	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	6,848	$30,484,399	+0%	333,301	32	141	2.50
2023	6,630	$30,478,605	+28%	326,303	32	146	2.50
2022	6,448	$23,835,201	-1%	319,555	32	147	1.90
2021	6,367	$24,055,250	+5%	312,496	33	142	1.90
2020	6,423	$22,840,735	first year in data	295,216	31	131	1.90

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	623	$2,422,221	28,104	33	116
California	362	$1,619,396	18,598	31	164
Florida	384	$1,484,205	19,167	32	155
Pennsylvania	340	$1,122,201	14,520	30	123
Maryland	231	$1,121,377	13,853	39	176
Massachusetts	267	$1,108,507	14,316	38	143
New Jersey	288	$1,094,188	12,900	31	136
Michigan	262	$987,030	13,047	38	120
North Carolina	260	$972,395	13,581	36	154
Virginia	239	$926,658	12,343	39	136
Illinois	261	$912,566	11,787	30	127
Ohio	271	$760,406	10,453	30	92
Texas	251	$687,054	9,007	24	95
Arizona	122	$583,698	7,380	43	141
Connecticut	156	$523,078	6,870	32	127

Not listed: 4 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 2020.

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	552	$2,326,781	25,629	33
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	190	$832,244	10,550	43
Boston-Cambridge-Newton, MA-NH	184	$778,736	10,079	39
Chicago-Naperville-Elgin, IL-IN	203	$710,429	9,093	27
Baltimore-Columbia-Towson, MD	134	$667,394	8,344	43
Washington-Arlington-Alexandria, DC-VA-MD-WV	126	$608,893	7,389	40
Detroit-Warren-Dearborn, MI	150	$579,454	7,492	39
Los Angeles-Long Beach-Anaheim, CA	100	$450,515	5,086	27
Phoenix-Mesa-Chandler, AZ	83	$402,054	5,078	46
Tampa-St. Petersburg-Clearwater, FL	87	$328,604	4,323	32
Virginia Beach-Chesapeake-Norfolk, VA-NC	81	$312,053	4,313	43
San Francisco-Oakland-Fremont, CA	72	$310,614	3,418	28
Minneapolis-St. Paul-Bloomington, MN-WI	115	$306,217	4,386	29
Charlotte-Concord-Gastonia, NC-SC	70	$296,602	4,238	45
Las Vegas-Henderson-North Las Vegas, NV	50	$253,065	3,142	37

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 96 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 99316 nationally

Nurse Practitioner accounts for 47% of payment for 99316 nationally in 2020, across 11 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Nurse Practitioner	3,130	49%	$10,766,098	47%	151,481	48
Internal Medicine	1,565	24%	$6,303,062	28%	72,503	46
Family Practice	701	11%	$2,261,263	9.9%	26,847	38
Physician Assistant	456	7.1%	$1,532,474	6.7%	21,446	47
Geriatric Medicine	189	2.9%	$794,169	3.5%	9,093	48
Hospitalist	176	2.7%	$485,689	2.1%	5,605	32
General Practice	42	0.65%	$164,381	0.72%	1,873	45
Emergency Medicine	38	0.59%	$120,441	0.53%	1,443	38
Physical Medicine and Rehabilitation	39	0.61%	$119,038	0.52%	1,408	36
Nephrology	13	0.20%	$45,604	0.20%	534	41
Certified Clinical Nurse Specialist	15	0.23%	$44,146	0.19%	620	41

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 2020.

Top billers of 99316 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