HCPCS 64635

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

Procedures Work RVU per service 3.78 (2021 fee schedule)

5,735
95th percentile among 6,253 codes billed · 2021
$122M
98th percentile among 6,253 codes billed · 2021
337K
91st percentile among 6,253 codes billed · 2021
40
69th percentile among 6,253 codes billed · 2021
161
65th percentile among 6,253 codes billed · 2021
+8.4%
Medicare payment on the code vs 2020; billers +5.5% · 2021

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
Florida526$12,790,09134,15944188
California430$10,745,79124,50537169
Texas536$10,454,08128,96337149
Georgia271$8,104,96821,54356241
Arizona193$5,996,37816,18461191
Maryland175$4,777,39911,86246205
New York224$4,384,20210,90433126
Tennessee141$3,643,85810,18150175
Ohio210$3,526,25211,68341144
Pennsylvania210$3,277,0509,41434109
Illinois190$3,179,1569,78232140
New Jersey163$2,880,3926,55029120
Louisiana113$2,705,2798,13140208
Arkansas99$2,592,9407,99657197
Virginia114$2,576,2327,12142163

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 2021.

Top metro areas

observed calculated calculated calculated calculated
Atlanta-Sandy Springs-Roswell, GA161$4,798,61612,25958
New York-Newark-Jersey City, NY-NJ252$4,656,48910,57830
Phoenix-Mesa-Chandler, AZ149$4,439,74511,80858
Washington-Arlington-Alexandria, DC-VA-MD-WV96$2,606,5906,21936
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD136$2,540,7586,46135
Chicago-Naperville-Elgin, IL-IN155$2,387,2667,24029
Dallas-Fort Worth-Arlington, TX164$2,383,1616,73533
Los Angeles-Long Beach-Anaheim, CA118$2,226,4055,37734
Baltimore-Columbia-Towson, MD89$2,201,8515,62353
Boston-Cambridge-Newton, MA-NH90$1,715,8255,09836
Tampa-St. Petersburg-Clearwater, FL85$1,627,1834,43835
Las Vegas-Henderson-North Las Vegas, NV58$1,601,1103,67349
San Antonio-New Braunfels, TX63$1,501,9353,68841
Miami-Fort Lauderdale-West Palm Beach, FL84$1,479,0193,81632
Nashville-Davidson--Murfreesboro--Franklin, TN55$1,464,3953,90346

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 80 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 64635 nationally

Ambulatory Surgical Center accounts for 47% of payment for 64635 nationally in 2021, across 12 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,07219%$56,752,85947%103,64997
Pain Management1,30523%$18,743,58215%67,99552
Interventional Pain Management92016%$16,031,85613%54,14059
Anesthesiology1,16120%$15,433,88613%57,12249
Physical Medicine and Rehabilitation1,04718%$12,197,11610%44,78143
Neurology430.75%$547,2210.45%1,86043
Orthopedic Surgery380.66%$428,6670.35%1,41637
Diagnostic Radiology290.51%$346,8220.28%1,15340
Internal Medicine130.23%$201,4310.17%65350
Neurosurgery210.37%$198,4480.16%78137
Family Practice180.31%$180,4740.15%58533
Certified Registered Nurse Anesthetist (CRNA)190.33%$127,5220.10%56630

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 2021.

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