Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64408 Injection of anesthetic agent and/or steroid into vagus nerve CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 843 services ▲ 19.1% YoY · 373 beneficiaries (CY2024, Medicare FFS)

Medicare paid $62K · $73.66 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

749

FFS of Medicare

49%

Services YoY

+19.1%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,542 services

749 observed fee-for-service (49%) · ~793 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 — 64408 (CY2024)

NY 137 TX 130 IL 123 FL 87 MD 73

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

Named-group submitted charges

$328K

Named-group allowed amount

$73K

Named-group Medicare payments

$56K

Avg charge / svc

$438

Avg allowed / svc

$98

Avg payment / svc

$75

Average charge per group

$161–251

$251–340

$340–430

$430–519

$519–609

$609–698

$698–788

$788+

$161 15 groups · avg submitted charge / service $941

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 payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 64408 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	64408 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	MIDWEST ENT ALLIANCE PLLC	PARK RIDGE	IL	OTOLARYNGOLOGY	95	123	$19,802	$161	premium	100.0%	(847) 674-5585
2	ENT AND ALLERGY ASSOCIATES LLP	YONKERS	NY	OTOLARYNGOLOGY	429	114	$41,040	$360	premium	83.2%	(914) 963-8588
3	CLEVELAND CLINIC	CLEVELAND	OH	PHYSICIAN ASSISTANT	6828	67	$42,427	$633	premium	100.0%	—
4	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS	DALLAS	TX	PHYSICIAN ASSISTANT	3200	60	$32,325	$539	premium	46.2%	(214) 633-5555
5	UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL	CHARLESTON	SC	PHYSICIAN ASSISTANT	1692	56	$24,537	$438	premium	100.0%	(843) 792-1414
6	SUTTER BAY MEDICAL FOUNDATION	PALO ALTO	CA	INTERNAL MEDICINE	3716	50	$10,160	$203	premium	100.0%	(415) 600-1020
7	HEALTHTEXAS PROVIDER NETWORK	DALLAS	TX	PHYSICIAN ASSISTANT	2482	48	$18,521	$386	premium	36.9%	—
8	UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC	BIRMINGHAM	AL	NURSE PRACTITIONER	2788	40	$17,640	$441	premium	100.0%	(205) 934-3460
9	WASHINGTON UNIVERSITY	SAINT LOUIS	MO	NURSE PRACTITIONER	3070	33	$28,050	$850	premium	100.0%	(314) 747-3000
10	UNIVERSITY MEDICAL SERVICE ASSOCIATION INC	TAMPA	FL	NURSE PRACTITIONER	814	29	$9,587	$331	premium	33.3%	—
11	MAYO CLINIC JACKSONVILLE	JACKSONVILLE	FL	NURSE PRACTITIONER	1587	29	$27,300	$941	premium	33.3%	(904) 953-2000
12	FLORIDA CLINICAL PRACTICE ASSOCIATION INC	GAINESVILLE	FL	NURSE PRACTITIONER	1912	29	$19,950	$688	premium	33.3%	(352) 265-8990
13	UNMC PHYSICIANS	OMAHA	NE	PHYSICIAN ASSISTANT	1514	26	$13,632	$524	premium	100.0%	(402) 559-4000
14	TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK	NEW YORK	NY	NURSE PRACTITIONER	2273	23	$18,534	$806	premium	16.8%	(212) 305-8559
15	SCOTT AND WHITE CLINIC	TEMPLE	TX	PHYSICIAN ASSISTANT	2435	22	$4,662	$212	premium	16.9%	(254) 724-2663

*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 →