HCPCS 0011A

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

Other services Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

41,780
99th percentile among 6,253 codes billed · 2021
$256M
99th percentile among 6,253 codes billed · 2021
10.6M
99th percentile among 6,253 codes billed · 2021
75
83rd percentile among 6,253 codes billed · 2021
808
86th percentile among 6,253 codes billed · 2021
+22467.6%
Medicare payment on the code vs 2020; billers +3590.8% · 2021

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
California3,237$27,649,2711,086,60961905
Florida2,546$21,565,529891,295971,496
New York2,676$17,163,474654,98689851
Pennsylvania1,832$12,896,457498,536116797
Texas3,327$11,429,623437,46954433
Michigan1,444$9,233,953402,95293823
Georgia1,677$9,065,092389,312126741
Idaho253$9,000,298400,70779898
Colorado838$8,954,632366,57072483
Ohio1,435$8,651,601408,837138765
North Carolina1,527$7,705,385348,12257867
Illinois1,263$6,911,126297,30060852
New Jersey1,027$6,680,149229,14157802
Virginia1,379$5,966,753243,36458772
Massachusetts872$5,500,225211,19156985

Not listed: 1 billers with an armed-forces or unknown state code (AP); they are in the national totals.

Not listed: 1 state 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,384$14,273,369481,25061
Los Angeles-Long Beach-Anaheim, CA1,137$10,493,410395,57854
Boise City, ID74$8,461,295376,36195
Denver-Aurora-Centennial, CO447$7,568,700306,43366
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD769$4,834,458171,207111
San Francisco-Oakland-Fremont, CA242$4,247,011176,65040
Atlanta-Sandy Springs-Roswell, GA829$4,194,860174,247124
Miami-Fort Lauderdale-West Palm Beach, FL531$3,989,714160,61983
Indianapolis-Carmel-Greenwood, IN165$3,845,126196,962144
Boston-Cambridge-Newton, MA-NH577$3,810,130148,71646
Detroit-Warren-Dearborn, MI614$3,693,090157,49875
Chicago-Naperville-Elgin, IL-IN889$3,692,654149,68563
Phoenix-Mesa-Chandler, AZ669$3,511,704159,98573
Tampa-St. Petersburg-Clearwater, FL380$3,209,607130,47892
Riverside-San Bernardino-Ontario, CA357$2,935,447115,093109

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 0011A nationally

Mass Immunizer Roster Biller accounts for 49% of payment for 0011A nationally in 2021, across 36 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller19,30546%$125,391,14949%5,013,898260
Centralized Flu5,70814%$51,396,55520%2,166,985380
Family Practice5,93714%$22,875,5538.9%1,046,205176
Internal Medicine3,6308.7%$16,851,0006.6%726,078200
Pharmacy2,0324.9%$12,894,9535.0%482,274237
Pediatric Medicine2010.48%$6,274,6212.5%262,2871,305
Nurse Practitioner2,1635.2%$4,386,8711.7%209,79597
Emergency Medicine2280.55%$2,296,7240.90%102,984452
Public Health or Welfare Agency1750.42%$2,028,1230.79%96,712553
Physician Assistant8992.2%$1,550,0940.61%72,75681
Clinical Laboratory2540.61%$1,487,5810.58%53,491211
Infectious Disease750.18%$1,220,2920.48%57,608768
Allergy/ Immunology550.13%$849,5510.33%37,109675
Hospitalist330.08%$839,6220.33%33,2521,008
General Practice1770.42%$623,0600.24%26,441149

Not listed: 33 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 2021.

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