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Market snapshot

64405 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64405 — Injection of anesthetic agent and/or steroid into upper neck and back of head nerve

Billing groups
319
Named-group FFS services
24,235
FFS of Medicare
49%
Services YoY
+1.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~48,971 services

24,235 observed fee-for-service (49%) · ~24,736 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 — 64405 (CY2024)
CA 6,393 NY 3,675 MA 2,916 AZ 2,099 MI 1,929

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

Named-group submitted charges
$10.7M
Named-group allowed amount
$1.8M
Named-group Medicare payments
$1.3M
Avg charge / svc
$442
Avg allowed / svc
$73
Avg payment / svc
$55
Average charge per group
$90 319 groups · avg submitted charge / service $2,727
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 64405 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA PHYSICIAN ASSISTANT 276 1,415 $360,362 $255 48.5% (413) 447-2695
2 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 712 $654,987 $920 33.9% (800) 603-0558
3 DENT NEUROLOGIC GROUP LLP AMHERST NY PHYSICIAN ASSISTANT 116 551 $193,500 $351 15.0% (716) 250-2000
4 CNY NEUROLOGICAL CONSULTING PLLC SYRACUSE NY NURSE PRACTITIONER 4 545 $197,025 $362 14.8% (315) 448-5881
5 SOUTHWEST OROFACIAL GROUP INC PHOENIX AZ ORAL SURGERY 4 541 $170,080 $314 25.8% (602) 992-1486
6 MICHIGAN NEUROSCIENCE CLINIC PLLC TAYLOR MI NEUROLOGY 5 535 $143,850 $269 27.7% (313) 295-5000
7 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 410 $210,084 $512 6.4% (858) 455-9100
8 IAN PURCELL, MD, APC SAN DIEGO CA NEUROLOGY 4 364 $138,600 $381 5.7% (858) 223-2172
9 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 355 $101,195 $285 16.9% (602) 406-6017
10 RMH MEDICAL GROUP LLC ROCKINGHAM VA PHYSICIAN ASSISTANT 263 333 $58,715 $176 27.5% (540) 689-1110
11 SOUTHWEST OROFACIAL GROUP INC PHOENIX OH ORAL SURGERY 4 327 $104,640 $320 34.2% (602) 992-1486
12 FLINT NEUROLOGICAL CENTRE PC FLINT MI NEUROLOGY 5 280 $83,550 $298 14.5% (810) 720-1335
13 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 279 $144,852 $519 20.5% (507) 389-8509
14 SHETH, MD, P.A. FRISCO TX NEUROLOGY 23 278 $139,000 $500 18.3% (214) 619-1910
15 NEUROLOGY CONSULTANTS OF HUNTSVILLE PC HUNTSVILLE AL NEUROLOGY 15 267 $29,103 $109 42.6% (256) 881-4112
16 NEUROLOGY AND HEADACHE CLINICS OF NW OHIO TOLEDO OH NEUROLOGY 2 259 $59,270 $229 27.1% (419) 517-1110
17 SVMHS CLINICS SALINAS CA PHYSICIAN ASSISTANT 245 253 $101,371 $401 4.0% (831) 422-3636
18 ALEXANDER G GEVORGYAN MD INC GLENDALE CA PHYSICIAN ASSISTANT 4 253 $62,744 $248 4.0% (818) 649-9232
19 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 249 $45,795 $184 20.6% —
20 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROLOGY 102 245 $237,293 $969 3.8% —
21 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 231 $140,984 $610 3.6% (916) 681-8852
22 TODD J MALTESE DO PC RONKONKOMA NY PHYSICIAN ASSISTANT 4 221 $66,300 $300 6.0% (631) 737-0055
23 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE NY PHYSICIAN ASSISTANT 578 219 $75,004 $342 6.0% —
24 GLENDALE NEUROLOGICAL ASSOCIATES PC FARMINGTON HILLS MI NEUROLOGY 40 213 $79,002 $371 11.0% —
25 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 207 $210,388 $1,016 13.9% (570) 271-6144
26 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 191 $110,865 $580 3.0% (916) 983-7476
27 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 188 $134,493 $715 2.9% (310) 423-0674
28 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 186 $137,778 $741 34.3% (720) 777-1234
