NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64420 Injection of anesthetic agent and/or steroid into rib nerve CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 7,989 services ▲ 14.8% YoY · 4,290 beneficiaries (CY2024, Medicare FFS)
Medicare paid $720K · $90.12 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
66
Named-group FFS services
3,636
FFS of Medicare
49%
Services YoY
+14.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,172 services

3,636 observed fee-for-service (51%) · ~3,536 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 — 64420 (CY2024)

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

Named-group submitted charges
$2.4M
Named-group allowed amount
$303K
Named-group Medicare payments
$235K
Avg charge / svc
$662
Avg allowed / svc
$83
Avg payment / svc
$65
Average charge per group
$86 66 groups · avg submitted charge / service $3,053
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 64420 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 64420 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 COMPREHENSIVE PAIN CARE MEDICAL CENTERS INC LONG BEACH CA NURSE PRACTITIONER 2 925 $485,625 $525 premium 28.3% (562) 485-5020
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 189 $257,041 $1,360 premium 71.9% (507) 284-2511
3 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 131 $64,845 $495 premium 19.6% (863) 680-7780
4 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 104 $22,475 $216 premium 86.0% (202) 429-2401
5 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 94 $20,355 $217 premium 46.3% (202) 429-2401
6 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 92 $16,602 $180 premium 45.3%
7 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 87 $20,010 $230 premium 13.0% (561) 495-0600
8 PRINCETON SPINE AND JOINT CENTER PRINCETON PA PHYSICAL MEDICINE AND REHABILITATION 7 74 $11,702 $158 premium 21.6% (609) 454-0760
9 PAIN MANAGEMENT CENTERS OF AMERICA, PSC EVANSVILLE KY NURSE PRACTITIONER 24 73 $76,627 $1,050 premium 31.1% (812) 477-7246
10 U OF R ANESTHESIOLOGY GROUP ROCHESTER NY ANESTHESIOLOGY 314 69 $24,500 $355 premium 37.9%
11 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 63 $55,660 $883 premium 42.9%
12 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 55 $103,774 $1,887 premium 24.8%
13 NEUROVERSION ANCHORAGE AK PHYSICIAN ASSISTANT 10 51 $89,250 $1,750 premium 53.1% (907) 339-4650
14 SAMEER SYED MD PA PLANO TX PHYSICIAN ASSISTANT 16 50 $84,700 $1,694 premium 18.2% (214) 817-4225
15 PRATT ANESTHESIOLOGY ASSOCIATES INC BOSTON MA ANESTHESIOLOGY 155 50 $26,015 $520 premium 34.0% (617) 636-6044
16 PRINCETON SPINE AND JOINT CENTER PRINCETON NJ PHYSICAL MEDICINE AND REHABILITATION 7 46 $8,159 $177 premium 100.0% (609) 454-0760
17 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 45 $29,250 $650 premium 36.6% (864) 587-3000
18 THE DULUTH CLINIC LTD DULUTH MN PHYSICIAN ASSISTANT 1082 45 $97,830 $2,174 premium 17.1% (218) 576-0680
19 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 43 $35,002 $814 premium 64.2% (770) 422-2004
20 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 40 $22,115 $553 premium 14.5% (903) 606-5560
21 INTERVENTIONAL PAIN SPECIALISTS PLLC HOUSTON TX NURSE PRACTITIONER 10 38 $7,746 $204 premium 13.8% (281) 991-2200
22 OHIO PAIN CLINIC LLC DAYTON OH NURSE PRACTITIONER 2 37 $14,040 $379 premium 16.4% (937) 434-2226
23 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 37 $10,824 $293 premium 5.5% (941) 627-9095
24 UTMB FACULTY GROUP PRACTICE GALVESTON TX NURSE PRACTITIONER 1068 37 $21,830 $590 premium 13.5% (409) 772-2222
25 NEUROLOGY GROUP, PLLC REGO PARK NY NEUROLOGY 2 36 $4,695 $130 premium 19.8% (718) 459-2848
26 DELAWARE ANESTHESIA ASSOCIATES PA LEWES DE CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 35 36 $23,371 $649 premium 100.0% (302) 441-1078
27 PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP PC ANCHORAGE AK ANESTHESIOLOGY 49 34 $69,089 $2,032 premium 35.4% (907) 561-0005
28 MEDSTAR MEDICAL GROUP II LLC WASHINGTON VA PHYSICIAN ASSISTANT 3707 34 $7,831 $230 premium 34.7% (202) 429-2401
29 MEDSTAR MEDICAL GROUP II LLC WASHINGTON CA PHYSICIAN ASSISTANT 3707 34 $8,093 $238 premium 1.0% (202) 429-2401
30 KANSAS SPINE AND SPECIALTY HOSPITAL LLC WICHITA KS NURSE PRACTITIONER 8 33 $5,779 $175 premium 100.0% (316) 462-5321
