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Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Physician Report (sample)

Avery Example, MD

Internal Medicine · Sample City, ST · Sample City metro (fictional) · NPI: none, fictional physician

Data years in this report: 2021, 2022, 2023, 2024 (4 of 5 published). Source: CMS Medicare Physician & Other Practitioners public use files, 2020–2024.

In 2024, Medicare paid this billing entity $348,000 for 5,980 services to 1,150 patients. Its calculated Medicare work RVUs are at the 69th percentile among 212 Internal Medicine physicians in Sample City metro.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

What stands out, 2024

Checked against public Medicare data for 2024. How findings were checked

1. The comparison changes among physicians with a similar billing pattern

0100similar pattern 52ndsame specialty 69th

Among 46 Internal Medicine physicians in Sample City metro whose Medicare work has a similar mix of services and setting, this physician is at the 52nd percentile of calculated Medicare work RVUs. Among 212 Internal Medicine physicians in Sample City metro, this physician is at the 69th percentile. The same direction appears in 2023. This compares billing patterns in public Medicare data. It does not measure hours, total work across all payers, patient needs or quality.

Calculated
Show me why
Exact inputs, the comparison changes among physicians with a similar billing pattern
InputValueKind
Similar billing pattern, in Sample City metro (rule R1)52nd percentile of 46Calculated
Same specialty, in Sample City metro69th percentile of 212Calculated
Difference (percentile points)-17.6Calculated
Difference under looser matching (R3)-13.9Calculated
Range expected from group size alone (95%)±12.4Calculated
Difference in 2023-15.2Calculated
Formula
Difference = 100 × (le_sim ÷ n_sim − le_same ÷ n_same), both at the same area; percentile = physicians at or below this one ÷ group size, this physician included.
Peers
Shared peer pool: 212 Internal Medicine peers in Sample City metro. Similar billing pattern (rule R1): same specialty; within ±0.15 on each of the three largest types of service (types under 5% of work skipped after the first) and within ±0.15 on the share of work billed at the facility rate; the first area with at least 20 such physicians is used.
Coverage
96% of this record's non-drug Medicare payment is itemized by code in 2024.
Source
CMS Medicare Physician & Other Practitioners, by Provider and by Provider and Service, data years 2023 and 2024.

See the section You vs peers, similar billing pattern.

2. One type of service accounts for most of the change in itemized work

20234,50020245,490Hospital visits: 64% of the change

Calculated Medicare work RVUs on itemized lines changed from 4,500 to 5,490 (+22%) between 2023 and 2024, using 2024 work values for both years. Of that change, 64% is in hospital visits, against 4% of 2023 work. This compares billing patterns in public Medicare data. It does not measure hours, total work across all payers, patient needs or quality.

Calculated
Show me why
Exact inputs, one type of service accounts for most of the change in itemized work
InputValueKind
Itemized work RVUs, 2023 at 2024 values4,500.0Calculated
Itemized work RVUs, 20245,490.0Calculated
Change+22%Calculated
Hospital visits, share of the change64%Calculated
Hospital visits, share of 2023 work4%Calculated
G2211 work RVUs, earlier → later0.0 → 198.0Calculated
Formula
Fixed weights: each code's 2024 work RVU applied to both years' services (2023 crosswalk for retired observation and home codes); share of the change = the type's change ÷ the sum of every type's absolute change.
Peers
Shared peer pool: 212 Internal Medicine peers in Sample City metro.
Coverage
96% of this record's non-drug Medicare payment is itemized by code in 2024 (95% in 2023).
Source
CMS Medicare Physician & Other Practitioners, by Provider and by Provider and Service, data years 2023 and 2024.

See it in the report: Trend, change by type of serviceSee the section Trend, change by type of service.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Calculated Medicare work RVUs, 2024

5,490

Medicare work RVUs, 2024. A floor: Original Medicare Part B only, itemized lines only.

