HCPCS 11721

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

Procedures Work RVU per service 0.54 (2022 fee schedule)

12,565
98th percentile among 6,326 codes billed · 2022
$175M
99th percentile among 6,326 codes billed · 2022
5.5M
99th percentile among 6,326 codes billed · 2022
260
93rd percentile among 6,326 codes billed · 2022
1,407
90th percentile among 6,326 codes billed · 2022
-6.6%
Medicare payment on the code vs 2021; billers -0.1% · 2022

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 York1,278$21,139,611571,1452571,450
California1,136$18,166,390509,7852511,570
Pennsylvania885$15,247,658488,4923961,560
Florida962$14,190,287437,8162441,633
New Jersey749$12,143,501340,5503181,295
Illinois665$9,780,725307,9252651,567
Ohio677$8,827,971305,1453221,288
Michigan533$7,361,191240,3283011,364
Texas614$5,738,853183,6951441,073
Massachusetts280$5,176,756155,7772941,915
Maryland270$3,818,344110,6502651,180
Georgia309$3,387,675113,9302421,018
Missouri215$3,345,357122,0883801,613
Arizona297$3,186,061101,2881961,012
Virginia256$2,903,65391,3101941,213

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,531$25,998,221686,534267
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD489$8,628,414252,383344
Chicago-Naperville-Elgin, IL-IN544$7,951,616244,700254
Los Angeles-Long Beach-Anaheim, CA458$7,659,286213,160242
Detroit-Warren-Dearborn, MI327$4,859,242153,958297
Miami-Fort Lauderdale-West Palm Beach, FL342$4,258,247125,411181
Boston-Cambridge-Newton, MA-NH197$3,533,849104,936263
Washington-Arlington-Alexandria, DC-VA-MD-WV217$2,767,32378,083177
Tampa-St. Petersburg-Clearwater, FL154$2,615,94783,899285
Cleveland, OH186$2,455,74685,036287
Phoenix-Mesa-Chandler, AZ223$2,226,18569,870188
St. Louis, MO-IL138$2,170,40275,374341
San Francisco-Oakland-Fremont, CA139$1,877,29848,288220
Pittsburgh, PA131$1,746,77560,024371
Baltimore-Columbia-Towson, MD125$1,729,21450,482289

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 2022.

Specialties billing 11721 nationally

Podiatry accounts for 99% of payment for 11721 nationally in 2022, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry12,08196%$171,961,24499%5,357,269443
Nurse Practitioner2962.4%$1,752,1111.0%72,359244
Physician Assistant730.58%$401,6800.23%15,885218
Internal Medicine260.21%$58,9990.03%1,86872
Family Practice330.26%$38,6140.02%1,37942
Orthopedic Surgery140.11%$30,9170.02%1,08277

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 2022.

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