Medicare provider payments and utilization data for New York (NY)
New York received $58.2B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Internal Medicine, accounting for $614.2M in payments across 7.6K providers.
In 2023, 80.5K providers were actively billing Medicare in New York.
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 | $5.4B | 137.4M | 66.8K | — |
| 2015 | $5.5B | 142.6M | 68.5K | +2.9% |
| 2016 | $5.7B | 147.0M | 70.4K | +2.7% |
| 2017 | $5.7B | 146.7M | 72.3K | -0.2% |
| 2018 | $5.7B | 148.7M | 73.9K | +1.3% |
| 2019 | $6.0B | 155.9M | 76.2K | +4.8% |
| 2020 | $5.3B | 134.0M | 75.2K | -12.6% |
| 2021 | $6.3B | 151.8M | 77.5K | +19.9% |
| 2022 | $6.2B | 152.7M | 79.4K | -1.2% |
| 2023 | $6.3B | 163.3M | 80.5K | +1.8% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $577.5M | 6.0M | 30.4K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $379.9M | 5.5M | 31.4K |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $162.9M | 2.4M | 11.8K |
| J0178 | Injection, aflibercept, 1 mg | $159.4M | 231.7K | 230 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $136.6M | 1.3M | 8.6K |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $132.2M | 6.7M | 6.8K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | $108.7M | 9.4M | 1.8K |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | $105.9M | 1.7M | 2.4K |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $92.9M | 703.8K | 14.2K |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $89.6M | 1.1M | 2.1K |
| 97530 | Therapy procedure using functional activities | $88.4M | 3.1M | 4.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $86.7M | 237.0K | 487 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $83.9M | 612.5K | 8.3K |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $80.4M | 546.8K | 8.7K |
| 99285 | Emergency department visit with high level of medical decision making | $79.6M | 533.6K | 4.1K |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $72.5M | 3.0M | 5.1K |
| 99291 | Critical care, first 30-74 minutes | $71.0M | 381.0K | 4.7K |
| 66984 | Removal of cataract with insertion of prosthetic lens | $70.6M | 166.1K | 677 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $70.2M | 522.2K | 6.3K |
| 92014 | Established patient complete exam of visual system | $65.1M | 676.1K | 2.2K |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Internal Medicine | $614.2M | 7.6K | $80.6K |
| Ophthalmology | $489.0M | 1.4K | $352.1K |
| Cardiology | $367.1M | 2.0K | $188.2K |
| Diagnostic Radiology | $357.1M | 2.4K | $147.1K |
| Physical Therapist in Private Practice | $341.3M | 6.0K | $57.1K |
| Clinical Laboratory | $224.7M | 89 | $2.5M |
| Ambulance Service Provider | $224.1M | 512 | $437.7K |
| Nurse Practitioner | $220.8M | 8.5K | $25.9K |
| Family Practice | $217.5M | 3.5K | $61.7K |
| Dermatology | $157.9M | 929 | $170.0K |
| Podiatry | $156.7M | 1.6K | $99.8K |
| Ambulatory Surgical Center | $146.2M | 157 | $931.0K |
| Physician Assistant | $142.6M | 7.0K | $20.4K |
| Hematology-Oncology | $141.7M | 592 | $239.4K |
| Emergency Medicine | $137.5M | 3.5K | $39.5K |
| Orthopedic Surgery | $133.6M | 1.3K | $105.7K |
| Neurology | $125.8M | 1.4K | $92.6K |
| Mass Immunizer Roster Biller | $113.6M | 1.7K | $67.6K |
| Nephrology | $103.8M | 675 | $153.7K |
| Gastroenterology | $100.2M | 1.3K | $76.6K |
| Urology | $100.2M | 715 | $140.1K |
| Pathology | $91.1M | 961 | $94.8K |
| Pulmonary Disease | $85.6M | 802 | $106.8K |
| Hospitalist | $81.6M | 1.5K | $54.1K |
| Physical Medicine and Rehabilitation | $76.3M | 783 | $97.4K |
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.