	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	32,198	$82,599,704	-12%	1,349,023	24	132	1.50
2023	35,692	$93,498,335	+25%	1,504,932	25	130	1.50
2022	32,622	$74,867,769	-12%	1,336,273	25	123	1.28
2021	35,222	$85,353,437	-14%	1,497,410	26	128	1.28
2020	38,786	$99,171,677	first year in data	1,710,522	26	136	1.28

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
Florida	2,501	$7,993,302	138,271	32	176
California	2,198	$6,816,991	111,983	27	170
New York	2,297	$6,334,957	100,007	27	130
Texas	2,249	$5,865,506	105,231	26	146
Pennsylvania	2,156	$4,828,113	84,177	24	119
Illinois	1,734	$4,556,972	77,908	29	129
Michigan	1,480	$3,759,785	65,366	27	131
New Jersey	951	$2,789,411	45,262	30	145
Ohio	1,258	$2,608,872	47,141	23	114
Tennessee	963	$2,164,716	40,622	28	118
Indiana	900	$2,047,573	38,421	27	117
Missouri	883	$2,036,302	37,423	27	124
Alabama	770	$1,969,797	35,854	29	127
North Carolina	1,020	$1,919,344	34,813	24	97
Massachusetts	936	$1,897,842	31,976	22	99

Not listed: 6 billers with an armed-forces or unknown state code (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 2021.

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	2,160	$6,830,257	105,520	29
Chicago-Naperville-Elgin, IL-IN	1,355	$3,602,889	61,033	28
Los Angeles-Long Beach-Anaheim, CA	802	$3,103,227	50,469	35
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	1,206	$3,081,986	51,604	28
Detroit-Warren-Dearborn, MI	711	$2,176,625	37,227	31
Miami-Fort Lauderdale-West Palm Beach, FL	617	$2,073,372	34,710	31
Dallas-Fort Worth-Arlington, TX	514	$1,388,005	24,670	27
Boston-Cambridge-Newton, MA-NH	695	$1,338,585	22,178	21
Orlando-Kissimmee-Sanford, FL	336	$1,287,732	22,455	39
Tampa-St. Petersburg-Clearwater, FL	379	$1,219,487	21,377	33
Houston-Pasadena-The Woodlands, TX	405	$980,777	17,122	25
Cleveland, OH	347	$812,349	14,708	24
Nashville-Davidson--Murfreesboro--Franklin, TN	407	$756,283	14,340	24
St. Louis, MO-IL	340	$714,071	12,743	23
Washington-Arlington-Alexandria, DC-VA-MD-WV	309	$712,624	11,720	25

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 2021.

Specialties billing 99238 nationally

Internal Medicine accounts for 44% of payment for 99238 nationally in 2021, across 43 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Internal Medicine	12,887	37%	$37,940,594	44%	654,499	51
Family Practice	5,510	16%	$12,239,115	14%	216,712	39
Hospitalist	4,495	13%	$10,985,717	13%	189,979	42
Psychiatry	1,722	4.9%	$4,497,506	5.3%	78,523	46
Nurse Practitioner	2,228	6.3%	$3,677,696	4.3%	76,420	34
Physical Medicine and Rehabilitation	849	2.4%	$3,657,367	4.3%	63,542	75
Cardiology	1,417	4.0%	$2,262,722	2.7%	39,088	28
General Surgery	1,223	3.5%	$1,707,825	2.0%	29,760	24
Physician Assistant	894	2.5%	$1,288,489	1.5%	26,580	30
Pulmonary Disease	342	0.97%	$866,769	1.0%	14,688	43
Nephrology	341	0.97%	$827,624	0.97%	14,213	42
Neurology	500	1.4%	$748,790	0.88%	13,040	26
Interventional Cardiology	401	1.1%	$578,262	0.68%	10,181	25
Hematology-Oncology	357	1.0%	$503,072	0.59%	8,593	24
Emergency Medicine	220	0.62%	$464,115	0.54%	8,194	37

Not listed: 21 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 2021.

Top billers of 99238 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