	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	25,483	$86,790,642	+1%	3,413,264	63	490	0.40
2023	25,087	$86,318,933	+3%	3,326,330	62	491	0.40
2022	24,648	$83,564,666	-9%	3,223,259	61	486	0.40
2021	24,669	$92,060,263	-1%	3,286,065	60	494	0.40
2020	23,277	$93,301,518	first year in data	2,914,033	58	458	0.40

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	2,208	$10,672,061	372,993	71	692
New York	1,702	$8,768,752	304,783	79	721
Florida	1,503	$7,830,075	303,233	88	753
Texas	1,866	$5,493,496	221,116	53	428
New Jersey	967	$4,970,604	172,176	88	660
Pennsylvania	1,279	$3,658,152	148,921	58	440
Illinois	953	$2,968,967	119,901	68	444
North Carolina	858	$2,884,645	124,609	73	532
Virginia	705	$2,809,421	112,274	77	551
Maryland	481	$2,422,082	88,515	64	838
Michigan	741	$1,861,712	76,751	52	379
Georgia	637	$1,795,972	74,246	55	407
Massachusetts	596	$1,782,351	67,918	61	374
Arizona	493	$1,685,132	68,634	69	472
Ohio	751	$1,668,106	71,920	48	351

Not listed: 5 billers with an armed-forces or unknown state code (AA, AE, 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	2,035	$11,633,689	395,008	88
Los Angeles-Long Beach-Anaheim, CA	735	$4,201,409	145,804	81
Washington-Arlington-Alexandria, DC-VA-MD-WV	466	$2,334,955	84,344	78
Chicago-Naperville-Elgin, IL-IN	668	$2,173,771	84,701	65
Miami-Fort Lauderdale-West Palm Beach, FL	442	$2,103,046	79,221	83
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	613	$2,046,241	77,246	60
Dallas-Fort Worth-Arlington, TX	537	$1,590,082	64,292	54
San Francisco-Oakland-Fremont, CA	292	$1,232,472	37,769	54
Boston-Cambridge-Newton, MA-NH	433	$1,216,235	45,595	59
Detroit-Warren-Dearborn, MI	343	$1,174,049	47,408	64
Houston-Pasadena-The Woodlands, TX	441	$1,120,542	43,572	47
Phoenix-Mesa-Chandler, AZ	317	$1,039,432	42,388	65
Tampa-St. Petersburg-Clearwater, FL	208	$980,872	38,186	93
Cape Coral-Fort Myers, FL	80	$928,131	34,411	167
Baltimore-Columbia-Towson, MD	245	$914,852	34,379	51

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 92250 nationally

Ophthalmology accounts for 53% of payment for 92250 nationally in 2024, across 8 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Ophthalmology	8,359	33%	$45,924,241	53%	1,711,037	205
Optometry	16,647	65%	$40,451,504	47%	1,681,703	101
Family Practice	189	0.74%	$103,885	0.12%	4,813	25
Physician Assistant	45	0.18%	$87,746	0.10%	5,899	131
Internal Medicine	132	0.52%	$72,135	0.08%	3,184	24
Neurology	25	0.10%	$66,413	0.08%	2,740	110
Nurse Practitioner	53	0.21%	$51,738	0.06%	2,612	49
Endocrinology	14	0.05%	$7,748	<0.01%	313	22

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 92250 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