NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0627T Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level HCPCS · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2022
National scale 6,695 services ▲ 169.4% YoY · 3,909 beneficiaries (CY2024, Medicare FFS)
Medicare paid $29.5M · $4398.91 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
39
Named-group FFS services
1,949
FFS of Medicare
49%
Services YoY
+169.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,861 services

1,949 observed fee-for-service (50%) · ~1,912 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 0627T (CY2024)
MD 1,030 MS 945 GA 938 TX 876 LA 673

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$26.2M
Named-group allowed amount
$188K
Named-group Medicare payments
$147K
Avg charge / svc
$13,457
Avg allowed / svc
$97
Avg payment / svc
$76
Average charge per group
$108 39 groups · avg submitted charge / service $58,495
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 0627T svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PAIN CENTER OF VIRGINIA PLLC HAGERSTOWN VA PHYSICIAN ASSISTANT 2 319 $18,659,770 $58,495 93.8% (304) 263-6165
2 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 177 $77,652 $439 31.1% (904) 449-7246
3 GABRIELE JASPER MD, INC BRICK NJ ANESTHESIOLOGY 5 167 $1,015,000 $6,078 38.7% (732) 262-0700
4 FLOWOOD PAIN CENTER, LLC FLOWOOD MS NURSE PRACTITIONER 23 118 $330,400 $2,800 12.5% (601) 420-2040
5 ELLEN W LIN MD PA SAN ANTONIO TX PHYSICIAN ASSISTANT 6 109 $294,300 $2,700 12.4% (210) 690-0777
6 MICHAEL S HAYDEL, M.D., APMC HOUMA LA INTERVENTIONAL PAIN MANAGEMENT 5 107 $535,000 $5,000 15.9% (985) 223-3132
7 PAIN MEDICINE INC LAKELAND FL ANESTHESIOLOGY 4 62 $12,400 $200 10.9% (863) 682-7246
8 THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION THIBODAUX LA NURSE PRACTITIONER 129 61 $706,990 $11,590 9.1% (985) 493-4087
9 LEGACY HEALTHCARE SERVICES INC DURHAM TX INTERNAL MEDICINE 3859 52 $495,053 $9,520 5.9% (919) 419-9600
10 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER OK ORTHOPEDIC SURGERY 2158 49 $289,100 $5,900 19.4% (907) 694-8085
11 CHARLES R GORDON MD PA TYLER TX NURSE PRACTITIONER 25 44 $220,000 $5,000 5.0% (903) 592-6000
12 CONSERVATIVE MEDICAL MANAGEMENT A LAFAYETTE LA INTERVENTIONAL PAIN MANAGEMENT 2 43 $40,205 $935 6.4% (337) 269-6335
13 GREATER HOUSTON INTERVENTIONAL PAIN ASSOCIATES BELLAIRE TX PHYSICAL MEDICINE AND REHABILITATION 6 36 $27,900 $775 4.1% (713) 622-1700
14 HEADACHE AND PAIN CENTER, A MEDICAL CORPORATION GRAY LA PHYSICIAN ASSISTANT 4 35 $350,000 $10,000 5.2% (985) 580-1200
15 PARADIGM HEALTH SYSTEM LACOMBE LA NEUROLOGY 37 33 $280,500 $8,500 4.9% (985) 882-4500
16 KAYAL MEDICAL GROUP, LLC UNION CITY NJ PHYSICIAN ASSISTANT 77 32 $384,000 $12,000 7.4% (844) 777-0910
17 LOURDES PHYSICIAN GROUP LLC LAFAYETTE LA NURSE PRACTITIONER 154 31 $37,200 $1,200 4.6% (337) 470-2990
18 INTEGRITY CHRONIC CARE MANAGEMENT LLC DELRAY BEACH TX ORTHOPEDIC SURGERY 4 31 $106,200 $3,426 3.5% (214) 473-4447
19 ROY M LERMAN M D P C KING OF PRUSSIA PA PHYSICAL MEDICINE AND REHABILITATION 14 29 $13,050 $450 8.8% (610) 337-3111
20 INTERVENTIONAL PAIN SPECIALISTS, LLC OPELOUSAS LA PHYSICIAN ASSISTANT 3 25 $10,657 $426 3.7% (337) 407-4512
21 COMPREHENSIVE REHABILITATION AND PAIN SPECIALISTS PLLC THORNTON CO PHYSICAL MEDICINE AND REHABILITATION 11 25 $63,000 $2,520 31.2% 3038445000104
22 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 25 $49,337 $1,973 2.9% (903) 606-5560
23 SEVA PAIN AND WELLNESS TULSA CA NURSE PRACTITIONER 14 24 $30,144 $1,256 100.0% (918) 935-3240
24 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 24 $60,000 $2,500 2.5% (662) 328-1012
25 PAIN CONSULTANTS OF SOUTH MISSISSIPPI PA HATTIESBURG MS INTERVENTIONAL PAIN MANAGEMENT 2 23 $299,000 $13,000 2.4% —
26 ADVANCED SPINE AND PAIN PLLC DRAPER UT NURSE PRACTITIONER 8 23 $266,570 $11,590 100.0% (801) 572-1186
27 INTERVENTIONAL PAIN INSTITUTE LLC BATON ROUGE LA PHYSICIAN ASSISTANT 2 23 $321,000 $13,957 3.4% (225) 769-3636
28 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 22 $110,000 $5,000 3.3% 22576922002164
29 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 21 $28,560 $1,360 6.2% (703) 971-4604
30 ADVANCED SPINE AND PAIN LLC HAMMONTON PA PAIN MANAGEMENT 43 20 $9,300 $465 6.0% (888) 985-2727
31 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER MD ORTHOPEDIC SURGERY 2158 19 $67,651 $3,561 1.8% (907) 694-8085
32 HAROLD J BAYONNE JR MD APMC WEST MONROE LA INTERVENTIONAL PAIN MANAGEMENT 2 18 $91,050 $5,058 2.7% (318) 855-3291
33 DALLAS PAIN INSTITUTE SHERMAN TX PAIN MANAGEMENT 6 18 $12,600 $700 2.1% (903) 892-1999
34 SPINE INSTITUTE OF NORTH AMERICA LLC EAST WINDSOR NJ PHYSICIAN ASSISTANT 3 17 $96,900 $5,700 3.9% (908) 812-8820
35 CHRISTOPHER K MOCEK MD PA LITTLE ROCK AR NURSE PRACTITIONER 5 16 $8,800 $550 51.6% (501) 224-4001
36 SOUTH CENTRAL CLINICS, INC LAUREL MS NURSE PRACTITIONER 123 16 $22,400 $1,400 1.7% (601) 649-2863
37 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 15 $5,766 $384 38.5% (252) 847-4100
38 ADVANCED PAIN INSTITUTE LLC HAMMOND LA NURSE PRACTITIONER 9 14 $70,000 $5,000 2.1% (985) 345-7246
39 JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL PHYSICIAN ASSISTANT 35 13 $728,000 $56,000 2.3% (904) 223-3321
40 ARGIRES MAROTTI NEUROSURGICAL ASSOCIATES OF LANCASTER, PC LANCASTER PA PHYSICIAN ASSISTANT 11 13 $1,400 $108 3.9% —

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →