	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	1,405	$16,858,077	+25%	275,177	83	746	1.50
2023	1,258	$13,462,676	+20%	219,721	66	700	1.50
2022	1,043	$11,223,287	+18%	178,698	59	647	1.50
2021	977	$9,526,718	+16%	155,341	63	644	1.45
2020	927	$8,220,661	first year in data	128,755	51	584	1.45

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
California	114	$1,480,498	21,897	49	919
Florida	99	$978,803	15,812	66	659
New York	77	$895,482	12,216	62	584
Illinois	73	$650,596	10,210	81	471
Connecticut	36	$632,326	9,639	177	743
Texas	94	$572,678	9,571	39	503
Michigan	45	$269,061	4,200	46	308
Virginia	24	$210,567	3,382	71	560
Maryland	23	$204,116	2,994	58	379
Georgia	26	$183,156	3,040	58	192
Ohio	18	$182,855	3,010	67	678
Alabama	14	$163,405	2,752	177	565
North Carolina	23	$143,137	2,384	40	363
Washington	11	$139,497	2,143	39	737
Indiana	24	$121,064	2,247	58	232

Not listed: 23 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	82	$973,124	13,454	56
Los Angeles-Long Beach-Anaheim, CA	48	$667,620	9,701	65
Chicago-Naperville-Elgin, IL-IN	69	$620,705	9,751	81
New Haven, CT	16	$442,500	6,648	275
Tampa-St. Petersburg-Clearwater, FL	26	$332,850	5,457	94
North Port-Bradenton-Sarasota, FL	13	$241,122	4,043	184
Houston-Pasadena-The Woodlands, TX	43	$224,927	3,782	39
Washington-Arlington-Alexandria, DC-VA-MD-WV	22	$212,277	3,150	70
San Diego-Chula Vista-Carlsbad, CA	12	$210,444	3,130	104
Dallas-Fort Worth-Arlington, TX	19	$188,111	3,120	90
Detroit-Warren-Dearborn, MI	28	$186,884	2,891	50
Hartford-West Hartford-East Hartford, CT	13	$132,312	2,128	171
Miami-Fort Lauderdale-West Palm Beach, FL	24	$97,025	1,499	39
Riverside-San Bernardino-Ontario, CA	13	$92,907	1,398	27
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	18	$92,587	1,447	23

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 19 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 99491 nationally

Internal Medicine accounts for 38% of payment for 99491 nationally in 2020, across 7 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Internal Medicine	293	32%	$3,103,143	38%	46,613	159
Family Practice	222	24%	$2,237,788	27%	34,319	155
Nurse Practitioner	258	28%	$1,534,155	19%	27,415	106
Physician Assistant	52	5.6%	$282,403	3.4%	4,894	94
General Practice	18	1.9%	$189,120	2.3%	2,918	162
Cardiology	22	2.4%	$166,972	2.0%	2,380	108
Geriatric Medicine	11	1.2%	$141,715	1.7%	2,001	182

Not listed: 22 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 99491 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