Pediatric Medicine — Medicare Part B billing by state
99 physician groups whose primary specialty is Pediatric Medicine billed $12.9M 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 |
|---|---|---|---|---|---|---|---|
| Tennessee | $2.0M | $2.0M | 5 | $403K | 173K | 4,806 | 34,578 |
| Ohio | $1.8M | $1.8M | 6 | $295K | 28,149 | 11,049 | 4,692 |
| Colorado | $1.8M | $1.8M | 1 | $1.8M | 48,583 | 2,164 | 48,583 |
| New York | $1.5M | $1.5M | 11 | $137K | 68,165 | 3,132 | 6,197 |
| California | $1.0M | $1.1M | 16 | $69K | 67,909 | 8,657 | 4,244 |
| Louisiana | $798K | $777K | 7 | $111K | 10,367 | 4,360 | 1,481 |
| Florida | $653K | $653K | 7 | $93K | 9,446 | 4,219 | 1,349 |
| North Carolina | $589K | $551K | 6 | $92K | 12,411 | 7,590 | 2,068 |
| Mississippi | $437K | $421K | 1 | $421K | 56,962 | 5,982 | 56,962 |
| Texas | $433K | $414K | 7 | $59K | 16,584 | 4,374 | 2,369 |
| New Jersey | $332K | $360K | 4 | $90K | 5,767 | 2,799 | 1,442 |
| Arizona | $255K | $251K | 2 | $125K | 3,905 | 2,692 | 1,952 |
| Alabama | $192K | $159K | 2 | $79K | 2,767 | 2,018 | 1,384 |
| Washington | $141K | $144K | 4 | $36K | 1,999 | 1,589 | 500 |
| Indiana | $135K | $127K | 2 | $64K | 1,773 | 759 | 886 |
| Michigan | $125K | $127K | 3 | $42K | 4,639 | 619 | 1,546 |
| Maryland | $112K | $115K | 3 | $38K | 1,511 | 1,190 | 504 |
| Connecticut | $106K | $111K | 3 | $37K | 2,165 | 1,892 | 722 |
| Nevada | $97K | $96K | 3 | $32K | 2,960 | 1,512 | 987 |
| Massachusetts | $83K | $89K | 3 | $30K | 2,800 | 726 | 933 |
| Virginia | $75K | $67K | 4 | $17K | 10,403 | 292 | 2,601 |
| Kentucky | $64K | $60K | 2 | $30K | 1,018 | 825 | 509 |
| Pennsylvania | $44K | $45K | 3 | $15K | 669 | 529 | 223 |
| Oklahoma | $43K | $38K | 1 | $38K | 1,808 | 832 | 1,808 |
| Oregon | $31K | $30K | 1 | $30K | 3,132 | 499 | 3,132 |
| Illinois | $24K | $25K | 3 | $8K | 512 | 379 | 171 |
| Arkansas | $23K | $22K | 1 | $22K | 491 | 347 | 491 |
| Minnesota | $17K | $16K | 1 | $16K | 422 | 298 | 422 |
| New Hampshire | $15K | $15K | 1 | $15K | 344 | 261 | 344 |
| Missouri | $2K | $2K | 2 | $1K | 163 | 74 | 82 |
| New Mexico | $2K | $2K | 1 | $2K | 86 | 64 | 86 |
| West Virginia | $2K | $2K | 1 | $2K | 22 | 20 | 22 |
| Iowa | $1K | $1K | 1 | $1K | 18 | 16 | 18 |
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
5 more CPT-coded procedures — shown with a trial or subscription, under AMA licensing.
| Code | Medicare payments | Services | Largest state markets |
|---|---|---|---|
| J0897 · Injection, denosumab, 1 mg | $1.5M | 71,700 | TNOHCONYCA |
| J1568 · Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | $1.4M | 37,560 | TNOHCONYCA |
| J3380 · Injection, vedolizumab, intravenous, 1 mg | $566K | 38,400 | TNOHCONYCA |
| J1306 · Injection, inclisiran, 1 mg | $448K | 47,144 | TNOHCONYCA |
| J3111 · Injection, romosozumab-aqqg, 1 mg | $368K | 43,260 | TNOHCONYCA |
| J0585 · Injection, onabotulinumtoxina, 1 unit top by services | $158K | 32,700 | TNOHCONYCA |
| J7336 · Capsaicin 8% patch, per square centimeter top by services | $62K | 23,800 | TNOHCONYCA |
| J3145 · Injection, testosterone undecanoate, 1 mg top by services | $46K | 31,505 | TNOHCONYCA |
| J1071 · Injection, testosterone cypionate, 1 mg top by services | $413 | 31,014 | TNOHCONYCA |