NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64417 Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve) CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5,450 services ▲ 1.7% YoY · 4,299 beneficiaries (CY2024, Medicare FFS)
Medicare paid $425K · $77.90 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
76
Named-group FFS services
2,699
FFS of Medicare
49%
Services YoY
+1.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,332 services

2,699 observed fee-for-service (51%) · ~2,633 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 — 64417 (CY2024)

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

Named-group submitted charges
$2.6M
Named-group allowed amount
$199K
Named-group Medicare payments
$157K
Avg charge / svc
$975
Avg allowed / svc
$74
Avg payment / svc
$58
Average charge per group
$150 76 groups · avg submitted charge / service $4,000
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 64417 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 64417 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 BEACH ANESTHESIA, LLC COLUMBIA SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 95 217 $97,650 $450 premium 47.6% (803) 865-8200
2 KANSAS SPINE ANESTHESIA CORPORATION PA WICHITA KS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 60 201 $201,000 $1,000 premium 100.0% (316) 262-7263
3 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 158 $40,457 $256 premium 48.9%
4 NORTHSTAR ANESTHESIA OF INDIANA LLC DYER KY CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 134 128 $305,100 $2,384 premium 59.3% (219) 865-2141
5 ANESTHESIA SERVICES ASSOCIATES PC ROCHESTER MI ANESTHESIOLOGY 67 118 $310,930 $2,635 premium 31.0% (248) 652-5000
6 PULSE ANESTHESIA CONSULTANTS PC SPRINGFIELD MA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 14 73 $47,450 $650 premium 73.7% (413) 794-1800
7 PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC RICHLAND WA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 85 73 $105,120 $1,440 premium 38.8% (509) 946-4611
8 WILLOW ANESTHESIA SERVICES, LLC GRENADA MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 37 72 $27,000 $375 premium 37.7% (662) 227-7000
9 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 60 $37,644 $627 premium 35.9% (254) 724-2663
10 ANESTHESIOLOGY AND PAIN CONSULTANTS LLC LAFAYETTE LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 51 $32,334 $634 premium 30.0% (337) 988-5646
11 NCB ANESTHESIA ASSOCIATES, LLC NEWARK DE CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 19 51 $49,419 $969 premium 100.0% (302) 683-0700
12 LAKE CHARLES ANESTHESIOLOGY, APMC LAKE CHARLES LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 44 $31,680 $720 premium 25.9% (337) 474-6370
13 CLOUD PEAK ANESTHESIA LLC GILLETTE WY CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 2 44 $62,920 $1,430 premium 100.0% (307) 686-8283
14 MAK ANESTHESIA HOLDINGS, LLC AUSTELL GA ANESTHESIOLOGY ASSISTANT 201 44 $41,977 $954 premium 44.4% (770) 702-1806
15 PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA CHARLOTTE NC ANESTHESIOLOGY 217 42 $42,000 $1,000 premium 16.4% (704) 316-2000
16 PREMIER ANESTHESIA OF MONTGOMERY PC MONTGOMERY MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 113 39 $56,160 $1,440 premium 10.2% (334) 286-3579
17 SHERIDAN HEALTHCORP INC PLANTATION FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 988 38 $20,040 $527 premium 7.4% (954) 587-5010
18 US ANESTHESIA PARTNERS OF COLORADO INC DENVER CO ANESTHESIOLOGY 496 35 $54,040 $1,544 premium 100.0% (303) 438-3999
19 ANESTHESIA ASSOCIATES OF ANN ARBOR PLLC YPSILANTI MI ANESTHESIOLOGY 216 34 $66,289 $1,950 premium 8.9% (734) 712-3456
20 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 32 $24,000 $750 premium 54.2% (573) 443-2402