29 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 185 $88,104 $476 44.2% (843) 652-8450
30 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 184 $48,732 $265 15.2% —
31 NORAN NEUROLOGICAL CLINIC, P.A. MINNEAPOLIS MN NEUROLOGY 53 181 $85,774 $474 13.3% (612) 879-1000
32 PROVIDENCE HEALTH AND SERVICES MT MISSOULA MT PHYSICIAN ASSISTANT 345 177 $59,021 $333 65.6% (406) 327-1900
33 SARASOTA RETINA INSTITUTE P A SARASOTA FL OPHTHALMOLOGY 3 167 $34,000 $204 9.3% (941) 921-5335
34 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 162 $142,336 $879 5.6% (617) 724-0287
35 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 161 $69,230 $430 2.5% (800) 872-2273
36 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 159 $38,778 $244 100.0% (207) 885-9905
37 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 151 $40,960 $271 4.1% —
38 SWEDISHAMERICAN HOSPITAL ROCKFORD IL NURSE PRACTITIONER 390 151 $158,188 $1,048 24.9% (779) 696-7610
39 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 151 $29,025 $192 8.4% (561) 495-0600
40 CREEKSIDE PHYSICAL MEDICINE PLLC BOULDER CO PHYSICIAN ASSISTANT 3 148 $23,976 $162 27.3% (303) 494-2705
41 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CONCORD NC PHYSICIAN ASSISTANT 600 143 $102,800 $719 18.5% (704) 403-3000
42 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 142 $98,445 $693 2.2% (415) 600-1020
43 STONY BROOK ANAESTHESIOLOGY UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY ANESTHESIOLOGY 87 142 $156,200 $1,100 3.9% (631) 444-2975
44 WIREGRASS CLINIC LLC DOTHAN AL NURSE PRACTITIONER 67 139 $48,422 $348 22.2% —
45 BAHA AL DEEN ABUESHEH MD PC ARDMORE OK NURSE PRACTITIONER 7 131 $26,200 $200 24.6% (580) 223-0447
46 WK PIERREMONT NEUROLOGY CLINIC SHREVEPORT LA NEUROLOGY 6 131 $23,711 $181 89.7% —
47 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 130 $59,285 $456 37.9% (785) 354-9591
48 INTEGRATED NEUROLOGY AND PAIN MANAGEMENT PC VALLEJO CA NEUROLOGY 2 129 $33,540 $260 2.0% (707) 980-6636
49 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 128 $59,472 $465 57.9% (701) 323-8300
50 NITIN MARIWALLA MD PLLC WEST ISLIP NY NEUROSURGERY 12 126 $113,400 $900 3.4% (631) 500-9400
51 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 119 $15,870 $133 26.3% —
52 WILDCAT NEUROPHYSIOLOGY, PC BERGENFIELD PA NEUROLOGY 21 112 $33,600 $300 7.5% (484) 351-8459
53 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 108 $42,411 $393 23.7% (502) 928-1050
54 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 107 $28,373 $265 25.5% (843) 777-2000
55 YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC PRESCOTT AZ NURSE PRACTITIONER 120 107 $15,190 $142 5.1% (928) 771-3704
56 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 107 $40,542 $379 22.4% (501) 686-8000
57 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 106 $33,098 $312 7.1% —
58 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 106 $221,260 $2,087 2.9% (212) 263-9700
59 REGENTS OF THE UNIVERSITY OF CLAIFORNIA UNIV NEURSCIENCES ORANGE CA NEUROLOGY 75 104 $75,521 $726 1.6% (714) 456-7004
60 VALERY D TARASENKO MD INC VACAVILLE CA INTERVENTIONAL PAIN MANAGEMENT 2 103 $28,840 $280 1.6% (707) 359-2255
61 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 103 $36,942 $359 13.4% (336) 713-9800
62 NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP CARLSBAD CA NEUROLOGY 44 97 $34,532 $356 1.5% (760) 631-3000
63 EAST BAY NEUROLOGY INC SAN RAMON CA NEUROLOGY 7 97 $31,525 $325 1.5% (925) 938-5252
64 RICHARD ALEXAN MD INC BAKERSFIELD CA NURSE PRACTITIONER 3 97 $28,860 $298 1.5% (661) 395-0900
