	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	18,207	$58,418,858	+8%	414,897	18	49	2.78
2023	17,150	$54,248,752	+7%	389,596	18	48	2.78
2022	15,780	$50,651,045	-9%	356,177	18	48	2.78
2021	16,029	$55,571,335	+18%	366,962	18	49	2.78
2020	15,204	$47,155,507	first year in data	345,557	18	49	2.36

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	1,777	$7,253,426	49,281	20	66
Pennsylvania	1,580	$4,862,276	35,302	19	44
California	942	$3,670,981	23,127	18	55
Illinois	830	$2,896,311	19,080	18	50
New York	799	$2,876,075	18,331	17	52
Texas	766	$2,534,903	17,455	17	48
Massachusetts	725	$2,267,715	15,015	17	40
New Jersey	660	$2,200,346	14,542	17	45
Virginia	604	$2,168,890	15,209	20	55
Maryland	547	$1,952,085	12,301	19	47
North Carolina	502	$1,586,115	11,215	18	48
South Carolina	477	$1,536,870	10,712	18	46
Ohio	703	$1,534,399	13,975	17	39
Georgia	434	$1,439,383	9,913	18	49
Tennessee	415	$1,252,280	8,989	18	44

Not listed: 4 billers with an armed-forces or unknown state code (AP, XX); 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 2024.

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	839	$3,308,335	20,230	18
Chicago-Naperville-Elgin, IL-IN	622	$2,202,414	14,222	18
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	662	$1,808,429	14,419	18
Boston-Cambridge-Newton, MA-NH	487	$1,607,088	10,170	17
Los Angeles-Long Beach-Anaheim, CA	245	$1,081,016	6,910	17
Miami-Fort Lauderdale-West Palm Beach, FL	258	$1,080,555	7,151	19
Orlando-Kissimmee-Sanford, FL	181	$1,009,437	6,841	20
Baltimore-Columbia-Towson, MD	284	$979,494	6,096	18
Tampa-St. Petersburg-Clearwater, FL	251	$924,008	6,401	20
Allentown-Bethlehem-Easton, PA-NJ	237	$810,971	5,544	19
Jacksonville, FL	182	$801,480	5,513	21
Washington-Arlington-Alexandria, DC-VA-MD-WV	232	$787,682	4,970	17
Minneapolis-St. Paul-Bloomington, MN-WI	237	$687,635	4,551	17
Phoenix-Mesa-Chandler, AZ	182	$613,457	4,092	18
Cape Coral-Fort Myers, FL	139	$613,348	3,955	21

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 2024.

Specialties billing 99495 nationally

Internal Medicine accounts for 38% of payment for 99495 nationally in 2024, across 18 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Internal Medicine	6,175	34%	$22,262,535	38%	151,824	25
Family Practice	6,975	38%	$21,634,338	37%	152,018	22
Nurse Practitioner	2,941	16%	$8,068,368	14%	64,858	22
Physician Assistant	1,017	5.6%	$2,607,567	4.5%	21,263	21
Cardiology	263	1.4%	$945,609	1.6%	5,921	23
Geriatric Medicine	122	0.67%	$473,455	0.81%	3,270	27
Nephrology	147	0.81%	$445,748	0.76%	3,034	21
General Practice	80	0.44%	$322,018	0.55%	2,074	26
Infectious Disease	59	0.32%	$258,987	0.44%	1,615	27
Hospitalist	74	0.41%	$216,372	0.37%	1,512	20
Emergency Medicine	37	0.20%	$190,155	0.33%	1,208	33
Pulmonary Disease	55	0.30%	$182,658	0.31%	1,117	20
Interventional Cardiology	57	0.31%	$164,947	0.28%	1,026	18
Hematology-Oncology	57	0.31%	$161,087	0.28%	976	17
Pediatric Medicine	19	0.10%	$60,029	0.10%	404	21

Not listed: 23 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 2024.

Top billers of 99495 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