HCPCS 11056

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

Procedures Work RVU per service 0.50 (2021 fee schedule)

8,343
96th percentile among 6,253 codes billed · 2021
$107M
98th percentile among 6,253 codes billed · 2021
1.8M
97th percentile among 6,253 codes billed · 2021
112
88th percentile among 6,253 codes billed · 2021
745
85th percentile among 6,253 codes billed · 2021
+20.4%
Medicare payment on the code vs 2020; billers +1.3% · 2021

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
California1,000$15,784,899244,291123856
New York812$14,473,181210,111132901
Pennsylvania683$9,564,186168,260166757
New Jersey528$9,180,307135,628155888
Florida484$7,151,045122,872147867
Illinois439$6,783,610119,803153942
Massachusetts234$4,912,00281,084194905
Maryland262$4,705,15573,782186779
Texas328$2,519,41345,20674467
Ohio351$2,400,61945,34770430
Michigan282$2,354,39442,59270488
Connecticut160$2,267,80735,388117781
Virginia180$2,030,82934,928113688
North Carolina203$1,895,71835,592100520
Arizona206$1,803,36331,78589520

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

Not listed: 5 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
New York-Newark-Jersey City, NY-NJ974$18,755,557265,385145
Los Angeles-Long Beach-Anaheim, CA390$7,482,091115,969127
Chicago-Naperville-Elgin, IL-IN366$6,005,340105,230165
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD377$5,964,05494,899170
Boston-Cambridge-Newton, MA-NH164$3,753,44958,152192
Washington-Arlington-Alexandria, DC-VA-MD-WV182$2,749,57641,768133
Baltimore-Columbia-Towson, MD120$2,001,99131,681189
Detroit-Warren-Dearborn, MI174$1,702,85329,84888
San Francisco-Oakland-Fremont, CA128$1,651,81922,999127
Tampa-St. Petersburg-Clearwater, FL106$1,651,01929,287173
Miami-Fort Lauderdale-West Palm Beach, FL124$1,542,08625,503107
Phoenix-Mesa-Chandler, AZ151$1,322,63023,00691
Providence-Warwick, RI-MA72$1,203,26119,969215
Allentown-Bethlehem-Easton, PA-NJ68$1,132,54020,712229
Riverside-San Bernardino-Ontario, CA80$943,13115,37197

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 2021.

Specialties billing 11056 nationally

Podiatry accounts for 99% of payment for 11056 nationally in 2021, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry8,19198%$106,152,58599%1,765,383216
Nurse Practitioner1021.2%$530,6100.50%11,914117
Physician Assistant200.24%$61,8220.06%1,26663

Not listed: 11 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 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