NEVVI Medicare utilization intelligence
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Market snapshot

20553 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

20553 — Injection of trigger points, 3 or more muscles

Billing groups
1,374
Named-group FFS services
134,595
FFS of Medicare
49%
Services YoY
-22.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~270,735 services

134,595 observed fee-for-service (50%) · ~136,140 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 — 20553 (CY2024)

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

Named-group submitted charges
$36.5M
Named-group allowed amount
$7.0M
Named-group Medicare payments
$5.3M
Avg charge / svc
$271
Avg allowed / svc
$52
Avg payment / svc
$39
Average charge per group
$47 1,374 groups · avg submitted charge / service $4,824
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 20553 services, CY2024
#Physician group City St Specialty Providers 20553 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SOUTHERN CALIFORNIA PAIN CONSULTANTS, INC TORRANCE CA PAIN MANAGEMENT 2 1,520 $760,000 $500 premium 4.7% (310) 540-9888
2 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 1,468 $192,740 $131 premium 6.7% (352) 693-3378
3 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 1,219 $285,506 $234 premium 4.7% (631) 543-1440
4 ADVOCARE, LLC HADDONFIELD NJ NURSE PRACTITIONER 384 1,196 $252,356 $211 premium 13.1% (856) 354-2211
5 AJAY NARWANI MD PLLC GILBERT AZ ANESTHESIOLOGY 6 1,142 $279,425 $245 premium 7.5% (480) 496-2699
6 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 1,006 $212,812 $212 premium 3.9%
7 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 867 $190,065 $219 premium 7.3% (713) 512-7500
8 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 829 $182,230 $220 premium 16.5% (703) 971-4604
9 DENT NEUROLOGIC GROUP LLP AMHERST NY PHYSICIAN ASSISTANT 116 801 $75,294 $94 premium 3.1% (716) 250-2000
10 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 799 $241,029 $302 premium 2.5% (310) 825-7922
11 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 793 $210,571 $266 premium 2.5% (650) 723-4000
12 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 789 $172,172 $218 premium 10.9% (617) 724-0287
13 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 785 $175,232 $223 premium 2.4%
14 BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA PHYSICIAN ASSISTANT 276 740 $105,080 $142 premium 10.2% (413) 447-2695
15 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 722 $199,889 $277 premium 2.3% (916) 681-8852
16 ROY D NINI MD INC LOS ANGELES CA PHYSICAL MEDICINE AND REHABILITATION 3 705 $246,750 $350 premium 2.2% (310) 423-9900
17 WENTWORTH DOUGLASS PHYSICIAN CORPORATION DOVER NH PHYSICIAN ASSISTANT 429 674 $113,598 $169 premium 46.1%
18 MICHIGAN NEUROSCIENCE CLINIC PLLC TAYLOR MI NEUROLOGY 5 659 $98,850 $150 premium 21.5% (313) 295-5000
19 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 648 $617,960 $954 premium 2.5% (212) 263-9700
20 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 573 $160,594 $280 premium 1.8% (415) 600-1020
21 LONG ISLAND SPINE REHABILITATION MEDICINE, PC EAST MEADOW NY PHYSICAL MEDICINE AND REHABILITATION 6 572 $228,800 $400 premium 2.2% (516) 393-8941
22 MEDICAL SERVICES OF KIPS BAY PC GREAT NECK NY DIAGNOSTIC RADIOLOGY 14 566 $171,498 $303 premium 2.2% (516) 487-4464
23 GREATER MARYLAND PAIN MANAGEMENT LLC ODENTON MD PHYSICIAN ASSISTANT 9 563 $146,628 $260 premium 10.4% (703) 347-1962
24 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 562 $105,094 $187 premium 4.7% (254) 724-2663
25 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 557 $126,083 $226 premium 2.2% (914) 241-1050
26 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 551 $125,750 $228 premium 1.7% (800) 926-8273
27 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 549 $142,080 $259 premium 8.5% (630) 469-9200
28 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 542 $66,308 $122 premium 3.5% (520) 829-6776
