HCPCS 64635

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

Procedures Work RVU per service 3.78 (2020 fee schedule)

5,434
95th percentile among 6,116 codes billed · 2020
$113M
98th percentile among 6,116 codes billed · 2020
317K
91st percentile among 6,116 codes billed · 2020
39
69th percentile among 6,116 codes billed · 2020
168
67th percentile among 6,116 codes billed · 2020

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
Florida539$13,756,37937,66844205
California436$10,085,95823,09237146
Texas505$9,804,90527,16834142
Georgia263$7,845,76820,96560226
Arizona185$5,639,15415,52760209
Maryland157$4,000,7779,79548182
New York202$3,980,69810,37032127
Tennessee138$3,348,9639,57653179
Ohio194$3,032,39610,43037136
Illinois174$2,809,5009,03232166
Pennsylvania195$2,732,2428,03130106
Arkansas88$2,498,2167,83074228
New Jersey157$2,468,3515,6972593
Virginia111$2,426,1177,08545161
North Carolina138$2,388,1378,00938139

Not listed: 7 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
Atlanta-Sandy Springs-Roswell, GA158$4,774,45412,30560
Phoenix-Mesa-Chandler, AZ144$4,277,85211,64458
New York-Newark-Jersey City, NY-NJ226$3,980,0239,28727
Washington-Arlington-Alexandria, DC-VA-MD-WV90$2,253,2865,53637
Dallas-Fort Worth-Arlington, TX150$2,207,9386,12531
Los Angeles-Long Beach-Anaheim, CA125$2,142,4705,19129
Chicago-Naperville-Elgin, IL-IN130$2,085,0636,53832
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD120$2,026,9095,33734
Baltimore-Columbia-Towson, MD79$1,969,0864,86248
Tampa-St. Petersburg-Clearwater, FL98$1,804,6105,15534
Boston-Cambridge-Newton, MA-NH87$1,541,9824,47642
Las Vegas-Henderson-North Las Vegas, NV54$1,516,2773,43448
North Port-Bradenton-Sarasota, FL33$1,511,0573,98883
Miami-Fort Lauderdale-West Palm Beach, FL87$1,498,4483,87730
Little Rock-North Little Rock-Conway, AR42$1,384,6224,20580

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 81 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 64635 nationally

Ambulatory Surgical Center accounts for 48% of payment for 64635 nationally in 2020, across 13 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,07120%$53,621,36848%97,74791
Pain Management1,20522%$16,532,86115%62,13752
Interventional Pain Management91017%$15,198,54014%53,68659
Anesthesiology1,07020%$13,882,72912%53,63450
Physical Medicine and Rehabilitation96018%$10,622,9909.4%40,02142
Neurology420.77%$548,6210.49%1,89545
Orthopedic Surgery370.68%$394,4450.35%1,37637
Diagnostic Radiology350.64%$377,4690.34%1,31037
Interventional Radiology110.20%$199,8170.18%63458
Internal Medicine140.26%$198,7910.18%67748
Neurosurgery190.35%$177,4640.16%71538
Family Practice110.20%$156,3080.14%50746
Certified Registered Nurse Anesthetist (CRNA)130.24%$73,2210.07%33826

Not listed: 12 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 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