HCPCS 20611
Procedure (ClaimLight category; the code descriptor is not shown)
Procedures Work RVU per service 1.10 (2024 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 8,929 | $78,037,375 | +2% | 1,011,305 | 56 | 399 | 1.10 |
| 2023 | 8,465 | $76,334,200 | +5% | 961,359 | 56 | 395 | 1.10 |
| 2022 | 8,228 | $72,935,887 | +2% | 915,425 | 54 | 388 | 1.10 |
| 2021 | 7,844 | $71,843,251 | +22% | 892,949 | 56 | 406 | 1.10 |
| 2020 | 7,177 | $59,041,921 | first year in data | 782,196 | 54 | 378 | 1.10 |
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 | |
|---|---|---|---|---|---|---|
| California | 925 | $12,505,725 | 148,767 | 69 | 593 | |
| New York | 785 | $10,915,484 | 120,940 | 72 | 559 | |
| Florida | 643 | $6,296,498 | 84,354 | 59 | 504 | |
| Illinois | 410 | $4,457,406 | 57,805 | 71 | 452 | |
| Texas | 583 | $4,156,340 | 55,642 | 54 | 323 | |
| New Jersey | 370 | $3,800,352 | 42,157 | 74 | 348 | |
| Pennsylvania | 351 | $2,786,599 | 36,693 | 50 | 373 | |
| Arizona | 303 | $2,493,900 | 33,429 | 59 | 340 | |
| Virginia | 227 | $2,377,544 | 32,591 | 56 | 571 | |
| Michigan | 318 | $2,166,606 | 31,090 | 61 | 262 | |
| Ohio | 293 | $1,876,009 | 27,194 | 58 | 280 | |
| Massachusetts | 188 | $1,837,613 | 24,660 | 62 | 450 | |
| Maryland | 197 | $1,718,396 | 20,480 | 52 | 419 | |
| South Carolina | 164 | $1,640,948 | 23,323 | 73 | 497 | |
| Tennessee | 201 | $1,333,112 | 20,190 | 57 | 339 |
Not listed: 1 billers with an armed-forces or unknown state code (AE); 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-NJ | 912 | $12,709,048 | 137,365 | 79 | |
| Los Angeles-Long Beach-Anaheim, CA | 376 | $5,905,840 | 68,318 | 91 | |
| Chicago-Naperville-Elgin, IL-IN | 348 | $4,013,351 | 51,645 | 74 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 179 | $1,909,478 | 24,589 | 59 | |
| Phoenix-Mesa-Chandler, AZ | 224 | $1,626,981 | 22,067 | 62 | |
| Boston-Cambridge-Newton, MA-NH | 161 | $1,511,189 | 19,664 | 58 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 160 | $1,444,702 | 17,041 | 59 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 164 | $1,379,940 | 15,330 | 52 | |
| San Francisco-Oakland-Fremont, CA | 96 | $1,369,863 | 14,244 | 52 | |
| San Diego-Chula Vista-Carlsbad, CA | 121 | $1,361,480 | 17,241 | 77 | |
| Detroit-Warren-Dearborn, MI | 164 | $1,322,040 | 18,153 | 62 | |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 69 | $1,021,577 | 14,630 | 91 | |
| Dallas-Fort Worth-Arlington, TX | 146 | $961,019 | 12,355 | 33 | |
| San Antonio-New Braunfels, TX | 106 | $899,962 | 12,078 | 82 | |
| Houston-Pasadena-The Woodlands, TX | 112 | $821,860 | 10,669 | 50 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 92 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 20611 nationally
Orthopedic Surgery accounts for 33% of payment for 20611 nationally in 2024, across 20 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Orthopedic Surgery | 1,994 | 22% | $25,818,221 | 33% | 315,383 | 158 |
| Sports Medicine | 1,019 | 11% | $11,394,291 | 15% | 153,540 | 151 |
| Physical Medicine and Rehabilitation | 1,251 | 14% | $9,294,364 | 12% | 117,212 | 94 |
| Physician Assistant | 1,397 | 16% | $8,427,047 | 11% | 125,481 | 90 |
| Family Practice | 787 | 8.8% | $7,222,244 | 9.3% | 95,306 | 121 |
| Rheumatology | 405 | 4.5% | $4,434,912 | 5.7% | 53,049 | 131 |
| Nurse Practitioner | 426 | 4.8% | $2,479,230 | 3.2% | 37,864 | 89 |
| Internal Medicine | 170 | 1.9% | $1,945,527 | 2.5% | 23,338 | 137 |
| Pain Management | 459 | 5.1% | $1,938,686 | 2.5% | 24,128 | 53 |
| Anesthesiology | 289 | 3.2% | $1,209,751 | 1.6% | 15,095 | 52 |
| Interventional Pain Management | 240 | 2.7% | $1,077,829 | 1.4% | 13,229 | 55 |
| Emergency Medicine | 90 | 1.0% | $763,616 | 0.98% | 10,470 | 116 |
| Diagnostic Radiology | 198 | 2.2% | $423,750 | 0.54% | 7,383 | 37 |
| Osteopathic Manipulative Medicine | 26 | 0.29% | $323,954 | 0.42% | 4,023 | 155 |
| Hand Surgery | 54 | 0.60% | $321,177 | 0.41% | 3,955 | 73 |
Not listed: 13 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 20611 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