HCPCS 11721

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

Procedures Work RVU per service 0.54 (2023 fee schedule)

12,535
98th percentile among 6,405 codes billed · 2023
$172M
99th percentile among 6,405 codes billed · 2023
5.4M
99th percentile among 6,405 codes billed · 2023
257
92nd percentile among 6,405 codes billed · 2023
1,400
89th percentile among 6,405 codes billed · 2023
-1.7%
Medicare payment on the code vs 2022; billers -0.2% · 2023

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 York1,265$20,415,640562,8432571,517
California1,169$18,587,442524,8352421,585
Pennsylvania857$14,902,895481,1384361,506
Florida959$14,306,877446,4252521,612
New Jersey747$11,912,621338,2533091,322
Illinois638$9,638,614304,6372901,527
Ohio663$8,533,380296,4373311,292
Michigan548$6,971,939228,5192671,294
Texas626$5,635,003181,2421401,038
Massachusetts285$5,287,112158,9272731,903
Maryland263$3,821,372111,8703031,276
Georgia310$3,285,658111,2332351,025
Arizona298$3,226,721102,7672271,030
Missouri212$3,136,248115,5133611,506
Virginia253$2,886,68391,7491931,183

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,511$25,705,820693,494273
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD478$8,378,878248,621341
Chicago-Naperville-Elgin, IL-IN516$7,830,517241,472282
Los Angeles-Long Beach-Anaheim, CA465$7,689,718215,695248
Detroit-Warren-Dearborn, MI331$4,534,946144,816267
Miami-Fort Lauderdale-West Palm Beach, FL340$4,320,824129,494184
Boston-Cambridge-Newton, MA-NH199$3,663,703108,359246
Washington-Arlington-Alexandria, DC-VA-MD-WV219$2,680,41876,734184
Tampa-St. Petersburg-Clearwater, FL155$2,499,32881,627260
Cleveland, OH182$2,381,99882,574301
Phoenix-Mesa-Chandler, AZ227$2,338,14073,551211
St. Louis, MO-IL134$1,998,32870,092330
San Francisco-Oakland-Fremont, CA137$1,919,41248,484238
Pittsburgh, PA124$1,766,29560,499425
Baltimore-Columbia-Towson, MD118$1,754,81151,734362

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 2023.

Specialties billing 11721 nationally

Podiatry accounts for 98% of payment for 11721 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry11,98796%$168,522,52298%5,275,115440
Nurse Practitioner3512.8%$2,220,6831.3%89,704256
Physician Assistant800.64%$404,3870.24%16,597207
Internal Medicine250.20%$80,6020.05%2,674107
Family Practice380.30%$40,3270.02%1,48239
Orthopedic Surgery120.10%$29,3760.02%1,03686

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 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