HCPCS 00811

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

Other services Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

30,986
99th percentile among 6,405 codes billed · 2023
$96M
98th percentile among 6,405 codes billed · 2023
1.2M
96th percentile among 6,405 codes billed · 2023
22
46th percentile among 6,405 codes billed · 2023
122
59th percentile among 6,405 codes billed · 2023
+1.1%
Medicare payment on the code vs 2022; billers +3.5% · 2023

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
New York1,707$7,365,54778,11025147
Florida2,095$7,192,25583,74122131
Texas2,111$6,677,93082,37322135
California1,639$5,991,47257,71622108
Pennsylvania2,053$5,802,94380,14522138
Illinois1,379$3,852,25947,1292390
Ohio1,328$3,619,58546,23422108
New Jersey807$3,253,57938,15424158
North Carolina983$3,197,05340,17222143
Virginia1,116$3,196,69244,48628103
Massachusetts1,064$3,105,99944,50228124
Georgia993$2,828,13238,42421129
Tennessee836$2,792,11434,01323149
Michigan1,275$2,752,03441,0722190
South Carolina737$2,391,10832,75622159

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: 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,680$8,128,45281,97326
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD943$3,115,84041,93824
Chicago-Naperville-Elgin, IL-IN1,049$2,857,90033,90122
Dallas-Fort Worth-Arlington, TX705$2,377,96026,71421
Boston-Cambridge-Newton, MA-NH811$2,367,77833,15427
Washington-Arlington-Alexandria, DC-VA-MD-WV590$2,088,85925,42025
Los Angeles-Long Beach-Anaheim, CA641$2,027,43919,79420
Miami-Fort Lauderdale-West Palm Beach, FL553$1,661,33919,29121
Detroit-Warren-Dearborn, MI587$1,369,80619,93221
Baltimore-Columbia-Towson, MD346$1,320,73014,14323
Atlanta-Sandy Springs-Roswell, GA518$1,304,39317,52019
Houston-Pasadena-The Woodlands, TX529$1,292,02716,94221
Phoenix-Mesa-Chandler, AZ365$1,230,05214,78120
Seattle-Tacoma-Bellevue, WA294$1,208,60812,20423
St. Louis, MO-IL418$1,184,89214,30122

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 2023.

Specialties billing 00811 nationally

Certified Registered Nurse Anesthetist (CRNA) accounts for 59% of payment for 00811 nationally in 2023, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Certified Registered Nurse Anesthetist (CRNA)17,19956%$56,953,20759%672,70839
Anesthesiology12,90742%$37,878,57439%487,33838
Anesthesiology Assistant7082.3%$914,0190.95%17,45125
Pain Management750.24%$204,2850.21%2,55934
Interventional Pain Management240.08%$116,0310.12%1,41259
Internal Medicine130.04%$71,1040.07%76759
Critical Care (Intensivists)410.13%$67,0790.07%1,06526

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 2023.

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