HCPCS 11042
Procedure (ClaimLight category; the code descriptor is not shown)
Procedures Work RVU per service 1.01 (2021 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 11,297 | $122,559,884 | +2% | 1,868,578 | 89 | 555 | 1.01 |
| 2023 | 10,712 | $120,437,929 | -2% | 1,805,801 | 86 | 582 | 1.01 |
| 2022 | 10,444 | $122,529,005 | -2% | 1,789,591 | 85 | 602 | 1.01 |
| 2021 | 10,451 | $125,062,697 | +9% | 1,824,531 | 88 | 606 | 1.01 |
| 2020 | 10,153 | $115,171,083 | first year in data | 1,721,139 | 89 | 575 | 1.01 |
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 | |
|---|---|---|---|---|---|---|
| Florida | 996 | $20,416,958 | 285,150 | 118 | 1,219 | |
| California | 944 | $18,834,818 | 223,341 | 105 | 782 | |
| Texas | 692 | $8,445,202 | 125,894 | 84 | 702 | |
| New York | 504 | $6,142,281 | 77,237 | 76 | 513 | |
| Illinois | 477 | $5,663,142 | 77,251 | 91 | 533 | |
| New Jersey | 427 | $5,133,982 | 66,120 | 81 | 481 | |
| Ohio | 536 | $4,456,216 | 74,300 | 89 | 418 | |
| Pennsylvania | 447 | $3,528,225 | 51,810 | 68 | 302 | |
| North Carolina | 340 | $3,508,867 | 60,324 | 93 | 619 | |
| Indiana | 281 | $3,213,978 | 54,362 | 107 | 592 | |
| Michigan | 384 | $3,057,926 | 44,065 | 76 | 295 | |
| Massachusetts | 246 | $2,801,251 | 44,117 | 95 | 523 | |
| Maryland | 212 | $2,490,830 | 32,589 | 96 | 499 | |
| Virginia | 251 | $2,449,543 | 37,707 | 78 | 548 | |
| Tennessee | 235 | $2,432,270 | 40,140 | 95 | 517 |
Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.
Not listed: 6 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 | |
|---|---|---|---|---|---|
| Miami-Fort Lauderdale-West Palm Beach, FL | 365 | $12,128,886 | 165,421 | 179 | |
| Los Angeles-Long Beach-Anaheim, CA | 370 | $9,363,931 | 102,916 | 108 | |
| New York-Newark-Jersey City, NY-NJ | 624 | $8,133,457 | 94,761 | 76 | |
| Chicago-Naperville-Elgin, IL-IN | 360 | $4,517,613 | 59,027 | 88 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 167 | $2,373,203 | 33,954 | 105 | |
| Dallas-Fort Worth-Arlington, TX | 186 | $2,349,417 | 35,015 | 98 | |
| Riverside-San Bernardino-Ontario, CA | 78 | $2,054,468 | 25,291 | 102 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 212 | $1,982,725 | 26,328 | 70 | |
| Houston-Pasadena-The Woodlands, TX | 143 | $1,802,645 | 23,538 | 76 | |
| Boston-Cambridge-Newton, MA-NH | 169 | $1,737,749 | 26,137 | 88 | |
| Detroit-Warren-Dearborn, MI | 196 | $1,696,701 | 22,284 | 84 | |
| Orlando-Kissimmee-Sanford, FL | 83 | $1,485,338 | 21,743 | 93 | |
| Phoenix-Mesa-Chandler, AZ | 152 | $1,264,100 | 17,181 | 70 | |
| St. Louis, MO-IL | 90 | $1,155,916 | 15,985 | 106 | |
| Cincinnati, OH-KY-IN | 90 | $1,108,679 | 19,146 | 115 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 92 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 11042 nationally
Podiatry accounts for 43% of payment for 11042 nationally in 2021, across 24 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Podiatry | 5,319 | 51% | $54,078,016 | 43% | 638,154 | 120 |
| Family Practice | 688 | 6.6% | $19,454,914 | 16% | 295,816 | 430 |
| Nurse Practitioner | 1,355 | 13% | $13,446,603 | 11% | 253,903 | 187 |
| General Surgery | 988 | 9.5% | $12,005,499 | 9.6% | 204,482 | 207 |
| Physician Assistant | 354 | 3.4% | $5,072,264 | 4.1% | 75,860 | 214 |
| Internal Medicine | 340 | 3.3% | $4,518,702 | 3.6% | 78,939 | 232 |
| Emergency Medicine | 245 | 2.3% | $2,899,234 | 2.3% | 58,612 | 239 |
| Vascular Surgery | 278 | 2.7% | $2,034,679 | 1.6% | 33,916 | 122 |
| Plastic and Reconstructive Surgery | 192 | 1.8% | $1,892,645 | 1.5% | 31,998 | 167 |
| General Practice | 65 | 0.62% | $1,306,174 | 1.0% | 18,338 | 282 |
| Undersea and Hyperbaric Medicine | 68 | 0.65% | $1,252,713 | 1.0% | 21,609 | 318 |
| Infectious Disease | 129 | 1.2% | $1,057,560 | 0.85% | 19,569 | 152 |
| Physical Medicine and Rehabilitation | 52 | 0.50% | $893,851 | 0.71% | 16,677 | 321 |
| Orthopedic Surgery | 71 | 0.68% | $579,081 | 0.46% | 9,465 | 133 |
| Obstetrics & Gynecology | 30 | 0.29% | $339,743 | 0.27% | 6,209 | 207 |
Not listed: 27 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 11042 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