,242,882	197,123	181	584
New Jersey	582	$9,934,407	145,264	190	666
Texas	444	$9,206,081	138,609	185	1,018
Illinois	483	$7,268,616	106,735	132	693
Maryland	503	$6,754,522	108,908	158	617
Pennsylvania	553	$6,374,491	96,745	111	503
Florida	501	$6,328,312	96,029	112	578
Michigan	406	$3,767,511	62,341	95	426
Virginia	254	$3,117,116	50,867	152	513
Minnesota	399	$2,466,425	40,749	70	263
Ohio	312	$2,166,035	34,788	71	319
Indiana	270	$2,117,113	36,906	105	292
New Hampshire	153	$2,067,489	32,854	158	602

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

Not listed: 3 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	1,465	$36,457,096	505,961	261
Boston-Cambridge-Newton, MA-NH	528	$8,023,050	129,067	183
Chicago-Naperville-Elgin, IL-IN	449	$6,911,642	100,376	142
Los Angeles-Long Beach-Anaheim, CA	264	$6,610,558	86,272	185
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	364	$5,276,486	77,764	151
Washington-Arlington-Alexandria, DC-VA-MD-WV	213	$3,434,057	52,465	178
Baltimore-Columbia-Towson, MD	247	$3,194,182	51,229	149
San Antonio-New Braunfels, TX	110	$2,989,355	45,598	285
Miami-Fort Lauderdale-West Palm Beach, FL	172	$2,745,579	40,004	149
Detroit-Warren-Dearborn, MI	211	$2,381,309	38,038	97
Dallas-Fort Worth-Arlington, TX	113	$2,003,870	30,270	147
Houston-Pasadena-The Woodlands, TX	90	$1,786,642	26,307	172
Minneapolis-St. Paul-Bloomington, MN-WI	254	$1,682,732	27,630	82
Providence-Warwick, RI-MA	116	$1,520,093	25,356	156
San Diego-Chula Vista-Carlsbad, CA	85	$1,495,073	19,078	114

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 93 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 90834 nationally

Psychologist, Clinical accounts for 51% of payment for 90834 nationally in 2023, across 7 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Psychologist, Clinical	3,981	37%	$74,144,250	51%	971,028	244
Licensed Clinical Social Worker	5,865	55%	$59,068,910	41%	1,061,480	181
Psychiatry	489	4.6%	$7,723,691	5.3%	104,425	214
Nurse Practitioner	275	2.6%	$2,889,650	2.0%	46,719	170
Certified Clinical Nurse Specialist	41	0.38%	$615,592	0.42%	9,857	240
Internal Medicine	12	0.11%	$160,023	0.11%	2,117	176
Family Practice	23	0.21%	$99,316	0.07%	1,442	63

Not listed: 15 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 90834 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