Medicare provider payments and utilization data for District of Columbia (DC)
District of Columbia received $2.0B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Internal Medicine, accounting for $27.5M in payments across 486 providers.
In 2023, 3.7K providers were actively billing Medicare in District of Columbia.
Annual Medicare spending grew 31% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $172.7M | 3.4M | 2.9K | — |
| 2015 | $179.7M | 3.4M | 3.0K | +4.1% |
| 2016 | $187.3M | 3.7M | 3.2K | +4.3% |
| 2017 | $198.3M | 3.8M | 3.3K | +5.8% |
| 2018 | $205.9M | 4.1M | 3.5K | +3.8% |
| 2019 | $212.8M | 4.2M | 3.5K | +3.4% |
| 2020 | $185.5M | 3.6M | 3.4K | -12.8% |
| 2021 | $229.5M | 4.3M | 3.5K | +23.8% |
| 2022 | $215.5M | 4.3M | 3.6K | -6.1% |
| 2023 | $226.3M | 4.4M | 3.7K | +5.0% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $21.5M | 224.9K | 1.4K |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $11.5M | 114.2K | 653 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $10.3M | 152.7K | 1.2K |
| Q4262 | Dual layer impax membrane, per square centimeter | $9.3M | 8.7K | 2 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $8.1M | 60.5K | 656 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $6.4M | 96.3K | 644 |
| 99291 | Critical care, first 30-74 minutes | $6.0M | 33.2K | 405 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $5.1M | 35.8K | 613 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $4.3M | 34.0K | 665 |
| Q4276 | Orion, per square centimeter | $4.2M | 3.6K | 1 |
| 99285 | Emergency department visit with high level of medical decision making | $4.0M | 27.1K | 251 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $3.0M | 21.0K | 247 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $2.8M | 34.7K | 61 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $2.7M | 7.2K | 2 |
| 77067 | Screening mammography | $2.6M | 28.7K | 50 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $2.5M | 22.5K | 77 |
| J0178 | Injection, aflibercept, 1 mg | $2.3M | 3.4K | 6 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $2.2M | 4.8K | 2 |
| J9271 | Injection, pembrolizumab, 1 mg | $2.2M | 50.2K | 2 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | $2.1M | 54.0K | 57 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Internal Medicine | $27.5M | 486 | $56.5K |
| Diagnostic Radiology | $17.2M | 144 | $119.3K |
| Podiatry | $16.0M | 41 | $390.1K |
| Ophthalmology | $12.4M | 62 | $200.5K |
| Cardiology | $10.7M | 79 | $135.5K |
| Nurse Practitioner | $7.6M | 374 | $20.4K |
| Emergency Medicine | $7.0M | 219 | $31.8K |
| Neurology | $6.7M | 85 | $78.5K |
| Orthopedic Surgery | $6.5M | 54 | $120.4K |
| Nephrology | $6.2M | 46 | $134.7K |
| Dermatology | $6.1M | 53 | $114.6K |
| Physical Therapist in Private Practice | $5.6M | 162 | $34.7K |
| Ambulance Service Provider | $5.3M | 2 | $2.7M |
| Hematology-Oncology | $5.0M | 49 | $103.0K |
| General Surgery | $5.0M | 90 | $55.4K |
| Hospitalist | $3.9M | 70 | $56.4K |
| Pathology | $3.8M | 56 | $68.0K |
| Urology | $3.8M | 34 | $110.5K |
| Family Practice | $3.7M | 118 | $31.1K |
| Rheumatology | $3.4M | 28 | $122.9K |
| Radiation Oncology | $3.4M | 19 | $181.1K |
| Pulmonary Disease | $3.3M | 48 | $67.7K |
| Gastroenterology | $3.2M | 53 | $61.0K |
| Anesthesiology | $3.2M | 186 | $17.3K |
| Otolaryngology | $3.0M | 36 | $82.1K |
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.