NEVVI Medicare utilization intelligence
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Market snapshot

64418 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64418 — Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve

Billing groups
120
Named-group FFS services
5,710
FFS of Medicare
49%
Services YoY
-0.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,844 services

5,710 observed fee-for-service (48%) · ~6,134 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 — 64418 (CY2024)

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

Named-group submitted charges
$2.9M
Named-group allowed amount
$482K
Named-group Medicare payments
$371K
Avg charge / svc
$515
Avg allowed / svc
$84
Avg payment / svc
$65
Average charge per group
$82 120 groups · avg submitted charge / service $3,500
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 64418 services, CY2024
#Physician group City St Specialty Providers 64418 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 371 $85,930 $232 premium 12.1% (561) 495-0600
2 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 270 $227,505 $843 premium 18.2%
3 MARC J HIRSH MD PA DELRAY BEACH FL RHEUMATOLOGY 9 243 $107,031 $440 premium 8.0% (561) 819-3100
4 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 215 $34,460 $160 premium 7.0% (239) 591-2803
5 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 211 $33,642 $159 premium 31.0%
6 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 203 $60,900 $300 premium 20.5%
7 AIKEN NEUROSCIENCES AND PAIN MANAGEMENT LLC AIKEN SC ANESTHESIOLOGY 2 168 $91,680 $546 premium 71.2% (803) 642-6500
8 STONY BROOK ANAESTHESIOLOGY UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY ANESTHESIOLOGY 87 166 $243,000 $1,464 premium 16.8% (631) 444-2975
9 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 151 $61,880 $410 premium 4.9% (863) 680-7780
10 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 135 $141,840 $1,051 premium 59.2% (720) 777-1234
11 PRINCETON SPINE AND JOINT CENTER PRINCETON NJ PHYSICAL MEDICINE AND REHABILITATION 7 116 $18,134 $156 premium 20.9% (609) 454-0760
12 TODD J MALTESE DO PC RONKONKOMA NY PHYSICIAN ASSISTANT 4 112 $33,600 $300 premium 11.3% (631) 737-0055
13 ALICJA STEINER MD A PROFESSIONAL MEDICAL CORPORATION SAN DIEGO CA INTERVENTIONAL PAIN MANAGEMENT 3 110 $22,200 $202 premium 7.4% (619) 948-8464
14 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 91 $65,145 $716 premium 6.1% (916) 681-8852
15 SAMEER SYED MD PA PLANO TX PHYSICIAN ASSISTANT 16 88 $52,800 $600 premium 19.3% (214) 817-4225
16 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 83 $28,590 $344 premium 58.0% (703) 971-4604
17 OHIO PAIN CLINIC LLC DAYTON OH NURSE PRACTITIONER 2 82 $42,032 $513 premium 14.5% (937) 434-2226
18 FAMILY SPINE AND PAIN CARE INSTITUTE LLC VENICE FL PAIN MANAGEMENT 3 76 $33,592 $442 premium 2.5% (813) 495-8011
19 PAIN CONSULTANTS OF WEST FLORIDA P A PENSACOLA FL PHYSICIAN ASSISTANT 6 70 $23,850 $341 premium 2.3% (850) 494-0000
20 MENTAL HEALTH ASSOCIATION IN INDIAN RIVER COUNTY INC VERO BEACH FL CLINICAL SOCIAL WORKER 10 68 $20,400 $300 premium 2.2% (772) 569-9788
21 RALEIGH NEUROLOGY ASSOCIATES, P. A. RALEIGH NC PHYSICIAN ASSISTANT 50 65 $61,035 $939 premium 20.2% (919) 782-3456
22 INTERVENTIONAL AND FUNCTIONAL PAIN CENTER CRANSTON RI NURSE PRACTITIONER 4 65 $16,250 $250 premium 100.0% (401) 648-6100
23 M PARTNERS, LLC BONITA SPRINGS FL ANESTHESIOLOGY 3 65 $10,840 $167 premium 2.1% (239) 690-7791
24 ROY D NINI MD INC LOS ANGELES CA PHYSICAL MEDICINE AND REHABILITATION 3 59 $20,650 $350 premium 4.0% (310) 423-9900
25 ALEXANDER P HERSEL MD INC THOUSAND OAKS CA ANESTHESIOLOGY 7 58 $203,000 $3,500 premium 3.9% (805) 557-0096
26 REJUV MEDICAL PA WAITE PARK MN NURSE PRACTITIONER 16 58 $22,347 $385 premium 25.4% (320) 217-8480
27 ERLANGER HEALTH CHATTANOOGA TN NURSE PRACTITIONER 487 55 $16,995 $309 premium 27.6%
28 RIVERHILLS HEALTHCARE INC CINCINNATI OH NEUROLOGY 46 53 $38,688 $730 premium 9.4% (513) 241-2370
