HCPCS 63685

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

Procedures Work RVU per service 5.19 (2023 fee schedule)

1,281
88th percentile among 6,405 codes billed · 2023
$216M
99th percentile among 6,405 codes billed · 2023
28K
76th percentile among 6,405 codes billed · 2023
17
30th percentile among 6,405 codes billed · 2023
49
38th percentile among 6,405 codes billed · 2023
+13.8%
Medicare payment on the code vs 2022; billers +8.8% · 2023

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
Texas163$35,315,1964,2071771
California89$20,082,2131,9971748
Florida121$19,793,1502,6251846
Arizona66$13,223,1991,3391745
Indiana46$8,006,6349261736
Maryland29$6,975,7967062053
Oklahoma27$6,440,3128732157
North Carolina43$6,329,0091,1132065
Tennessee36$6,126,0099062250
Pennsylvania43$6,004,1419621755
Oregon24$5,741,8804971738
Nevada24$5,393,9155692237
Mississippi19$5,279,2646723268
Illinois39$5,268,2296831528
Minnesota24$5,050,3515862041

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 2023.

Top metro areas

observed calculated calculated calculated calculated
Phoenix-Mesa-Chandler, AZ46$10,789,14197317
Austin-Round Rock-San Marcos, TX34$8,747,98385616
San Antonio-New Braunfels, TX22$5,966,37790220
Houston-Pasadena-The Woodlands, TX22$5,299,35363319
Chicago-Naperville-Elgin, IL-IN33$4,827,41357114
Dallas-Fort Worth-Arlington, TX31$4,811,85349314
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD19$4,337,80246219
Minneapolis-St. Paul-Bloomington, MN-WI17$4,313,70944824
Tampa-St. Petersburg-Clearwater, FL20$4,129,36339815
Las Vegas-Henderson-North Las Vegas, NV18$4,073,93441220
Indianapolis-Carmel-Greenwood, IN19$3,972,44841617
New York-Newark-Jersey City, NY-NJ25$3,897,30150216
Oklahoma City, OK14$3,881,21956321
Los Angeles-Long Beach-Anaheim, CA17$3,358,81341118
Baltimore-Columbia-Towson, MD18$3,307,78339818

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 26 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 63685 nationally

Ambulatory Surgical Center accounts for 99% of payment for 63685 nationally in 2023, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center43634%$213,055,69599%11,40726
Neurosurgery19015%$693,9240.32%3,99321
Pain Management17213%$518,1780.24%3,16618
Anesthesiology1219.4%$403,9870.19%2,50321
Interventional Pain Management1169.1%$347,2430.16%2,11818
Orthopedic Surgery725.6%$253,9880.12%1,51621
Physical Medicine and Rehabilitation524.1%$182,4270.08%1,11721
Physician Assistant846.6%$46,0440.02%1,71020
Nurse Practitioner241.9%$11,112<0.01%41117

Not listed: 7 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 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