Medicare · fee-for-service Part B

Pennsylvania — total Medicare claims by state

49.8M

Services billed

$1.9B

Medicare payments

4,284

Physician groups

3.4%

of the national total

314K

Inpatient discharges · FY2024

83.5M

Part D claims · CY2024

Physician groups in Pennsylvania billed 49,765,977 Medicare Part B services in 2024, totaling $1.9B in Medicare payments — 3.4% of the national total.

Calendar year 2024 · Medicare fee-for-service Part B

Pennsylvania billing by specialty

Physician groups billing in Pennsylvania, by primary specialty · CY2024

Primary specialty	Services	Medicare payments	Groups
Diagnostic Radiology	8.0M	$334.1M	224
Physical Therapist in Private Practice	6.6M	$135.8M	409
Internal Medicine	5.5M	$262.8M	463
Family Practice	4.8M	$215.0M	431
Rheumatology	4.5M	$67.4M	16
Hematology/Oncology	4.1M	$71.0M	28
Ophthalmology	2.0M	$155.0M	140
Orthopedic Surgery	1.8M	$38.5M	77
Dermatology	1.8M	$89.8M	109
Hospitalist	1.2M	$57.9M	49
Podiatry	832K	$30.1M	127
Cardiovascular Disease (Cardiology)	822K	$60.0M	84
Medical Oncology	808K	$10.7M	6
Optometry	714K	$48.2M	244
Physical Medicine and Rehabilitation	608K	$17.2M	41
Urology	596K	$27.2M	12
Emergency Medicine	369K	$32.1M	258
Gastroenterology	358K	$19.0M	33
Neurology	338K	$2.9M	38
Allergy/Immunology	328K	$6.8M	25
Anesthesiology	311K	$19.9M	230
Nurse Practitioner	296K	$10.3M	46
Nephrology	295K	$24.6M	42
Chiropractic	247K	$6.4M	265
Otolaryngology	196K	$9.0M	45
Pathology	183K	$5.3M	39
Clinical Social Worker	182K	$12.3M	136
Occupational Therapist in Private Practice	159K	$3.5M	31
Obstetrics/Gynecology	154K	$7.5M	39
Hematology	150K	$3.2M	1
Psychiatry	145K	$8.0M	114
Infectious Disease	143K	$5.2M	17
Pulmonary Disease	129K	$10.0M	19
Pain Management	121K	$5.1M	17
Mental Health Counselor	98,180	$6.8M	85
General Surgery	96,945	$7.0M	51
Radiation Oncology	96,504	$9.4M	12
Qualified Audiologist	78,954	$4.4M	39
Vascular Surgery	75,711	$2.2M	5
Clinical Psychologist	73,795	$5.7M	71
Cardiac Electrophysiology	44,657	$2.4M	4
Endocrinology	44,544	$1.9M	11
Interventional Pain Management	39,687	$698K	7
General Practice	30,187	$3.0M	12
Interventional Cardiology	22,798	$1.9M	5
Micrographic Dermatologic Surgery (MDS)	19,660	$1.5M	1
Critical Care (Intensivists)	17,427	$1.8M	11
Plastic and Reconstructive Surgery	14,949	$954K	14
Neurosurgery	14,267	$1.4M	9
Colorectal Surgery (Proctology)	14,029	$4.0M	5
Geriatric Medicine	13,985	$934K	5
Hand Surgery	7,374	$223K	4
Certified Registered Nurse Anesthetist (CRNA)	6,192	$548K	23
Registered Dietitian or Nutrition Professional	6,114	$170K	9
Osteopathic Manipulative Medicine	5,746	$251K	1
Maxillofacial Surgery	3,511	$201K	10
Addiction Medicine	3,432	$188K	1
Interventional Radiology	3,216	$697K	2
Oral Surgery	2,007	$160K	9
Neuropsychiatry	1,963	$159K	1
Hospice/Palliative Care	1,864	$137K	2
Physician Assistant	1,694	$134K	2
Cardiac Surgery	1,562	$219K	2
Thoracic Surgery	1,555	$475K	3
Qualified Speech Language Pathologist	1,421	$56K	4
Peripheral Vascular Disease	720	$248K	1
Pediatric Medicine	669	$45K	3
Surgical Oncology	358	$60K	1
Marriage and Family Therapist	152	$10K	1
Sleep Medicine	79	$5K	1
Dentist	67	$5K	2

Ranked by services billed. Each linked specialty opens its highest-billed code in Pennsylvania; when that code is not shown, it opens the specialty's own page.

