HCPCS 63685

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

Procedures Work RVU per service 5.19 (2024 fee schedule)

1,210
88th percentile among 6,471 codes billed · 2024
$217M
99th percentile among 6,471 codes billed · 2024
27K
75th percentile among 6,471 codes billed · 2024
17
29th percentile among 6,471 codes billed · 2024
50
38th percentile among 6,471 codes billed · 2024
+0.9%
Medicare payment on the code vs 2023; billers -5.5% · 2024

Trend

Medicare payment on the code

$0$100M$200M2020: $160M paid20202021: $178M paid20212022: $189M paid20222023: $216M paid20232024: $217M paid2024$217M$0$100M$200M2020: $160M paid20202021: $178M paid20212022: $189M paid20222023: $216M paid20232024: $217M paid2024$217M$0$100M$200M2020: $160M paid20202021: $178M paid20212022: $189M paid20222023: $216M paid20232024: $217M paid2024$217M$0$100M$200M2020: $160M paid20202021: $178M paid20212022: $189M paid20222023: $216M paid20232024: $217M paid2024$217M

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

Billers

05001,0002020: 1,101 providers20202021: 1,121 providers20212022: 1,177 providers20222023: 1,281 providers20232024: 1,210 providers20241,21005001,0002020: 1,101 providers20202021: 1,121 providers20212022: 1,177 providers20222023: 1,281 providers20232024: 1,210 providers20241,21005001,0002020: 1,101 providers20202021: 1,121 providers20212022: 1,177 providers20222023: 1,281 providers20232024: 1,210 providers20241,21005001,0002020: 1,101 providers20202021: 1,121 providers20212022: 1,177 providers20222023: 1,281 providers20232024: 1,210 providers20241,210

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
20241,210$217,454,221+1%27,09817505.19
20231,281$215,549,513+14%28,19217495.19
20221,177$189,375,294+7%25,57117465.19
20211,121$177,608,619+11%25,14117495.19
20201,101$159,998,315first year in data23,96317475.19

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
Texas164$35,765,9034,3031872
California94$25,474,6892,2221856
Florida104$17,680,5452,2921847
Arizona59$12,312,6941,1721640
Tennessee41$8,699,2191,0652051
Maryland32$7,458,2637141855
Oklahoma30$6,742,7489012355
North Carolina44$6,391,2401,1482352
Indiana36$5,833,2767201645
Illinois33$5,598,7086381635
Minnesota22$5,595,1626212349
Oregon23$5,403,7384481632
Washington30$5,170,1045471631
Pennsylvania43$5,155,8338821648
Missouri34$5,103,6057211847

Not listed: 1 billers with an armed-forces or unknown state code (AE); they are in the national totals.

Not listed: 17 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
Phoenix-Mesa-Chandler, AZ46$10,343,72092616
Austin-Round Rock-San Marcos, TX33$8,866,27392920
Dallas-Fort Worth-Arlington, TX34$6,052,21559015
San Antonio-New Braunfels, TX23$5,630,22984017
Chicago-Naperville-Elgin, IL-IN27$5,066,28153516
New York-Newark-Jersey City, NY-NJ28$4,689,11952016
Minneapolis-St. Paul-Bloomington, MN-WI14$4,528,27349030
Houston-Pasadena-The Woodlands, TX16$4,349,07845019
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD20$4,336,04545521
Jacksonville, FL18$4,030,11746821
Las Vegas-Henderson-North Las Vegas, NV14$3,869,44033122
Oklahoma City, OK16$3,766,71654623
Baltimore-Columbia-Towson, MD18$3,749,42042619
Kansas City, MO-KS21$3,468,60342817
Washington-Arlington-Alexandria, DC-VA-MD-WV14$3,289,10727214

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 27 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 63685 nationally

Ambulatory Surgical Center accounts for 99% of payment for 63685 nationally in 2024, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center42035%$215,258,44299%11,23427
Neurosurgery17214%$611,9110.28%3,75322
Pain Management16313%$445,9520.21%2,92818
Anesthesiology12811%$379,3860.17%2,48119
Interventional Pain Management967.9%$275,8940.13%1,82019
Orthopedic Surgery655.4%$213,0330.10%1,35721
Physical Medicine and Rehabilitation504.1%$168,1720.08%1,13123
Physician Assistant786.4%$43,6950.02%1,63321
Nurse Practitioner252.1%$12,856<0.01%45518

Not listed: 9 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 63685 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