HCPCS 63047

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

Procedures Work RVU per service 15.37 (2023 fee schedule)

4,170
94th percentile among 6,405 codes billed · 2023
$56M
96th percentile among 6,405 codes billed · 2023
102K
85th percentile among 6,405 codes billed · 2023
19
37th percentile among 6,405 codes billed · 2023
56
42nd percentile among 6,405 codes billed · 2023
-4.9%
Medicare payment on the code vs 2022; billers -3.9% · 2023

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
Florida300$4,935,2788,2132171
Texas342$4,522,9798,7882057
California321$4,404,8497,9581957
Ohio167$2,253,3284,1951960
New York160$2,152,3203,4881944
Washington131$2,095,0613,2162150
Illinois138$2,019,2263,3341959
North Carolina153$2,008,0443,5211950
Pennsylvania137$1,961,0693,9062175
Arizona121$1,824,9892,8982143
Maryland106$1,785,4922,8652453
Oregon66$1,576,3301,9032464
Georgia127$1,446,5172,6801837
Massachusetts100$1,344,5952,3201945
Tennessee106$1,340,6802,7562157

Not listed: 7 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-NJ191$2,519,6024,27720
Chicago-Naperville-Elgin, IL-IN107$1,653,1872,68619
Los Angeles-Long Beach-Anaheim, CA134$1,649,6753,11218
Phoenix-Mesa-Chandler, AZ90$1,248,1332,14821
Dallas-Fort Worth-Arlington, TX117$1,215,6472,52718
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD70$1,200,4962,46125
Houston-Pasadena-The Woodlands, TX67$1,055,6941,72122
Boston-Cambridge-Newton, MA-NH81$1,051,3501,86120
Baltimore-Columbia-Towson, MD64$1,040,5491,79725
Seattle-Tacoma-Bellevue, WA70$1,032,0121,57120
Washington-Arlington-Alexandria, DC-VA-MD-WV64$1,010,1701,68721
Tampa-St. Petersburg-Clearwater, FL45$729,5771,12219
San Francisco-Oakland-Fremont, CA41$688,6861,08422
Cape Coral-Fort Myers, FL24$667,22676426
Miami-Fort Lauderdale-West Palm Beach, FL46$655,37096216

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 87 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 63047 nationally

Neurosurgery accounts for 40% of payment for 63047 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Neurosurgery1,34332%$22,449,43640%32,25724
Orthopedic Surgery1,31932%$20,988,69038%34,42426
Ambulatory Surgical Center1563.7%$8,941,53916%3,92425
Physician Assistant1,05525%$2,291,6714.1%25,09124
Nurse Practitioner2586.2%$498,1000.90%5,47321
Neurology140.34%$180,4830.32%26519

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 2023.

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