HCPCS 11721

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

Procedures Work RVU per service 0.54 (2024 fee schedule)

12,574
98th percentile among 6,471 codes billed · 2024
$166M
98th percentile among 6,471 codes billed · 2024
5.3M
99th percentile among 6,471 codes billed · 2024
254
91st percentile among 6,471 codes billed · 2024
1,375
88th percentile among 6,471 codes billed · 2024
-3.1%
Medicare payment on the code vs 2023; billers +0.3% · 2024

Trend

Medicare payment on the code

$0$100M$200M2020: $173M paid20202021: $187M paid20212022: $175M paid20222023: $172M paid20232024: $166M paid2024$166M$0$100M$200M2020: $173M paid20202021: $187M paid20212022: $175M paid20222023: $172M paid20232024: $166M paid2024$166M$0$100M$200M2020: $173M paid20202021: $187M paid20212022: $175M paid20222023: $172M paid20232024: $166M paid2024$166M$0$100M$200M2020: $173M paid20202021: $187M paid20212022: $175M paid20222023: $172M paid20232024: $166M paid2024$166M

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

Billers

05,00010K2020: 13K providers20202021: 13K providers20212022: 13K providers20222023: 13K providers20232024: 13K providers202413K05,00010K2020: 13K providers20202021: 13K providers20212022: 13K providers20222023: 13K providers20232024: 13K providers202413K05,00010K2020: 13K providers20202021: 13K providers20212022: 13K providers20222023: 13K providers20232024: 13K providers202413K05,00010K2020: 13K providers20202021: 13K providers20212022: 13K providers20222023: 13K providers20232024: 13K providers202413K

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
202412,574$166,198,891-3%5,331,0892541,3750.54
202312,535$171,518,217-2%5,393,1792571,4000.54
202212,565$174,502,062-7%5,457,2562601,4070.54
202112,572$186,740,642+8%5,675,5932751,4720.54
202012,531$173,498,217first year in data5,289,0972601,3670.54

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
California1,193$19,352,996561,1352621,688
New York1,242$19,278,237552,2212481,582
Florida963$14,410,246451,9652601,560
Pennsylvania817$14,014,011461,3954341,508
New Jersey762$11,837,896343,1113141,436
Illinois620$9,099,804294,2182841,527
Ohio668$8,307,911293,3373241,246
Michigan540$6,312,242209,7122531,166
Texas647$5,750,586187,720148949
Massachusetts294$5,066,569155,2822361,863
Maryland274$3,695,918113,0502771,188
Arizona310$3,243,472104,890217962
Georgia312$3,109,083106,1442251,028
Missouri207$2,966,491111,2993651,392
Virginia255$2,944,33496,9392291,164

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

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-NJ1,516$24,906,762695,572273
Los Angeles-Long Beach-Anaheim, CA482$8,227,760238,310270
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD466$8,071,625244,596365
Chicago-Naperville-Elgin, IL-IN500$7,375,469232,617270
Miami-Fort Lauderdale-West Palm Beach, FL311$4,400,764132,509199
Detroit-Warren-Dearborn, MI329$4,186,319134,819253
Boston-Cambridge-Newton, MA-NH200$3,589,403109,348227
Washington-Arlington-Alexandria, DC-VA-MD-WV218$2,645,51779,259197
Tampa-St. Petersburg-Clearwater, FL167$2,424,73380,798235
Cleveland, OH191$2,367,15383,005259
Phoenix-Mesa-Chandler, AZ227$2,345,19175,040219
San Francisco-Oakland-Fremont, CA146$2,016,62250,128215
St. Louis, MO-IL129$1,923,70868,592335
Houston-Pasadena-The Woodlands, TX175$1,720,86353,561153
Baltimore-Columbia-Towson, MD130$1,699,66951,931284

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 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 11721 nationally

Podiatry accounts for 98% of payment for 11721 nationally in 2024, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry11,94795%$162,677,81498%5,192,771435
Nurse Practitioner4163.3%$2,752,2421.7%108,800262
Physician Assistant830.66%$421,1260.25%17,429210
Family Practice430.34%$87,6640.05%3,08972
Internal Medicine240.19%$45,4060.03%1,60467
Orthopedic Surgery160.13%$29,2650.02%1,13771

Not listed: 20 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 11721 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