HCPCS 11043
Procedure (ClaimLight category; the code descriptor is not shown)
Procedures Work RVU per service 2.70 (2022 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 | 2,164 | $64,619,972 | -2% | 422,018 | 77 | 796 | 2.70 |
| 2023 | 2,062 | $66,067,622 | -7% | 422,689 | 75 | 863 | 2.70 |
| 2022 | 2,000 | $71,392,964 | -9% | 442,860 | 73 | 1,008 | 2.70 |
| 2021 | 2,115 | $78,072,296 | +10% | 474,512 | 68 | 1,056 | 2.70 |
| 2020 | 2,133 | $70,660,887 | first year in data | 435,717 | 64 | 932 | 2.70 |
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 | 291 | $20,330,732 | 125,412 | 188 | 1,428 | |
| California | 343 | $19,530,067 | 111,962 | 125 | 1,302 | |
| Texas | 149 | $6,087,883 | 39,774 | 61 | 1,196 | |
| New York | 102 | $3,050,483 | 17,179 | 44 | 830 | |
| New Jersey | 90 | $2,006,290 | 12,538 | 68 | 678 | |
| Illinois | 59 | $1,689,562 | 9,984 | 66 | 647 | |
| Pennsylvania | 63 | $1,437,516 | 8,486 | 44 | 675 | |
| Maryland | 51 | $1,382,269 | 8,505 | 50 | 1,018 | |
| North Carolina | 56 | $1,208,683 | 8,262 | 60 | 629 | |
| Ohio | 66 | $1,129,141 | 8,003 | 75 | 324 | |
| Tennessee | 36 | $957,836 | 6,232 | 56 | 793 | |
| Massachusetts | 40 | $841,863 | 5,242 | 54 | 540 | |
| Oklahoma | 34 | $824,113 | 5,812 | 69 | 610 | |
| Louisiana | 43 | $719,080 | 5,408 | 54 | 455 | |
| Nevada | 25 | $710,599 | 4,561 | 84 | 484 |
Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.
Not listed: 15 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 | |
|---|---|---|---|---|---|
| Miami-Fort Lauderdale-West Palm Beach, FL | 177 | $15,910,746 | 96,620 | 351 | |
| Los Angeles-Long Beach-Anaheim, CA | 162 | $11,620,541 | 65,440 | 183 | |
| Dallas-Fort Worth-Arlington, TX | 59 | $4,191,293 | 26,874 | 210 | |
| New York-Newark-Jersey City, NY-NJ | 147 | $3,921,092 | 22,484 | 50 | |
| Riverside-San Bernardino-Ontario, CA | 41 | $3,098,173 | 17,724 | 178 | |
| Orlando-Kissimmee-Sanford, FL | 24 | $1,567,728 | 10,304 | 157 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 45 | $1,531,698 | 9,166 | 53 | |
| Chicago-Naperville-Elgin, IL-IN | 55 | $1,349,437 | 7,845 | 66 | |
| San Diego-Chula Vista-Carlsbad, CA | 16 | $1,101,963 | 6,314 | 115 | |
| Tampa-St. Petersburg-Clearwater, FL | 25 | $928,035 | 5,870 | 83 | |
| San Francisco-Oakland-Fremont, CA | 14 | $913,228 | 4,520 | 71 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 36 | $814,488 | 5,007 | 68 | |
| Houston-Pasadena-The Woodlands, TX | 25 | $698,902 | 4,542 | 55 | |
| Las Vegas-Henderson-North Las Vegas, NV | 20 | $618,838 | 3,874 | 93 | |
| Sacramento-Roseville-Folsom, CA | 12 | $597,019 | 3,577 | 236 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 32 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 11043 nationally
Family Practice accounts for 35% of payment for 11043 nationally in 2022, across 14 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Family Practice | 279 | 14% | $24,726,335 | 35% | 149,269 | 535 |
| General Surgery | 336 | 17% | $11,724,055 | 16% | 72,122 | 215 |
| Physician Assistant | 127 | 6.3% | $7,592,778 | 11% | 46,123 | 363 |
| Podiatry | 464 | 23% | $6,900,460 | 9.7% | 42,335 | 91 |
| Nurse Practitioner | 334 | 17% | $6,847,042 | 9.6% | 48,896 | 146 |
| Internal Medicine | 83 | 4.2% | $3,065,440 | 4.3% | 18,846 | 227 |
| General Practice | 37 | 1.8% | $2,709,475 | 3.8% | 15,856 | 429 |
| Plastic and Reconstructive Surgery | 100 | 5.0% | $2,620,165 | 3.7% | 16,545 | 165 |
| Vascular Surgery | 46 | 2.3% | $741,461 | 1.0% | 4,485 | 98 |
| Emergency Medicine | 43 | 2.1% | $678,052 | 0.95% | 4,489 | 104 |
| Orthopedic Surgery | 19 | 0.95% | $458,646 | 0.64% | 3,130 | 165 |
| Physical Medicine and Rehabilitation | 14 | 0.70% | $339,950 | 0.48% | 2,083 | 149 |
| Obstetrics & Gynecology | 13 | 0.65% | $298,767 | 0.42% | 1,921 | 148 |
| Infectious Disease | 13 | 0.65% | $97,494 | 0.14% | 777 | 60 |
Not listed: 29 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 11043 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