	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
New York	120	$2,124,711	29,674	59	980
California	108	$1,634,541	24,829	96	827
Florida	94	$1,154,499	18,081	58	921
Texas	104	$780,689	13,536	50	485
Illinois	57	$767,489	11,786	84	713
Ohio	20	$437,796	7,461	77	1,050
Georgia	50	$379,944	6,670	69	454
Virginia	23	$319,327	5,427	96	655
Connecticut	39	$309,571	5,242	103	337
Maryland	29	$277,611	4,097	84	389
New Jersey	25	$271,694	3,961	94	573
Arizona	27	$232,976	4,164	47	699
Kansas	16	$210,643	3,647	101	730
Kentucky	11	$208,316	3,625	125	1,150
Oklahoma	18	$205,629	3,539	72	584

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

Not listed: 18 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 2022.

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	125	$2,266,909	31,561	68
Los Angeles-Long Beach-Anaheim, CA	51	$751,454	11,771	97
Chicago-Naperville-Elgin, IL-IN	56	$724,745	11,075	85
Houston-Pasadena-The Woodlands, TX	41	$307,415	5,669	51
Atlanta-Sandy Springs-Roswell, GA	35	$295,499	5,198	69
Washington-Arlington-Alexandria, DC-VA-MD-WV	25	$249,052	3,620	96
Miami-Fort Lauderdale-West Palm Beach, FL	22	$241,855	3,570	56
Tampa-St. Petersburg-Clearwater, FL	34	$230,726	3,645	59
Dallas-Fort Worth-Arlington, TX	24	$185,209	3,174	58
New Haven, CT	18	$156,366	2,723	110
Phoenix-Mesa-Chandler, AZ	16	$121,558	2,164	58
Detroit-Warren-Dearborn, MI	20	$120,299	1,809	30
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	16	$98,828	1,489	39
Hartford-West Hartford-East Hartford, CT	13	$94,980	1,615	93
Seattle-Tacoma-Bellevue, WA	15	$92,342	1,615	39

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 18 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 99491 nationally

Internal Medicine accounts for 33% of payment for 99491 nationally in 2022, across 7 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Internal Medicine	270	26%	$3,721,646	33%	55,568	206
Family Practice	192	18%	$2,974,116	26%	45,983	239
Nurse Practitioner	405	39%	$2,935,575	26%	52,752	130
Physician Assistant	65	6.2%	$571,527	5.1%	9,754	150
General Practice	22	2.1%	$236,071	2.1%	3,490	159
Cardiology	12	1.2%	$71,566	0.64%	1,031	86
Hematology-Oncology	14	1.3%	$37,308	0.33%	549	39

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 2022.

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