HCPCS 63685

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

Procedures Work RVU per service 5.19 (2020 fee schedule)

1,101
86th percentile among 6,116 codes billed · 2020
$160M
99th percentile among 6,116 codes billed · 2020
24K
75th percentile among 6,116 codes billed · 2020
17
31st percentile among 6,116 codes billed · 2020
47
38th percentile among 6,116 codes billed · 2020

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
Texas129$25,024,3623,3561863
California92$21,138,5912,0711551
Florida89$11,263,4781,9011838
Arizona45$8,532,0781,0972343
Indiana42$6,454,1078131741
Nevada24$5,295,2895882250
Maryland18$5,000,36754219109
Pennsylvania30$4,877,4887331860
Tennessee31$4,847,7967602160
Georgia38$4,455,8236451628
Illinois39$4,053,2316531428
Washington22$3,893,2324881748
Oregon32$3,711,5715241426
Oklahoma27$3,699,6406971853
Michigan33$3,537,0115871726

Not listed: 15 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 2020.

Top metro areas

observed calculated calculated calculated calculated
Austin-Round Rock-San Marcos, TX28$7,262,56481719
Phoenix-Mesa-Chandler, AZ26$5,674,70564524
Fresno, CA14$4,882,93455323
Las Vegas-Henderson-North Las Vegas, NV16$4,291,49242023
San Antonio-New Braunfels, TX14$4,098,88662631
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD20$3,836,02742619
New York-Newark-Jersey City, NY-NJ22$3,557,67040615
Chicago-Naperville-Elgin, IL-IN27$3,473,07843713
Indianapolis-Carmel-Greenwood, IN16$3,334,89534817
Los Angeles-Long Beach-Anaheim, CA18$3,124,88035017
Dallas-Fort Worth-Arlington, TX20$2,869,25329413
Minneapolis-St. Paul-Bloomington, MN-WI13$2,786,93333722
Houston-Pasadena-The Woodlands, TX19$2,782,92438416
Kansas City, MO-KS22$2,505,57845216
Atlanta-Sandy Springs-Roswell, GA18$2,309,38527715

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 20 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 63685 nationally

Ambulatory Surgical Center accounts for 99% of payment for 63685 nationally in 2020, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center33230%$157,693,12699%8,61926
Neurosurgery20719%$736,9930.46%4,14920
Anesthesiology11310%$407,5530.25%2,44822
Interventional Pain Management1069.6%$345,7190.22%2,08120
Pain Management11711%$343,3610.21%2,08418
Orthopedic Surgery686.2%$238,8710.15%1,48622
Physical Medicine and Rehabilitation363.3%$135,1430.08%83023
Physician Assistant787.1%$42,0660.03%1,53620
Nurse Practitioner302.7%$13,540<0.01%50317

Not listed: 8 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 2020.

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