21 AMS NATIONAL LLC SEBRING FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 306 32 $10,240 $320 premium 6.2% (863) 703-2886
22 REJUV MEDICAL PA WAITE PARK MN NURSE PRACTITIONER 16 32 $16,836 $526 premium 45.1% (320) 217-8480
23 FORT HEALTHCARE INC FORT ATKINSON WI OBSTETRICS/GYNECOLOGY 161 32 $46,880 $1,465 premium 58.2% (920) 563-5500
24 MURFREESBORO ANESTHESIA GROUP, P.A. MURFREESBORO TN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 58 31 $14,880 $480 premium 45.6% (615) 410-7873
25 ASSOCIATED ANESTHESIOLOGISTS, PC LINCOLN NE CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 106 31 $7,750 $250 premium 29.5% (402) 489-0200
26 ZEPHYR ANESTHESIA LLC LA PLACE AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 172 31 $26,400 $852 premium 20.4% (985) 359-6694
27 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 29 $5,595 $193 premium 5.6% (727) 725-5060
28 PAIN CONSULTANTS OF WEST FLORIDA P A PENSACOLA FL PHYSICIAN ASSISTANT 6 27 $12,150 $450 premium 5.2% (850) 494-0000
29 PREMIER ANESTHESIA OF MONTGOMERY PC MONTGOMERY AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 113 26 $37,440 $1,440 premium 17.1% (334) 286-3579
30 FOOTHILLS ANESTHESIOLOGY PC TUCSON AZ ANESTHESIOLOGY 3 26 $52,000 $2,000 premium 40.0% (520) 219-2939
31 CARDIOVASCULAR ANESTHESIOLOGISTS PC NASHVILLE TN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 142 26 $25,800 $992 premium 38.2% (615) 385-3704
32 NCB ANESTHESIA ASSOCIATES, LLC NEWARK NJ CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 19 26 $25,194 $969 premium 42.6% (302) 683-0700
33 ANESTHESIA SERVICE MEDICAL GROUP SAN DIEGO CA ANESTHESIOLOGY 237 26 $25,792 $992 premium 7.8% (619) 565-9666
34 ALEXANDER P HERSEL MD INC THOUSAND OAKS CA ANESTHESIOLOGY 7 25 $100,000 $4,000 premium 7.5% (805) 557-0096
35 ZEPHYR ANESTHESIA LLC LA PLACE NY CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 172 24 $17,280 $720 premium 100.0% (985) 359-6694
36 AMBULATORY ANESTHESIA AND PAIN MEDICINE, P.C. BIRMINGHAM AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 12 23 $4,370 $190 premium 15.1% (205) 271-8205
37 PAIN TREATMENT CENTERS OF AMERICA PLLC LITTLE ROCK AR NURSE PRACTITIONER 69 22 $9,834 $447 premium 17.6%
38 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 22 $17,600 $800 premium 36.7% (630) 312-4562
39 PAIN RELIEF CENTERS LOUISVILLE KY NURSE PRACTITIONER 4 21 $5,523 $263 premium 9.7% (502) 430-6223
40 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 21 $19,039 $907 premium 38.9% (801) 581-2121
41 SMG ANESTHESIA SPECIALISTS LLC NORFOLK VA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 443 20 $16,000 $800 premium 100.0% (757) 261-6000
42 NORTH DAVIS ANESTHESIOLOGY LLC LAYTON UT ANESTHESIOLOGY 12 20 $10,940 $547 premium 37.0% (801) 807-7140
43 PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC RICHLAND GA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 85 20 $28,800 $1,440 premium 20.2% (509) 946-4611
44 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 20 $5,562 $278 premium 24.7% (419) 423-5492
45 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 19 $9,500 $500 premium 9.9% (662) 328-1012
46 DR Q PAIN AND SPINE CLINIC PA LITTLE ROCK AR NURSE PRACTITIONER 14 19 $18,975 $999 premium 15.2% (501) 227-0184
47 ANESTHESIA ASSOCIATES OF MORRISTOWN PA MORRISTOWN NJ ANESTHESIOLOGY 170 18 $29,547 $1,642 premium 29.5% (973) 971-5539
48 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 18 $14,400 $800 premium 8.3% (502) 629-2398
49 REHABILITATION CONSULTANTS PC NORWALK CT PHYSICAL MEDICINE AND REHABILITATION 2 17 $5,330 $314 premium 100.0% (203) 523-0100
50 VALANT ASSOCIATES LLC PORT ST LUCIE FL NURSE PRACTITIONER 3 17 $8,597 $506 premium 3.3% (772) 446-4883
51 AMERICAN ANESTHESIOLOGY SERVICES OF FLORIDA INC FORT MYERS FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 132 17 $22,621 $1,331 premium 3.3% (239) 489-4909