65 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 94 $52,725 $561 15.5% —
66 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 94 $33,536 $357 5.2% (863) 680-7780
67 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 92 $43,195 $470 6.2% —
68 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 92 $59,488 $647 6.8% (651) 221-3456
69 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 89 $33,984 $382 9.3% (513) 354-3700
70 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 87 $31,146 $358 3.0% (781) 983-9088
71 CATALYST NEUROMEDICAL CENTER PC REDDING CA NEUROLOGY 4 86 $19,866 $231 1.3% (530) 999-2533
72 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 84 $58,059 $691 8.8% —
73 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 82 $33,947 $414 14.5% —
74 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 81 $16,471 $203 15.2% —
75 BELLIN MEMORIAL HOSPITAL INC GREEN BAY WI NURSE PRACTITIONER 678 78 $64,670 $829 39.4% (920) 435-8326
76 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 78 $54,798 $703 1.2% (800) 926-8273
77 MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC PADUCAH KY NURSE PRACTITIONER 142 77 $15,759 $205 16.9% —
78 DANIEL HEXTER MD PA ANNAPOLIS MD NEUROLOGY 7 76 $12,844 $169 16.8% (410) 266-9694
79 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS WY PHYSICIAN ASSISTANT 2390 72 $24,824 $345 75.8% —
80 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO OH NURSE PRACTITIONER 250 70 $26,910 $384 7.3% (419) 291-1111
81 MARY HITCHCOCK MEMORIAL HOSPITAL LEBANON NH NURSE PRACTITIONER 1270 70 $38,032 $543 24.1% (603) 650-5000
82 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 70 $47,095 $673 34.5% (801) 581-2121
83 SELECT PHYSICAL THERAPY TEXAS LIMITED PARTNERSHIP HOUSTON TX ORTHOPEDIC SURGERY 463 68 $42,560 $626 4.5% (281) 440-7625
84 PORT HURON NEUROLOGIC ASSOCIATES PC FORT GRATIOT MI NEUROLOGY 2 68 $15,300 $225 3.5% (810) 982-0100
85 NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC NEW HYDE PARK NY NEUROLOGY 15 67 $6,117 $91 1.8% 5164664700110
86 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 67 $34,170 $510 33.0% —
87 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 67 $28,181 $421 4.4% (903) 606-5560
88 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 66 $7,841 $119 1.8% (914) 241-1050
89 SHAWNEE MISSION MEDICAL CENTER INC MERRIAM KS NURSE PRACTITIONER 262 66 $41,876 $634 19.2% (913) 676-2000
90 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 65 $32,534 $501 19.0% (913) 588-1227
91 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 63 $32,305 $513 13.9% (410) 502-4340
92 NORMAN REGIONAL PROVIDERS SPECIALTY CARE NORMAN OK NURSE PRACTITIONER 162 63 $13,723 $218 11.8% (405) 307-5700
93 BERKSHIRE FACULTY SERVICES INC PITTSFIELD NY PHYSICIAN ASSISTANT 276 62 $15,748 $254 1.7% (413) 447-2695
94 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 62 $22,272 $359 3.0% (520) 829-6776
95 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 61 $17,255 $283 13.4% (502) 629-2398
96 CAPITAL HEALTH MEDICAL GROUP PENNINGTON NJ NURSE PRACTITIONER 439 60 $85,800 $1,430 10.6% (609) 537-6000
97 TEXAS NEUROLOGY PA DALLAS TX NEUROLOGY 13 60 $26,505 $442 3.9% (214) 827-3610
98 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 60 $37,177 $620 3.3% (352) 265-8990
99 TEXOMA NEUROLOGY ASSOCIATES, PA PLANO TX NEUROLOGY 25 59 $17,469 $296 3.9% 90389351414310
100 NURA PLLC EDINA MN PHYSICIAN ASSISTANT 36 58 $37,303 $643 4.3% (763) 537-6000

Showing the top 100 of 319 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 →