HCPCS 11721

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

Procedures Work RVU per service 0.54 (2020 fee schedule)

12,531
98th percentile among 6,116 codes billed · 2020
$173M
99th percentile among 6,116 codes billed · 2020
5.3M
99th percentile among 6,116 codes billed · 2020
260
93rd percentile among 6,116 codes billed · 2020
1,367
91st percentile among 6,116 codes billed · 2020

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
New York1,302$20,371,548539,4972561,335
California1,185$17,437,443481,6122271,405
Pennsylvania900$15,136,787474,2493641,473
Florida917$15,121,390447,9142971,650
New Jersey772$11,843,720325,7682931,268
Illinois671$10,258,756314,2972731,740
Ohio685$9,578,435315,0113451,271
Michigan541$7,700,721242,2203091,293
Texas585$5,782,230181,8071511,153
Massachusetts293$4,834,278140,9222401,577
Maryland252$3,632,398102,4632901,256
Georgia302$3,528,646115,3042471,048
Arizona296$3,106,81895,325178996
Missouri205$3,080,385108,5323881,462
Indiana232$2,958,84199,9013001,357

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,555$24,795,321639,446260
Chicago-Naperville-Elgin, IL-IN550$8,435,898253,063264
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD505$8,223,924235,719326
Los Angeles-Long Beach-Anaheim, CA470$7,527,196200,877220
Detroit-Warren-Dearborn, MI346$5,086,596154,906305
Miami-Fort Lauderdale-West Palm Beach, FL332$4,376,404123,852232
Boston-Cambridge-Newton, MA-NH213$3,369,32997,739230
Cleveland, OH186$2,714,70889,156298
Tampa-St. Petersburg-Clearwater, FL143$2,641,74481,280309
Washington-Arlington-Alexandria, DC-VA-MD-WV192$2,314,60263,436178
Phoenix-Mesa-Chandler, AZ223$2,233,01167,669177
St. Louis, MO-IL136$2,060,29969,315373
San Francisco-Oakland-Fremont, CA155$1,764,65045,470191
Baltimore-Columbia-Towson, MD131$1,762,97750,055269
Atlanta-Sandy Springs-Roswell, GA166$1,741,66655,598215

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 11721 nationally

Podiatry accounts for 99% of payment for 11721 nationally in 2020, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry12,08696%$171,517,01799%5,211,259431
Nurse Practitioner2361.9%$1,279,8520.74%52,730223
Physician Assistant610.49%$365,1560.21%14,658240
Internal Medicine300.24%$77,8550.04%2,46782
Family Practice460.37%$69,6760.04%2,16447
Orthopedic Surgery200.16%$54,8670.03%1,94597
Endocrinology120.10%$14,511<0.01%49842

Not listed: 18 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 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