	observed	calculated	calculated	calculated	calculated	calculated	reported
2024	15,851	$61,985,969	-6%	410,373	17	60	2.60
2023	17,441	$66,078,763	-10%	435,826	17	61	2.60
2022	18,306	$73,077,051	-21%	471,824	18	64	2.60
2021	20,800	$92,063,682	-7%	563,701	19	68	2.60
2020	20,871	$99,114,878	first year in data	591,568	19	76	2.43

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	1,513	$7,744,379	45,913	20	83
Illinois	1,125	$4,860,574	28,670	18	62
Florida	1,022	$4,785,900	30,760	20	83
Texas	1,010	$4,743,933	29,375	17	81
New York	1,027	$4,549,363	25,432	18	65
Pennsylvania	1,065	$3,559,646	25,584	19	55
North Carolina	732	$2,911,709	18,846	18	64
Ohio	852	$2,701,140	19,610	18	48
Maryland	528	$2,605,118	15,324	19	63
Massachusetts	584	$2,362,876	15,019	18	66
Virginia	546	$2,277,775	13,995	19	59
South Carolina	462	$2,181,331	14,019	18	84
New Jersey	547	$2,131,695	13,856	17	55
Indiana	536	$1,997,057	13,166	17	62
Georgia	472	$1,910,375	12,326	19	58

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	985	$4,745,721	25,875	18
Chicago-Naperville-Elgin, IL-IN	995	$4,231,118	24,703	18
Los Angeles-Long Beach-Anaheim, CA	488	$2,883,018	16,749	20
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	531	$1,694,893	14,369	21
Houston-Pasadena-The Woodlands, TX	270	$1,567,802	9,309	18
Baltimore-Columbia-Towson, MD	262	$1,380,710	8,077	18
Boston-Cambridge-Newton, MA-NH	377	$1,374,911	8,662	17
Washington-Arlington-Alexandria, DC-VA-MD-WV	271	$1,185,418	6,721	18
Atlanta-Sandy Springs-Roswell, GA	265	$1,164,912	7,297	19
Phoenix-Mesa-Chandler, AZ	275	$1,078,823	6,898	18
Minneapolis-St. Paul-Bloomington, MN-WI	346	$1,039,173	6,469	15
Miami-Fort Lauderdale-West Palm Beach, FL	227	$958,001	5,751	19
Cincinnati, OH-KY-IN	311	$930,763	6,751	16
St. Louis, MO-IL	174	$757,916	4,698	19
Allentown-Bethlehem-Easton, PA-NJ	168	$751,473	4,559	25

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 G0438 nationally

Family Practice accounts for 41% of payment for G0438 nationally in 2022, across 16 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Family Practice	8,047	44%	$30,033,947	41%	193,642	24
Internal Medicine	6,451	35%	$28,651,661	39%	176,858	27
Nurse Practitioner	2,393	13%	$8,340,579	11%	61,416	26
Physician Assistant	775	4.2%	$2,403,447	3.3%	17,741	23
General Practice	154	0.84%	$918,478	1.3%	5,418	35
Emergency Medicine	50	0.27%	$604,019	0.83%	3,735	75
Geriatric Medicine	76	0.42%	$360,797	0.49%	2,362	31
Cardiology	49	0.27%	$281,638	0.39%	1,576	32
Hospitalist	58	0.32%	$264,422	0.36%	1,899	33
Obstetrics & Gynecology	46	0.25%	$176,399	0.24%	1,007	22
Pediatric Medicine	47	0.26%	$157,577	0.22%	971	21
Nephrology	35	0.19%	$155,187	0.21%	982	28
Osteopathic Manipulative Medicine	14	0.08%	$71,065	0.10%	458	33
Pulmonary Disease	13	0.07%	$67,439	0.09%	372	29
Endocrinology	15	0.08%	$63,041	0.09%	369	25

Not listed: 27 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 G0438 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