	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	498,045	$8,429,417,260	+2%	102,377,857	107	721	1.92
2023	479,517	$8,232,146,357	+1%	99,338,804	107	731	1.92
2022	463,447	$8,139,871,713	-3%	97,229,104	107	743	1.92
2021	449,158	$8,409,089,386	+35%	96,343,071	109	763	1.92
2020	427,811	$6,217,850,436	first year in data	87,626,387	102	737	1.50

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	36,015	$847,617,266	8,952,508	116	924
Florida	31,321	$795,254,585	9,086,868	136	1,088
Texas	30,937	$572,775,018	6,860,844	115	775
New York	29,765	$562,305,683	5,739,008	93	705
Pennsylvania	22,716	$334,364,464	4,084,610	102	604
Illinois	18,115	$316,136,150	3,697,644	114	686
New Jersey	12,992	$310,867,046	3,269,231	136	877
North Carolina	17,474	$283,918,276	3,602,507	118	699
Virginia	12,349	$266,620,879	3,187,389	142	870
Maryland	9,972	$248,242,696	2,815,072	146	1,028
Georgia	13,183	$240,997,189	2,945,653	119	777
Massachusetts	14,864	$237,817,820	2,761,203	106	617
Ohio	19,343	$228,314,750	3,119,960	94	534
Arizona	10,064	$207,211,684	2,474,576	115	915
Tennessee	11,083	$187,822,891	2,465,884	121	740

Not listed: 56 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	27,708	$649,462,614	6,327,611	110
Los Angeles-Long Beach-Anaheim, CA	12,630	$292,286,027	3,006,032	111
Chicago-Naperville-Elgin, IL-IN	14,092	$251,198,996	2,862,773	112
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	10,976	$199,187,735	2,316,298	114
Washington-Arlington-Alexandria, DC-VA-MD-WV	8,082	$190,254,682	2,023,555	132
Miami-Fort Lauderdale-West Palm Beach, FL	7,827	$172,630,234	1,869,484	107
Boston-Cambridge-Newton, MA-NH	11,080	$165,120,271	1,900,871	99
Dallas-Fort Worth-Arlington, TX	8,817	$153,679,462	1,820,689	114
Phoenix-Mesa-Chandler, AZ	6,938	$140,683,396	1,664,851	110
Houston-Pasadena-The Woodlands, TX	7,653	$126,683,847	1,453,979	97
Baltimore-Columbia-Towson, MD	5,501	$116,528,815	1,361,351	128
Atlanta-Sandy Springs-Roswell, GA	7,136	$113,396,567	1,345,429	106
Tampa-St. Petersburg-Clearwater, FL	5,015	$102,397,459	1,195,599	126
Detroit-Warren-Dearborn, MI	6,667	$98,424,985	1,190,734	96
San Francisco-Oakland-Fremont, CA	4,435	$91,064,134	906,081	109

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 99214 nationally

Internal Medicine accounts for 16% of payment for 99214 nationally in 2022, across 73 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Internal Medicine	49,226	11%	$1,282,915,817	16%	15,404,223	313
Family Practice	61,202	13%	$1,230,599,717	15%	15,594,498	255
Nurse Practitioner	85,031	18%	$827,222,932	10%	11,714,340	138
Cardiology	16,773	3.6%	$725,559,356	8.9%	8,019,047	478
Physician Assistant	45,682	9.9%	$392,064,552	4.8%	5,395,831	118
Hematology-Oncology	7,828	1.7%	$276,316,247	3.4%	3,123,024	399
Ophthalmology	10,728	2.3%	$269,322,831	3.3%	3,069,131	286
Urology	8,074	1.7%	$250,238,934	3.1%	2,746,405	340
Orthopedic Surgery	16,875	3.6%	$235,852,327	2.9%	2,539,665	150
Endocrinology	5,620	1.2%	$188,076,449	2.3%	2,098,421	373
Neurology	10,703	2.3%	$186,547,387	2.3%	2,086,854	195
Pulmonary Disease	7,809	1.7%	$181,397,915	2.2%	1,950,893	250
Dermatology	9,655	2.1%	$173,600,617	2.1%	1,942,619	201
Rheumatology	4,617	1.00%	$166,862,229	2.0%	1,860,026	403
Nephrology	7,545	1.6%	$154,090,783	1.9%	1,809,717	240

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 99214 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