52 NORTHWOOD ANESTHESIA ASSOCIATES LLC TAMPA FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 36 16 $9,216 $576 premium 3.1% (954) 939-5000
53 TRI-CITY ORTHOPAEDIC CLINIC P S C KENNEWICK WA ORTHOPEDIC SURGERY 19 15 $7,800 $520 premium 8.0% (509) 460-5588
54 U S ANESTHESIA PARTNERS OF TEXAS, PA HOUSTON TX ANESTHESIOLOGY 2754 15 $28,560 $1,904 premium 9.0% (713) 375-7000
55 PATRIOT ANESTHESIA ABERNATHY TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 5 15 $30,000 $2,000 premium 9.0% (817) 516-8811
56 INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC VERO BEACH FL PHYSICIAN ASSISTANT 5 15 $13,423 $895 premium 2.9% (772) 360-1997
57 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 15 $6,100 $407 premium 2.7%
58 ANESTHESIA ASSOCIATES OF KANSAS CITY PA OVERLAND PARK MO CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 222 15 $16,680 $1,112 premium 25.4% (913) 901-9000
59 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 15 $7,182 $479 premium 8.0% (253) 428-2200
60 W BRUCE SCURLOCK MD A MEDICAL CORPORATION BAKERSFIELD CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 5 14 $8,624 $616 premium 4.2% (661) 328-2333
61 MANATEE MEDICAL SPECIALISTS LLC BRADENTON FL NURSE PRACTITIONER 7 14 $3,528 $252 premium 2.7% (941) 795-5922
62 COASTAL ANESTHESIA, P.C. MOBILE AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 4 14 $3,150 $225 premium 9.2% (251) 342-3000
63 ORTHOMED STAFFING PLLC PLANO AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 347 13 $35,750 $2,750 premium 10.4% (972) 596-6800
64 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 13 $2,113 $163 premium 100.0% (207) 885-9905
65 ANESTHESIA PAIN SERVICES LLC BLOOMINGTON IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 28 13 $13,442 $1,034 premium 21.7% (309) 663-1997
66 EMORY SPECIALTY ASSOCIATES, LLC ATLANTA GA ANESTHESIOLOGY ASSISTANT 654 13 $9,334 $718 premium 13.1% (404) 778-3900
67 CHEYENNE REGIONAL PHYSICIANS GROUP LLC CHEYENNE UT NURSE PRACTITIONER 103 13 $3,641 $280 premium 24.1% (307) 635-7961
68 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 13 $4,082 $314 premium 16.0% (419) 291-2003
69 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 13 $6,424 $494 premium 6.9%
70 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA NH PHYSICIAN ASSISTANT 109 13 $6,492 $499 premium 35.1%
71 FORT HEALTHCARE INC FORT ATKINSON IL OBSTETRICS/GYNECOLOGY 161 13 $19,045 $1,465 premium 21.7% (920) 563-5500
72 MOBILE ANESTHESIOLOGISTS CHICAGO PLLC ROSEMONT IL ANESTHESIOLOGY 49 12 $15,300 $1,275 premium 20.0% (773) 355-5300
73 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 12 $4,800 $400 premium 3.7% (410) 502-4340
74 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 12 $6,071 $506 premium 3.6% (916) 983-7476
75 VENTURA COUNTY ANESTHESIA MEDICAL GROUP, INC. VENTURA CA ANESTHESIOLOGY 16 12 $24,000 $2,000 premium 3.6% (805) 652-6000
76 PHYSICIANS ANESTHESIA SERVICE PLLC SEATTLE WA ANESTHESIOLOGY 191 12 $1,800 $150 premium 6.4% (206) 625-0578
77 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MI PHYSICIAN ASSISTANT 3707 12 $2,160 $180 premium 3.1% (202) 429-2401
78 INTEGRAL ANESTHESIA LLC TULSA OK CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 150 11 $3,087 $281 premium 28.9% (918) 477-5000
79 JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL SEYMOUR KY NURSE PRACTITIONER 138 11 $2,298 $209 premium 5.1% (812) 519-1552
80 SPECIALTY ANESTHESIA OF TENNESSEE FRANKLIN TN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 36 11 $15,840 $1,440 premium 16.2% (615) 791-2630
81 AFFILIATED ANESTHESIOLOGISTS, LLC OKLAHOMA CITY OK ANESTHESIOLOGY 50 11 $11,550 $1,050 premium 28.9% (405) 608-3200
82 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 11 $6,127 $557 premium 13.6%

*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 →