Medicare work RVUs, 2024: 69th percentile (band: 50th–75th percentile), rank 65 of 212 peers, same specialty: Internal Medicine, in Sample City metro.
0204013 providers, 0–1,000 Medicare work RVUs47 providers, 1,000–2,000 Medicare work RVUs30 providers, 2,000–3,000 Medicare work RVUs25 providers, 3,000–4,000 Medicare work RVUs22 providers, 4,000–5,000 Medicare work RVUs21 providers, 5,000–6,000 Medicare work RVUs18 providers, 6,000–7,000 Medicare work RVUs18 providers, 7,000–8,000 Medicare work RVUs16 providers, 8,000–9,000 Medicare work RVUs2 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,626this physician: 5,49005,00010,0000204013 providers, 0–1,000 Medicare work RVUs47 providers, 1,000–2,000 Medicare work RVUs30 providers, 2,000–3,000 Medicare work RVUs25 providers, 3,000–4,000 Medicare work RVUs22 providers, 4,000–5,000 Medicare work RVUs21 providers, 5,000–6,000 Medicare work RVUs18 providers, 6,000–7,000 Medicare work RVUs18 providers, 7,000–8,000 Medicare work RVUs16 providers, 8,000–9,000 Medicare work RVUs2 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,626this physician: 5,49005,00010,0000204013 providers, 0–1,000 Medicare work RVUs47 providers, 1,000–2,000 Medicare work RVUs30 providers, 2,000–3,000 Medicare work RVUs25 providers, 3,000–4,000 Medicare work RVUs22 providers, 4,000–5,000 Medicare work RVUs21 providers, 5,000–6,000 Medicare work RVUs18 providers, 6,000–7,000 Medicare work RVUs18 providers, 7,000–8,000 Medicare work RVUs16 providers, 8,000–9,000 Medicare work RVUs2 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,626this physician: 5,49002,5005,0007,50010,0000204013 providers, 0–1,000 Medicare work RVUs47 providers, 1,000–2,000 Medicare work RVUs30 providers, 2,000–3,000 Medicare work RVUs25 providers, 3,000–4,000 Medicare work RVUs22 providers, 4,000–5,000 Medicare work RVUs21 providers, 5,000–6,000 Medicare work RVUs18 providers, 6,000–7,000 Medicare work RVUs18 providers, 7,000–8,000 Medicare work RVUs16 providers, 8,000–9,000 Medicare work RVUs2 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,626this physician: 5,49002,5005,0007,50010,000
providers (212)middle 50% (25th–75th percentile)this physician (dashed line)

You are here among 212 Internal Medicine peers in Sample City metro, the same peers as the percentile. No other physician is named.

96% of this record’s non-drug Medicare payment is itemized by code. 516 of 5,980 reported services (9%) are on lines CMS does not itemize; their work is not in these figures. How coverage is measured

Figures are traditional Medicare payments to the billing entity. They do not show what the clinician is paid.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Practice style, 2024

Office visits are 85% of this record’s itemized Medicare work; Part B drugs are under 1% of the Medicare payment.

Itemized work by type of service

Office visits 85%Hospital, ED and critical care 15%Imaging and tests under 1%
Work and payment by type of service, 2024 (shares of work: itemized work RVUs; shares of payment: total Medicare payment)
Type of serviceShare of workWork RVUsShare of payment
Office visits85%4,65683%
Hospital, ED and critical care15%81312%
Nursing facility and home visits0%00%
Care management and other E/M0%00%
Procedures0%00%
Imaging and testsunder 1%201%
Treatment and other0%00%

15% of this work was billed at the facility rate. In facility settings, Medicare pays the billing entity for the professional part only.

Patients: average CMS risk score 1.36 · 17% also eligible for Medicaid (CMS by-Provider fields).

Medicare paid to the billing entity, $348,000, by part

Office visits $288,200 (83%)Hospital, ED and critical care $41,000 (12%)Imaging and tests $4,740 (1%)Part B drugs $840 (under 1%)Not itemized $13,220 (4%)

Part B drugs: $840 (under 1% of the payment), from the CMS by-Provider field. These are payments for drugs supplied, not for clinical work. Medicare payment excluding Part B drugs: $347,160 (not ranked).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Types of service: CMS RBCS service families, release RY2026. Data year 2024.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

You vs peers, 2024

Calculated Medicare work RVUs are at the 69th percentile among 212 Internal Medicine physicians in Sample City metro, and at the 52nd percentile among 46 with a similar billing pattern.

