Medicare spending analysis for Physician Assistant providers
Physician Assistant accounts for $16.1B in Medicare payments across 717.7K providers.
The specialty's average markup of 4.8x is above the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
Providers in this specialty flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $967.5M | 24.8M | 49.3K | — |
| 2015 | $1.1B | 29.1M | 54.2K | +14.8% |
| 2016 | $1.3B | 32.9M | 59.7K | +12.6% |
| 2017 | $1.4B | 38.1M | 65.1K | +11.7% |
| 2018 | $1.5B | 43.3M | 70.3K | +10.0% |
| 2019 | $1.7B | 49.3M | 75.7K | +12.4% |
| 2020 | $1.6B | 44.7M | 77.1K | -7.9% |
| 2021 | $2.0B | 52.6M | 82.4K | +28.6% |
| 2022 | $2.2B | 58.4M | 89.0K | +5.8% |
| 2023 | $2.3B | 62.7M | 95.0K | +8.3% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Nicholas Bai | CA | $6.0M | 11.4K | $522.70 |
| 2 | Thai Phou | CA | $4.7M | 5.8K | $815.69 |
| 3 | Raymond Wawrowski | OH | $4.7M | 7.3K | $645.02 |
| 4 | Ryan Wolf | CO | $4.6M | 10.6K | $437.51 |
| 5 | Scott Cooper | OK | $4.4M | 5.7K | $764.11 |
| 6 | Collin Perri | WA | $3.8M | 3.6K | $1.0K |
| 7 | Brooke Heying | CA | $3.5M | 3.9K | $881.18 |
| 8 | Stephen Price | LA | $3.4M | 12.9K | $261.22 |
| 9 | Jennifer Douglas | SC | $2.9M | 168.0K | $17.39 |
| 10 | Nasira Khan | TX | $2.5M | 218.7K | $11.54 |
| 11 | Demijon Dicen | CA | $2.3M | 4.0K | $587.26 |
| 12 | Alla Shabtai | NY | $2.3M | 45.9K | $49.70 |
| 13 | Sara Rosado | TX | $2.2M | 2.0K | $1.1K |
| 14 | Gilbert Vega | AZ | $2.2M | 183.0K | $12.22 |
| 15 | Yosef Seewald | NY | $2.1M | 44.9K | $46.39 |
| 16 | Amita Saggi | CA | $2.1M | 181.2K | $11.49 |
| 17 | Racquel Volkowitz | NY | $2.0M | 39.6K | $50.76 |
| 18 | Mischelle Johnson | AZ | $2.0M | 2.7K | $742.36 |
| 19 | Shane Manalang | CA | $2.0M | 29.8K | $66.53 |
| 20 | John Smock | AZ | $2.0M | 155.4K | $12.60 |
| 21 | Elizabeth Chen | CO | $1.9M | 4.6K | $425.65 |
| 22 | Adam Baker | NV | $1.8M | 3.6K | $492.76 |
| 23 | Kristin Bourg | GA | $1.8M | 5.8K | $301.60 |
| 24 | Wei Wu | CA | $1.7M | 2.3K | $740.54 |
| 25 | Okwudiri Echegi | CA | $1.7M | 2.2K | $766.82 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $435.1M | 6.1M | $71.63 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $353.6M | 7.0M | $50.82 |
| 99285 | Emergency department visit with high level of medical decision making | $72.7M | 621.5K | $116.91 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | $68.0M | 1.1M | $61.63 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $68.0M | 714.1K | $95.25 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $60.2M | 852.8K | $70.53 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $51.7M | 982.1K | $52.66 |
| 99284 | Emergency department visit with moderate level of medical decision making | $50.0M | 647.7K | $77.17 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $47.5M | 471.7K | $100.64 |
| 17110 | Destruction of skin growth, 1-14 growths | $41.9M | 642.2K | $65.24 |
| 11102 | Biopsy of related skin growth, first growth | $40.8M | 753.3K | $54.16 |
| 17000 | Destruction of precancer skin growth, 1 growth | $39.9M | 1.3M | $30.66 |
| 20610 | Aspiration and/or injection of fluid from large joint | $39.7M | 928.3K | $42.78 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | $39.0M | 771.1K | $50.55 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $38.9M | 382.9K | $101.61 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $35.1M | 441.7K | $79.43 |
| J0897 | Injection, denosumab, 1 mg | $28.0M | 1.5M | $18.21 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $27.9M | 244.9K | $113.95 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $22.4M | 279.6K | $80.22 |
| 27447 | Replacement of knee joint, both sides of knee | $22.3M | 163.1K | $136.62 |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.