HCPCS 63685

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

Procedures Work RVU per service 5.19 (2021 fee schedule)

1,121
86th percentile among 6,253 codes billed · 2021
$178M
99th percentile among 6,253 codes billed · 2021
25K
75th percentile among 6,253 codes billed · 2021
17
30th percentile among 6,253 codes billed · 2021
49
38th percentile among 6,253 codes billed · 2021
+11.0%
Medicare payment on the code vs 2020; billers +1.8% · 2021

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
Texas138$30,580,4243,7682067
California83$19,279,2481,9161950
Florida86$13,284,4591,9471843
Arizona50$8,732,8721,0421840
Indiana45$8,398,5639411737
Pennsylvania45$5,935,4121,0451855
Maryland26$5,917,9096421972
Illinois39$5,364,9507281728
Minnesota22$4,939,9665592150
Washington26$4,928,7235761847
Oregon23$4,862,3614981938
South Carolina33$4,293,2258122346
Tennessee33$4,273,4997531755
Nevada18$4,217,8605072343
Mississippi21$4,126,3866892664

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 2021.

Top metro areas

observed calculated calculated calculated calculated
Austin-Round Rock-San Marcos, TX23$7,794,71276422
Phoenix-Mesa-Chandler, AZ32$5,920,02563017
San Antonio-New Braunfels, TX23$5,128,16878923
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD26$5,070,39562219
Houston-Pasadena-The Woodlands, TX19$4,410,98349620
Chicago-Naperville-Elgin, IL-IN28$4,240,56051315
Indianapolis-Carmel-Greenwood, IN16$4,235,62240419
Minneapolis-St. Paul-Bloomington, MN-WI18$3,994,69346121
Fresno, CA13$3,727,16942822
New York-Newark-Jersey City, NY-NJ34$3,540,88558515
Dallas-Fort Worth-Arlington, TX20$3,515,36835513
Las Vegas-Henderson-North Las Vegas, NV13$3,098,76039424
Los Angeles-Long Beach-Anaheim, CA15$2,851,07433214
Baltimore-Columbia-Towson, MD13$2,632,75430119
Kansas City, MO-KS20$2,409,35844217

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 21 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 63685 nationally

Ambulatory Surgical Center accounts for 99% of payment for 63685 nationally in 2021, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center35632%$175,193,47299%9,42026
Neurosurgery20018%$780,3450.44%4,29821
Anesthesiology1109.8%$405,1620.23%2,41522
Pain Management12711%$392,2150.22%2,37419
Interventional Pain Management1039.2%$331,3630.19%1,93619
Orthopedic Surgery716.3%$262,0070.15%1,57622
Physical Medicine and Rehabilitation383.4%$147,5170.08%90124
Physician Assistant797.0%$43,0150.02%1,59620
Nurse Practitioner201.8%$10,739<0.01%38419

Not listed: 10 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 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