Pennsylvania hospital inpatient by MS-DRG

Hospital inpatient stays in Pennsylvania, by MS-DRG · FY2024 (Oct–Sep)

MS-DRG	Discharges	Share of national
871 · SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	23,285	4.0%
291 · HEART FAILURE AND SHOCK WITH MCC	15,677	5.1%
177 · RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	5,983	4.2%
193 · SIMPLE PNEUMONIA AND PLEURISY WITH MCC	5,386	3.9%
872 · SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	4,810	4.5%
392 · ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	4,679	5.2%
690 · KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	4,478	4.7%
189 · PULMONARY EDEMA AND RESPIRATORY FAILURE	4,265	4.5%
683 · RENAL FAILURE WITH CC	4,173	5.1%
378 · GASTROINTESTINAL HEMORRHAGE WITH CC	3,780	4.7%
470 · MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	3,741	5.8%
853 · INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	3,474	4.2%
065 · INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	3,420	4.7%
689 · KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	3,312	3.9%
309 · CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	3,281	5.0%
682 · RENAL FAILURE WITH MCC	3,276	4.2%
698 · OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	3,198	4.1%
603 · CELLULITIS WITHOUT MCC	3,147	5.2%
641 · MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	2,987	4.5%
552 · MEDICAL BACK PROBLEMS WITHOUT MCC	2,936	5.9%
312 · SYNCOPE AND COLLAPSE	2,918	5.1%
640 · MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	2,861	3.7%
481 · HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	2,764	4.1%
064 · INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	2,626	3.9%
280 · ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	2,441	2.8%

Top 25 of 678 MS-DRGs with published discharges in Pennsylvania, ranked by discharges. Share is this state's discharges against the DRG's national total (both from CMS's by-geography inpatient file, so a share never exceeds 100%). Each DRG opens its market for Pennsylvania. Discharges are counted stays under Medicare fee-for-service Part A (no Medicare Advantage), Maryland waiver-priced.

Pennsylvania Part D medications

Part D medications prescribed in Pennsylvania, by claims · CY2024

Medication	Claims	30-day fills	Share of national
Atorvastatin Calcium	3.7M	8.7M	5.1%
Amlodipine Besylate	2.5M	5.6M	4.9%
Levothyroxine Sodium	2.2M	4.7M	5.1%
Lisinopril	2.0M	4.7M	5.4%
Metoprolol Succinate	1.8M	4.1M	5.6%
Gabapentin	1.7M	2.6M	4.7%
Pantoprazole Sodium	1.5M	3.0M	6.0%
Rosuvastatin Calcium	1.5M	3.9M	5.0%
Losartan Potassium	1.5M	3.7M	4.2%
Omeprazole	1.5M	3.2M	5.2%
Apixaban · Eliquis	1.5M	2.2M	6.0%
Furosemide	1.3M	2.4M	5.7%
Metformin Hcl	1.2M	2.6M	4.8%
Tamsulosin Hcl	1.0M	2.2M	4.9%
Sertraline Hcl	949K	1.7M	5.9%
Metoprolol Tartrate	933K	1.9M	5.9%
Hydrochlorothiazide	908K	2.2M	4.9%
Albuterol Sulfate · Albuterol Sulfate Hfa	885K	1.0M	4.8%
Prednisone	852K	1.0M	5.4%
Simvastatin	842K	2.1M	5.6%
Famotidine	784K	1.5M	5.6%
Trazodone Hcl	763K	1.2M	4.1%
Potassium Chloride	726K	1.2M	5.0%
Carvedilol	724K	1.5M	4.6%
Duloxetine Hcl	709K	1.3M	5.4%

Ranked by claims: the 25 of 2,760 medications CMS publishes for Pennsylvania with the most claims in CY2024. Medications are shown as CMS prints them, at the brand-and-generic grain CMS publishes. Geography is the prescriber's state as CMS files it: claims are counted where the prescriber sits, not where the pharmacy or the patient is. A claim is one dispensed fill, refills included; it is not a prescription written and not a patient count. 30-day fills restate claims to a 30-day supply, so a 90-day fill counts as three. Share is this state's claims against the total CMS publishes for the medication nationally. Claims are Medicare Part D drug-plan claims, Medicare Advantage plans included. Drug cost and prescriber figures are not part of this page.

Figures are attributable Medicare billing: each service is credited to a physician group only when the clinician who billed it belongs to exactly one group in CMS's Doctors and Clinicians register. Clinicians registered with more than one group, and groups without a specialty label, are not included in the specialty table above.

The physician-billing figures are Medicare fee-for-service Part B, and the hospital inpatient figures Medicare fee-for-service Part A — Medicare Advantage is not included in these. The Part D medication claims are the exception: they are drug-plan claims and include Medicare Advantage drug plans. A county- or city-level total for Pennsylvania is not published here — see methods for why. Search a specific procedure code and state on the code browser for the ranked physician groups behind these totals.