HCPCS 11056

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

Procedures Work RVU per service 0.50 (2020 fee schedule)

8,238
97th percentile among 6,116 codes billed · 2020
$89M
98th percentile among 6,116 codes billed · 2020
1.6M
97th percentile among 6,116 codes billed · 2020
108
88th percentile among 6,116 codes billed · 2020
679
85th percentile among 6,116 codes billed · 2020

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
California977$13,130,524226,550117824
New York817$11,359,104183,213125771
Pennsylvania676$8,016,148155,715151703
New Jersey533$7,291,663120,474138810
Florida472$6,382,199120,979149813
Illinois445$5,796,939122,026140919
Massachusetts243$3,964,35871,983182806
Maryland262$3,951,71069,200185727
Ohio364$2,038,65642,66073365
Texas311$2,002,69039,94478395
Michigan279$1,980,22939,27367492
Connecticut160$1,937,22133,614127697
Virginia160$1,616,46830,986109714
North Carolina209$1,592,55032,87779509
Arizona188$1,536,37929,29989530

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

Not listed: 4 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ974$14,513,870227,284132
Los Angeles-Long Beach-Anaheim, CA391$6,275,003106,750124
Chicago-Naperville-Elgin, IL-IN371$5,101,602107,472144
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD375$4,918,38087,489144
Boston-Cambridge-Newton, MA-NH170$2,954,90251,175185
Washington-Arlington-Alexandria, DC-VA-MD-WV162$2,076,93735,252120
Baltimore-Columbia-Towson, MD126$1,750,31530,969177
Tampa-St. Petersburg-Clearwater, FL107$1,414,48827,799179
Detroit-Warren-Dearborn, MI179$1,369,15326,14267
Miami-Fort Lauderdale-West Palm Beach, FL116$1,350,96324,442110
San Francisco-Oakland-Fremont, CA126$1,313,26220,60092
Phoenix-Mesa-Chandler, AZ139$1,178,94822,14189
Allentown-Bethlehem-Easton, PA-NJ70$1,052,34920,413216
Providence-Warwick, RI-MA68$984,29218,122215
Riverside-San Bernardino-Ontario, CA64$809,69314,696156

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 2020.

Specialties billing 11056 nationally

Podiatry accounts for 99% of payment for 11056 nationally in 2020, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry8,10798%$88,168,96599%1,636,366202
Nurse Practitioner901.1%$355,4920.40%9,103101
Physician Assistant140.17%$66,9680.08%1,544110

Not listed: 12 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 2020.

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