HCPCS 11103

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

Procedures Work RVU per service 0.38 (2024 fee schedule)

14,379
98th percentile among 6,471 codes billed · 2024
$51M
96th percentile among 6,471 codes billed · 2024
1.4M
96th percentile among 6,471 codes billed · 2024
53
74th percentile among 6,471 codes billed · 2024
299
73rd percentile among 6,471 codes billed · 2024
-1.2%
Medicare payment on the code vs 2023; billers +4.4% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $49M paid20202021: $54M paid20212022: $51M paid20222023: $52M paid20232024: $51M paid2024$51M$0$20M$40M2020: $49M paid20202021: $54M paid20212022: $51M paid20222023: $52M paid20232024: $51M paid2024$51M$0$20M$40M2020: $49M paid20202021: $54M paid20212022: $51M paid20222023: $52M paid20232024: $51M paid2024$51M$0$20M$40M2020: $49M paid20202021: $54M paid20212022: $51M paid20222023: $52M paid20232024: $51M paid2024$51M

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

Billers

010K2020: 12K providers20202021: 13K providers20212022: 13K providers20222023: 14K providers20232024: 14K providers202414K010K2020: 12K providers20202021: 13K providers20212022: 13K providers20222023: 14K providers20232024: 14K providers202414K010K2020: 12K providers20202021: 13K providers20212022: 13K providers20222023: 14K providers20232024: 14K providers202414K010K2020: 12K providers20202021: 13K providers20212022: 13K providers20222023: 14K providers20232024: 14K providers202414K

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
202414,379$51,027,899-1%1,418,195532990.38
202313,774$51,662,220+1%1,396,289543140.38
202213,134$51,238,664-5%1,345,479553140.38
202112,771$54,125,637+11%1,344,690573220.38
202011,771$48,956,872first year in data1,220,122543200.38

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
Florida1,661$10,849,302297,30583623
California1,298$5,618,434136,03554314
New York798$3,371,19279,49642344
Texas986$2,944,96282,50452246
Pennsylvania587$2,070,76658,85453281
New Jersey455$2,037,06849,02052309
Arizona423$1,782,79151,47076328
Georgia466$1,706,52051,82963346
North Carolina577$1,576,14747,63048236
Illinois468$1,481,38841,41654246
Massachusetts432$1,351,83235,31345256
Virginia395$1,286,10135,88357259
Tennessee350$1,142,37836,49268248
South Carolina238$958,98629,61583419
Ohio423$881,77827,25040193

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-NJ905$4,523,983104,52449
Miami-Fort Lauderdale-West Palm Beach, FL405$3,086,11777,96266
Los Angeles-Long Beach-Anaheim, CA434$2,050,52448,92954
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD360$1,675,20944,03658
Phoenix-Mesa-Chandler, AZ296$1,213,54734,48474
Chicago-Naperville-Elgin, IL-IN374$1,189,43132,52753
Tampa-St. Petersburg-Clearwater, FL252$1,099,06731,75071
Boston-Cambridge-Newton, MA-NH348$928,82823,83543
Dallas-Fort Worth-Arlington, TX316$897,04024,59347
North Port-Bradenton-Sarasota, FL126$832,86023,34189
Atlanta-Sandy Springs-Roswell, GA250$801,31122,73957
Orlando-Kissimmee-Sanford, FL158$729,88821,12070
Cape Coral-Fort Myers, FL79$710,79119,513112
Houston-Pasadena-The Woodlands, TX236$660,86918,16045
Washington-Arlington-Alexandria, DC-VA-MD-WV243$657,33216,43938

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 97 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 11103 nationally

Dermatology accounts for 69% of payment for 11103 nationally in 2024, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Dermatology8,35258%$35,041,47569%912,083109
Physician Assistant3,98628%$10,591,42021%337,93485
Nurse Practitioner1,62111%$3,924,6297.7%128,94880
Micrographic Dermatologic Surgery2081.4%$681,5701.3%17,96286
Family Practice700.49%$253,0370.50%6,71496
Internal Medicine310.22%$99,6670.20%2,67286
Plastic and Reconstructive Surgery360.25%$97,9940.19%2,69175
Pathology160.11%$57,2270.11%1,46492
Podiatry110.08%$26,6020.05%61856
Otolaryngology110.08%$12,3910.02%32129

Not listed: 14 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 11103 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