	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	18,351	$34,109,187	-11%	555,578	20	82	1.63
2023	20,230	$38,288,473	-45%	609,409	20	83	1.63
2022	30,696	$69,484,246	-9%	899,594	19	79	1.92
2021	32,541	$76,455,271	-8%	972,269	20	79	1.92
2020	34,099	$83,287,557	first year in data	1,041,608	20	83	1.92

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	1,456	$3,712,799	53,954	21	119
Florida	1,587	$3,334,877	53,043	21	95
Pennsylvania	1,393	$2,305,743	37,816	19	65
Texas	998	$1,973,214	32,356	20	89
California	982	$1,895,281	28,962	19	78
Illinois	932	$1,811,068	28,573	21	81
Ohio	1,023	$1,670,674	28,460	19	76
New Jersey	678	$1,655,392	25,592	23	115
Massachusetts	627	$1,119,308	17,822	18	77
Michigan	518	$968,502	15,293	19	78
Missouri	454	$846,221	14,354	21	81
Virginia	494	$804,836	13,646	19	77
Georgia	503	$778,024	13,088	19	63
Kentucky	396	$746,257	12,714	22	84
Indiana	472	$744,880	13,189	18	76

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

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	1,479	$3,990,556	57,302	22
Chicago-Naperville-Elgin, IL-IN	734	$1,461,089	22,871	21
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	584	$1,225,321	19,349	21
Boston-Cambridge-Newton, MA-NH	459	$824,352	13,011	17
Houston-Pasadena-The Woodlands, TX	352	$713,283	11,216	21
Miami-Fort Lauderdale-West Palm Beach, FL	271	$662,412	9,841	20
Los Angeles-Long Beach-Anaheim, CA	318	$641,248	9,733	19
Orlando-Kissimmee-Sanford, FL	240	$622,273	10,267	26
Cleveland, OH	307	$570,897	9,931	20
Pittsburgh, PA	349	$550,905	9,123	19
Detroit-Warren-Dearborn, MI	200	$508,379	7,763	22
St. Louis, MO-IL	238	$502,830	8,301	20
Dallas-Fort Worth-Arlington, TX	218	$435,126	7,288	20
Tampa-St. Petersburg-Clearwater, FL	207	$414,822	6,637	21
Baltimore-Columbia-Towson, MD	212	$411,454	6,500	20

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 99221 nationally

Nurse Practitioner accounts for 14% of payment for 99221 nationally in 2024, across 51 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Nurse Practitioner	2,519	14%	$4,713,417	14%	88,043	35
General Surgery	2,041	11%	$3,342,191	9.8%	52,887	26
Internal Medicine	1,216	6.6%	$2,574,698	7.5%	40,746	34
Physician Assistant	1,748	9.5%	$2,458,566	7.2%	45,447	26
Gastroenterology	1,198	6.5%	$2,456,800	7.2%	38,603	32
Urology	981	5.3%	$1,752,454	5.1%	27,170	28
Cardiology	821	4.5%	$1,631,781	4.8%	25,438	31
Orthopedic Surgery	986	5.4%	$1,484,233	4.4%	23,656	24
Neurology	609	3.3%	$1,206,770	3.5%	18,914	31
Physical Medicine and Rehabilitation	270	1.5%	$1,091,044	3.2%	16,372	61
Vascular Surgery	543	3.0%	$1,076,352	3.2%	16,498	30
Neurosurgery	576	3.1%	$1,020,827	3.0%	16,181	28
Family Practice	426	2.3%	$897,788	2.6%	14,892	35
Infectious Disease	299	1.6%	$838,344	2.5%	12,774	43
Podiatry	383	2.1%	$793,836	2.3%	12,315	32

Not listed: 18 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 99221 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