HCPCS 64635

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

Procedures Work RVU per service 3.32 (2022 fee schedule)

5,889
95th percentile among 6,326 codes billed · 2022
$118M
98th percentile among 6,326 codes billed · 2022
322K
91st percentile among 6,326 codes billed · 2022
37
66th percentile among 6,326 codes billed · 2022
151
64th percentile among 6,326 codes billed · 2022
-3.2%
Medicare payment on the code vs 2021; billers +2.7% · 2022

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
Florida543$13,349,95534,11440179
California444$10,426,01223,99736173
Texas534$9,611,85926,72934140
Georgia277$7,159,23419,17644186
Arizona206$5,873,23615,18956175
Maryland178$4,645,86011,64943189
New York231$4,370,60210,43629115
Tennessee148$3,689,65610,35243163
Pennsylvania223$3,459,01210,03932124
New Jersey170$2,987,2256,86431102
Ohio208$2,974,12910,00132123
Illinois200$2,914,7318,66331111
Louisiana112$2,707,4938,43946211
Virginia119$2,640,1816,90543136
Arkansas91$2,632,5967,85959215

Not listed: 6 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ269$4,850,13310,74029
Phoenix-Mesa-Chandler, AZ159$4,339,51110,95753
Atlanta-Sandy Springs-Roswell, GA168$3,866,05110,01943
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD137$2,728,0876,83534
Washington-Arlington-Alexandria, DC-VA-MD-WV93$2,424,2185,61836
Chicago-Naperville-Elgin, IL-IN164$2,376,1486,85830
Los Angeles-Long Beach-Anaheim, CA130$2,215,3145,53131
Dallas-Fort Worth-Arlington, TX158$2,162,9746,23830
Baltimore-Columbia-Towson, MD93$2,101,4415,47546
Tampa-St. Petersburg-Clearwater, FL95$1,742,6094,47433
Boston-Cambridge-Newton, MA-NH100$1,655,9994,71832
Miami-Fort Lauderdale-West Palm Beach, FL84$1,559,5443,92836
North Port-Bradenton-Sarasota, FL33$1,467,1943,68354
Nashville-Davidson--Murfreesboro--Franklin, TN55$1,429,3763,78948
San Antonio-New Braunfels, TX60$1,403,3683,35636

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 2022.

Specialties billing 64635 nationally

Ambulatory Surgical Center accounts for 47% of payment for 64635 nationally in 2022, across 12 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,08518%$55,181,08247%103,41195
Pain Management1,33823%$18,090,23715%64,02548
Interventional Pain Management91015%$15,003,83113%48,03653
Anesthesiology1,21721%$14,827,18413%53,68544
Physical Medicine and Rehabilitation1,10719%$12,219,97210%44,08440
Neurology380.65%$507,9840.43%1,59642
Orthopedic Surgery400.68%$402,5180.34%1,33033
Diagnostic Radiology330.56%$383,7680.33%1,18336
Neurosurgery200.34%$198,2010.17%79940
Certified Registered Nurse Anesthetist (CRNA)250.42%$188,3820.16%77131
Internal Medicine120.20%$183,1900.16%55046
Family Practice170.29%$178,6380.15%60436

Not listed: 13 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 2022.

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