HCPCS 63047

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

Procedures Work RVU per service 15.37 (2022 fee schedule)

4,338
94th percentile among 6,326 codes billed · 2022
$58M
96th percentile among 6,326 codes billed · 2022
109K
86th percentile among 6,326 codes billed · 2022
20
41st percentile among 6,326 codes billed · 2022
57
42nd percentile among 6,326 codes billed · 2022
-2.9%
Medicare payment on the code vs 2021; billers -5.0% · 2022

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
Florida313$5,218,2348,9462164
Texas360$4,753,3079,9792360
California341$4,593,2528,5601954
North Carolina166$2,244,6453,9821948
Ohio164$2,170,1244,0491956
Washington142$2,109,5643,4382245
Illinois135$2,064,2213,3562061
Pennsylvania142$2,044,5983,9842272
New York156$2,006,2563,2191840
Maryland115$1,992,2443,2402459
Arizona129$1,883,2763,0552149
Oregon74$1,847,7612,1422171
Georgia132$1,507,7922,7731748
Massachusetts102$1,488,2532,4722246
Tennessee108$1,404,7672,7922254

Not listed: 6 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-NJ202$2,624,2854,22218
Los Angeles-Long Beach-Anaheim, CA146$1,897,2243,47819
Chicago-Naperville-Elgin, IL-IN107$1,711,3362,74820
Phoenix-Mesa-Chandler, AZ98$1,276,1682,25520
Dallas-Fort Worth-Arlington, TX124$1,250,8472,84521
Boston-Cambridge-Newton, MA-NH80$1,147,5121,99224
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD68$1,141,5122,16422
Houston-Pasadena-The Woodlands, TX75$1,129,9831,84821
Washington-Arlington-Alexandria, DC-VA-MD-WV75$1,116,6321,84619
Baltimore-Columbia-Towson, MD66$1,094,5521,94825
Tampa-St. Petersburg-Clearwater, FL52$1,024,9201,76020
Seattle-Tacoma-Bellevue, WA71$1,012,9871,62722
Charlotte-Concord-Gastonia, NC-SC52$881,0311,36720
Portland-Vancouver-Hillsboro, OR-WA46$826,1081,05119
San Francisco-Oakland-Fremont, CA43$770,6621,24822

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 90 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 63047 nationally

Neurosurgery accounts for 42% of payment for 63047 nationally in 2022, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Neurosurgery1,39932%$24,262,16342%34,64125
Orthopedic Surgery1,38132%$22,356,22338%36,33126
Ambulatory Surgical Center1443.3%$8,332,16314%3,72426
Physician Assistant1,09125%$2,487,3004.3%26,91425
Nurse Practitioner2776.4%$556,0230.95%6,01522
Neurology130.30%$162,5820.28%23818

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 2022.

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