Data Analysis
Medicare Costs by Specialty in New York
Medicare reimbursement rates vary significantly across medical specialties. This analysis examines average Medicare payments per service for providers in New York, ranked by reimbursement level. Understanding these differences helps contextualize specialty costs and resource allocation across the healthcare system.
Context: Industry payments to physicians are legally required to be disclosed under the Physician Payments Sunshine Act.
Receiving payments does not imply wrongdoing. Payments may reflect consulting expertise, research participation, or speaking engagements.
This data is provided to support transparency, not to render clinical judgments.
Average Medicare Payment by Specialty — New York
CMS Open Payments| # | Specialty | Avg Medicare Payment | Providers | Total Services |
|---|---|---|---|---|
| 1 | Dentist - General Practice | $747 | 11 | 2,988 |
| 2 | Dentist | $366 | 23 | 4,044 |
| 3 | Special Hospital | $358 | 3 | 445 |
| 4 | Oral & Maxillofacial Surgery (D.M.D.) | $342 | 11 | 2,183 |
| 5 | Addiction Medicine (Anesthesiology) Physician | $250 | 1 | 226 |
| 6 | Neurodevelopmental Disabilities Physician | $226 | 1 | 287 |
| 7 | Clinical Biochemical Genetics Physician | $192 | 1 | 15 |
| 8 | Vascular Surgery | $184 | 65 | 21,212 |
| 9 | Pain Management Registered Nurse | $181 | 4 | 227 |
| 10 | Plastic Surgery | $180 | 131 | 57,524 |
| 11 | Clinical Informatics (Pathology) Physician | $169 | 1 | 117 |
| 12 | MOHS-Micrographic Surgery Physician | $164 | 46 | 138,179 |
| 13 | Neurocritical Care Physician | $159 | 22 | 5,202 |
| 14 | Ambulatory Surgical Clinic/Center | $155 | 1 | 87 |
| 15 | Clinical Cytogenetics Physician | $152 | 1 | 2,347 |
| 16 | Colon & Rectal Surgery | $149 | 92 | 35,270 |
| 17 | Vascular Surgery Physician | $137 | 242 | 299,803 |
| 18 | Transplant Surgery Physician | $134 | 60 | 20,940 |
| 19 | Radiology - Diagnostic | $132 | 262 | 474,720 |
| 20 | Periodontics | $129 | 1 | 26 |
| 21 | Neurological Surgery | $129 | 276 | 105,655 |
| 22 | Brain Injury Medicine (Psychiatry & Neurology) Physician | $127 | 1 | 156 |
| 23 | Nuclear Imaging & Therapy Physician | $125 | 10 | 21,748 |
| 24 | Surgery of the Hand (Plastic Surgery) Physician | $124 | 18 | 2,970 |
| 25 | Oral Medicine Dentistry | $123 | 1 | 256 |
| 26 | Retina Specialist (Ophthalmology) Physician | $123 | 61 | 480,048 |
| 27 | Medical Toxicology (Emergency Medicine) Physician | $123 | 13 | 2,865 |
| 28 | Oral and Maxillofacial Surgery (Dentist) | $121 | 57 | 4,133 |
| 29 | Cardiology Technician | $121 | 1 | 100 |
| 30 | Student Health Clinic/Center | $120 | 1 | 155 |
State payment context — New York
CMS Open PaymentsAcross 108,980 New York providers with at least one disclosed industry payment over 2018–2024, the median provider received $347 in total payments, compared with a national median of $339 across 1,571,086 paid providers.
New York accounts for 7.7% of the $16,205,257,917 in industry payments recorded nationwide in this database, and its per-provider median runs above the national benchmark.
Top specialties by median industry payment — New York
| Specialty | Median per provider | Providers paid | Total payments |
|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | $15,845 | 87 | $19,675,856 |
| Orthopaedic Surgery of the Spine Physician | $12,505 | 123 | $52,766,183 |
| Sports Medicine (Orthopaedic Surgery) Physician | $9,366 | 154 | $15,594,551 |
| Adult Reconstructive Orthopaedic Surgery Physician | $8,820 | 71 | $8,232,265 |
| Orthopaedic Trauma Physician | $7,360 | 48 | $3,811,262 |
Industry payments in New York by year
| Year | Total payments | Providers paid | Transactions |
|---|---|---|---|
| 2018 | $193,760,706 | 43,373 | 730,279 |
| 2019 | $219,218,416 | 42,953 | 716,953 |
| 2020 | $110,096,814 | 34,104 | 396,763 |
| 2021 | $140,533,962 | 51,213 | 746,103 |
| 2022 | $201,495,928 | 57,438 | 869,963 |
| 2023 | $184,733,468 | 62,301 | 949,874 |
| 2024 | $191,700,322 | 65,744 | 1,019,975 |
Methodology
Average Medicare payment per service calculated from Medicare Part B Utilization data for providers licensed in New York. Only specialties with at least one recorded procedure are included. Average reflects the mean of per-service payment amounts across all procedures within each specialty grouping, not total expenditure. Data source: CMS Medicare Part B Utilization, accessed via doctransparency.com database.