	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	232,660	$1,277,271,515	-0%	11,508,274	32	145	2.60
2023	227,068	$1,280,920,740	-0%	11,396,351	32	147	2.60
2022	221,779	$1,282,105,303	-1%	11,192,583	33	148	2.60
2021	214,681	$1,290,527,754	+47%	10,853,501	33	147	2.60
2020	165,869	$879,474,824	first year in data	7,780,468	31	135	2.43

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	18,480	$134,455,701	1,081,077	36	177
Florida	18,557	$132,199,097	1,134,927	38	189
New York	13,955	$92,829,176	680,761	31	145
Texas	15,939	$91,766,699	822,566	34	148
Pennsylvania	10,068	$51,613,969	450,347	29	129
Illinois	8,445	$47,771,421	408,399	32	140
New Jersey	6,858	$45,528,334	350,063	35	146
North Carolina	8,286	$41,907,287	391,281	31	135
Virginia	6,764	$40,860,192	358,881	36	147
Maryland	5,241	$39,506,523	317,082	39	181
Arizona	5,678	$37,785,502	347,308	38	187
Georgia	7,088	$37,352,059	337,640	33	132
Ohio	8,111	$36,412,464	342,729	29	116
Massachusetts	5,633	$32,624,265	273,698	33	136
Tennessee	5,377	$28,828,443	276,326	34	148

Not listed: 37 billers with an armed-forces or unknown state code (AA, AE, AP, XX, ZZ); they are in the national totals.

Not listed: 1 state 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
New York-Newark-Jersey City, NY-NJ	14,581	$106,433,803	762,322	34
Los Angeles-Long Beach-Anaheim, CA	6,511	$47,602,600	372,957	35
Chicago-Naperville-Elgin, IL-IN	6,681	$38,368,906	323,685	32
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	5,409	$33,035,791	272,626	33
Washington-Arlington-Alexandria, DC-VA-MD-WV	4,371	$31,908,946	251,370	38
Miami-Fort Lauderdale-West Palm Beach, FL	4,505	$31,854,107	259,265	36
Phoenix-Mesa-Chandler, AZ	3,909	$25,994,042	235,880	37
Dallas-Fort Worth-Arlington, TX	4,362	$25,829,013	227,315	34
Boston-Cambridge-Newton, MA-NH	4,091	$23,090,892	192,006	32
Houston-Pasadena-The Woodlands, TX	4,034	$22,181,417	191,976	31
Atlanta-Sandy Springs-Roswell, GA	3,841	$19,442,470	170,664	32
Baltimore-Columbia-Towson, MD	2,776	$19,289,609	156,108	39
Tampa-St. Petersburg-Clearwater, FL	2,773	$15,572,568	137,074	32
San Francisco-Oakland-Fremont, CA	2,132	$15,290,588	116,391	35
Detroit-Warren-Dearborn, MI	2,966	$14,698,786	126,911	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 2022.

Specialties billing 99204 nationally

Ophthalmology accounts for 8% of payment for 99204 nationally in 2022, across 72 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Ophthalmology	9,548	4.3%	$100,105,422	7.8%	894,355	94
Orthopedic Surgery	13,779	6.2%	$100,087,599	7.8%	846,798	61
Cardiology	12,808	5.8%	$90,250,064	7.0%	767,531	60
Nurse Practitioner	21,779	9.8%	$75,012,510	5.9%	765,986	35
Urology	7,361	3.3%	$70,141,343	5.5%	598,369	81
Physician Assistant	17,393	7.8%	$62,828,869	4.9%	630,262	36
Gastroenterology	9,298	4.2%	$61,340,297	4.8%	516,694	56
Otolaryngology	6,535	2.9%	$59,315,880	4.6%	500,168	77
Internal Medicine	14,850	6.7%	$59,243,177	4.6%	527,351	36
Neurology	6,518	2.9%	$51,306,355	4.0%	429,028	66
Family Practice	14,698	6.6%	$51,057,910	4.0%	467,769	32
General Surgery	8,495	3.8%	$38,399,869	3.0%	326,122	38
Pulmonary Disease	5,635	2.5%	$36,236,765	2.8%	300,837	53
Dermatology	5,868	2.6%	$29,430,951	2.3%	261,358	45
Physical Medicine and Rehabilitation	3,464	1.6%	$29,082,874	2.3%	236,992	68

Not listed: 8 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 99204 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