Medicare procedure market data by CPT code & state

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Market snapshot

20561 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

20561 — Insertion of needle, 3 muscles or more

Billing groups

Named-group FFS services

412

FFS of Medicare

49%

Services YoY

+75.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~931 services

412 observed fee-for-service (44%) · ~519 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 — 20561 (CY2024)

CA 244 NC 117 MI 95 KY 93 TX 86

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

Named-group submitted charges

$33K

Named-group allowed amount

$13K

Named-group Medicare payments

$11K

Avg charge / svc

$81

Avg allowed / svc

$33

Avg payment / svc

$26

Average charge per group

$38–49

$49–60

$60–71

$71–82

$82–93

$93–104

$104–115

$115+

$38 7 groups · avg submitted charge / service $128

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒

Physician groups ranked by 20561 services, CY2024
#	Physician group	City	St	Specialty	Providers	20561 svcs	Submitted charges	Avg charge	Medicare $ locked column	Share*	Phone
1	LIFEFORCE PHYSICAL THERAPY AND WELLNESS CORP	WILMINGTON	NC	PHYSICAL THERAPIST IN PRIVATE PRACTICE	4	117	$4,640	$40	premium	100.0%	(910) 670-4095
2	CHRISTUS TRINITY CLINIC	TYLER	TX	NURSE PRACTITIONER	1495	86	$11,008	$128	premium	100.0%	(903) 606-5560
3	LAINA FEINSTEIN MD PC	SOUTHFIELD	MI	PHYSICIAN ASSISTANT	4	65	$4,875	$75	premium	68.4%	(248) 304-0786
4	MANOOCHEHR MAZLOOMDOOST PSC	LEXINGTON	KY	ANESTHESIOLOGY	5	44	$5,280	$120	premium	47.3%	(859) 275-4878
5	HUNTSVILLE PAIN MANAGEMENT, INC.	HUNTSVILLE	AL	INTERVENTIONAL PAIN MANAGEMENT	2	34	$1,292	$38	premium	100.0%	2568851605103
6	PAYSON FLATTERY ND DC PC	BEND	OR	CHIROPRACTIC	3	33	$2,408	$73	premium	100.0%	(541) 323-3358
7	SWEDISH HEALTH SERVICES	SEATTLE	WA	PHYSICIAN ASSISTANT	1033	33	$3,795	$115	premium	100.0%	—

*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 →