29 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 524 $125,446 $239 premium 1.6% (858) 455-9100
30 MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC CORINTH MS NURSE PRACTITIONER 6 521 $77,860 $149 premium 27.1% (662) 284-8565
31 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 517 $69,860 $135 premium 16.7% (502) 855-7200
32 TRUSHA SHAH MD PC BETHPAGE NY ANESTHESIOLOGY 2 512 $188,539 $368 premium 2.0% (516) 605-0600
33 HUNTERDON ORTHOPEDIC INSTITUTE PA FLEMINGTON NJ ORTHOPEDIC SURGERY 24 494 $213,408 $432 premium 5.4% (908) 782-0600
34 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 485 $140,462 $290 premium 9.0% (410) 571-2946
35 STONY BROOK ANAESTHESIOLOGY UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY ANESTHESIOLOGY 87 483 $190,420 $394 premium 1.9% (631) 444-2975
36 NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. JONESBORO AR NURSE PRACTITIONER 301 482 $57,840 $120 premium 36.9% (870) 936-8000
37 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 477 $44,114 $92 premium 9.6% (740) 568-2214
38 COVENANT SPINE AND NEUROLOGY, PLLC KERNERSVILLE NC PHYSICIAN ASSISTANT 6 476 $84,252 $177 premium 9.2% (336) 761-4020
39 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 456 $123,120 $270 premium 16.7% (435) 216-7000
40 PAIN CONSULTANTS OF WEST FLORIDA P A PENSACOLA FL PHYSICIAN ASSISTANT 6 448 $94,213 $210 premium 2.1% (850) 494-0000
41 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 442 $92,657 $210 premium 6.1% (617) 732-5500
42 CIRCLE MEDICAL CARE OF CALIFORNIA SAN FRANCISCO CA NURSE PRACTITIONER 65 439 $128,376 $292 premium 1.4% (888) 803-3370
43 JACQUELYN ENGLISH DO PLLC LONG BEACH NY INTERNAL MEDICINE 2 436 $88,000 $202 premium 1.7% (516) 690-9800
44 DESERT SKY SPINE AND SPORTS MEDICINE PC TUCSON AZ PAIN MANAGEMENT 8 429 $65,607 $153 premium 2.8% (520) 229-2080
45 IAN PURCELL, MD, APC SAN DIEGO CA NEUROLOGY 4 425 $55,250 $130 premium 1.3% (858) 223-2172
46 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 425 $101,915 $240 premium 1.3% (310) 423-0674
47 DYNAMIC PAIN AND WELLNESS LLC MOBILE FL NURSE PRACTITIONER 26 423 $81,939 $194 premium 1.9% (251) 308-9800
48 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 413 $93,958 $228 premium 32.0% (785) 354-9591
49 PLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC PLYMOUTH MA ORTHOPEDIC SURGERY 32 413 $111,510 $270 premium 5.7% 78193424001204
50 GOLAN INTEGRATED PHYSICAL MEDICINE LAS VEGAS NV CHIROPRACTIC 18 410 $59,172 $144 premium 9.0% (702) 396-4993
51 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 403 $120,900 $300 premium 1.3% (818) 996-4077
52 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 398 $79,600 $200 premium 1.5% (845) 703-6999
53 SOUTHWEST OROFACIAL GROUP INC PHOENIX AZ ORAL SURGERY 4 387 $48,375 $125 premium 2.5% (602) 992-1486
54 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 375 $85,613 $228 premium 7.5% (434) 924-5959
55 PECONIC BAY PRIMARY MEDICAL CARE RIVERHEAD NY PHYSICIAN ASSISTANT 71 373 $69,751 $187 premium 1.4% (631) 727-1600
56 REGENTS OF THE UNIVERSITY OF ORANGE CA ANESTHESIOLOGY 227 366 $75,662 $207 premium 1.1% (714) 456-7004
57 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 359 $97,192 $271 premium 13.1% (435) 635-0174
58 COMPASS MEDICAL CENTER CLIFTON CLIFTON CO CHIROPRACTIC 2 358 $35,800 $100 premium 8.7% (970) 424-5223
59 LONG ISLAND CHIROPRACTIC AND PHYSICAL THERAPY PLLC SMITHTOWN NY CHIROPRACTIC 4 357 $535,500 $1,500 premium 1.4% (631) 724-1991
60 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 354 $147,040 $415 premium 1.4% (631) 628-5000
61 ALEXANDER G GEVORGYAN MD INC GLENDALE CA PHYSICIAN ASSISTANT 4 350 $73,000 $209 premium 1.1% (818) 649-9232
62 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 348 $263,849 $758 premium 6.7% (252) 847-4100
63 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 346 $55,014 $159 premium 49.3% (701) 323-8300
64 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 344 $89,416 $260 premium 8.4% (720) 777-1234
