HCPCS 64635

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

Procedures Work RVU per service 3.32 (2023 fee schedule)

5,957
95th percentile among 6,405 codes billed · 2023
$127M
98th percentile among 6,405 codes billed · 2023
332K
92nd percentile among 6,405 codes billed · 2023
37
66th percentile among 6,405 codes billed · 2023
157
64th percentile among 6,405 codes billed · 2023
+7.3%
Medicare payment on the code vs 2022; billers +1.2% · 2023

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
Florida558$14,724,56536,97740205
California478$12,557,97827,22536174
Texas535$10,231,02127,24936149
Georgia267$7,392,24419,10746191
Arizona207$6,262,68815,96862196
New York240$4,787,05311,12531121
Maryland164$4,587,58311,27351189
Tennessee147$3,761,99310,42043183
Pennsylvania225$3,621,02610,09032116
New Jersey175$3,183,5157,16431104
Illinois183$3,118,0248,86234130
Ohio206$3,042,2799,74033131
Virginia122$2,883,5167,38043151
Louisiana118$2,768,6338,26938210
North Carolina167$2,714,4187,70033127

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ278$5,428,01311,72831
Phoenix-Mesa-Chandler, AZ161$4,729,49311,87362
Atlanta-Sandy Springs-Roswell, GA162$4,122,75110,43948
Los Angeles-Long Beach-Anaheim, CA149$2,858,7406,63830
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD148$2,855,4707,06832
Dallas-Fort Worth-Arlington, TX170$2,606,8636,99730
Chicago-Naperville-Elgin, IL-IN145$2,468,9786,77234
Washington-Arlington-Alexandria, DC-VA-MD-WV88$2,312,8295,30742
Baltimore-Columbia-Towson, MD85$2,130,8835,39551
Tampa-St. Petersburg-Clearwater, FL101$2,024,5404,95634
Boston-Cambridge-Newton, MA-NH97$1,697,9494,58932
Jacksonville, FL69$1,649,7104,06535
North Port-Bradenton-Sarasota, FL32$1,606,6083,92879
San Francisco-Oakland-Fremont, CA47$1,597,2102,92640
Miami-Fort Lauderdale-West Palm Beach, FL86$1,593,7394,00338

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 86 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 64635 nationally

Ambulatory Surgical Center accounts for 50% of payment for 64635 nationally in 2023, across 13 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,16520%$63,271,93650%116,877100
Pain Management1,39023%$19,033,26915%65,31947
Anesthesiology1,16220%$14,612,76912%50,72544
Interventional Pain Management86715%$14,612,08012%46,38854
Physical Medicine and Rehabilitation1,15619%$12,620,29210.0%44,64739
Neurology350.59%$491,0330.39%1,43741
Diagnostic Radiology270.45%$336,2330.27%1,07440
Orthopedic Surgery360.60%$316,2910.25%1,08730
Neurosurgery200.34%$220,9570.17%81841
Certified Registered Nurse Anesthetist (CRNA)200.34%$171,3070.14%70135
Internal Medicine120.20%$167,4050.13%49741
Family Practice120.20%$121,0170.10%43736
Sports Medicine110.18%$102,0780.08%48244

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 2023.

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