HCPCS 11056

Procedure (ClaimLight category; the code descriptor is not shown)

Procedures Work RVU per service 0.50 (2024 fee schedule)

8,318
97th percentile among 6,471 codes billed · 2024
$106M
98th percentile among 6,471 codes billed · 2024
1.8M
97th percentile among 6,471 codes billed · 2024
112
85th percentile among 6,471 codes billed · 2024
755
83rd percentile among 6,471 codes billed · 2024
-1.5%
Medicare payment on the code vs 2023; billers +0.6% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $89M paid20202021: $107M paid20212022: $108M paid20222023: $107M paid20232024: $106M paid2024$106M$0$50M$100M2020: $89M paid20202021: $107M paid20212022: $108M paid20222023: $107M paid20232024: $106M paid2024$106M$0$50M$100M2020: $89M paid20202021: $107M paid20212022: $108M paid20222023: $107M paid20232024: $106M paid2024$106M$0$50M$100M2020: $89M paid20202021: $107M paid20212022: $108M paid20222023: $107M paid20232024: $106M paid2024$106M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

05,0002020: 8,238 providers20202021: 8,343 providers20212022: 8,297 providers20222023: 8,266 providers20232024: 8,318 providers20248,31805,0002020: 8,238 providers20202021: 8,343 providers20212022: 8,297 providers20222023: 8,266 providers20232024: 8,318 providers20248,31805,0002020: 8,238 providers20202021: 8,343 providers20212022: 8,297 providers20222023: 8,266 providers20232024: 8,318 providers20248,31805,0002020: 8,238 providers20202021: 8,343 providers20212022: 8,297 providers20222023: 8,266 providers20232024: 8,318 providers20248,318

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
20248,318$105,532,839-2%1,795,2201127550.50
20238,266$107,152,768-1%1,768,4681107460.50
20228,297$107,970,147+1%1,750,1831127340.50
20218,343$106,817,308+20%1,780,2331127450.50
20208,238$88,693,322first year in data1,649,4891086790.50

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
California1,017$18,388,412289,4251341,021
New York765$13,469,222202,700135918
New Jersey539$9,372,676142,881168876
Pennsylvania627$9,270,287165,416167850
Florida525$7,461,803131,040130811
Illinois416$6,420,628116,3011461,050
Maryland262$4,358,21471,301180822
Massachusetts218$4,323,26772,521191884
Texas341$2,619,19847,59267433
Virginia206$2,267,59140,875108589
Ohio336$2,111,99240,27262418
Michigan265$2,045,70336,59971498
Arizona228$1,996,75935,86390496
Connecticut129$1,726,18527,784135726
North Carolina198$1,589,46130,780104429

Not listed: 1 billers with an armed-forces or unknown state code (XX); 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ963$18,574,272273,287151
Los Angeles-Long Beach-Anaheim, CA418$9,000,761144,568136
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD357$6,089,22499,746178
Chicago-Naperville-Elgin, IL-IN341$5,701,876102,541160
Boston-Cambridge-Newton, MA-NH142$3,279,60852,345206
Washington-Arlington-Alexandria, DC-VA-MD-WV197$2,660,53042,761115
San Francisco-Oakland-Fremont, CA125$1,945,38225,136128
Baltimore-Columbia-Towson, MD119$1,914,54231,277182
Miami-Fort Lauderdale-West Palm Beach, FL114$1,857,23030,814124
Tampa-St. Petersburg-Clearwater, FL119$1,638,96129,914144
Phoenix-Mesa-Chandler, AZ171$1,489,01826,63691
Detroit-Warren-Dearborn, MI169$1,454,46425,48381
Riverside-San Bernardino-Ontario, CA76$1,248,49721,450170
Providence-Warwick, RI-MA78$1,074,17418,349139
Allentown-Bethlehem-Easton, PA-NJ59$926,97316,956185

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 88 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 11056 nationally

Podiatry accounts for 99% of payment for 11056 nationally in 2024, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry8,11898%$104,097,94999%1,764,409217
Nurse Practitioner1421.7%$1,217,1161.2%25,672181
Physician Assistant320.38%$157,8700.15%3,392106

Not listed: 15 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 2024.

Top billers of 11056 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