Pathology — Medicare Part B billing by state
569 physician groups whose primary specialty is Pathology billed $341.2M to Medicare fee-for-service in 2023.
Calendar year 2023 · Medicare fee-for-service Part B
You're viewing calendar year 2023. State market links open the latest data year.
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 | $39.5M | $43.3M | 90 | $481K | 1.0M | 561K | 11,347 |
| Florida | $32.7M | $32.5M | 75 | $434K | 944K | 502K | 12,583 |
| Texas | $27.0M | $27.0M | 79 | $341K | 797K | 454K | 10,091 |
| Tennessee | $22.5M | $21.3M | 39 | $547K | 808K | 463K | 20,716 |
| Georgia | $19.7M | $19.4M | 35 | $554K | 424K | 258K | 12,125 |
| New York | $15.8M | $16.8M | 55 | $305K | 461K | 268K | 8,391 |
| Illinois | $13.0M | $13.1M | 61 | $215K | 445K | 257K | 7,302 |
| North Carolina | $11.4M | $11.1M | 36 | $309K | 331K | 196K | 9,197 |
| Alabama | $10.5M | $9.8M | 26 | $375K | 229K | 143K | 8,807 |
| Ohio | $9.8M | $9.6M | 44 | $217K | 355K | 201K | 8,078 |
| New Jersey | $9.6M | $10.4M | 31 | $336K | 300K | 161K | 9,673 |
| Massachusetts | $9.3M | $9.9M | 43 | $230K | 376K | 148K | 8,752 |
| Arizona | $9.2M | $9.2M | 23 | $398K | 223K | 121K | 9,697 |
| Virginia | $8.7M | $8.9M | 27 | $328K | 301K | 166K | 11,152 |
| South Carolina | $6.8M | $6.6M | 24 | $273K | 215K | 126K | 8,945 |
| Michigan | $6.0M | $5.8M | 42 | $139K | 184K | 110K | 4,379 |
| Washington | $6.0M | $6.1M | 13 | $466K | 186K | 108K | 14,300 |
| Oklahoma | $5.8M | $5.4M | 11 | $488K | 158K | 98,402 | 14,320 |
| Indiana | $5.7M | $5.6M | 30 | $186K | 196K | 118K | 6,530 |
| Colorado | $5.5M | $5.5M | 18 | $307K | 173K | 98,183 | 9,603 |
| Missouri | $5.5M | $5.3M | 31 | $170K | 177K | 102K | 5,716 |
| Arkansas | $5.0M | $4.7M | 13 | $362K | 155K | 80,818 | 11,933 |
| Pennsylvania | $4.9M | $5.0M | 40 | $125K | 176K | 102K | 4,396 |
| Kentucky | $4.5M | $4.4M | 22 | $198K | 162K | 88,665 | 7,346 |
| Maryland | $4.0M | $4.1M | 27 | $152K | 121K | 71,179 | 4,496 |
| Oregon | $3.8M | $3.9M | 15 | $257K | 98,400 | 56,416 | 6,560 |
| Wisconsin | $3.5M | $3.4M | 18 | $189K | 127K | 75,101 | 7,074 |
| Louisiana | $3.4M | $3.4M | 15 | $225K | 110K | 65,225 | 7,320 |
| Minnesota | $3.2M | $3.2M | 21 | $151K | 117K | 67,732 | 5,553 |
| Iowa | $3.1M | $3.1M | 23 | $133K | 110K | 67,208 | 4,797 |
| Connecticut | $2.8M | $2.9M | 16 | $183K | 86,665 | 48,739 | 5,417 |
| Utah | $2.5M | $2.4M | 14 | $172K | 78,112 | 44,693 | 5,579 |
| Nebraska | $2.4M | $2.3M | 10 | $228K | 62,967 | 34,520 | 6,297 |
| Kansas | $1.8M | $1.8M | 17 | $104K | 56,956 | 32,655 | 3,350 |
| Mississippi | $1.8M | $1.7M | 12 | $140K | 63,433 | 38,316 | 5,286 |
| Hawaii | $1.6M | $1.6M | 6 | $270K | 46,820 | 26,962 | 7,803 |
| Nevada | $1.3M | $1.3M | 6 | $224K | 46,516 | 28,227 | 7,753 |
| South Dakota | $1.3M | $1.3M | 2 | $642K | 46,193 | 25,340 | 23,096 |
| Maine | $1.1M | $1.1M | 5 | $218K | 39,752 | 22,176 | 7,950 |
| Montana | $1.1M | $1.1M | 6 | $175K | 35,403 | 20,104 | 5,900 |
| Delaware | $1.0M | $1.0M | 4 | $258K | 24,818 | 14,678 | 6,204 |
| New Mexico | $959K | $938K | 9 | $104K | 25,967 | 15,550 | 2,885 |
| New Hampshire | $862K | $880K | 8 | $110K | 31,174 | 17,196 | 3,897 |
| North Dakota | $727K | $730K | 3 | $243K | 20,791 | 11,273 | 6,930 |
| PR | $611K | $608K | 8 | $76K | 12,682 | 7,342 | 1,585 |
| Idaho | $579K | $549K | 3 | $183K | 16,763 | 10,258 | 5,588 |
| Alaska | $480K | $652K | 4 | $163K | 17,123 | 9,421 | 4,281 |
| Vermont | $320K | $314K | 3 | $105K | 10,028 | 5,568 | 3,343 |
| Rhode Island | $254K | $265K | 4 | $66K | 7,793 | 4,372 | 1,948 |
| West Virginia | $135K | $135K | 3 | $45K | 4,735 | 2,686 | 1,578 |
| Wyoming | $130K | $130K | 3 | $43K | 4,221 | 2,232 | 1,407 |
| District of Columbia | $63K | $65K | 4 | $16K | 2,147 | 1,183 | 537 |
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 CY2023
12 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 | $5.1M | 30,218 | CAFLTXTNGA |