HCPCS 11056

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

Procedures Work RVU per service 0.50 (2023 fee schedule)

8,266
97th percentile among 6,405 codes billed · 2023
$107M
98th percentile among 6,405 codes billed · 2023
1.8M
97th percentile among 6,405 codes billed · 2023
110
87th percentile among 6,405 codes billed · 2023
746
84th percentile among 6,405 codes billed · 2023
-0.8%
Medicare payment on the code vs 2022; billers -0.4% · 2023

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
California1,004$17,461,281265,220121912
New York764$14,109,410204,296141934
Pennsylvania649$9,766,847168,508161832
New Jersey553$9,485,650140,736148920
Florida514$7,481,189129,386139879
Illinois427$6,574,359114,897142928
Maryland257$4,586,72471,760193794
Massachusetts228$4,568,82275,246169902
Texas321$2,560,71445,84271578
Virginia190$2,207,73838,199107656
Michigan271$2,154,19437,75277511
Ohio321$2,044,44738,10358369
Connecticut140$1,947,24930,381115666
Arizona224$1,935,12733,86992502
North Carolina206$1,739,32732,467104442

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ971$19,204,255272,737148
Los Angeles-Long Beach-Anaheim, CA401$8,638,973132,417140
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD360$6,451,467102,175174
Chicago-Naperville-Elgin, IL-IN353$5,790,954100,470145
Boston-Cambridge-Newton, MA-NH157$3,431,63052,529164
Washington-Arlington-Alexandria, DC-VA-MD-WV196$2,741,67841,715121
Baltimore-Columbia-Towson, MD111$2,011,92831,749206
San Francisco-Oakland-Fremont, CA121$1,839,04924,240123
Miami-Fort Lauderdale-West Palm Beach, FL124$1,802,76729,61999
Tampa-St. Petersburg-Clearwater, FL115$1,774,27631,615186
Detroit-Warren-Dearborn, MI167$1,508,36825,78683
Phoenix-Mesa-Chandler, AZ173$1,459,10525,28986
Providence-Warwick, RI-MA73$1,206,40019,731202
Riverside-San Bernardino-Ontario, CA76$1,080,94917,035129
Allentown-Bethlehem-Easton, PA-NJ65$932,56816,661174

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 89 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing 11056 nationally

Podiatry accounts for 99% of payment for 11056 nationally in 2023, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry8,07498%$106,062,77899%1,745,099216
Nurse Practitioner1361.6%$914,1050.85%19,531144
Physician Assistant310.38%$103,4010.10%2,20171

Not listed: 10 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 2023.

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