HCPCS 00811

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

Other services Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

26,182
99th percentile among 6,116 codes billed · 2020
$83M
97th percentile among 6,116 codes billed · 2020
963K
95th percentile among 6,116 codes billed · 2020
21
45th percentile among 6,116 codes billed · 2020
119
60th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M$100M2020: $83M paid20202021: $97M paid20212022: $95M paid20222023: $96M paid20232024: $92M paid2024$92M$0$50M$100M2020: $83M paid20202021: $97M paid20212022: $95M paid20222023: $96M paid20232024: $92M paid2024$92M$0$50M$100M2020: $83M paid20202021: $97M paid20212022: $95M paid20222023: $96M paid20232024: $92M paid2024$92M$0$50M$100M2020: $83M paid20202021: $97M paid20212022: $95M paid20222023: $96M paid20232024: $92M paid2024$92M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

020K2020: 26K providers20202021: 29K providers20212022: 30K providers20222023: 31K providers20232024: 32K providers202432K020K2020: 26K providers20202021: 29K providers20212022: 30K providers20222023: 31K providers20232024: 32K providers202432K020K2020: 26K providers20202021: 29K providers20212022: 30K providers20222023: 31K providers20232024: 32K providers202432K020K2020: 26K providers20202021: 29K providers20212022: 30K providers20222023: 31K providers20232024: 32K providers202432K

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
202431,539$92,443,692-4%1,166,576221170.00
202330,986$96,252,164+1%1,183,955221220.00
202229,935$95,247,650-2%1,145,400221240.00
202129,305$96,765,569+17%1,144,482221270.00
202026,182$82,780,536first year in data962,888211190.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
Florida1,946$7,360,54081,49523146
Texas1,688$5,842,02367,38822140
New York1,376$5,526,51954,49023120
Pennsylvania1,958$5,094,57469,31121105
California1,080$4,282,44836,69421103
Illinois1,186$3,214,55237,0932180
North Carolina911$3,212,44938,43122155
Virginia1,018$2,918,94938,7142695
Ohio959$2,834,00933,29121111
Georgia877$2,807,09835,71622141
New Jersey690$2,768,91230,87222148
Michigan1,225$2,571,33138,1132086
Tennessee723$2,512,67927,98020149
Massachusetts854$2,250,28731,47925101
South Carolina608$2,102,25727,12523162

Not listed: 16 billers with an armed-forces or unknown state code (AA, AE, AP, PW, XX, ZZ); they are in the national totals.

Not listed: 2 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-NJ1,366$6,198,57657,95723
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD865$2,766,16136,45522
Chicago-Naperville-Elgin, IL-IN894$2,335,75825,42221
Dallas-Fort Worth-Arlington, TX559$2,032,25021,60822
Boston-Cambridge-Newton, MA-NH644$1,665,75822,85424
Washington-Arlington-Alexandria, DC-VA-MD-WV464$1,617,57218,06725
Los Angeles-Long Beach-Anaheim, CA437$1,519,79912,95020
Detroit-Warren-Dearborn, MI589$1,350,65219,95421
Miami-Fort Lauderdale-West Palm Beach, FL417$1,302,66114,87923
Houston-Pasadena-The Woodlands, TX440$1,235,49114,69319
Atlanta-Sandy Springs-Roswell, GA417$1,198,79414,77720
Tampa-St. Petersburg-Clearwater, FL343$1,192,08712,83021
Baltimore-Columbia-Towson, MD312$1,118,14311,93021
St. Louis, MO-IL396$1,078,74012,56421
Phoenix-Mesa-Chandler, AZ283$1,051,78811,67318

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 2020.

Specialties billing 00811 nationally

Certified Registered Nurse Anesthetist (CRNA) accounts for 61% of payment for 00811 nationally in 2020, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Certified Registered Nurse Anesthetist (CRNA)14,70956%$50,626,07061%565,26638
Anesthesiology10,88742%$31,224,52438%382,55435
Anesthesiology Assistant4751.8%$616,8000.75%11,14223
Pain Management440.17%$127,5170.15%1,64937
Interventional Pain Management190.07%$52,9540.06%62033
Critical Care (Intensivists)230.09%$49,5920.06%65228

Not listed: 14 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 00811 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