	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	2,534	$9,294,741	147,243	31	191
California	2,425	$7,671,373	115,471	26	152
New York	2,433	$7,204,246	104,673	25	123
Texas	2,284	$6,757,913	110,858	27	162
Illinois	1,745	$4,973,291	77,779	27	132
Pennsylvania	1,984	$4,721,590	76,051	23	123
Michigan	1,458	$3,815,462	60,524	27	118
New Jersey	1,117	$3,274,965	49,499	26	145
Ohio	1,184	$2,676,775	44,815	24	111
Massachusetts	1,182	$2,578,416	40,051	21	99
Tennessee	934	$2,300,587	39,485	26	129
Georgia	873	$2,156,134	35,786	23	124
Indiana	897	$2,103,825	36,120	26	120
Missouri	835	$2,102,910	35,168	26	134
Arkansas	565	$1,941,225	33,994	34	190

Not listed: 4 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 2023.

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	2,433	$8,028,693	114,793	27
Chicago-Naperville-Elgin, IL-IN	1,357	$3,968,172	61,440	26
Los Angeles-Long Beach-Anaheim, CA	816	$3,292,284	49,232	31
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	1,128	$2,840,719	44,116	24
Miami-Fort Lauderdale-West Palm Beach, FL	599	$2,510,113	38,291	32
Detroit-Warren-Dearborn, MI	728	$2,150,102	33,513	28
Boston-Cambridge-Newton, MA-NH	884	$1,820,440	27,820	20
Dallas-Fort Worth-Arlington, TX	567	$1,697,270	27,726	27
Tampa-St. Petersburg-Clearwater, FL	393	$1,469,236	23,554	33
Orlando-Kissimmee-Sanford, FL	345	$1,315,214	21,026	33
Houston-Pasadena-The Woodlands, TX	437	$1,118,399	17,879	23
Phoenix-Mesa-Chandler, AZ	373	$827,543	13,763	24
Jacksonville, FL	270	$811,323	13,097	28
Cleveland, OH	315	$784,985	13,178	25
Washington-Arlington-Alexandria, DC-VA-MD-WV	331	$780,631	12,069	26

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 2023.

Specialties billing 99238 nationally

Internal Medicine accounts for 43% of payment for 99238 nationally in 2023, across 39 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Internal Medicine	12,513	35%	$40,155,295	43%	634,340	51
Hospitalist	4,976	14%	$13,864,231	15%	219,778	44
Family Practice	5,069	14%	$12,577,141	13%	203,595	40
Nurse Practitioner	2,955	8.3%	$5,367,890	5.7%	101,793	34
Physical Medicine and Rehabilitation	810	2.3%	$3,915,642	4.2%	61,801	76
Psychiatry	1,341	3.8%	$3,354,602	3.6%	53,301	40
Physician Assistant	1,452	4.1%	$2,403,347	2.6%	44,868	31
Cardiology	1,253	3.5%	$2,203,801	2.4%	34,525	28
General Surgery	1,094	3.1%	$1,762,038	1.9%	27,838	25
Emergency Medicine	867	2.4%	$1,595,316	1.7%	24,477	28
Pulmonary Disease	282	0.79%	$728,737	0.78%	11,240	40
Interventional Cardiology	419	1.2%	$703,045	0.75%	11,313	27
Nephrology	250	0.70%	$675,574	0.72%	10,513	42
Neurology	410	1.1%	$637,732	0.68%	10,093	25
Clinical Cardiac Electrophysiology	273	0.76%	$470,317	0.50%	7,430	27

Not listed: 26 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 2023.

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