Peer group

Same specialty

212 Internal Medicine physicians in Sample City metro

0204013 providers, 0–1,000 Medicare work RVUs47 providers, 1,000–2,000 Medicare work RVUs30 providers, 2,000–3,000 Medicare work RVUs25 providers, 3,000–4,000 Medicare work RVUs22 providers, 4,000–5,000 Medicare work RVUs21 providers, 5,000–6,000 Medicare work RVUs18 providers, 6,000–7,000 Medicare work RVUs18 providers, 7,000–8,000 Medicare work RVUs16 providers, 8,000–9,000 Medicare work RVUs2 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,626this physician: 5,49005,00010,0000204013 providers, 0–1,000 Medicare work RVUs47 providers, 1,000–2,000 Medicare work RVUs30 providers, 2,000–3,000 Medicare work RVUs25 providers, 3,000–4,000 Medicare work RVUs22 providers, 4,000–5,000 Medicare work RVUs21 providers, 5,000–6,000 Medicare work RVUs18 providers, 6,000–7,000 Medicare work RVUs18 providers, 7,000–8,000 Medicare work RVUs16 providers, 8,000–9,000 Medicare work RVUs2 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,626this physician: 5,49005,00010,0000204013 providers, 0–1,000 Medicare work RVUs47 providers, 1,000–2,000 Medicare work RVUs30 providers, 2,000–3,000 Medicare work RVUs25 providers, 3,000–4,000 Medicare work RVUs22 providers, 4,000–5,000 Medicare work RVUs21 providers, 5,000–6,000 Medicare work RVUs18 providers, 6,000–7,000 Medicare work RVUs18 providers, 7,000–8,000 Medicare work RVUs16 providers, 8,000–9,000 Medicare work RVUs2 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,626this physician: 5,49002,5005,0007,50010,0000204013 providers, 0–1,000 Medicare work RVUs47 providers, 1,000–2,000 Medicare work RVUs30 providers, 2,000–3,000 Medicare work RVUs25 providers, 3,000–4,000 Medicare work RVUs22 providers, 4,000–5,000 Medicare work RVUs21 providers, 5,000–6,000 Medicare work RVUs18 providers, 6,000–7,000 Medicare work RVUs18 providers, 7,000–8,000 Medicare work RVUs16 providers, 8,000–9,000 Medicare work RVUs2 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,626this physician: 5,49002,5005,0007,50010,000
providers (212)middle 50% (25th–75th percentile)this physician (dashed line)

Middle half: 1,806–6,049 work RVUs.

Finding 1 above uses the similar billing pattern group; choose “Similar billing pattern” to see it.

Finding 1 above uses the similar billing pattern group, shown next.

Similar billing pattern

46 Internal Medicine physicians in Sample City metro with a similar mix of services and setting

05100 providers, 0–1,000 Medicare work RVUs0 providers, 1,000–2,000 Medicare work RVUs0 providers, 2,000–3,000 Medicare work RVUs8 providers, 3,000–4,000 Medicare work RVUs10 providers, 4,000–5,000 Medicare work RVUs11 providers, 5,000–6,000 Medicare work RVUs9 providers, 6,000–7,000 Medicare work RVUs8 providers, 7,000–8,000 Medicare work RVUs0 providers, 8,000–9,000 Medicare work RVUs0 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 5,468this physician: 5,49005,00010,00005100 providers, 0–1,000 Medicare work RVUs0 providers, 1,000–2,000 Medicare work RVUs0 providers, 2,000–3,000 Medicare work RVUs8 providers, 3,000–4,000 Medicare work RVUs10 providers, 4,000–5,000 Medicare work RVUs11 providers, 5,000–6,000 Medicare work RVUs9 providers, 6,000–7,000 Medicare work RVUs8 providers, 7,000–8,000 Medicare work RVUs0 providers, 8,000–9,000 Medicare work RVUs0 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 5,468this physician: 5,49005,00010,00005100 providers, 0–1,000 Medicare work RVUs0 providers, 1,000–2,000 Medicare work RVUs0 providers, 2,000–3,000 Medicare work RVUs8 providers, 3,000–4,000 Medicare work RVUs10 providers, 4,000–5,000 Medicare work RVUs11 providers, 5,000–6,000 Medicare work RVUs9 providers, 6,000–7,000 Medicare work RVUs8 providers, 7,000–8,000 Medicare work RVUs0 providers, 8,000–9,000 Medicare work RVUs0 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 5,468this physician: 5,49002,5005,0007,50010,00005100 providers, 0–1,000 Medicare work RVUs0 providers, 1,000–2,000 Medicare work RVUs0 providers, 2,000–3,000 Medicare work RVUs8 providers, 3,000–4,000 Medicare work RVUs10 providers, 4,000–5,000 Medicare work RVUs11 providers, 5,000–6,000 Medicare work RVUs9 providers, 6,000–7,000 Medicare work RVUs8 providers, 7,000–8,000 Medicare work RVUs0 providers, 8,000–9,000 Medicare work RVUs0 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 5,468this physician: 5,49002,5005,0007,50010,000
providers (46)middle 50% (25th–75th percentile)this physician (dashed line)

