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Medicare · fee-for-service Part B

Pediatric Medicine — Medicare Part B billing by state

$12.1M
Medicare payments
99
Physician groups
$122K
per group

99 physician groups whose primary specialty is Pediatric Medicine billed $12.1M 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

Physician groups whose primary specialty is Pediatric Medicine, by billing state · CY2023
State Standardized payments Medicare payments Groups Pay / group Services Benef.-episodes Svc / group
Colorado $2.4M $2.4M 1 $2.4M 56,853 1,858 56,853
Ohio $1.4M $1.3M 8 $169K 22,833 11,374 2,854
New York $1.4M $1.4M 14 $100K 64,265 3,195 4,590
California $1.3M $1.4M 17 $80K 92,740 11,793 5,455
Tennessee $1.1M $1.1M 6 $178K 99,430 4,143 16,572
Louisiana $739K $712K 8 $89K 10,077 5,141 1,260
Texas $565K $541K 7 $77K 21,024 6,986 3,003
North Carolina $471K $444K 5 $89K 8,060 5,925 1,612
Mississippi $452K $412K 1 $412K 42,241 5,680 42,241
New Jersey $389K $432K 4 $108K 5,313 2,806 1,328
Florida $348K $356K 9 $40K 7,404 4,291 823
Arizona $324K $315K 2 $157K 5,670 3,630 2,835
Alabama $225K $203K 2 $101K 3,019 2,227 1,510
Maryland $149K $154K 4 $38K 1,771 1,354 443
Kentucky $130K $118K 2 $59K 1,844 1,377 922
Washington $125K $125K 5 $25K 1,809 1,378 362
Connecticut $115K $118K 3 $39K 2,092 1,784 697
Nevada $110K $109K 3 $36K 3,050 1,599 1,017
Michigan $109K $111K 7 $16K 6,532 1,043 933
Massachusetts $69K $67K 2 $34K 1,768 494 884
Illinois $61K $63K 4 $16K 909 548 227
Indiana $59K $55K 1 $55K 660 543 660
Virginia $41K $41K 3 $14K 1,657 485 552
Oregon $33K $33K 1 $33K 3,609 518 3,609
Arkansas $25K $23K 1 $23K 514 347 514
Oklahoma $25K $22K 1 $22K 534 485 534
Pennsylvania $22K $22K 2 $11K 198 134 99
Minnesota $19K $16K 2 $8K 381 270 190
New Hampshire $16K $17K 2 $8K 257 206 128
South Dakota $3K $4K 1 $4K 72 32 72
Utah $589 $616 1 $616 12 12 12
Missouri $422 $422 1 $422 26 13 26
District of Columbia $89 $99 1 $99 14 12 14
Ranked by standardized payments — the cross-state basis (regional price differences removed); the bar tracks it. The Medicare payments column shows what Medicare actually paid. A state opens the ranked Pediatric Medicine groups for that state's biggest code, unless that code is CPT®-coded and withheld under AMA licensing — the state's name then stays unlinked.

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Each 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

5 more CPT-coded procedures — shown with a trial or subscription, under AMA licensing.

Code Medicare payments Services Largest state markets
J1556 · Injection, immune globulin (bivigam), 500 mg $1.2M 21,490 COOHNYCATN
J0897 · Injection, denosumab, 1 mg $1.0M 55,080 COOHNYCATN
J1568 · Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg $882K 26,180 COOHNYCATN
J3380 · Injection, vedolizumab, 1 mg $411K 23,700 COOHNYCATN
J3111 · Injection, romosozumab-aqqg, 1 mg $269K 33,705 COOHNYCATN
J1306 · Injection, inclisiran, 1 mg top by services $213K 22,720 COOHNYCATN
J0585 · Injection, onabotulinumtoxina, 1 unit top by services $171K 34,500 COOHNYCATN
J3145 · Injection, testosterone undecanoate, 1 mg top by services $38K 29,256 COOHNYCATN
J1071 · Injection, testosterone cypionate, 1 mg top by services $536 26,900 COOHNYCATN
Top codes by Medicare payments and by services (both rankings, duplicates merged; capped, never the full code list). “top by services” marks codes here on service volume rather than payments. Each code is searchable without an account; state links open the ranked groups for that code in that state.