HCPCS 11103

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

Procedures Work RVU per service 0.38 (2020 fee schedule)

11,771
98th percentile among 6,116 codes billed · 2020
$49M
96th percentile among 6,116 codes billed · 2020
1.2M
96th percentile among 6,116 codes billed · 2020
54
78th percentile among 6,116 codes billed · 2020
320
76th percentile among 6,116 codes billed · 2020

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
Florida1,396$11,173,963272,12596699
California1,032$4,912,826108,79152330
New York666$3,062,76863,99743287
Texas791$2,786,94371,72352271
New Jersey359$1,797,82938,80459334
Georgia393$1,797,76247,85674371
Arizona339$1,759,96745,20675405
Pennsylvania485$1,706,00445,76148292
North Carolina479$1,590,00142,65953272
Massachusetts365$1,377,96131,66843202
Virginia323$1,290,76831,83855333
Illinois369$1,216,49730,31745243
Tennessee279$1,169,83733,34976352
South Carolina180$1,021,47728,080107459
Ohio370$953,60025,97441202

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ730$4,018,59682,32655
Miami-Fort Lauderdale-West Palm Beach, FL341$3,212,09573,10782
Los Angeles-Long Beach-Anaheim, CA352$1,770,32938,20752
Phoenix-Mesa-Chandler, AZ240$1,321,72133,62671
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD279$1,305,01830,08659
Tampa-St. Petersburg-Clearwater, FL239$1,204,42730,56774
Chicago-Naperville-Elgin, IL-IN293$969,98623,68045
North Port-Bradenton-Sarasota, FL96$888,63722,042108
Dallas-Fort Worth-Arlington, TX256$813,12520,23346
Boston-Cambridge-Newton, MA-NH278$809,48018,56242
Atlanta-Sandy Springs-Roswell, GA205$742,42218,32856
Orlando-Kissimmee-Sanford, FL140$686,82717,70665
Jacksonville, FL86$676,20216,87793
Washington-Arlington-Alexandria, DC-VA-MD-WV195$666,15414,65041
Cape Coral-Fort Myers, FL62$634,77115,426161

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 2020.

Specialties billing 11103 nationally

Dermatology accounts for 77% of payment for 11103 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Dermatology7,99668%$37,751,53077%898,792112
Physician Assistant2,52321%$7,245,43615%208,82983
Nurse Practitioner1,0278.7%$3,070,5506.3%90,77088
Family Practice600.51%$299,7020.61%7,250121
Plastic and Reconstructive Surgery590.50%$141,9070.29%3,65762
Internal Medicine290.25%$107,4950.22%2,47685
Pathology160.14%$101,8330.21%2,342146
Otolaryngology130.11%$21,5080.04%52640

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 2020.

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