	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	29,529	$156,798,979	+10%	2,539,170	44	288	1.50
2023	27,157	$142,018,723	+6%	2,260,932	43	282	1.50
2022	25,493	$134,557,211	+2%	2,080,436	41	278	1.50
2021	23,904	$131,593,685	+6%	1,925,281	42	268	1.50
2020	22,389	$124,117,391	first year in data	1,793,292	41	271	1.50

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	2,396	$18,383,283	266,469	48	414
Florida	2,013	$14,595,721	216,095	54	392
Texas	2,342	$11,722,292	179,832	40	253
New York	1,937	$11,655,337	166,696	39	313
Georgia	881	$5,101,413	76,008	45	296
Maryland	834	$5,023,776	71,489	51	256
Illinois	933	$4,946,344	73,308	43	246
New Jersey	976	$4,737,400	76,413	41	276
North Carolina	1,032	$3,940,284	62,771	35	196
Virginia	693	$3,757,136	55,480	42	268
Pennsylvania	884	$3,714,264	59,499	38	205
South Carolina	692	$3,697,227	61,708	50	305
Arizona	704	$3,681,631	57,751	44	282
Michigan	877	$3,159,687	55,818	38	195
Tennessee	728	$3,037,001	52,217	43	241

Not listed: 2 billers with an armed-forces or unknown state code (AA, 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 2022.

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	2,076	$13,347,646	188,344	42
Los Angeles-Long Beach-Anaheim, CA	882	$8,006,928	117,021	49
Chicago-Naperville-Elgin, IL-IN	849	$4,774,161	70,458	48
Miami-Fort Lauderdale-West Palm Beach, FL	545	$3,868,882	56,811	58
Washington-Arlington-Alexandria, DC-VA-MD-WV	573	$3,428,239	47,227	44
Dallas-Fort Worth-Arlington, TX	604	$2,953,689	45,913	41
Houston-Pasadena-The Woodlands, TX	683	$2,912,635	44,241	35
Baltimore-Columbia-Towson, MD	428	$2,482,245	36,349	47
Phoenix-Mesa-Chandler, AZ	437	$2,171,353	34,160	43
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	534	$2,084,137	34,014	35
Las Vegas-Henderson-North Las Vegas, NV	240	$1,986,403	31,017	67
Atlanta-Sandy Springs-Roswell, GA	384	$1,832,702	28,529	40
Detroit-Warren-Dearborn, MI	488	$1,790,638	31,761	42
Boston-Cambridge-Newton, MA-NH	386	$1,701,182	26,062	37
Columbia, SC	323	$1,681,949	29,616	56

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 2022.

Specialties billing 99497 nationally

Internal Medicine accounts for 39% of payment for 99497 nationally in 2022, across 28 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Internal Medicine	7,820	31%	$52,026,225	39%	760,241	97
Family Practice	5,576	22%	$34,079,948	25%	493,975	89
Nurse Practitioner	7,464	29%	$28,543,913	21%	514,400	69
Hospitalist	1,326	5.2%	$4,069,884	3.0%	64,454	49
Physician Assistant	1,164	4.6%	$3,592,501	2.7%	62,795	54
Hospice and Palliative Care	589	2.3%	$2,529,151	1.9%	39,356	67
General Practice	201	0.79%	$1,721,940	1.3%	24,110	120
Geriatric Medicine	296	1.2%	$1,589,253	1.2%	23,907	81
Emergency Medicine	133	0.52%	$933,995	0.69%	13,802	104
Neurology	70	0.27%	$802,162	0.60%	11,305	162
Cardiology	73	0.29%	$724,513	0.54%	10,690	146
Physical Medicine and Rehabilitation	63	0.25%	$643,042	0.48%	10,545	167
Pulmonary Disease	87	0.34%	$455,145	0.34%	6,824	78
Nephrology	111	0.44%	$409,473	0.30%	6,466	58
Hematology-Oncology	132	0.52%	$332,367	0.25%	5,203	39

Not listed: 31 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 99497 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