How much does Medicare pay for CPT 61624?

Medicare allowed an average of $1065.29 per service and paid $850.41 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $5964.41, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 61624?

Occlusion of central nervous system or spinal cord artery. It was billed 9,305 times to 7,560 Medicare beneficiaries by 428 providers in 2024.

Which specialty bills 61624 most?

Neurosurgery, with 5,005 services from 230 clinicians. Next are Diagnostic Radiology, Neurology, Interventional Radiology.

CPT 61624

Occlusion of central nervous system or spinal cord artery

$1065.29Medicare-allowed amount per service, averaged across 9,305 services

Providers submitted

$5964.41

Asking price, not received

Medicare allowed

$1065.29

The fee schedule figure

Medicare paid

$850.41

Balance is patient coinsurance

Providers submitted an average of $5964.41 for this code and Medicare allowed $1065.29 — 5.6× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $850.41 (80%); the rest is the patient’s coinsurance and deductible.

Services: 9,305
Beneficiaries: 7,560
Providers billing it: 428
Total allowed: $9,912,523

What Medicare pays for CPT 61624

Across 9,305 services billed by 428 providers to 7,560 beneficiaries, Medicare allowed an average of $1065.29 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 61624

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurosurgery	5,005	4,118	$1078.56	230
Diagnostic Radiology	1,636	1,306	$1016.98	74
Neurology	1,430	1,170	$1061.30	70
Interventional Radiology	1,100	858	$1076.08	48
Neuropsychiatry	62	51	$1111.43	2
Vascular Surgery	26	18	$1309.23	1
Internal Medicine	17	14	$1109.15	1
Critical Care (Intensivists)	17	13	$890.00	1
General Surgery	12	12	$1018.36	1

61624 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	1,059	$1034.20	$767.24	48
Florida	809	$1146.80	$800.80	40
New York	705	$1233.57	$796.65	25
Texas	587	$1049.40	$796.91	28
Pennsylvania	526	$1069.46	$796.42	29
Illinois	375	$1216.48	$772.45	17
Massachusetts	332	$1080.05	$771.02	13
Washington	288	$1075.10	$795.02	12
Arizona	273	$1029.91	$830.99	12
Maryland	267	$1054.33	$757.84	10
Virginia	262	$1058.89	$796.06	11
Ohio	255	$1037.69	$787.75	15
New Jersey	252	$1131.24	$773.12	13
Minnesota	251	$935.47	$822.79	8
North Carolina	245	$1046.01	$846.60	13
Georgia	193	$1052.42	$781.57	8
South Carolina	179	$1037.07	$829.35	9
Connecticut	176	$1098.33	$727.03	6
Kentucky	158	$1015.42	$784.74	9
Tennessee	158	$964.62	$813.91	9
Missouri	151	$1012.00	$768.93	6
Iowa	147	$929.28	$779.86	5
Indiana	137	$995.62	$804.25	8
Colorado	135	$975.95	$724.28	6
Nevada	134	$935.05	$760.59	3
Alabama	123	$857.04	$760.71	6
Michigan	123	$1154.72	$826.32	7
Louisiana	112	$1020.92	$809.49	7
Kansas	111	$931.99	$788.12	5
Mississippi	71	$962.99	$809.16	4
Utah	66	$980.78	$793.81	4
District of Columbia	64	$1164.83	$778.57	3
West Virginia	61	$1125.50	$845.96	3
Oklahoma	61	$1034.91	$860.18	2
South Dakota	51	$869.65	$718.12	2
New Hampshire	47	$957.19	$776.49	3
Hawaii	45	$1030.07	$785.10	2
North Dakota	43	$918.76	$798.79	2
Wisconsin	42	$933.66	$770.65	2
Delaware	39	$1048.66	$817.12	2
Vermont	31	$946.71	$803.05	2
Montana	30	$1037.36	$799.57	1
Rhode Island	29	$1093.25	$897.54	2
Oregon	29	$1079.90	$826.12	2
Alaska	27	$1185.18	$705.21	1
Nebraska	19	$921.56	$835.76	1
Arkansas	15	$867.75	$665.43	1
Maine	12	$1023.75	$829.32	1

Related codes

61645Removal of blood clot and injection to dissolve blood clot from head a$823.06

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.