HCPCS 00811

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

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

29,935
99th percentile among 6,326 codes billed · 2022
$95M
98th percentile among 6,326 codes billed · 2022
1.1M
96th percentile among 6,326 codes billed · 2022
22
45th percentile among 6,326 codes billed · 2022
124
60th percentile among 6,326 codes billed · 2022
-1.6%
Medicare payment on the code vs 2021; billers +2.1% · 2022

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
Florida1,995$7,614,37686,29623155
New York1,632$7,156,82673,25824140
Texas2,083$6,638,82080,76122138
California1,528$6,274,48855,48822111
Pennsylvania2,051$5,708,30478,47922125
Illinois1,429$3,865,60347,2772283
Ohio1,180$3,350,37242,53122113
Virginia1,099$3,293,54245,81027119
New Jersey752$3,025,33335,07923157
North Carolina908$2,944,89137,16722146
Massachusetts1,004$2,907,13342,49127123
Georgia941$2,735,41436,38521132
Michigan1,281$2,732,06041,3482190
Tennessee792$2,715,95331,79122144
Maryland559$2,312,14623,96323140

Not listed: 14 billers with an armed-forces or unknown state code (AA, AE, AP, XX, ZZ); they are in the national totals.

Not listed: 3 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-NJ1,618$7,842,54376,38924
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD911$3,026,28641,17123
Chicago-Naperville-Elgin, IL-IN1,076$2,884,22333,56422
Dallas-Fort Worth-Arlington, TX707$2,317,43525,87321
Los Angeles-Long Beach-Anaheim, CA590$2,135,94019,44921
Boston-Cambridge-Newton, MA-NH759$2,125,12930,57826
Washington-Arlington-Alexandria, DC-VA-MD-WV552$2,117,23024,91025
Miami-Fort Lauderdale-West Palm Beach, FL518$1,727,19719,85722
Houston-Pasadena-The Woodlands, TX553$1,451,82418,19222
Detroit-Warren-Dearborn, MI604$1,340,42119,92922
Seattle-Tacoma-Bellevue, WA257$1,282,53111,36922
Phoenix-Mesa-Chandler, AZ332$1,268,83713,64621
St. Louis, MO-IL428$1,257,53315,22622
Baltimore-Columbia-Towson, MD343$1,224,70713,04321
Atlanta-Sandy Springs-Roswell, GA457$1,216,21315,63719

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 2022.

Specialties billing 00811 nationally

Certified Registered Nurse Anesthetist (CRNA) accounts for 59% of payment for 00811 nationally in 2022, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Certified Registered Nurse Anesthetist (CRNA)16,59255%$56,589,12559%657,01540
Anesthesiology12,53942%$37,376,19039%466,59437
Anesthesiology Assistant6422.1%$859,3800.90%16,41426
Pain Management770.26%$177,2600.19%2,26829
Interventional Pain Management210.07%$93,0870.10%1,10553
Critical Care (Intensivists)380.13%$68,2110.07%1,01427
Internal Medicine120.04%$44,1440.05%48040

Not listed: 9 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 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