HCPCS 64561

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

Procedures Work RVU per service 5.44 (2023 fee schedule)

564
82nd percentile among 6,405 codes billed · 2023
$48M
96th percentile among 6,405 codes billed · 2023
23K
74th percentile among 6,405 codes billed · 2023
27
55th percentile among 6,405 codes billed · 2023
110
57th percentile among 6,405 codes billed · 2023
+42.4%
Medicare payment on the code vs 2022; billers +26.2% · 2023

Trend

Medicare payment on the code

$0$20M$40M2020: $18M paid20202021: $22M paid20212022: $33M paid20222023: $48M paid20232024: $53M paid2024$53M$0$20M$40M2020: $18M paid20202021: $22M paid20212022: $33M paid20222023: $48M paid20232024: $53M paid2024$53M$0$20M$40M2020: $18M paid20202021: $22M paid20212022: $33M paid20222023: $48M paid20232024: $53M paid2024$53M$0$20M$40M2020: $18M paid20202021: $22M paid20212022: $33M paid20222023: $48M paid20232024: $53M paid2024$53M

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

Billers

02505002020: 248 providers20202021: 306 providers20212022: 447 providers20222023: 564 providers20232024: 624 providers202462402505002020: 248 providers20202021: 306 providers20212022: 447 providers20222023: 564 providers20232024: 624 providers202462402505002020: 248 providers20202021: 306 providers20212022: 447 providers20222023: 564 providers20232024: 624 providers202462402505002020: 248 providers20202021: 306 providers20212022: 447 providers20222023: 564 providers20232024: 624 providers2024624

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
2024624$52,689,249+11%24,882261065.44
2023564$47,550,857+42%22,621271105.44
2022447$33,383,322+52%16,656241015.44
2021306$21,968,365+21%10,02220885.44
2020248$18,207,195first year in data7,75820755.44

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
Florida82$7,855,7263,74733119
Arizona27$4,512,7401,78732243
Arkansas12$3,548,0191,74633675
Georgia37$3,406,0011,4803189
Texas43$3,151,5401,5372690
Mississippi20$2,832,3751,29142193
Maryland25$2,609,3491,0183881
California25$1,469,7335721952
Pennsylvania19$1,427,0376082562
Colorado20$1,381,4526563066
Tennessee26$1,137,2137332171
Kansas14$1,077,3434772782
New York13$1,062,8115123399
South Carolina16$1,031,5544792371
Oklahoma18$974,9605561974

Not listed: 22 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, AZ25$4,501,7031,75134
Atlanta-Sandy Springs-Roswell, GA23$2,865,0951,12634
Baltimore-Columbia-Towson, MD14$1,489,09059338
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD16$1,216,86250623
Dallas-Fort Worth-Arlington, TX16$1,103,94753525
Tampa-St. Petersburg-Clearwater, FL14$1,015,95652226
New York-Newark-Jersey City, NY-NJ14$556,29140025

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 7 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 64561 nationally

Ambulatory Surgical Center accounts for 91% of payment for 64561 nationally in 2023, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center18232%$43,489,19091%11,67664
Urology26647%$2,675,7865.6%7,18927
Obstetrics & Gynecology8515%$1,048,5222.2%2,83733

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 2023.

Top billers of 64561 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