52nd percentile of 46 with a similar billing pattern; same-specialty peers in Sample City metro: 69th percentile of 212. Middle half: 4,351–6,598 (similar pattern), 1,806–6,049 (same specialty).

Matching: same specialty; within ±0.15 on each of the three largest types of service (types under 5% of work skipped after the first) and within ±0.15 on the share of work billed at the facility rate. Total work RVUs, payment and patients are never matched on.

The headline and the findings use the same-specialty peers unless they say otherwise.

Back to finding 1

This physician and the shared peers, 2024 (212 peers in Sample City metro)
MeasureThis physicianPeer medianPercentile
Calculated Medicare work RVUs5,4903,62669th percentile
Original Medicare patients1,1501,02756th percentile
Medicare paid to the billing entity$348,000$275,15862nd percentile
Part B drugs: under 1% of this payment ($840, CMS by-Provider field).

Original Medicare patients

01020300 providers, 0–200 patients30 providers, 200–400 patients27 providers, 400–600 patients24 providers, 600–800 patients22 providers, 800–1,000 patients22 providers, 1,000–1,200 patients19 providers, 1,200–1,400 patients19 providers, 1,400–1,600 patients18 providers, 1,600–1,800 patients18 providers, 1,800–2,000 patients13 providers, 2,000–2,200 patients0 providers, 2,200–2,400+ patientsthis physician: 1,15001,0002,00001020300 providers, 0–200 patients30 providers, 200–400 patients27 providers, 400–600 patients24 providers, 600–800 patients22 providers, 800–1,000 patients22 providers, 1,000–1,200 patients19 providers, 1,200–1,400 patients19 providers, 1,400–1,600 patients18 providers, 1,600–1,800 patients18 providers, 1,800–2,000 patients13 providers, 2,000–2,200 patients0 providers, 2,200–2,400+ patientsthis physician: 1,15001,0002,00001020300 providers, 0–200 patients30 providers, 200–400 patients27 providers, 400–600 patients24 providers, 600–800 patients22 providers, 800–1,000 patients22 providers, 1,000–1,200 patients19 providers, 1,200–1,400 patients19 providers, 1,400–1,600 patients18 providers, 1,600–1,800 patients18 providers, 1,800–2,000 patients13 providers, 2,000–2,200 patients0 providers, 2,200–2,400+ patientsthis physician: 1,15005001,0001,5002,00001020300 providers, 0–200 patients30 providers, 200–400 patients27 providers, 400–600 patients24 providers, 600–800 patients22 providers, 800–1,000 patients22 providers, 1,000–1,200 patients19 providers, 1,200–1,400 patients19 providers, 1,400–1,600 patients18 providers, 1,600–1,800 patients18 providers, 1,800–2,000 patients13 providers, 2,000–2,200 patients0 providers, 2,200–2,400+ patientsthis physician: 1,15005001,0001,5002,000
providers (212)this physician (dashed line)

