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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Specialties
  3. Physician Assistant

Physician Assistant

Medicare spending analysis for Physician Assistant providers

🔎 Data Analysis

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.

⚠️

2 AI-Flagged Physician Assistant Providers

Providers in this specialty flagged by the ML v2 fraud detection model

Kelly SmartTN
88.8%
Jessica FulkNC
87.7%
View all ML-flagged providers →
Total Payments (10yr)
$16.1B
Top Providers
50
States with Providers
59

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$967.5M24.8M49.3K—
2015$1.1B29.1M54.2K+14.8%
2016$1.3B32.9M59.7K+12.6%
2017$1.4B38.1M65.1K+11.7%
2018$1.5B43.3M70.3K+10.0%
2019$1.7B49.3M75.7K+12.4%
2020$1.6B44.7M77.1K-7.9%
2021$2.0B52.6M82.4K+28.6%
2022$2.2B58.4M89.0K+5.8%
2023$2.3B62.7M95.0K+8.3%

Top Physician Assistant Providers

#ProviderStatePaymentsServicesAvg/Service
1Nicholas BaiCA$6.0M11.4K$522.70
2Thai PhouCA$4.7M5.8K$815.69
3Raymond WawrowskiOH$4.7M7.3K$645.02
4Ryan WolfCO$4.6M10.6K$437.51
5Scott CooperOK$4.4M5.7K$764.11
6Collin PerriWA$3.8M3.6K$1.0K
7Brooke HeyingCA$3.5M3.9K$881.18
8Stephen PriceLA$3.4M12.9K$261.22
9Jennifer DouglasSC$2.9M168.0K$17.39
10Nasira KhanTX$2.5M218.7K$11.54
11Demijon DicenCA$2.3M4.0K$587.26
12Alla ShabtaiNY$2.3M45.9K$49.70
13Sara RosadoTX$2.2M2.0K$1.1K
14Gilbert VegaAZ$2.2M183.0K$12.22
15Yosef SeewaldNY$2.1M44.9K$46.39
16Amita SaggiCA$2.1M181.2K$11.49
17Racquel VolkowitzNY$2.0M39.6K$50.76
18Mischelle JohnsonAZ$2.0M2.7K$742.36
19Shane ManalangCA$2.0M29.8K$66.53
20John SmockAZ$2.0M155.4K$12.60
21Elizabeth ChenCO$1.9M4.6K$425.65
22Adam BakerNV$1.8M3.6K$492.76
23Kristin BourgGA$1.8M5.8K$301.60
24Wei WuCA$1.7M2.3K$740.54
25Okwudiri EchegiCA$1.7M2.2K$766.82

Top Procedures

CodeDescriptionPaymentsServicesAvg/Service
99214Established patient office or other outpatient visit, 30-39 minutes$435.1M6.1M$71.63
99213Established patient office or other outpatient visit, 20-29 minutes$353.6M7.0M$50.82
99285Emergency department visit with high level of medical decision making$72.7M621.5K$116.91
99203New patient office or other outpatient visit, 30-44 minutes$68.0M1.1M$61.63
99204New patient office or other outpatient visit, 45-59 minutes$68.0M714.1K$95.25
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$60.2M852.8K$70.53
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$51.7M982.1K$52.66
99284Emergency department visit with moderate level of medical decision making$50.0M647.7K$77.17
99215Established patient office or other outpatient visit, 40-54 minutes$47.5M471.7K$100.64
17110Destruction of skin growth, 1-14 growths$41.9M642.2K$65.24
11102Biopsy of related skin growth, first growth$40.8M753.3K$54.16
17000Destruction of precancer skin growth, 1 growth$39.9M1.3M$30.66
20610Aspiration and/or injection of fluid from large joint$39.7M928.3K$42.78
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes$39.0M771.1K$50.55
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$38.9M382.9K$101.61
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$35.1M441.7K$79.43
J0897Injection, denosumab, 1 mg$28.0M1.5M$18.21
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$27.9M244.9K$113.95
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes$22.4M279.6K$80.22
27447Replacement of knee joint, both sides of knee$22.3M163.1K$136.62

Geographic Distribution

CA
$219.4M
5.8K providers
FL
$200.3M
5.7K providers
NY
$142.6M
7.0K providers
NC
$136.4M
5.6K providers
TX
$125.7M
5.2K providers
PA
$105.4M
6.0K providers
AZ
$78.7M
2.3K providers
VA
$74.9M
2.7K providers
MD
$70.7M
2.0K providers
MA
$68.7M
2.7K providers
IL
$67.9M
2.8K providers
GA
$67.2M
2.7K providers
WA
$59.5M
2.4K providers
OH
$59.1M
3.3K providers
NJ
$57.8M
2.0K providers
CO
$55.6M
2.3K providers
MI
$55.6M
3.8K providers
SC
$55.2M
1.6K providers
TN
$49.8M
1.9K providers
OK
$42.4M
1.2K providers
MN
$40.7M
2.7K providers
OR
$33.5M
1.6K providers
CT
$32.4M
1.8K providers
WI
$31.5M
2.4K providers
IN
$30.8M
1.6K providers
NV
$29.4M
771 providers
KY
$25.9M
1.1K providers
KS
$24.6M
849 providers
IA
$23.1M
926 providers
NE
$22.6M
903 providers

Related

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

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.