Top billers

Who bills what, in your state.

Every year CMS publishes what every provider bills Medicare. These pages rank it for you: one code family, one state at a time, with the top billers named and the totals behind them. It's a small taste of what Prospect 811 does on all 535 million records.

Code families

Pick a family.

Wound care, collagen ordering, drug testing, pathology, and clinical labs so far. More families land as we expand; tell us which codes you want at [email protected].

Skin Substitutes

Top skin substitute billers, by state →

2,116 providers · 1,142,324 services · $665.4M est. Medicare paid (2024) · 40 state pages

Wound Debridement

Top wound debridement billers, by state →

14,105 providers · 3,625,990 services · $256.2M est. Medicare paid (2024) · 51 state pages

Collagen Dressings

Top collagen-ordering providers, by state →

2,732 providers · 3,156,624 services · $118.1M est. Medicare paid (2023) · 41 state pages

Drug Testing

Top drug testing billers, by state →

9,439 providers · 4,374,689 services · $480.2M est. Medicare paid (2024) · 49 state pages

Surgical Pathology

Top surgical pathology billers, by state →

14,961 providers · 28,916,624 services · $1.1B est. Medicare paid (2024) · 51 state pages

Clinical Laboratories

Top clinical laboratories, by state →

2,690 clinical laboratories · 304,353,833 services · $6.9B est. Medicare paid (2024) · 40 state pages

Industry payments

Not just what they bill. Who pays them.

The same public-record approach, applied to Sunshine Act data: manufacturer payments to clinicians, state by state.

Open Payments

Who pays clinicians, by state →

Stryker, Medtronic, Johnson & Johnson, and 9 more device makers · general-payment totals, payment mix, and top products from CMS Sunshine Act data (2025) · no clinician named

Billing codes

One code, one page, the whole market.

The other axis: instead of one code family by state, one national page per code, with the fee, the volume, and the top billers.

CPT & HCPCS

Who bills Medicare’s top codes →

250 codes ranked by national claims volume · CMS descriptions · year-labeled Medicare fees · top 5 billers named per code (2024)

Where these numbers come from. Everything on this page is computed from CMS's public Medicare Provider Utilization & Payment data for 2024, the most recent year CMS has released. It covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage). CMS suppresses any provider-and-code line with fewer than 11 beneficiaries before publishing, so low-volume billers don't appear at all. "Est. Medicare paid" is each billing line's average Medicare payment multiplied by its service count, summed. One service is one billed service line unit as CMS reports it. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

Don't wait for us to publish your codes.

Prospect 811 runs this analysis on any HCPCS, CPT, or drug, in your exact territory, today. $79/month, no contract, 14-day refund.

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