NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
62321 Injection of substance into middle or upper spine canal using imaging guidance CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal › Nerve Block Injection - Back (CMS RBCS)
First observed 2017
National scale 196,139 services ▲ 2.2% YoY · 150,305 beneficiaries (CY2024, Medicare FFS)
Medicare paid $32.5M · $165.67 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,309
Named-group FFS services
96,636
FFS of Medicare
49%
Services YoY
+2.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~193,380 services

96,636 observed fee-for-service (50%) · ~96,744 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 — 62321 (CY2024)
TX 16,971 CA 16,186 FL 14,858 GA 9,932 PA 8,623

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

Named-group submitted charges
$97.8M
Named-group allowed amount
$16.4M
Named-group Medicare payments
$12.5M
Avg charge / svc
$1,012
Avg allowed / svc
$170
Avg payment / svc
$130
Average charge per group
$101 1,309 groups · avg submitted charge / service $12,286
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 62321 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 1,038 $1,337,565 $1,289 20.8% (334) 288-7808
2 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 794 $1,038,552 $1,308 11.5% —
3 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 706 $697,620 $988 14.3% (703) 971-4604
4 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 611 $923,245 $1,511 8.6% (410) 571-2946
5 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 596 $550,153 $923 3.5% (254) 724-2663
6 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 555 $271,650 $489 15.4% (502) 855-7200
7 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 526 $437,950 $833 11.2% (913) 588-1227
8 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 524 $541,375 $1,033 7.4% (843) 491-4937
9 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 521 $609,570 $1,170 17.8% (435) 216-7000
10 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 514 $383,472 $746 17.5% (435) 635-0174
11 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 507 $253,500 $500 7.2% —
12 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 503 $194,492 $387 5.1% (770) 929-9033
13 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 463 $1,121,849 $2,423 6.0% (516) 536-2800
14 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 458 $1,142,742 $2,495 10.1% (252) 847-4100
15 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 433 $180,235 $416 5.5% —
16 NEXUS PAIN CENTER OF HOUSTON COUNTY MACON GA INTERVENTIONAL PAIN MANAGEMENT 8 418 $594,038 $1,421 4.2% (478) 474-2947
17 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 409 $378,870 $926 2.8% (407) 622-5766
18 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 401 $361,022 $900 8.8% (919) 544-7270
19 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 399 $140,966 $353 8.7% (405) 242-4100
20 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 398 $285,748 $718 2.3% (806) 796-3000
21 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 381 $367,270 $964 4.9% (631) 422-6166
22 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 379 $234,618 $619 5.4% (803) 749-5101
23 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 374 $302,076 $808 5.3% (803) 256-4107
24 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 370 $300,810 $813 2.2% (214) 220-2468
25 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 364 $163,520 $449 2.1% (817) 920-0484
26 FLOWOOD PAIN CENTER, LLC FLOWOOD MS NURSE PRACTITIONER 23 364 $211,450 $581 8.1% (601) 420-2040
27 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 350 $363,998 $1,040 2.4% 9417059555110
28 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 341 $341,798 $1,002 4.4% (631) 543-1440
29 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 340 $172,416 $507 12.0% —
30 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 340 $141,100 $415 2.1% (760) 340-3911
31 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 339 $264,079 $779 2.0% (512) 244-4272
32 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 328 $219,644 $670 4.8% —
33 SOUTHEASTERN PAIN AND REHABILITATION PHYSICIANS, PC TUSCALOOSA AL INTERVENTIONAL PAIN MANAGEMENT 4 319 $191,400 $600 6.4% (205) 759-7246
34 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 314 $259,215 $826 4.5% (843) 720-8448
35 SPORT MEDICINE AND ORTHOPAEDIC CENTER INC SUFFOLK VA PHYSICIAN ASSISTANT 26 299 $218,366 $730 6.1% 75754751453502
36 BDC MEDICAL, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 5 294 $523,947 $1,782 6.4% (405) 751-0011
37 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 292 $196,224 $672 4.2% (630) 469-9200
38 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 288 $215,688 $749 3.7% (602) 385-2115
39 ADVANCED PAIN MEDICINE ASSOCIATES, LLC WICHITA KS NURSE PRACTITIONER 8 285 $242,678 $852 6.1% (316) 942-4519
40 PIEDMONT COMPREHENSIVE PAIN MANAGEMENT GROUP LLC ANDERSON SC PHYSICAL MEDICINE AND REHABILITATION 5 284 $213,000 $750 4.0% 86422535511136
41 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 280 $222,345 $794 7.4% (314) 747-3000
42 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 276 $295,499 $1,071 1.7% (858) 455-9100
43 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 269 $147,412 $548 7.0% (318) 212-7960
44 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 268 $330,102 $1,232 1.7% (415) 600-1020
45 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 265 $204,845 $773 3.4% (623) 777-4747
46 PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT LLC CONWAY AR PAIN MANAGEMENT 3 252 $191,700 $761 7.1% —
