Medicare provider payments and utilization data for Washington (WA)
Washington received $14.3B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Ophthalmology, accounting for $166.9M in payments across 360 providers.
In 2023, 25.9K providers were actively billing Medicare in Washington.
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 | $1.3B | 33.7M | 21.7K | — |
| 2015 | $1.3B | 36.1M | 22.6K | +5.3% |
| 2016 | $1.4B | 37.3M | 23.3K | +1.1% |
| 2017 | $1.4B | 39.8M | 24.1K | +4.3% |
| 2018 | $1.5B | 42.2M | 24.7K | +5.4% |
| 2019 | $1.5B | 42.5M | 25.2K | +2.2% |
| 2020 | $1.3B | 34.8M | 24.6K | -11.9% |
| 2021 | $1.5B | 38.9M | 25.6K | +14.6% |
| 2022 | $1.5B | 37.4M | 25.6K | -4.1% |
| 2023 | $1.5B | 38.0M | 25.9K | +3.0% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $147.3M | 1.8M | 10.9K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $63.3M | 1.1M | 9.7K |
| J0178 | Injection, aflibercept, 1 mg | $56.1M | 82.0K | 94 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $44.3M | 79.2K | 455 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $36.1M | 304.7K | 4.3K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $30.6M | 1.1M | 51 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $28.2M | 77.8K | 179 |
| 97530 | Therapy procedure using functional activities | $26.9M | 1.1M | 2.3K |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $25.2M | 268.0K | 2.4K |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $24.7M | 225.1K | 4.8K |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $23.3M | 377.8K | 3.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $23.1M | 177.2K | 2.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $22.4M | 53.7K | 117 |
| 81479 | Molecular pathology procedure | $22.1M | 3.8K | 6 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $20.7M | 1.1M | 2.4K |
| 99285 | Emergency department visit with high level of medical decision making | $17.1M | 124.4K | 1.0K |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $16.4M | 123.1K | 2.6K |
| J9271 | Injection, pembrolizumab, 1 mg | $15.4M | 367.2K | 33 |
| 27447 | Replacement of knee joint, both sides of knee | $14.7M | 12.4K | 318 |
| 92014 | Established patient complete exam of visual system | $13.3M | 159.1K | 790 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $166.9M | 360 | $463.7K |
| Ambulatory Surgical Center | $107.2M | 149 | $719.5K |
| Internal Medicine | $85.0M | 1.6K | $53.2K |
| Ambulance Service Provider | $79.5M | 189 | $420.6K |
| Clinical Laboratory | $76.8M | 55 | $1.4M |
| Diagnostic Radiology | $76.3M | 748 | $102.1K |
| Physical Therapist in Private Practice | $76.3M | 2.5K | $30.8K |
| Nurse Practitioner | $72.3M | 3.1K | $23.4K |
| Family Practice | $71.9M | 2.3K | $31.2K |
| Physician Assistant | $59.5M | 2.4K | $24.5K |
| Dermatology | $48.4M | 273 | $177.5K |
| Hematology-Oncology | $36.5M | 216 | $168.9K |
| Orthopedic Surgery | $36.4M | 471 | $77.3K |
| Radiation Oncology | $33.3M | 129 | $258.1K |
| Cardiology | $32.2M | 277 | $116.1K |
| Emergency Medicine | $28.8M | 844 | $34.1K |
| Mass Immunizer Roster Biller | $27.1M | 453 | $59.8K |
| Optometry | $23.3M | 801 | $29.0K |
| Hospitalist | $19.2M | 529 | $36.4K |
| Rheumatology | $18.7M | 109 | $172.0K |
| Podiatry | $18.5M | 271 | $68.4K |
| Gastroenterology | $18.1M | 331 | $54.6K |
| Pathology | $18.0M | 250 | $72.1K |
| Nephrology | $17.6M | 183 | $96.3K |
| Neurology | $17.3M | 360 | $48.0K |
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.