HCPCS 0011A

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

Other services Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

1,096
86th percentile among 6,326 codes billed · 2022
$2.1M
77th percentile among 6,326 codes billed · 2022
54K
81st percentile among 6,326 codes billed · 2022
26
54th percentile among 6,326 codes billed · 2022
141
63rd percentile among 6,326 codes billed · 2022
-99.2%
Medicare payment on the code vs 2021; billers -97.4% · 2022

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
California155$306,7807,60331135
New Jersey37$147,7083,72124334
Florida45$136,2943,55325227
New York73$132,9423,21126101
Texas47$107,9782,82644131
Pennsylvania52$99,9262,59026140
Maryland46$92,2532,20525144
North Carolina45$88,8452,37426166
Washington27$59,4121,48437134
Oregon39$55,2661,41722102
Missouri21$51,9571,36525138
Michigan32$47,0201,22223110
Georgia30$46,6081,26219152
Idaho14$45,9521,15241274
Arizona12$44,8691,18336415

Not listed: 17 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ90$243,0686,00126
Los Angeles-Long Beach-Anaheim, CA62$113,8182,81932
Washington-Arlington-Alexandria, DC-VA-MD-WV23$45,9101,06225
Baltimore-Columbia-Towson, MD20$42,6781,03127
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD22$34,63384919
Chicago-Naperville-Elgin, IL-IN18$32,96581827
Seattle-Tacoma-Bellevue, WA13$31,76678557
Detroit-Warren-Dearborn, MI13$23,00258021
Portland-Vancouver-Hillsboro, OR-WA16$22,81055726
Boston-Cambridge-Newton, MA-NH16$22,58055325
San Francisco-Oakland-Fremont, CA11$17,68143519
Pittsburgh, PA12$16,67244122
Riverside-San Bernardino-Ontario, CA12$13,97634821
Virginia Beach-Chesapeake-Norfolk, VA-NC11$13,85435928
Bend, OR11$11,57430715

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 15 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 0011A nationally

Mass Immunizer Roster Biller accounts for 57% of payment for 0011A nationally in 2022, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller63358%$1,194,02257%30,97249
Pharmacy29427%$570,93327%14,79350
Centralized Flu191.7%$130,0826.2%3,322175
Clinical Laboratory312.8%$78,8873.7%2,06667
Internal Medicine444.0%$49,9082.4%1,23228
Family Practice494.5%$48,3922.3%1,22525

Not listed: 8 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 2022.

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