HCPCS 11056

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

Procedures Work RVU per service 0.50 (2022 fee schedule)

8,297
96th percentile among 6,326 codes billed · 2022
$108M
98th percentile among 6,326 codes billed · 2022
1.8M
97th percentile among 6,326 codes billed · 2022
112
88th percentile among 6,326 codes billed · 2022
734
85th percentile among 6,326 codes billed · 2022
+1.1%
Medicare payment on the code vs 2021; billers -0.6% · 2022

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
California976$16,726,880249,405129844
New York798$14,471,137203,842135894
Pennsylvania666$9,862,900167,152160784
New Jersey528$9,444,827136,603158904
Florida490$7,076,340119,652132782
Illinois431$6,680,666115,009147871
Massachusetts234$4,856,23378,797183916
Maryland257$4,629,98170,672202755
Texas320$2,701,82747,46871599
Ohio345$2,255,76641,73063416
Michigan271$2,237,11438,91479439
Connecticut153$2,179,12633,134118735
Virginia188$2,143,07036,492100609
Arizona211$1,869,32531,96493474
North Carolina202$1,765,19032,47296495

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ964$19,062,720262,955150
Los Angeles-Long Beach-Anaheim, CA390$8,300,095123,759134
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD370$6,479,769100,059174
Chicago-Naperville-Elgin, IL-IN359$5,826,63699,659149
Boston-Cambridge-Newton, MA-NH161$3,650,36355,083176
Washington-Arlington-Alexandria, DC-VA-MD-WV188$2,768,37141,117120
Baltimore-Columbia-Towson, MD114$1,995,33530,894216
Miami-Fort Lauderdale-West Palm Beach, FL119$1,779,12228,668117
San Francisco-Oakland-Fremont, CA117$1,729,54723,232133
Tampa-St. Petersburg-Clearwater, FL110$1,700,79129,691163
Detroit-Warren-Dearborn, MI170$1,627,39527,36587
Phoenix-Mesa-Chandler, AZ155$1,399,65323,78791
Providence-Warwick, RI-MA78$1,266,60020,292210
Allentown-Bethlehem-Easton, PA-NJ63$1,062,25118,250202
Riverside-San Bernardino-Ontario, CA74$1,060,67516,487150

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 2022.

Specialties billing 11056 nationally

Podiatry accounts for 99% of payment for 11056 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry8,12498%$107,244,52799%1,734,496214
Nurse Practitioner1221.5%$606,9700.56%13,037107
Physician Assistant280.34%$73,2420.07%1,46352

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 2022.

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