	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	603	$2,658,997	30,473	36	151
California	350	$1,766,700	20,330	34	175
Florida	351	$1,558,220	20,065	36	164
Massachusetts	286	$1,330,960	17,255	41	170
Maryland	237	$1,233,490	15,380	51	169
New Jersey	290	$1,211,581	14,330	34	147
Pennsylvania	350	$1,202,692	15,671	31	114
Virginia	238	$1,023,981	13,698	40	161
Illinois	236	$953,163	12,363	37	148
Michigan	245	$926,841	12,469	40	127
North Carolina	249	$905,063	12,632	36	138
Ohio	280	$811,639	11,256	30	104
Texas	248	$639,662	8,513	25	91
Connecticut	162	$589,495	7,764	35	104
Arizona	117	$562,251	7,275	38	189

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	527	$2,575,194	28,052	39
Boston-Cambridge-Newton, MA-NH	189	$931,899	12,037	43
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	200	$914,777	11,550	44
Baltimore-Columbia-Towson, MD	151	$773,850	9,774	51
Chicago-Naperville-Elgin, IL-IN	176	$741,733	9,506	37
Washington-Arlington-Alexandria, DC-VA-MD-WV	128	$710,794	8,667	44
Detroit-Warren-Dearborn, MI	142	$492,380	6,439	32
Los Angeles-Long Beach-Anaheim, CA	87	$469,639	5,392	27
Phoenix-Mesa-Chandler, AZ	82	$374,659	4,853	41
Tampa-St. Petersburg-Clearwater, FL	76	$346,003	4,516	39
San Francisco-Oakland-Fremont, CA	65	$333,851	3,682	35
Minneapolis-St. Paul-Bloomington, MN-WI	115	$329,323	4,763	34
Virginia Beach-Chesapeake-Norfolk, VA-NC	72	$306,464	4,303	43
Miami-Fort Lauderdale-West Palm Beach, FL	72	$289,685	3,572	39
Charlotte-Concord-Gastonia, NC-SC	65	$268,119	3,801	42

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 95 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 99316 nationally

Nurse Practitioner accounts for 49% of payment for 99316 nationally in 2021, across 11 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Nurse Practitioner	3,268	51%	$11,733,277	49%	165,628	51
Internal Medicine	1,418	22%	$6,332,933	26%	72,483	51
Family Practice	655	10%	$2,285,753	9.5%	27,190	42
Physician Assistant	465	7.3%	$1,714,497	7.1%	24,139	52
Geriatric Medicine	200	3.1%	$816,166	3.4%	9,305	47
Hospitalist	186	2.9%	$577,428	2.4%	6,721	36
General Practice	30	0.47%	$117,217	0.49%	1,323	44
Emergency Medicine	35	0.55%	$97,714	0.41%	1,167	33
Physical Medicine and Rehabilitation	21	0.33%	$83,666	0.35%	960	46
Nephrology	11	0.17%	$59,183	0.25%	690	63
Certified Clinical Nurse Specialist	20	0.31%	$51,165	0.21%	751	38

Not listed: 24 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 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