Medicare paid to the billing entity

020406015 providers, $0–$100K dollars60 providers, $100K–$200K dollars40 providers, $200K–$300K dollars35 providers, $300K–$400K dollars31 providers, $400K–$500K dollars28 providers, $500K–$600K dollars3 providers, $600K–$700K dollars0 providers, $700K–$800K dollars0 providers, $800K–$900K dollars0 providers, $900K–$1.0M dollars0 providers, $1.0M–$1.1M dollars0 providers, $1.1M–$1.2M+ dollarsthis physician: $348K$0$500K$1.0M020406015 providers, $0–$100K dollars60 providers, $100K–$200K dollars40 providers, $200K–$300K dollars35 providers, $300K–$400K dollars31 providers, $400K–$500K dollars28 providers, $500K–$600K dollars3 providers, $600K–$700K dollars0 providers, $700K–$800K dollars0 providers, $800K–$900K dollars0 providers, $900K–$1.0M dollars0 providers, $1.0M–$1.1M dollars0 providers, $1.1M–$1.2M+ dollarsthis physician: $348K$0$500K$1.0M020406015 providers, $0–$100K dollars60 providers, $100K–$200K dollars40 providers, $200K–$300K dollars35 providers, $300K–$400K dollars31 providers, $400K–$500K dollars28 providers, $500K–$600K dollars3 providers, $600K–$700K dollars0 providers, $700K–$800K dollars0 providers, $800K–$900K dollars0 providers, $900K–$1.0M dollars0 providers, $1.0M–$1.1M dollars0 providers, $1.1M–$1.2M+ dollarsthis physician: $348K$0$250K$500K$750K$1.0M020406015 providers, $0–$100K dollars60 providers, $100K–$200K dollars40 providers, $200K–$300K dollars35 providers, $300K–$400K dollars31 providers, $400K–$500K dollars28 providers, $500K–$600K dollars3 providers, $600K–$700K dollars0 providers, $700K–$800K dollars0 providers, $800K–$900K dollars0 providers, $900K–$1.0M dollars0 providers, $1.0M–$1.1M dollars0 providers, $1.1M–$1.2M+ dollarsthis physician: $348K$0$250K$500K$750K$1.0M
providers (212)this physician (dashed line)

Statewide and nationally

1,840 Internal Medicine physicians in Sample State: 67th percentile

0200135 providers, 0–1,000 Medicare work RVUs367 providers, 1,000–2,000 Medicare work RVUs250 providers, 2,000–3,000 Medicare work RVUs210 providers, 3,000–4,000 Medicare work RVUs187 providers, 4,000–5,000 Medicare work RVUs173 providers, 5,000–6,000 Medicare work RVUs160 providers, 6,000–7,000 Medicare work RVUs151 providers, 7,000–8,000 Medicare work RVUs144 providers, 8,000–9,000 Medicare work RVUs63 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,790this physician: 5,49005,00010,0000200135 providers, 0–1,000 Medicare work RVUs367 providers, 1,000–2,000 Medicare work RVUs250 providers, 2,000–3,000 Medicare work RVUs210 providers, 3,000–4,000 Medicare work RVUs187 providers, 4,000–5,000 Medicare work RVUs173 providers, 5,000–6,000 Medicare work RVUs160 providers, 6,000–7,000 Medicare work RVUs151 providers, 7,000–8,000 Medicare work RVUs144 providers, 8,000–9,000 Medicare work RVUs63 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,790this physician: 5,49005,00010,0000200135 providers, 0–1,000 Medicare work RVUs367 providers, 1,000–2,000 Medicare work RVUs250 providers, 2,000–3,000 Medicare work RVUs210 providers, 3,000–4,000 Medicare work RVUs187 providers, 4,000–5,000 Medicare work RVUs173 providers, 5,000–6,000 Medicare work RVUs160 providers, 6,000–7,000 Medicare work RVUs151 providers, 7,000–8,000 Medicare work RVUs144 providers, 8,000–9,000 Medicare work RVUs63 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,790this physician: 5,49002,5005,0007,50010,0000200135 providers, 0–1,000 Medicare work RVUs367 providers, 1,000–2,000 Medicare work RVUs250 providers, 2,000–3,000 Medicare work RVUs210 providers, 3,000–4,000 Medicare work RVUs187 providers, 4,000–5,000 Medicare work RVUs173 providers, 5,000–6,000 Medicare work RVUs160 providers, 6,000–7,000 Medicare work RVUs151 providers, 7,000–8,000 Medicare work RVUs144 providers, 8,000–9,000 Medicare work RVUs63 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,790this physician: 5,49002,5005,0007,50010,000
providers (1,840)middle 50% (25th–75th percentile)this physician (dashed line)

