HCPCS 11721

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

Procedures Work RVU per service 0.54 (2021 fee schedule)

12,572
98th percentile among 6,253 codes billed · 2021
$187M
99th percentile among 6,253 codes billed · 2021
5.7M
99th percentile among 6,253 codes billed · 2021
275
93rd percentile among 6,253 codes billed · 2021
1,472
91st percentile among 6,253 codes billed · 2021
+7.6%
Medicare payment on the code vs 2020; billers +0.3% · 2021

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 York1,306$22,700,000597,5112781,469
California1,181$18,703,054512,3722461,526
Pennsylvania906$16,285,600508,7643981,583
Florida934$15,285,947457,0052951,646
New Jersey759$12,904,149352,6553291,366
Illinois663$10,630,440326,6082841,728
Ohio684$9,928,782331,6313521,385
Michigan544$8,438,335266,1863291,461
Texas600$6,138,500191,1231431,139
Massachusetts296$5,455,248159,8822621,766
Maryland247$4,032,177112,9783241,318
Georgia311$3,836,832124,2572321,327
Missouri210$3,534,410123,5444581,497
Arizona294$3,191,29898,9061911,059
Indiana246$3,110,894103,7462651,382

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

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-NJ1,562$27,668,281711,925286
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD492$8,902,438253,446356
Chicago-Naperville-Elgin, IL-IN546$8,601,942258,183268
Los Angeles-Long Beach-Anaheim, CA468$7,753,973208,028245
Detroit-Warren-Dearborn, MI340$5,616,185172,194320
Miami-Fort Lauderdale-West Palm Beach, FL344$4,546,903130,333213
Boston-Cambridge-Newton, MA-NH214$3,714,894107,982242
Washington-Arlington-Alexandria, DC-VA-MD-WV195$2,833,12877,279202
Cleveland, OH185$2,805,57393,937314
Tampa-St. Petersburg-Clearwater, FL143$2,676,22282,836316
St. Louis, MO-IL135$2,285,18176,447401
Phoenix-Mesa-Chandler, AZ216$2,278,32269,679192
San Francisco-Oakland-Fremont, CA149$1,956,50449,561212
Pittsburgh, PA139$1,896,39162,974381
Atlanta-Sandy Springs-Roswell, GA175$1,881,78959,773212

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 2021.

Specialties billing 11721 nationally

Podiatry accounts for 99% of payment for 11721 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry12,10696%$184,443,94999%5,586,346461
Nurse Practitioner2572.0%$1,592,3100.85%64,124250
Physician Assistant790.63%$400,4440.21%15,888201
Family Practice440.35%$64,9910.03%2,05947
Internal Medicine260.21%$57,2250.03%1,67664
Orthopedic Surgery150.12%$32,4450.02%1,18879

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 2021.

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