HCPCS 64635

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

Procedures Work RVU per service 3.32 (2024 fee schedule)

6,097
96th percentile among 6,471 codes billed · 2024
$138M
98th percentile among 6,471 codes billed · 2024
352K
92nd percentile among 6,471 codes billed · 2024
38
65th percentile among 6,471 codes billed · 2024
165
64th percentile among 6,471 codes billed · 2024
+9.3%
Medicare payment on the code vs 2023; billers +2.4% · 2024

Trend

Medicare payment on the code

$0$100M2020: $113M paid20202021: $122M paid20212022: $118M paid20222023: $127M paid20232024: $138M paid2024$138M$0$100M2020: $113M paid20202021: $122M paid20212022: $118M paid20222023: $127M paid20232024: $138M paid2024$138M$0$100M2020: $113M paid20202021: $122M paid20212022: $118M paid20222023: $127M paid20232024: $138M paid2024$138M$0$100M2020: $113M paid20202021: $122M paid20212022: $118M paid20222023: $127M paid20232024: $138M paid2024$138M

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

Billers

02,5005,0002020: 5,434 providers20202021: 5,735 providers20212022: 5,889 providers20222023: 5,957 providers20232024: 6,097 providers20246,09702,5005,0002020: 5,434 providers20202021: 5,735 providers20212022: 5,889 providers20222023: 5,957 providers20232024: 6,097 providers20246,09702,5005,0002020: 5,434 providers20202021: 5,735 providers20212022: 5,889 providers20222023: 5,957 providers20232024: 6,097 providers20246,09702,5005,0002020: 5,434 providers20202021: 5,735 providers20212022: 5,889 providers20222023: 5,957 providers20232024: 6,097 providers20246,097

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
20246,097$138,421,618+9%352,333381653.32
20235,957$126,662,585+7%332,373371573.32
20225,889$118,035,248-3%322,215371513.32
20215,735$121,939,550+8%337,163401613.78
20205,434$112,513,363first year in data316,532391683.78

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
Florida548$15,772,50738,65144209
California513$14,774,08030,55437195
Texas566$11,689,05929,98237151
Georgia280$7,735,53719,11346174
Arizona225$6,704,28316,63158206
New York245$5,056,73611,47332121
Maryland177$5,055,90211,96951190
Tennessee141$4,038,89910,72751224
Pennsylvania247$3,862,47411,03032111
Illinois189$3,602,6909,91941131
New Jersey165$3,441,2547,40432107
Louisiana114$3,171,8569,00743221
Ohio207$3,105,8869,38231120
Virginia122$3,056,1338,06249158
North Carolina178$2,898,0848,14533116

Not listed: 5 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
New York-Newark-Jersey City, NY-NJ277$5,802,71812,22731
Phoenix-Mesa-Chandler, AZ173$5,141,53312,59957
Atlanta-Sandy Springs-Roswell, GA169$4,290,64110,21542
Dallas-Fort Worth-Arlington, TX187$3,300,7118,13032
Los Angeles-Long Beach-Anaheim, CA154$3,231,9797,30128
Chicago-Naperville-Elgin, IL-IN159$3,029,9467,99539
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD152$2,997,2457,39633
Washington-Arlington-Alexandria, DC-VA-MD-WV93$2,474,2725,63341
Baltimore-Columbia-Towson, MD88$2,343,2165,83057
San Francisco-Oakland-Fremont, CA55$2,001,0753,47135
Tampa-St. Petersburg-Clearwater, FL86$2,000,8464,76941
Jacksonville, FL66$1,991,2254,94445
Boston-Cambridge-Newton, MA-NH102$1,797,1554,79633
Miami-Fort Lauderdale-West Palm Beach, FL85$1,718,8354,16136
Austin-Round Rock-San Marcos, TX65$1,643,8173,94834

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 82 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 64635 nationally

Ambulatory Surgical Center accounts for 52% of payment for 64635 nationally in 2024, across 14 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,19420%$71,348,52952%126,293106
Pain Management1,44124%$20,609,81515%69,48348
Anesthesiology1,17419%$15,466,85611%52,53945
Interventional Pain Management85814%$14,659,92911%46,59254
Physical Medicine and Rehabilitation1,19220%$13,597,7829.8%48,30341
Neurology360.59%$483,1470.35%1,41439
Diagnostic Radiology320.52%$381,1650.28%1,20638
Orthopedic Surgery320.52%$286,8190.21%1,01932
Certified Registered Nurse Anesthetist (CRNA)240.39%$250,3930.18%95540
Neurosurgery210.34%$212,2580.15%74836
Internal Medicine130.21%$166,9470.12%50439
Family Practice150.25%$166,3320.12%52035
Emergency Medicine140.23%$140,9320.10%53939
Sports Medicine120.20%$103,5730.07%48340

Not listed: 11 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 64635 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