HCPCS 11103

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

Procedures Work RVU per service 0.38 (2022 fee schedule)

13,134
98th percentile among 6,326 codes billed · 2022
$51M
96th percentile among 6,326 codes billed · 2022
1.3M
96th percentile among 6,326 codes billed · 2022
55
77th percentile among 6,326 codes billed · 2022
314
75th percentile among 6,326 codes billed · 2022
-5.3%
Medicare payment on the code vs 2021; billers +2.8% · 2022

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
Florida1,540$10,843,049281,31686629
California1,197$5,484,227127,60256318
New York731$3,515,13975,72947337
Texas889$3,015,94180,47352282
New Jersey396$2,077,14247,05657371
Pennsylvania535$1,980,25652,53554302
Georgia427$1,777,64450,61169351
Arizona390$1,713,83347,43575355
North Carolina512$1,671,70547,08557271
Illinois422$1,468,89238,50949250
Massachusetts424$1,334,77232,50845189
Tennessee313$1,230,41437,02374300
Virginia350$1,226,79032,26257296
South Carolina204$998,41429,56496522
Ohio396$916,53826,81342189

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ812$4,667,70199,25056
Miami-Fort Lauderdale-West Palm Beach, FL365$3,104,56774,62177
Los Angeles-Long Beach-Anaheim, CA407$2,018,39745,31253
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD311$1,596,72738,99264
Phoenix-Mesa-Chandler, AZ272$1,226,91733,38468
Chicago-Naperville-Elgin, IL-IN336$1,207,62730,78548
Tampa-St. Petersburg-Clearwater, FL248$1,136,05330,64771
Boston-Cambridge-Newton, MA-NH331$949,08222,96941
Dallas-Fort Worth-Arlington, TX282$908,92123,76047
North Port-Bradenton-Sarasota, FL123$835,24522,38382
Atlanta-Sandy Springs-Roswell, GA228$830,55422,00357
Orlando-Kissimmee-Sanford, FL148$750,39920,81272
Houston-Pasadena-The Woodlands, TX211$696,60018,14647
Cape Coral-Fort Myers, FL74$656,58717,064116
Jacksonville, FL102$640,69416,90779

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 2022.

Specialties billing 11103 nationally

Dermatology accounts for 72% of payment for 11103 nationally in 2022, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Dermatology8,20362%$37,061,34272%917,961112
Physician Assistant3,17824%$8,996,37618%274,03886
Nurse Practitioner1,33410%$3,643,6487.1%113,88485
Micrographic Dermatologic Surgery2121.6%$729,8761.4%19,16290
Family Practice570.43%$284,4820.56%7,043124
Plastic and Reconstructive Surgery460.35%$114,9360.22%2,99065
Internal Medicine320.24%$93,1040.18%2,26171
Pathology170.13%$57,1250.11%1,45686
Otolaryngology110.08%$14,0920.03%35632

Not listed: 16 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 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