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The Doctors and Services in Medicare Part B

Medicare recently released, for the first time, details on 2012 payments to individual doctors and other health professionals serving the 46 million seniors and disabled in its Part B program. Part B covers services as varied as office visits, ambulance mileage, lab tests, and the doctor’s fee for open-heart surgery. Use this tool to find and compare providers. | Related story »

Mental Health Providers Score Highest in Intensity of Office Visits

Office visits are reimbursed on a scale of 1-5, with 5 being the most intensive and costly. Mental health professionals bill Medicare for level 5 visits most frequently compared to other specialties, with cancer doctors following close behind.
Here’s the breakdown of office visits by specialty (for patients seen at least once before).

By Level 5 Visits
By Top Specialties
The bigger the slice, the higher percentage of office visits at that level. Hover over each slice to see more detail.

Arranged by specialties with highest % of level 5 visits.

Arranged by specialties with most services performed.

Medicare Payments by State

State Payments
National $77.3B
California $7.86B
Florida $7.62B
Texas $5.66B
New York $5.45B
New Jersey $3.56B
Illinois $3.39B
Pennsylvania $3.13B
Michigan $2.79B
North Carolina $2.78B
Ohio $2.47B
Georgia $2.21B
Virginia $2.03B
Tennessee $1.85B
Massachusetts $1.81B
Maryland $1.76B
Arizona $1.59B
Indiana $1.53B
Alabama $1.49B
Missouri $1.43B
South Carolina $1.34B
Washington $1.24B
Kentucky $1.14B
Connecticut $1.02B
Louisiana $1.02B
Wisconsin $924M
Oklahoma $810M
Colorado $775M
Arkansas $754M
Kansas $734M
Mississippi $727M
Minnesota $628M
Iowa $615M
Nevada $607M
Oregon $512M
West Virginia $448M
Nebraska $413M
Utah $359M
Delaware $303M
Maine $300M
New Mexico $288M
New Hampshire $276M
Rhode Island $253M
South Dakota $189M
Idaho $181M
District of Columbia $173M
Hawaii $166M
Montana $164M
North Dakota $138M
Puerto Rico $120M
Vermont $103M
Alaska $85.6M
Wyoming $80.8M
Guam $11.9M
Virgin Islands $9.76M

Additonal design & development:

Sisi Wei and Mike Tigas

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Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.