	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	1,399	$7,016,823	42,972	19	89
New York	1,151	$5,607,362	32,681	18	74
Florida	990	$4,533,214	28,995	19	72
Illinois	996	$3,559,459	21,499	17	42
Texas	962	$3,484,530	22,206	17	54
Pennsylvania	1,018	$3,206,041	24,293	18	51
Maryland	503	$2,280,754	13,779	19	71
Ohio	755	$2,220,967	17,053	16	51
Massachusetts	551	$2,076,835	13,158	17	57
Virginia	509	$2,051,889	12,852	19	56
New Jersey	525	$1,955,105	12,815	18	58
North Carolina	613	$1,909,730	12,777	16	45
Indiana	552	$1,899,419	12,915	17	56
Georgia	458	$1,853,894	12,063	18	59
South Carolina	449	$1,814,725	11,963	18	59

Not listed: 2 billers with an armed-forces or unknown state code (AE, AP); 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 2023.

Top metro areas

	observed	calculated	calculated	calculated
New York-Newark-Jersey City, NY-NJ	1,127	$5,621,692	31,824	19
Chicago-Naperville-Elgin, IL-IN	882	$3,213,750	19,320	17
Los Angeles-Long Beach-Anaheim, CA	508	$2,844,218	17,072	19
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	506	$1,592,282	13,956	19
Boston-Cambridge-Newton, MA-NH	384	$1,442,002	9,028	17
Washington-Arlington-Alexandria, DC-VA-MD-WV	302	$1,298,694	7,570	18
Baltimore-Columbia-Towson, MD	264	$1,163,617	6,974	18
Atlanta-Sandy Springs-Roswell, GA	260	$1,112,019	7,077	19
Miami-Fort Lauderdale-West Palm Beach, FL	219	$1,031,493	6,471	20
Houston-Pasadena-The Woodlands, TX	239	$981,104	6,069	16
Phoenix-Mesa-Chandler, AZ	231	$835,068	5,422	16
Riverside-San Bernardino-Ontario, CA	180	$827,770	4,926	17
Minneapolis-St. Paul-Bloomington, MN-WI	314	$812,624	5,220	14
Omaha, NE-IA	138	$800,782	5,442	27
Dallas-Fort Worth-Arlington, TX	197	$674,507	4,335	17

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing G0438 nationally

Family Practice accounts for 41% of payment for G0438 nationally in 2023, across 14 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Family Practice	7,643	44%	$26,819,770	41%	176,107	23
Internal Medicine	6,089	35%	$25,675,928	39%	162,345	27
Nurse Practitioner	2,405	14%	$8,115,145	12%	60,455	25
Physician Assistant	735	4.2%	$2,454,032	3.7%	18,327	25
General Practice	137	0.79%	$822,561	1.2%	5,034	37
Geriatric Medicine	75	0.43%	$376,163	0.57%	2,436	32
Emergency Medicine	50	0.29%	$317,344	0.48%	2,012	40
Hospitalist	68	0.39%	$302,793	0.46%	2,101	31
Cardiology	34	0.19%	$194,154	0.29%	1,075	32
Obstetrics & Gynecology	42	0.24%	$163,140	0.25%	931	22
Nephrology	21	0.12%	$148,289	0.22%	834	40
Pulmonary Disease	18	0.10%	$129,601	0.20%	747	42
Pediatric Medicine	35	0.20%	$117,750	0.18%	774	22
Osteopathic Manipulative Medicine	13	0.07%	$45,188	0.07%	288	22

Not listed: 26 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 2023.

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