65 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 342 $100,548 $294 premium 5.3%
66 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 341 $113,940 $334 premium 2.2% (800) 603-0558
67 BEECON RECOVERY INC BRIGHAM CITY UT NURSE PRACTITIONER 3 340 $96,100 $283 premium 12.4% (435) 239-8768
68 OPTIMUM PHYSICIANS HEALTHCARE PLLC PEARLAND TX CHIROPRACTIC 6 338 $87,640 $259 premium 2.8% (281) 993-4109
69 REVOLUTIONARY SERVICES LLC FORT MOHAVE AZ NURSE PRACTITIONER 2 337 $44,406 $132 premium 2.2% (928) 768-2811
70 PHYSICAL MEDICINE AND REHABILITATION CENTER PA ENGLEWOOD NJ PHYSICAL MEDICINE AND REHABILITATION 25 335 $87,345 $261 premium 3.7% (201) 567-2277
71 MULTICARE MEDICAL GROUP PC PAPILLION NE CHIROPRACTIC 12 333 $43,590 $131 premium 18.3% (402) 505-7989
72 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 327 $62,457 $191 premium 2.1% (623) 777-4747
73 ADVANCED SPINE AND REHAB CENTER PC CEDAR RAPIDS IA CHIROPRACTIC 7 320 $44,800 $140 premium 19.3% (319) 294-0094
74 ORTHOPEDIC MEDICAL CENTER 2 RESEDA CA ORTHOPEDIC SURGERY 3 313 $88,626 $283 premium 1.0% (818) 708-8100
75 PTSMA INC PAWCATUCK CT PHYSICAL THERAPIST IN PRIVATE PRACTICE 165 311 $85,525 $275 premium 12.1% (860) 495-1919
76 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 305 $63,673 $209 premium 5.9% (919) 544-7270
77 NAVDEEP LOOMBA MD INC. VICTORVILLE CA INTERVENTIONAL PAIN MANAGEMENT 2 301 $79,560 $264 premium 0.9% (760) 245-9999
78 BERMAN AND PITMAN LTD RENO NV NURSE PRACTITIONER 12 300 $58,440 $195 premium 6.6% (775) 689-5410
79 NORTHEAST PAIN MANAGEMENT PC BANGOR ME PHYSICAL THERAPIST IN PRIVATE PRACTICE 13 300 $45,900 $153 premium 36.9% (207) 942-6226
80 IN TOUCH ADULT HEALTH NPS PC AMHERST NY NURSE PRACTITIONER 4 291 $36,375 $125 premium 1.1% (716) 458-1100
81 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 290 $60,900 $210 premium 3.2% (856) 247-7260
82 FOOTHILLS NEUROLOGY P C PHOENIX AZ NEUROLOGY 10 289 $24,990 $86 premium 1.9% (480) 961-2365
83 SIGNATURE HEALTHCARE MEDICAL GROUP INC BROCKTON MA PHYSICIAN ASSISTANT 241 285 $50,050 $176 premium 3.9% (508) 941-7000
84 SOUND PAIN ALLIANCE BELLINGHAM WA PHYSICIAN ASSISTANT 43 283 $53,199 $188 premium 12.7%
85 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 279 $72,711 $261 premium 4.3%
86 OHIO PAIN CLINIC LLC DAYTON OH NURSE PRACTITIONER 2 277 $34,625 $125 premium 5.6% (937) 434-2226
87 LEGACY HEALTHCARE SERVICES INC DURHAM NY INTERNAL MEDICINE 3859 275 $82,500 $300 premium 1.1% (919) 419-9600
88 REHABILITATION ASSOCIATES OF THE MAIN LINE, P.C. MALVERN PA PHYSICAL MEDICINE AND REHABILITATION 14 274 $40,004 $146 premium 3.0% (484) 596-5254
89 EXCELA HEALTH PHYSICIAN PRACTICES, INC GREENSBURG PA PHYSICIAN ASSISTANT 470 274 $34,798 $127 premium 3.0% (724) 261-5610
90 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 274 $54,306 $198 premium 2.3% (903) 606-5560
91 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 273 $122,898 $450 premium 0.9% (714) 634-4567
92 YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC PRESCOTT AZ NURSE PRACTITIONER 120 271 $36,958 $136 premium 1.8% (928) 771-3704
93 PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC LEESVILLE LA ORTHOPEDIC SURGERY 95 270 $61,290 $227 premium 12.0% (337) 238-9931
94 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 266 $44,600 $168 premium 2.9%
95 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS ID PHYSICIAN ASSISTANT 267 265 $47,317 $179 premium 68.8% (208) 535-4343
96 TRUE NORTH MEDICAL AT NORTH SUFFOLK, PLLC COMMACK NY NEUROLOGY 20 265 $142,835 $539 premium 1.0% (631) 364-9119
97 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 261 $46,062 $176 premium 1.2% (904) 449-7246
98 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 255 $33,387 $131 premium 9.3%
99 PHYSICIANS GROUP SERVICES PA JACKSONVILLE FL PAIN MANAGEMENT 93 253 $44,819 $177 premium 1.2% (904) 751-4906
100 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE NY PHYSICIAN ASSISTANT 578 252 $58,784 $233 premium 1.0%

Showing the top 100 of 1,374 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →