HCPCS 00811

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

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

29,305
99th percentile among 6,253 codes billed · 2021
$97M
97th percentile among 6,253 codes billed · 2021
1.1M
96th percentile among 6,253 codes billed · 2021
22
46th percentile among 6,253 codes billed · 2021
127
61st percentile among 6,253 codes billed · 2021
+16.9%
Medicare payment on the code vs 2020; billers +11.9% · 2021

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
Florida1,998$8,056,54889,00023159
New York1,636$7,184,00572,12125144
Texas1,904$6,509,03576,83222145
Pennsylvania2,100$5,926,78080,81823119
California1,390$5,837,63150,96721118
Illinois1,396$3,988,85147,9762381
Ohio1,194$3,452,01542,67722115
North Carolina960$3,408,41441,91422154
Virginia1,089$3,363,86845,34728119
New Jersey718$3,120,55836,06023197
Georgia924$2,996,38238,47821147
Michigan1,341$2,991,92444,3972291
Massachusetts987$2,874,59141,78727128
Tennessee768$2,759,49031,28021151
South Carolina652$2,496,10332,30726175

Not listed: 12 billers with an armed-forces or unknown state code (AE, AP, 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,610$7,871,14374,98424
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD898$3,086,02241,91324
Chicago-Naperville-Elgin, IL-IN1,053$2,955,78033,62022
Dallas-Fort Worth-Arlington, TX649$2,248,92324,92822
Boston-Cambridge-Newton, MA-NH760$2,170,42330,86426
Washington-Arlington-Alexandria, DC-VA-MD-WV525$2,017,62022,60223
Los Angeles-Long Beach-Anaheim, CA538$2,010,45717,45821
Miami-Fort Lauderdale-West Palm Beach, FL496$1,662,93018,91124
Detroit-Warren-Dearborn, MI611$1,457,76621,17823
Houston-Pasadena-The Woodlands, TX482$1,409,45116,90021
Atlanta-Sandy Springs-Roswell, GA458$1,357,53416,81320
St. Louis, MO-IL441$1,291,67715,46522
Tampa-St. Petersburg-Clearwater, FL333$1,283,71213,84420
Baltimore-Columbia-Towson, MD326$1,192,91312,35622
Seattle-Tacoma-Bellevue, WA235$1,119,2659,91721

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 00811 nationally

Certified Registered Nurse Anesthetist (CRNA) accounts for 60% of payment for 00811 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Certified Registered Nurse Anesthetist (CRNA)16,48456%$58,385,87560%666,83740
Anesthesiology12,07241%$37,162,38338%457,58638
Anesthesiology Assistant6062.1%$785,9890.81%14,58124
Pain Management670.23%$195,3160.20%2,52438
Interventional Pain Management190.06%$76,4150.08%95350
Critical Care (Intensivists)330.11%$58,6210.06%84826

Not listed: 13 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 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