Top billers · Codes · G2211

Who bills G2211?

G2211 is the HCPCS code for: Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. In 2024, 138,770 providers billed G2211 24,627,539 times, with an estimated $295.9M paid by Medicare.

$17.37
2026 PFS national rate (office)
138,770
Providers billing it (2024)
24,627,539
Services billed
$295.9M
Est. Medicare paid
The fee

What does Medicare pay for G2211?

Medicare's 2026 Physician Fee Schedule national rate for G2211 is $17.37 in the office setting and $14.36 in a facility. National amounts before geographic adjustment — your locality's rate differs slightly.

Office (non-facility) rate$17.37
Facility rate$14.36
Fee schedule2026 Medicare Physician Fee Schedule

What Medicare actually paid per service in 2024, on average: $12.01 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills G2211 the most.

The top 5 billers nationally, ranked by 2024 Medicare service volume.

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Kelie Mercier, F.N.P.Nurse PractitionerRedding, CA7,708$91K
2Fina Barouch, MDOphthalmologyPeabody, MA7,086$2K
3Florian Gegaj, M.D.Internal MedicineThe Villages, FL7,010$87K
4Salar Deldar, M.D.Pain ManagementMonterey, CA6,574$88K
5Vernon Bowman, MDFamily PracticeAshdown, AR6,208$76K

138,765 more providers billed G2211 in 2024. The full ranked list — filtered to your exact territory, with phone numbers and year-over-year history — is one search in Prospect 811.

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The breakdown

Where G2211 gets billed.

Top states by volume

California2,107,098 services
Florida1,917,163 services
New York1,581,165 services
Texas1,578,637 services
Pennsylvania1,291,385 services
Illinois1,118,024 services
North Carolina994,406 services
Virginia914,436 services

About this code

CMS descriptionVisit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
Code typeHCPCS Level II
Providers billing it (2024)138,770
Services billed (2024)24,627,539
Avg. Medicare payment per service (2024)$12.01
Where these numbers come from. Rates are CMS's own public fee-schedule files — the Physician Fee Schedule, Clinical Laboratory Fee Schedule, ASP drug pricing, DMEPOS, and the OPPS/ASC addenda — each labeled with its file year on this page; national amounts are shown before geographic adjustment. Codes with no separate rate render the fee schedule's own status in words, never a fake $0. Utilization comes from CMS's public Medicare Provider Utilization & Payment data for 2024, the most recent year released. It covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage), and CMS suppresses any provider-and-code line with fewer than 11 beneficiaries before publishing, so low-volume billers don't appear at all. "Est. Medicare paid" is each billing line's average Medicare payment times its service count, summed — actual per-claim payment varies by setting and modifiers. For drug and supply codes, a "service" is a billed unit (a milligram, a milliliter, a square centimeter), not a patient visit. Code descriptions are CMS's own, from the utilization files. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

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