HCPCS 0011A

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

Other services

1,132
86th percentile among 6,116 codes billed · 2020
$1.1M
71st percentile among 6,116 codes billed · 2020
69K
83rd percentile among 6,116 codes billed · 2020
37
67th percentile among 6,116 codes billed · 2020
166
66th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$100M$200M2020: $1.1M paid20202021: $256M paid20212022: $2.1M paid20222023: $14K paid2023$14K$0$100M$200M2020: $1.1M paid20202021: $256M paid20212022: $2.1M paid20222023: $14K paid2023$14K$0$100M$200M2020: $1.1M paid20202021: $256M paid20212022: $2.1M paid20222023: $14K paid2023$14K$0$100M$200M2020: $1.1M paid20202021: $256M paid20212022: $2.1M paid20222023: $14K paid2023$14K

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

Billers

020K40K2020: 1,132 providers20202021: 42K providers20212022: 1,096 providers20222023: 13 providers202313020K40K2020: 1,132 providers20202021: 42K providers20212022: 1,096 providers20222023: 13 providers202313020K40K2020: 1,132 providers20202021: 42K providers20212022: 1,096 providers20222023: 13 providers202313020K40K2020: 1,132 providers20202021: 42K providers20212022: 1,096 providers20222023: 13 providers202313

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
202313$14,076-99%35014500.00
20221,096$2,105,066-99%54,453261410.00
202141,780$255,726,896+22468%10,601,909758080.00
20201,132$1,133,158first year in data69,41637166

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
Texas303$210,77112,64624103
North Carolina84$92,2275,62553161
Minnesota60$75,2984,50752186
Michigan68$64,5013,83644121
Arkansas34$60,8973,98350296
South Carolina35$56,3783,45576228
Missouri62$52,9913,24546119
Indiana37$50,2973,11771241
Tennessee51$49,3013,09753130
Georgia34$30,7561,86932186
Louisiana28$30,7391,88863150
Wisconsin36$30,5381,87339117
West Virginia30$22,0471,63641171
Arizona32$19,2641,1633278
Illinois22$17,9391,06042127

Not listed: 26 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
Houston-Pasadena-The Woodlands, TX62$46,1452,73031
Minneapolis-St. Paul-Bloomington, MN-WI26$44,8052,66965
Dallas-Fort Worth-Arlington, TX42$34,4752,05224
Detroit-Warren-Dearborn, MI26$32,1631,89266
Charlotte-Concord-Gastonia, NC-SC21$23,4751,43062
St. Louis, MO-IL25$22,2231,35635
Texas outside metro areas33$20,6221,23934
Indianapolis-Carmel-Greenwood, IN13$19,8141,22669
Raleigh-Cary, NC18$19,5761,19051
Atlanta-Sandy Springs-Roswell, GA11$17,8661,05827
Austin-Round Rock-San Marcos, TX32$16,21198120
Grand Rapids-Wyoming-Kentwood, MI16$13,83383037
Phoenix-Mesa-Chandler, AZ22$13,52081933
Chicago-Naperville-Elgin, IL-IN13$13,33177949
New York-Newark-Jersey City, NY-NJ20$12,00869219

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 20 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 0011A nationally

Mass Immunizer Roster Biller accounts for 44% of payment for 0011A nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller46141%$500,11444%30,64066
Centralized Flu26023%$328,91729%20,38978
Family Practice15414%$106,2999.4%6,36041
Pharmacy312.7%$44,7664.0%2,87993
Internal Medicine665.8%$39,6443.5%2,36536
Nurse Practitioner423.7%$20,5721.8%1,22929
Public Health or Welfare Agency262.3%$15,2211.3%91235
Pediatric Medicine131.1%$9,0960.80%54642

Not listed: 32 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 0011A 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