98,000 Internal Medicine physicians nationally: 67th percentile

0100009,191 providers, 0–1,000 Medicare work RVUs19,012 providers, 1,000–2,000 Medicare work RVUs12,995 providers, 2,000–3,000 Medicare work RVUs10,873 providers, 3,000–4,000 Medicare work RVUs9,648 providers, 4,000–5,000 Medicare work RVUs8,816 providers, 5,000–6,000 Medicare work RVUs8,196 providers, 6,000–7,000 Medicare work RVUs7,714 providers, 7,000–8,000 Medicare work RVUs7,320 providers, 8,000–9,000 Medicare work RVUs4,235 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,703this physician: 5,49005,00010,0000100009,191 providers, 0–1,000 Medicare work RVUs19,012 providers, 1,000–2,000 Medicare work RVUs12,995 providers, 2,000–3,000 Medicare work RVUs10,873 providers, 3,000–4,000 Medicare work RVUs9,648 providers, 4,000–5,000 Medicare work RVUs8,816 providers, 5,000–6,000 Medicare work RVUs8,196 providers, 6,000–7,000 Medicare work RVUs7,714 providers, 7,000–8,000 Medicare work RVUs7,320 providers, 8,000–9,000 Medicare work RVUs4,235 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,703this physician: 5,49005,00010,0000100009,191 providers, 0–1,000 Medicare work RVUs19,012 providers, 1,000–2,000 Medicare work RVUs12,995 providers, 2,000–3,000 Medicare work RVUs10,873 providers, 3,000–4,000 Medicare work RVUs9,648 providers, 4,000–5,000 Medicare work RVUs8,816 providers, 5,000–6,000 Medicare work RVUs8,196 providers, 6,000–7,000 Medicare work RVUs7,714 providers, 7,000–8,000 Medicare work RVUs7,320 providers, 8,000–9,000 Medicare work RVUs4,235 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,703this physician: 5,49002,5005,0007,50010,0000100009,191 providers, 0–1,000 Medicare work RVUs19,012 providers, 1,000–2,000 Medicare work RVUs12,995 providers, 2,000–3,000 Medicare work RVUs10,873 providers, 3,000–4,000 Medicare work RVUs9,648 providers, 4,000–5,000 Medicare work RVUs8,816 providers, 5,000–6,000 Medicare work RVUs8,196 providers, 6,000–7,000 Medicare work RVUs7,714 providers, 7,000–8,000 Medicare work RVUs7,320 providers, 8,000–9,000 Medicare work RVUs4,235 providers, 9,000–10,000 Medicare work RVUs0 providers, 10,000–11,000 Medicare work RVUs0 providers, 11,000–12,000+ Medicare work RVUsmedian 3,703this physician: 5,49002,5005,0007,50010,000
providers (98,000)middle 50% (25th–75th percentile)this physician (dashed line)

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Peer groups: the shared peer pool (same specialty, itemized work RVUs above 0). Data year 2024.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Trend, 2021–2024

The percentile of calculated Medicare work RVUs among same-specialty peers went from the 61st percentile in 2021 to the 69th percentile in 2024.

