	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	25,728	$145,004,470	-9%	1,523,496	36	175	1.82
2023	26,467	$158,694,743	-4%	1,645,023	37	188	1.82
2022	27,219	$164,634,257	-11%	1,720,092	38	192	1.82
2021	28,819	$185,242,984	+19%	1,878,796	40	199	1.82
2020	26,970	$155,657,962	first year in data	1,617,070	37	184	1.82

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
California	1,898	$17,170,071	157,902	43	244
New York	1,709	$14,603,559	130,996	44	220
Florida	1,694	$12,546,843	131,114	46	229
Texas	2,003	$11,138,229	121,235	38	175
New Jersey	893	$6,853,941	61,815	38	201
Illinois	957	$5,716,290	60,348	36	190
Massachusetts	888	$5,115,731	52,385	41	167
Pennsylvania	981	$4,928,231	51,750	32	156
Georgia	654	$3,659,136	40,329	39	183
Virginia	666	$3,524,482	38,095	39	145
Arizona	512	$3,275,790	35,506	41	196
Maryland	461	$3,270,451	32,278	46	216
Ohio	861	$2,992,706	35,353	26	124
Washington	583	$2,966,781	32,020	34	150
Tennessee	601	$2,783,082	31,305	31	164

Not listed: 4 billers with an armed-forces or unknown state code (AA, AP, ZZ); 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 2024.

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	1,928	$17,965,342	156,712	45
Los Angeles-Long Beach-Anaheim, CA	607	$7,605,840	67,951	48
Chicago-Naperville-Elgin, IL-IN	680	$4,248,751	43,771	36
Boston-Cambridge-Newton, MA-NH	644	$3,586,011	36,356	36
Miami-Fort Lauderdale-West Palm Beach, FL	446	$3,459,233	34,494	39
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	509	$3,016,536	29,401	36
Dallas-Fort Worth-Arlington, TX	491	$3,014,300	31,557	34
Phoenix-Mesa-Chandler, AZ	313	$2,170,821	23,098	37
Washington-Arlington-Alexandria, DC-VA-MD-WV	348	$2,143,310	21,129	38
Houston-Pasadena-The Woodlands, TX	429	$2,023,359	21,562	31
Tampa-St. Petersburg-Clearwater, FL	233	$1,977,047	20,072	45
Atlanta-Sandy Springs-Roswell, GA	358	$1,946,635	20,773	33
San Francisco-Oakland-Fremont, CA	228	$1,839,731	15,365	41
Baltimore-Columbia-Towson, MD	267	$1,827,137	18,081	43
Seattle-Tacoma-Bellevue, WA	255	$1,280,324	13,076	30

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 92004 nationally

Optometry accounts for 50% of payment for 92004 nationally in 2024, across 3 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Optometry	16,484	64%	$72,677,215	50%	786,603	48
Ophthalmology	9,202	36%	$72,089,800	50%	734,396	80
Physician Assistant	14	0.05%	$55,828	0.04%	751	54

Not listed: 11 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 2024.

Top billers of 92004 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