HCPCS 0001A

Other service (ClaimLight category; the code descriptor is not shown)

Other services

1,423
88th percentile among 6,116 codes billed · 2020
$2.7M
79th percentile among 6,116 codes billed · 2020
158K
88th percentile among 6,116 codes billed · 2020
68
82nd percentile among 6,116 codes billed · 2020
286
75th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$100M$200M2020: $2.7M paid20202021: $238M paid20212022: $1.3M paid2022$1.3M$0$100M$200M2020: $2.7M paid20202021: $238M paid20212022: $1.3M paid2022$1.3M$0$100M$200M2020: $2.7M paid20202021: $238M paid20212022: $1.3M paid2022$1.3M$0$100M$200M2020: $2.7M paid20202021: $238M paid20212022: $1.3M paid2022$1.3M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2023.

Billers

020K2020: 1,423 providers20202021: 32K providers20212022: 542 providers20222023: 10 providers202310020K2020: 1,423 providers20202021: 32K providers20212022: 542 providers20222023: 10 providers202310020K2020: 1,423 providers20202021: 32K providers20212022: 542 providers20222023: 10 providers202310020K2020: 1,423 providers20202021: 32K providers20212022: 542 providers20222023: 10 providers202310

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2023.

observed calculated calculated calculated calculated calculated reported
202310fewer than 11 billers: figures not shown0.00
2022542$1,287,884-99%32,092231750.00
202131,787$237,990,198+8870%9,283,229598830.00
20201,423$2,653,215first year in data158,05368286

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2023.

By state

observed calculated calculated calculated calculated calculated
Ohio163$319,13319,26991266
New York91$312,95418,209139482
Florida147$305,40618,06575346
Texas169$237,59214,36661193
Colorado36$198,98411,44837139
Pennsylvania63$112,1276,65489218
Kentucky52$100,3026,17791318
California95$97,2475,30439148
New Jersey39$91,8565,87489230
Massachusetts40$87,4354,852131243
Connecticut25$82,8324,674175405
Illinois54$68,7814,28555184
Virginia35$62,7543,72093210
Maryland28$53,6393,05278233
Oklahoma46$52,4403,27351168

Not listed: 24 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ78$239,79013,671118
Denver-Aurora-Centennial, CO18$187,52910,78958
Boston-Cambridge-Newton, MA-NH29$70,7633,959135
Cleveland, OH31$68,5394,16190
Houston-Pasadena-The Woodlands, TX41$63,2823,70867
Cincinnati, OH-KY-IN34$53,4903,22161
Dallas-Fort Worth-Arlington, TX42$53,1603,14854
Miami-Fort Lauderdale-West Palm Beach, FL30$52,8793,05687
Tampa-St. Petersburg-Clearwater, FL26$47,5582,82570
Columbus, OH27$45,9412,78590
Louisville/Jefferson County, KY-IN22$43,5902,66588
Orlando-Kissimmee-Sanford, FL18$40,7962,437115
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD27$38,5412,18269
Baltimore-Columbia-Towson, MD19$38,4252,17676
Jacksonville, FL20$37,7362,25455

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 31 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 0001A nationally

Mass Immunizer Roster Biller accounts for 58% of payment for 0001A nationally in 2020, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller64846%$1,551,37958%92,670143
Centralized Flu66747%$1,015,59738%59,90890
Family Practice342.4%$30,7681.2%1,83254
Nurse Practitioner151.1%$9,1330.34%61641
Internal Medicine120.84%$5,8850.22%34929

Not listed: 16 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2020.

Top billers of 0001A nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations