HCPCS 63047

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

Procedures Work RVU per service 15.37 (2021 fee schedule)

4,568
94th percentile among 6,253 codes billed · 2021
$60M
96th percentile among 6,253 codes billed · 2021
116K
86th percentile among 6,253 codes billed · 2021
20
41st percentile among 6,253 codes billed · 2021
58
43rd percentile among 6,253 codes billed · 2021
+5.0%
Medicare payment on the code vs 2020; billers +2.1% · 2021

Trend

Medicare payment on the code

$0$25M$50M2020: $57M paid20202021: $60M paid20212022: $58M paid20222023: $56M paid20232024: $56M paid2024$56M$0$25M$50M2020: $57M paid20202021: $60M paid20212022: $58M paid20222023: $56M paid20232024: $56M paid2024$56M$0$25M$50M2020: $57M paid20202021: $60M paid20212022: $58M paid20222023: $56M paid20232024: $56M paid2024$56M$0$25M$50M2020: $57M paid20202021: $60M paid20212022: $58M paid20222023: $56M paid20232024: $56M paid2024$56M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

02,0004,0002020: 4,474 providers20202021: 4,568 providers20212022: 4,338 providers20222023: 4,170 providers20232024: 4,147 providers20244,14702,0004,0002020: 4,474 providers20202021: 4,568 providers20212022: 4,338 providers20222023: 4,170 providers20232024: 4,147 providers20244,14702,0004,0002020: 4,474 providers20202021: 4,568 providers20212022: 4,338 providers20222023: 4,170 providers20232024: 4,147 providers20244,14702,0004,0002020: 4,474 providers20202021: 4,568 providers20212022: 4,338 providers20222023: 4,170 providers20232024: 4,147 providers20244,147

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
20244,147$55,730,583+0%99,967195615.37
20234,170$55,576,815-5%102,006195615.37
20224,338$58,458,195-3%108,622205715.37
20214,568$60,227,652+5%115,915205815.37
20204,474$57,385,661first year in data112,253205615.37

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
Florida322$4,961,7848,8592166
Texas361$4,819,3629,8252161
California352$4,508,9868,8681953
Illinois147$2,244,4453,7072057
Ohio176$2,240,9854,4132161
Washington140$2,216,6353,7502355
Pennsylvania154$2,133,1704,2632172
North Carolina176$2,070,4394,1301948
New York164$2,025,3063,4771842
Maryland114$1,980,4573,3632266
Oregon76$1,768,9992,3062272
Arizona132$1,714,2573,0952046
Massachusetts116$1,694,3393,0322352
Georgia150$1,684,1543,2361947
Virginia126$1,628,0913,2582157

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ212$2,614,2394,49817
Chicago-Naperville-Elgin, IL-IN117$1,833,8873,02121
Los Angeles-Long Beach-Anaheim, CA143$1,616,0413,33419
Dallas-Fort Worth-Arlington, TX124$1,386,5613,02920
Boston-Cambridge-Newton, MA-NH94$1,333,4622,37923
Seattle-Tacoma-Bellevue, WA78$1,215,0822,07324
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD63$1,145,6742,25229
Washington-Arlington-Alexandria, DC-VA-MD-WV65$1,114,3471,84626
Phoenix-Mesa-Chandler, AZ90$1,107,4862,17720
Baltimore-Columbia-Towson, MD68$1,081,7101,92722
Houston-Pasadena-The Woodlands, TX63$917,9381,46520
Tampa-St. Petersburg-Clearwater, FL56$870,7731,70218
Detroit-Warren-Dearborn, MI46$737,2541,29821
Charlotte-Concord-Gastonia, NC-SC56$702,6381,31920
San Francisco-Oakland-Fremont, CA47$692,3201,21721

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 88 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 63047 nationally

Neurosurgery accounts for 44% of payment for 63047 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Neurosurgery1,52433%$26,331,61044%38,22525
Orthopedic Surgery1,41631%$22,976,82238%38,02727
Ambulatory Surgical Center1302.8%$7,248,31612%3,26025
Physician Assistant1,18626%$2,676,4324.4%29,26925
Nurse Practitioner2685.9%$563,7360.94%6,19623
Neurology130.28%$169,2090.28%26821

Not listed: 15 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 63047 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