29 PRINCETON SPINE AND JOINT CENTER PRINCETON PA PHYSICAL MEDICINE AND REHABILITATION 7 52 $6,393 $123 premium 5.6% (609) 454-0760
30 PAIN CLINIC ASSOCIATES PLLC MEMPHIS TN ANESTHESIOLOGY 9 50 $21,450 $429 premium 25.1% (901) 747-0040
31 CHRISTOPHER J PRUSINSKI DO PA MELBOURNE FL NEUROLOGY 2 50 $23,940 $479 premium 1.6% (321) 421-6566
32 DR Q PAIN AND SPINE CLINIC PA LITTLE ROCK AR NURSE PRACTITIONER 14 49 $35,000 $714 premium 34.5% (501) 227-0184
33 PROVIDENCE HEALTH ALLIANCE WACO WI PHYSICIAN ASSISTANT 121 48 $22,732 $474 premium 33.1% (254) 537-6200
34 PAIN AND REHABILITATION CONSULTANTS MADISON AL INTERVENTIONAL PAIN MANAGEMENT 2 47 $7,350 $156 premium 75.8%
35 AMERICAN PAIN AND WELLNESS PA ALLEN TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 16 47 $23,285 $495 premium 10.3% (469) 326-5100
36 ADVANCING MEDICAL SOLUTIONS PSC PADUCAH KY NURSE PRACTITIONER 6 45 $3,674 $82 premium 40.9% (270) 554-5114
37 COLORADO PAIN PRACTICE PLLC LAKEWOOD CO NURSE PRACTITIONER 15 41 $11,496 $280 premium 18.0% (303) 468-7246
38 PAIN AND DISABILITY INSTITUTE, P.C. JERSEY CITY NJ DIAGNOSTIC RADIOLOGY 12 41 $39,529 $964 premium 7.4% (201) 656-4324
39 NURA PLLC EDINA MN PHYSICIAN ASSISTANT 36 39 $12,645 $324 premium 17.1% (763) 537-6000
40 HAYS MEDICAL CENTER INC HAYS KS PHYSICIAN ASSISTANT 182 39 $136,500 $3,500 premium 100.0% (785) 623-5774
41 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT MD RHEUMATOLOGY 17 38 $7,600 $200 premium 5.6% (301) 345-5600
42 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 36 $14,858 $413 premium 3.6% (631) 543-1440
43 SPR MEDICAL GROUP ROUND ROCK TX CHIROPRACTIC 2 35 $6,825 $195 premium 7.7%
44 NABIL BARSOUM MD PA DEERFIELD BEACH FL NURSE PRACTITIONER 4 35 $10,500 $300 premium 1.1% (954) 426-9600
45 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 35 $51,090 $1,460 premium 24.1% (608) 287-2050
46 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 32 $7,320 $229 premium 5.7% (419) 423-5492
47 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 32 $12,870 $402 premium 31.1%
48 ANESTHESIOLOGY ASSOCIATES OF BORO PARK, LLP BROOKLYN NY ANESTHESIOLOGY 48 31 $48,945 $1,579 premium 3.1% (718) 283-8816
49 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 31 $62,000 $2,000 premium 2.1% (714) 634-4567
50 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 31 $19,476 $628 premium 2.1% (800) 926-8273
51 ETMC PHYSICIAN GROUP, INC. TYLER TX NURSE PRACTITIONER 373 29 $6,048 $209 premium 6.4% (903) 590-5611
52 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 29 $19,623 $677 premium 2.0% (415) 600-1020
53 CAMPBELL CLINIC, PC GERMANTOWN MS ORTHOPEDIC SURGERY 225 25 $12,200 $488 premium 10.2% (901) 759-3100
54 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM MN PHYSICIAN ASSISTANT 3051 25 $17,061 $682 premium 11.0% (919) 684-8111
55 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 25 $7,150 $286 premium 12.9% (602) 385-2115
56 ADVANCED PAIN AND SPINE INSTITUTE LLC MILFORD OH INTERVENTIONAL PAIN MANAGEMENT 3 25 $9,250 $370 premium 4.4% (513) 936-3050
57 THE QUEENS MEDICAL CENTER HONOLULU CA NURSE PRACTITIONER 190 24 $5,712 $238 premium 1.6%
58 WENSONG LI MEDICINE PC FLUSHING NY PHYSICIAN ASSISTANT 3 23 $2,816 $122 premium 2.3% (718) 886-7246
59 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 23 $14,765 $642 premium 1.6% (916) 983-7476
60 PRECISION SPINE AND PAIN MANAGEMENT SAN ANTONIO TX NURSE PRACTITIONER 6 23 $2,190 $95 premium 5.1% (210) 233-9331
61 OUCH, PA SAINT AUGUSTINE FL INTERVENTIONAL PAIN MANAGEMENT 3 23 $7,950 $346 premium 0.8% (904) 808-7246
62 ENVISION PAIN MANAGEMENT PLLC CLYDE WI NURSE PRACTITIONER 7 23 $4,200 $183 premium 15.9% (828) 237-8001
63 AVORS MEDICAL GROUP LANCASTER CA ORTHOPEDIC SURGERY 19 22 $14,564 $662 premium 1.5% (661) 726-5005
64 PAIN RELIEF INSTITUTE LLC MEDFORD OR PHYSICIAN ASSISTANT 7 22 $8,320 $378 premium 44.9%
