Medicare Physician Bonus Payment Eligibility Analyzer
Enter an address to see if it’s in a Health Professional Shortage Area (HPSA) that is eligible for a Medicare Physician Bonus.
Please provide a street address, city, and state or a street address and ZIP Code.
Medicare makes bonus payments to physicians who provide medical care services in geographic areas that are HRSA-designated as primary medical care Health Professional Shortage Areas (HPSAs) and to psychiatrists who provide services in HRSA-designated mental health HPSAs.
Effective for claims with dates of service on or after January 1, 2009, only services furnished in areas that are designated as geographic HPSAs as of December 31 of the prior year are eligible for the HPSA bonus payment.
Services furnished in areas that are designated at any time during the current year will not be eligible for the HPSA bonus payment until the following year, provided they are still designated on December 31.
See Health Professional Shortage Area (HPSA) Bonus Payment Policy Changes PDF . This is MLN Matters Article #MM6106, CMS Change Request #6106.
Only the Centers for Medicare & Medicaid Services (CMS) can provide more information on the physician bonus. For more information, please see the Physician Bonuses page on CMS.gov.
There are some upcoming changes to the list of areas eligible for the Medicare bonus payments. Please see the Physician Bonuses page.