47 RICHARD L. VERA MD, PA GRAPEVINE TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 250 $157,500 $630 1.5% (817) 421-0279
48 CHRISTIANA SPINE CENTER PA NEWARK DE PHYSICAL MEDICINE AND REHABILITATION 13 248 $297,600 $1,200 18.0% (302) 602-7000
49 JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL PHYSICIAN ASSISTANT 35 246 $246,290 $1,001 1.7% (904) 223-3321
50 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 242 $249,218 $1,030 1.5% (800) 926-8273
51 PAIN SOURCE SOLUTIONS LLC N KANSAS CITY MO INTERVENTIONAL PAIN MANAGEMENT 6 242 $226,270 $935 6.4% (816) 221-4114
52 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 241 $374,899 $1,556 1.6% (863) 291-4000
53 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 239 $406,728 $1,702 3.0% (480) 573-0130
54 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 238 $358,103 $1,505 3.4% (864) 582-6396
55 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 232 $104,776 $452 2.7% (484) 526-2400
56 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 231 $261,702 $1,133 6.0% 22576922002164
57 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 229 $120,603 $527 1.5% (352) 693-3378
58 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 228 $97,996 $430 6.3% (502) 928-1050
59 TAMPA PAIN RELIEF CENTER INC TAMPA FL NURSE PRACTITIONER 32 224 $129,024 $576 1.5% (813) 872-4492
60 HULLANDER AND MOZINGO LP SAN LUIS OBISPO CA INTERVENTIONAL PAIN MANAGEMENT 10 224 $382,028 $1,705 1.4% (805) 329-6262
61 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 222 $133,338 $601 3.1% —
62 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 222 $102,540 $462 3.1% (301) 774-0500
63 CHC PAIN MANAGEMENT CENTER, PA CAMDEN NJ ANESTHESIOLOGY 12 221 $187,629 $849 4.8% (609) 963-6770
64 OANDW ENTERPRISES STANLEYTOWN VA PHYSICIAN ASSISTANT 208 220 $200,200 $910 4.5% (888) 724-0268
65 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS ID PHYSICIAN ASSISTANT 267 217 $91,140 $420 20.2% (208) 535-4343
66 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 217 $144,767 $667 2.8% (866) 974-2673
67 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 216 $112,800 $522 2.5% —
68 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 215 $110,725 $515 4.7% —
69 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 212 $181,388 $856 4.8% (615) 329-6600
70 RESTORE MEDICAL PARTNERS PLLC VENICE FL NURSE PRACTITIONER 15 212 $142,174 $671 1.4% (941) 375-3006
71 SPINAL INTERVENTIONS, PLLC PROVO UT ANESTHESIOLOGY 3 211 $126,600 $600 7.2% (801) 223-4860
72 ADVANCED SPINE AND PAIN LLC HAMMONTON NJ PAIN MANAGEMENT 43 211 $295,510 $1,401 4.5% (888) 985-2727
73 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 211 $80,869 $383 3.0% (301) 850-2768
74 KC PAIN CENTERS LLC LEES SUMMIT MO INTERVENTIONAL PAIN MANAGEMENT 9 210 $271,110 $1,291 5.5% —
75 ARKLATEX MEDICAL CONSULTANTS A MEDICAL CORPORATION SHREVEPORT LA PHYSICIAN ASSISTANT 17 210 $151,200 $720 5.4% (318) 300-3898
76 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 210 $439,320 $2,092 5.5% (317) 228-7000
77 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 207 $159,686 $771 15.4% (515) 343-1000
78 PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP SAN LUIS OBISPO CA NURSE PRACTITIONER 11 206 $332,175 $1,612 1.3% (805) 544-7246
79 KANSAS SPINE AND SPECIALTY HOSPITAL LLC WICHITA KS NURSE PRACTITIONER 8 206 $58,675 $285 4.4% (316) 462-5321
80 NEWSOUTH NEUROSPINE, LLC FLOWOOD MS NEUROSURGERY 22 204 $189,720 $930 4.5% (601) 983-2859
81 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 203 $160,979 $793 1.2% (817) 375-5200
82 NURA PLLC EDINA MN PHYSICIAN ASSISTANT 36 203 $83,230 $410 6.3% (763) 537-6000
83 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 202 $75,841 $375 2.9% —
84 CENTRAL TEXAS PAIN CENTER, PLLC NEW BRAUNFELS TX NURSE PRACTITIONER 27 201 $568,227 $2,827 1.2% (830) 627-3800
85 JACK E. MARSHALL M.D. LLC OKLAHOMA CITY OK ANESTHESIOLOGY 7 197 $98,315 $499 4.3% —
86 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 195 $243,750 $1,250 2.8% (843) 839-7246
87 SOUTHERN MICHIGAN PAIN CONSULTANTS PC PORTAGE MI NURSE PRACTITIONER 12 195 $121,680 $624 5.7% (269) 329-2887
88 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 194 $214,866 $1,108 3.9% —
89 ADVANCED PAIN OF TULSA PLLC TULSA OK NURSE PRACTITIONER 8 193 $91,675 $475 4.2% (918) 901-9701
90 ARCIS HEALTHCARE LLC NORTH CHARLESTON SC PHYSICIAN ASSISTANT 33 193 $307,642 $1,594 2.7% (843) 797-5050
91 THE QUEENS MEDICAL CENTER HONOLULU CA NURSE PRACTITIONER 190 192 $78,720 $410 1.2% —
92 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 191 $249,520 $1,306 1.2% (714) 634-4567
93 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 190 $136,230 $717 4.5% —
94 MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR NURSE PRACTITIONER 349 189 $49,896 $264 5.3% (479) 314-5175
95 ARIZONA SPINE AND PAIN SPECIALISTS LLC GLENDALE AZ NURSE PRACTITIONER 26 187 $86,942 $465 2.4% (602) 795-8700
96 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 187 $232,418 $1,243 1.3% (850) 877-8174
97 NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES PC SYRACUSE NY NURSE PRACTITIONER 27 187 $90,321 $483 2.4% (315) 448-5111
98 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 186 $99,411 $534 2.4% —
99 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 185 $189,625 $1,025 2.3% (602) 406-3181
100 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK MN DIAGNOSTIC RADIOLOGY 81 182 $185,586 $1,020 5.6% (952) 541-1840

Showing the top 100 of 1,309 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 →