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.

Data source: CMS Open Payments + Medicare Part B Coverage: 2023–2023 Providers analyzed: 1,418 State: New York
1,418
Providers Analyzed
With at least one payment on record
$137
Avg Medicare Payment
Per service across all procedures
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 Payments

Across 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.
Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →