Pathology — Medicare Part B billing by state
569 physician groups whose primary specialty is Pathology billed $346.3M to Medicare fee-for-service in 2024.
Calendar year 2024 · Medicare fee-for-service Part B
On this page: Billing by state · Top codes
Medicare billing by state
| State | Standardized payments | Medicare payments | Groups | Pay / group | Services | Benef.-episodes | Svc / group |
|---|---|---|---|---|---|---|---|
| California | $41.7M | $46.3M | 92 | $503K | 1.1M | 584K | 11,770 |
| Florida | $29.6M | $29.7M | 74 | $401K | 902K | 487K | 12,187 |
| Texas | $25.8M | $25.7M | 79 | $325K | 780K | 447K | 9,868 |
| Georgia | $20.7M | $20.5M | 35 | $587K | 459K | 275K | 13,101 |
| Tennessee | $19.4M | $18.5M | 37 | $501K | 529K | 333K | 14,306 |
| New York | $14.8M | $15.6M | 53 | $295K | 466K | 265K | 8,793 |
| Illinois | $14.0M | $14.2M | 59 | $240K | 511K | 292K | 8,667 |
| New Jersey | $13.4M | $14.4M | 31 | $466K | 388K | 209K | 12,525 |
| North Carolina | $11.3M | $11.0M | 35 | $315K | 327K | 195K | 9,354 |
| Alabama | $10.6M | $9.8M | 25 | $392K | 231K | 147K | 9,256 |
| Massachusetts | $10.3M | $10.9M | 41 | $267K | 367K | 162K | 8,940 |
| Ohio | $9.9M | $9.7M | 44 | $219K | 373K | 208K | 8,467 |
| Virginia | $8.9M | $8.9M | 27 | $330K | 314K | 172K | 11,620 |
| Arizona | $8.8M | $8.8M | 22 | $399K | 221K | 118K | 10,048 |
| Washington | $8.7M | $9.2M | 15 | $611K | 248K | 144K | 16,557 |
| Colorado | $6.0M | $6.0M | 20 | $302K | 188K | 103K | 9,380 |
| Michigan | $5.8M | $5.8M | 44 | $131K | 193K | 110K | 4,378 |
| Missouri | $5.8M | $5.7M | 30 | $188K | 189K | 109K | 6,310 |
| Oklahoma | $5.8M | $5.4M | 11 | $494K | 159K | 97,380 | 14,435 |
| South Carolina | $5.6M | $5.5M | 20 | $273K | 190K | 112K | 9,512 |
| Indiana | $5.4M | $5.3M | 28 | $188K | 195K | 116K | 6,968 |
| Pennsylvania | $5.2M | $5.3M | 39 | $137K | 183K | 105K | 4,704 |
| Arkansas | $5.0M | $4.8M | 13 | $367K | 161K | 79,732 | 12,391 |
| Kentucky | $4.5M | $4.4M | 22 | $201K | 164K | 90,187 | 7,454 |
| Maryland | $4.4M | $4.6M | 31 | $147K | 138K | 79,916 | 4,454 |
| Oregon | $3.6M | $3.7M | 15 | $249K | 94,704 | 54,738 | 6,314 |
| Wisconsin | $3.4M | $3.3M | 18 | $186K | 129K | 77,526 | 7,170 |
| Iowa | $3.3M | $3.2M | 22 | $147K | 119K | 71,568 | 5,392 |
| Minnesota | $3.0M | $3.0M | 19 | $160K | 113K | 65,176 | 5,923 |
| Louisiana | $2.9M | $2.8M | 12 | $235K | 103K | 60,705 | 8,601 |
| Connecticut | $2.8M | $2.9M | 17 | $169K | 88,890 | 50,248 | 5,229 |
| Utah | $2.4M | $2.3M | 14 | $168K | 78,846 | 44,758 | 5,632 |
| Nebraska | $2.4M | $2.3M | 9 | $253K | 61,457 | 33,540 | 6,829 |
| Kansas | $2.0M | $1.9M | 17 | $112K | 63,432 | 35,148 | 3,731 |
| Mississippi | $1.8M | $1.7M | 12 | $142K | 64,180 | 38,181 | 5,348 |
| Hawaii | $1.6M | $1.7M | 5 | $347K | 50,074 | 28,305 | 10,015 |
| Nevada | $1.4M | $1.4M | 5 | $271K | 49,574 | 29,324 | 9,915 |
| Maine | $1.2M | $1.3M | 5 | $254K | 46,682 | 25,334 | 9,336 |
| South Dakota | $1.1M | $1.1M | 1 | $1.1M | 41,188 | 22,827 | 41,188 |
| Delaware | $1.1M | $1.1M | 4 | $271K | 24,313 | 14,746 | 6,078 |
| Montana | $1.0M | $962K | 4 | $241K | 35,147 | 20,080 | 8,787 |
| New Mexico | $887K | $856K | 8 | $107K | 24,187 | 14,841 | 3,023 |
| New Hampshire | $883K | $903K | 8 | $113K | 32,578 | 18,134 | 4,072 |
| North Dakota | $700K | $720K | 3 | $240K | 20,887 | 11,006 | 6,962 |
| PR | $659K | $652K | 7 | $93K | 13,607 | 7,760 | 1,944 |
| Idaho | $589K | $564K | 3 | $188K | 16,952 | 10,483 | 5,651 |
| Alaska | $506K | $690K | 4 | $172K | 18,106 | 10,221 | 4,526 |
| Vermont | $316K | $308K | 3 | $103K | 10,186 | 5,587 | 3,395 |
| Rhode Island | $312K | $324K | 4 | $81K | 11,046 | 6,578 | 2,762 |
| Wyoming | $150K | $142K | 2 | $71K | 4,797 | 2,477 | 2,398 |
| West Virginia | $136K | $138K | 3 | $46K | 4,755 | 2,586 | 1,585 |
| District of Columbia | $119K | $126K | 4 | $32K | 4,151 | 2,217 | 1,038 |
Need this specialty's market in one document?
Register your interestEach group carries one specialty label — the specialty most common among its clinicians in CMS's Doctors and Clinicians register — so every figure on this page counts groups, not individual clinicians. An organization's entire Medicare billing is credited to that one label, so a specialty's totals reflect how organizations are labeled, not the specialty of each service; large multi-specialty organizations — where no single specialty is a majority of the clinicians — account for much of the volume shown under many specialties. Totals include only volume that can be credited to a single group; clinicians registered with more than one group are left out of group totals and shown as “—” elsewhere on Nevvi. Clinicians not registered with any group, and groups without a specialty label, are also not included. A group is counted in every state its clinicians bill Medicare from, so state figures overlap and never sum to the national figure.
All figures are Medicare fee-for-service Part B only; Medicare Advantage claims are not included. Cross-state comparisons use standardized payments, which remove regional differences in what Medicare pays; services without a standardized amount — mainly Part B drugs — are not in that column, and the Medicare payments column shows what Medicare actually paid. Beneficiary counts are beneficiary-episodes: one person treated in more than one setting or state is counted in each.
Top codes by Medicare payments CY2024
11 more CPT-coded procedures — shown with a trial or subscription, under AMA licensing.
| Code | Medicare payments | Services | Largest state markets |
|---|---|---|---|
| G0416 · Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | $6.1M | 37,219 | CAFLTXGATN |