65 PAIN TREATMENT CENTERS OF AMERICA PLLC LITTLE ROCK AR NURSE PRACTITIONER 69 22 $6,270 $285 premium 15.5%
66 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 22 $4,860 $221 premium 2.4%
67 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 22 $21,600 $982 premium 21.4% (630) 312-4562
68 LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC LAS VEGAS NV NURSE PRACTITIONER 8 22 $10,748 $489 premium 37.9% (702) 880-4193
69 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER MD ORTHOPEDIC SURGERY 2158 21 $7,162 $341 premium 3.1% (907) 694-8085
70 MARC MASKOWITZ MD A PROFESSIONAL CORPORATION SACRAMENTO CA EMERGENCY MEDICINE 2 21 $4,935 $235 premium 1.4% (916) 564-2225
71 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 21 $10,016 $477 premium 14.7%
72 TRUE NORTH MEDICAL AT NORTH SUFFOLK, PLLC COMMACK NY NEUROLOGY 20 21 $28,602 $1,362 premium 2.1% (631) 364-9119
73 PAIN MANAGEMENT GROUP LLC INDEPENDENCE TN NURSE PRACTITIONER 53 21 $3,289 $157 premium 10.6% (216) 624-4284
74 INTEGRATED PAIN ASSOCIATES PLLC KILLEEN TX NURSE PRACTITIONER 32 20 $4,103 $205 premium 4.4% (254) 245-9175
75 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 20 $6,644 $332 premium 0.7% (305) 689-5437
76 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 19 $5,332 $281 premium 4.2% (214) 220-2468
77 PAIN RELIEF CENTER PA UNION CITY NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 19 $18,700 $984 premium 3.4% (201) 662-5437
78 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 19 $9,500 $500 premium 7.8% (662) 328-1012
79 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 19 $6,099 $321 premium 13.3% (757) 595-9880
80 EMIL H ANNABI MD PC TUCSON AZ NURSE PRACTITIONER 10 19 $4,750 $250 premium 9.8% (520) 399-6000
81 ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC ANNAPOLIS MD ANESTHESIOLOGY 6 18 $3,660 $203 premium 2.6% (443) 808-1808
82 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 18 $7,678 $427 premium 4.0% (254) 724-2663
83 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 18 $4,849 $269 premium 0.6% (941) 627-9095
84 MARC J HIRSH MD PA DELRAY BEACH CT RHEUMATOLOGY 9 18 $7,896 $439 premium 100.0% (561) 819-3100
85 INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC VERO BEACH FL PHYSICIAN ASSISTANT 5 18 $8,647 $480 premium 0.6% (772) 360-1997
86 HAN ORTHOPAEDICS INC LOS ANGELES CA ORTHOPEDIC SURGERY 4 18 $5,500 $306 premium 1.2% (213) 805-5822
87 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT DC RHEUMATOLOGY 17 17 $3,700 $218 premium 100.0% (301) 345-5600
88 VALANT ASSOCIATES LLC PORT ST LUCIE FL NURSE PRACTITIONER 3 17 $6,184 $364 premium 0.6% (772) 446-4883
89 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 17 $6,290 $370 premium 8.8% (520) 829-6776
90 TRUSHA SHAH MD PC BETHPAGE NY ANESTHESIOLOGY 2 17 $9,086 $534 premium 1.7% (516) 605-0600
91 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 17 $8,893 $523 premium 1.1% (310) 423-0674
92 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 17 $6,194 $364 premium 3.0% (513) 354-3700
93 HENDRICK PROVIDER NETWORK ABILENE OK PHYSICIAN ASSISTANT 249 16 $4,064 $254 premium 100.0% (325) 672-4372
94 ADVANCED PAIN AND SPINE INSTITUTE LLC MILFORD KY INTERVENTIONAL PAIN MANAGEMENT 3 16 $5,920 $370 premium 14.5% (513) 936-3050
95 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 16 $7,152 $447 premium 2.9% (973) 971-5596
96 NORCAL PAIN TREATMENT CENTER CORP TURLOCK CA NURSE PRACTITIONER 10 16 $4,914 $307 premium 1.1% (209) 448-3000
97 MEDICAL PAIN MANAGEMENT SERVICES PLLC ALBANY NY PHYSICIAN ASSISTANT 16 16 $2,875 $180 premium 1.6% (518) 463-0171
98 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 16 $4,187 $262 premium 3.5% (512) 244-4272
99 PAIN RELIEF CENTERS LOUISVILLE KY NURSE PRACTITIONER 4 16 $2,667 $167 premium 14.5% (502) 430-6223
100 INNOVATIVE PAIN AND WELLNESS PLC SCOTTSDALE AZ PHYSICIAN ASSISTANT 8 16 $7,016 $438 premium 8.2% (480) 306-7242

Showing the top 100 of 120 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 →