HCPCS 0011A
Other service (ClaimLight category; the code descriptor is not shown)
Other services
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2023.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2023 | 13 | $14,076 | -99% | 350 | 14 | 50 | 0.00 |
| 2022 | 1,096 | $2,105,066 | -99% | 54,453 | 26 | 141 | 0.00 |
| 2021 | 41,780 | $255,726,896 | +22468% | 10,601,909 | 75 | 808 | 0.00 |
| 2020 | 1,132 | $1,133,158 | first year in data | 69,416 | 37 | 166 |
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 | |
|---|---|---|---|---|---|---|
| Texas | 303 | $210,771 | 12,646 | 24 | 103 | |
| North Carolina | 84 | $92,227 | 5,625 | 53 | 161 | |
| Minnesota | 60 | $75,298 | 4,507 | 52 | 186 | |
| Michigan | 68 | $64,501 | 3,836 | 44 | 121 | |
| Arkansas | 34 | $60,897 | 3,983 | 50 | 296 | |
| South Carolina | 35 | $56,378 | 3,455 | 76 | 228 | |
| Missouri | 62 | $52,991 | 3,245 | 46 | 119 | |
| Indiana | 37 | $50,297 | 3,117 | 71 | 241 | |
| Tennessee | 51 | $49,301 | 3,097 | 53 | 130 | |
| Georgia | 34 | $30,756 | 1,869 | 32 | 186 | |
| Louisiana | 28 | $30,739 | 1,888 | 63 | 150 | |
| Wisconsin | 36 | $30,538 | 1,873 | 39 | 117 | |
| West Virginia | 30 | $22,047 | 1,636 | 41 | 171 | |
| Arizona | 32 | $19,264 | 1,163 | 32 | 78 | |
| Illinois | 22 | $17,939 | 1,060 | 42 | 127 |
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, TX | 62 | $46,145 | 2,730 | 31 | |
| Minneapolis-St. Paul-Bloomington, MN-WI | 26 | $44,805 | 2,669 | 65 | |
| Dallas-Fort Worth-Arlington, TX | 42 | $34,475 | 2,052 | 24 | |
| Detroit-Warren-Dearborn, MI | 26 | $32,163 | 1,892 | 66 | |
| Charlotte-Concord-Gastonia, NC-SC | 21 | $23,475 | 1,430 | 62 | |
| St. Louis, MO-IL | 25 | $22,223 | 1,356 | 35 | |
| Texas outside metro areas | 33 | $20,622 | 1,239 | 34 | |
| Indianapolis-Carmel-Greenwood, IN | 13 | $19,814 | 1,226 | 69 | |
| Raleigh-Cary, NC | 18 | $19,576 | 1,190 | 51 | |
| Atlanta-Sandy Springs-Roswell, GA | 11 | $17,866 | 1,058 | 27 | |
| Austin-Round Rock-San Marcos, TX | 32 | $16,211 | 981 | 20 | |
| Grand Rapids-Wyoming-Kentwood, MI | 16 | $13,833 | 830 | 37 | |
| Phoenix-Mesa-Chandler, AZ | 22 | $13,520 | 819 | 33 | |
| Chicago-Naperville-Elgin, IL-IN | 13 | $13,331 | 779 | 49 | |
| New York-Newark-Jersey City, NY-NJ | 20 | $12,008 | 692 | 19 |
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 Biller | 461 | 41% | $500,114 | 44% | 30,640 | 66 |
| Centralized Flu | 260 | 23% | $328,917 | 29% | 20,389 | 78 |
| Family Practice | 154 | 14% | $106,299 | 9.4% | 6,360 | 41 |
| Pharmacy | 31 | 2.7% | $44,766 | 4.0% | 2,879 | 93 |
| Internal Medicine | 66 | 5.8% | $39,644 | 3.5% | 2,365 | 36 |
| Nurse Practitioner | 42 | 3.7% | $20,572 | 1.8% | 1,229 | 29 |
| Public Health or Welfare Agency | 26 | 2.3% | $15,221 | 1.3% | 912 | 35 |
| Pediatric Medicine | 13 | 1.1% | $9,096 | 0.80% | 546 | 42 |
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