02,5005,0002021: 4,120 Medicare work RVUs20212022: 4,381 Medicare work RVUs20222023: 4,512 Medicare work RVUs20232024: 5,490 Medicare work RVUs20245,49002,5005,0002021: 4,120 Medicare work RVUs20212022: 4,381 Medicare work RVUs20222023: 4,512 Medicare work RVUs20232024: 5,490 Medicare work RVUs20245,49002,5005,0002021: 4,120 Medicare work RVUs20212022: 4,381 Medicare work RVUs20222023: 4,512 Medicare work RVUs20232024: 5,490 Medicare work RVUs20245,49002,5005,0002021: 4,120 Medicare work RVUs20212022: 4,381 Medicare work RVUs20222023: 4,512 Medicare work RVUs20232024: 5,490 Medicare work RVUs20245,490
By year. Percentile: among same-specialty peers of the shared pool, Sample City metro.
YearWork RVUsChangePercentilePaymentPatients
20214,120–61st of 204$279,000960
20224,381+6.3%63rd of 207$308,0001,040
20234,512+3.0% 160th of 209$326,0001,100
20245,490+21.7%69th of 212$348,0001,150

1 2023 changed hospital and observation visit codes.

Not in the CMS file for 2020.

Change in itemized work by type of service, 2023 to 2024

Itemized work RVUs changed from 4,500 to 5,490 (+22%), using 2024 work values for both years.

Fixed weights: each code’s 2024 work RVU on both years’ services, sorted by the size of the change
Type of service2023 at 2024 values2024Change
Hospital visits180813+633
Office visit add-on (G2211)
Office visit add-on code; Medicare began paying it in 2024 (a fee-schedule change, shown on its own).
0198+198
Office visits4,3084,458+150
Tests1220+9

Back to finding 2

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2024.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Codes, 2024

8 itemized code lines in 2024; the largest by Medicare payment is 99214 (Evaluation and management service). The ten largest are shown first.

calculated reported calculated reported calculated
99214Evaluation and management serviceOffice1,710800$201,8001.923,283.2
99213Evaluation and management serviceOffice904515$76,8001.301,175.2
99232Evaluation and management serviceFacility48096$38,4001.59763.2
G2211Evaluation and management serviceOffice600410$9,6000.33198.0
36415Laboratory testOffice900450$2,7000.000.0
99231Evaluation and management serviceFacility5022$2,6001.0050.0
93000TestOffice12095$2,0400.1720.4
J1100DrugOffice700140$8400.000.0

One row per code and place of service, disclosed lines only (each with at least 11 beneficiaries). 2 codes have no work RVU in the 2024 fee schedule (drugs, supplies, some labs) and add 0. Five-digit CPT codes: ClaimLight category; the code descriptor is not shown.

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data year 2024.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

How findings were checked, 2024

2 of the 3 checks produced a finding for this record in 2024.

  • The comparison changes among physicians with a similar billing pattern: shown above.
  • Most of the payment difference is Part B drugs: did not apply: Part B drugs are under 30% of the Medicare payment.
  • One type of service accounts for most of the change in itemized work: shown above.
What the checks are

Each check is a fixed template with frozen thresholds, evaluated by the data pipeline for every physician and year; the text is written from the record’s own figures, never at page load. A finding is shown only when its specialty has passed every validation gate, including a reviewer check against the CMS lines, and only when its peer group is this report’s own. Every finding compares billing patterns in public Medicare data. None measures hours, total work across all payers, patient needs or quality. Methodology

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

More detail: services and area medians, 2024
Reported total services5,980CMS by-Provider file
Disclosed services used for wRVU5,464sum of itemized lines
Codes with no work RVU2codes that add 0 work RVUs
Medians of the shared peer pool by area, 2024: same specialty, itemized work RVUs above 0, the peers of the percentile and the charts; an area with fewer than 20 shows a dash
AreaMedicare work RVUsMedicare paymentBeneficiaries
Sample City metro3,626$275,1581,027
Sample State3,790$259,000940
United States3,703$251,000920

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Limitations

  • Not in the CMS file for 2020.
  • CMS suppresses code lines with fewer than 11 beneficiaries, so calculated work RVUs are a floor.
  • Original Medicare Part B fee-for-service only: Medicare Advantage, other payers and facility payments are not included.
  • Payments go to the billing entity, not to the clinician.

Known limitations · Methodology · How ranks are calculated

Medicare work RVUs, 2024: 69th percentile (band: 50th–75th percentile), rank 65 of 212 peers, same specialty: Internal Medicine, in Sample City metro. Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service), data year 2024; rank calculated by ClaimLight.

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service).