HCPCS 11103

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

Procedures Work RVU per service 0.38 (2021 fee schedule)

12,771
98th percentile among 6,253 codes billed · 2021
$54M
96th percentile among 6,253 codes billed · 2021
1.3M
96th percentile among 6,253 codes billed · 2021
57
78th percentile among 6,253 codes billed · 2021
322
76th percentile among 6,253 codes billed · 2021
+10.6%
Medicare payment on the code vs 2020; billers +8.5% · 2021

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
Florida1,477$11,513,599283,26496652
California1,158$5,678,229125,23456317
New York746$3,636,41474,94947342
Texas854$3,066,98577,74454278
New Jersey393$2,173,03646,66863362
Pennsylvania536$2,025,81650,78151309
Arizona367$1,902,57749,27377374
Georgia407$1,896,73650,83878367
North Carolina503$1,770,23547,18154260
Illinois405$1,526,08137,96554272
Massachusetts426$1,493,11434,46045212
Virginia347$1,351,72233,50758284
Tennessee299$1,314,11937,39179337
Ohio394$1,070,59829,28444215
South Carolina193$999,74227,61099453

Not listed: 2 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-NJ806$4,817,17497,66358
Miami-Fort Lauderdale-West Palm Beach, FL355$3,340,19476,78483
Los Angeles-Long Beach-Anaheim, CA397$2,140,81445,85959
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD318$1,607,28037,28565
Phoenix-Mesa-Chandler, AZ257$1,327,66533,87567
Chicago-Naperville-Elgin, IL-IN324$1,241,83330,18853
Tampa-St. Petersburg-Clearwater, FL244$1,216,94831,26075
Boston-Cambridge-Newton, MA-NH341$1,005,08323,05943
North Port-Bradenton-Sarasota, FL111$950,79923,870102
Dallas-Fort Worth-Arlington, TX276$934,89423,11350
Atlanta-Sandy Springs-Roswell, GA211$833,68020,65662
Orlando-Kissimmee-Sanford, FL148$764,54319,87977
Washington-Arlington-Alexandria, DC-VA-MD-WV221$738,11116,26745
Jacksonville, FL96$718,94118,10290
Houston-Pasadena-The Woodlands, TX210$659,48016,28645

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 96 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 11103 nationally

Dermatology accounts for 74% of payment for 11103 nationally in 2021, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Dermatology8,20464%$40,156,93374%946,833115
Physician Assistant2,89223%$8,668,56316%249,46986
Nurse Practitioner1,2199.5%$3,555,5746.6%105,32586
Micrographic Dermatologic Surgery2311.8%$884,0511.6%22,21996
Family Practice620.49%$315,2910.58%7,594122
Plastic and Reconstructive Surgery520.41%$128,7370.24%3,22562
Internal Medicine380.30%$98,9300.18%2,24759
Pathology130.10%$71,1740.13%1,704131
Otolaryngology120.09%$18,6040.03%44937

Not listed: 15 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 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