HCPCS 11103

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

Procedures Work RVU per service 0.38 (2023 fee schedule)

13,774
98th percentile among 6,405 codes billed · 2023
$52M
96th percentile among 6,405 codes billed · 2023
1.4M
96th percentile among 6,405 codes billed · 2023
54
75th percentile among 6,405 codes billed · 2023
314
74th percentile among 6,405 codes billed · 2023
+0.8%
Medicare payment on the code vs 2022; billers +4.9% · 2023

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
Florida1,603$10,931,902292,89288619
California1,249$5,647,719134,32657316
New York771$3,439,25377,68741342
Texas945$3,025,78483,05151267
New Jersey433$2,103,17849,33056297
Pennsylvania555$2,060,24556,98357331
Georgia448$1,779,50251,99771353
Arizona412$1,765,18149,53875331
North Carolina548$1,557,39945,53552273
Illinois442$1,476,83840,19651276
Massachusetts431$1,377,60334,47245225
Virginia371$1,288,60134,44953286
Tennessee332$1,215,82237,33776266
South Carolina215$978,47629,58682476
Ohio403$913,37227,32842195

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-NJ874$4,607,250102,32052
Miami-Fort Lauderdale-West Palm Beach, FL378$3,074,81676,08375
Los Angeles-Long Beach-Anaheim, CA421$2,077,75548,01455
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD320$1,590,20540,36866
Phoenix-Mesa-Chandler, AZ291$1,244,71534,29270
Chicago-Naperville-Elgin, IL-IN353$1,189,93331,72347
Tampa-St. Petersburg-Clearwater, FL256$1,188,92833,23376
Boston-Cambridge-Newton, MA-NH332$961,43523,82544
Dallas-Fort Worth-Arlington, TX305$890,44123,95549
North Port-Bradenton-Sarasota, FL128$864,33723,74994
Atlanta-Sandy Springs-Roswell, GA241$847,80423,15262
Houston-Pasadena-The Woodlands, TX223$700,42518,60147
Orlando-Kissimmee-Sanford, FL149$696,72419,90271
Washington-Arlington-Alexandria, DC-VA-MD-WV233$685,41516,52745
Cape Coral-Fort Myers, FL72$663,29217,730122

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 2023.

Specialties billing 11103 nationally

Dermatology accounts for 70% of payment for 11103 nationally in 2023, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Dermatology8,27060%$36,271,22570%921,680111
Physician Assistant3,60226%$10,061,54319%313,10687
Nurse Practitioner1,47111%$3,814,8287.4%121,86883
Micrographic Dermatologic Surgery2101.5%$693,7701.3%18,43088
Family Practice660.48%$274,5370.53%6,921105
Internal Medicine380.28%$110,2440.21%2,80674
Plastic and Reconstructive Surgery410.30%$95,7220.19%2,52762
Pathology170.12%$45,7800.09%1,17669

Not listed: 19 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 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