31 TRIDENT ANESTHESIA GROUP LLC CHARLESTON SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 122 32 $15,200 $475 premium 26.0% (843) 797-7000
32 MEDSTAR MEDICAL GROUP II LLC WASHINGTON OH PHYSICIAN ASSISTANT 3707 32 $7,204 $225 premium 14.2% (202) 429-2401
33 WELLSTAR MEDICAL GROUP LLC MARIETTA SC NURSE PRACTITIONER 3060 31 $29,326 $946 premium 25.2% (770) 422-2004
34 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 30 $5,720 $191 premium 4.5% (239) 591-2803
35 UNITED ANESTHESIA SERVICES PC WAYNE PA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 422 30 $25,236 $841 premium 8.8% (610) 645-2000
36 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM MN PHYSICIAN ASSISTANT 3051 29 $22,401 $772 premium 11.0% (919) 684-8111
37 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 29 $15,593 $538 premium 0.9% (714) 634-4567
38 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 29 $7,747 $267 premium 4.3% (813) 745-4673
39 LIFEBRIDGE ANESTHESIA ASSOCIATES LLC BALTIMORE IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 108 25 $56,250 $2,250 premium 11.3% 80051653155104
40 PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC JACKSON MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 97 24 $9,888 $412 premium 49.0% (601) 317-2802
41 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 24 $5,717 $238 premium 0.7% (760) 340-3911
42 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 23 $19,228 $836 premium 23.5% (434) 924-5959
43 MARC J HIRSH MD PA DELRAY BEACH FL RHEUMATOLOGY 9 23 $11,920 $518 premium 3.4% (561) 819-3100
44 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 22 $4,697 $214 premium 9.7% (419) 423-5492
45 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 21 $8,866 $422 premium 0.6%
46 SOUTH TEXAS CARDIOVASCULAR ANESTHESIA SAN ANTONIO TX ANESTHESIOLOGY 12 21 $4,263 $203 premium 7.6% (210) 525-1668
47 ALTURAS HEALTH LLC ST GEORGE UT PAIN MANAGEMENT 2 20 $2,470 $123 premium 100.0% (435) 222-5527
48 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 20 $6,540 $327 premium 16.7% (402) 354-8163
49 SPARTANBURG MEDICAL CENTER SPARTANBURG OH NURSE PRACTITIONER 1070 20 $13,000 $650 premium 8.8% (864) 587-3000
50 SPARTANBURG MEDICAL CENTER SPARTANBURG LA NURSE PRACTITIONER 1070 20 $13,000 $650 premium 100.0% (864) 587-3000
51 NORTH SHORE - LIJ ANESTHESIOLOGY, PC NEW HYDE PARK NY ANESTHESIOLOGY 1012 19 $19,000 $1,000 premium 10.4% (516) 734-8600
52 ROBERT G SALAZAR MD INC FRESNO CA PHYSICIAN ASSISTANT 4 19 $58,000 $3,053 premium 0.6% (559) 432-6807
53 COMFORT ANESTHESIA ASSOCIATES INC HANFORD CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 81 18 $6,750 $375 premium 0.5% (559) 582-9000
54 SPARTANBURG MEDICAL CENTER SPARTANBURG PA NURSE PRACTITIONER 1070 18 $11,700 $650 premium 5.3% (864) 587-3000
55 CHRISTOPHER K MOCEK MD PA LITTLE ROCK AR NURSE PRACTITIONER 5 17 $5,253 $309 premium 100.0% (501) 224-4001
56 UNIVERSITY OF MARYLAND ANESTHESIOLOGY ASSOCIATES PA BALTIMORE MD ANESTHESIOLOGY 138 17 $3,281 $193 premium 8.4% (410) 328-6720
57 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 17 $5,272 $310 premium 27.9% (520) 829-6776
58 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO DC NURSE PRACTITIONER 4339 17 $33,286 $1,958 premium 14.0%
59 MEDSTAR MEDICAL GROUP II LLC WASHINGTON PA PHYSICIAN ASSISTANT 3707 17 $3,665 $216 premium 5.0% (202) 429-2401
60 MANATEE MEDICAL SPECIALISTS LLC BRADENTON FL NURSE PRACTITIONER 7 16 $4,496 $281 premium 2.4% (941) 795-5922
61 VENTANA ANESTHESIA ASSOCIATES INC MONTEREY PA ANESTHESIOLOGY 24 15 $5,873 $392 premium 4.4% (831) 624-5311
62 BOCA ANESTHESIA SERVICE INC BOCA RATON IN ANESTHESIOLOGY ASSISTANT 68 15 $21,216 $1,414 premium 100.0% (954) 939-5000
63 FOUR CORNERS ANESTHESIA, P.A. FARMINGTON NM CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 7 15 $9,000 $600 premium 100.0% (505) 326-6400
64 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD NY PHYSICIAN ASSISTANT 1326 15 $12,880 $859 premium 8.2%
65 PAIN CLINIC ASSOCIATES PLLC MEMPHIS TN ANESTHESIOLOGY 9 15 $5,068 $338 premium 27.8% (901) 747-0040
66 PAIN RELIEF SOLUTIONS FORT LAUDERDALE FL PAIN MANAGEMENT 13 14 $3,105 $222 premium 2.1% (954) 458-1199
67 GRANITE STATE ANESTHESIA PARTNERS, LLC MANCHESTER NH CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 42 14 $21,000 $1,500 premium 11.6% (800) 437-9666
68 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 14 $10,080 $720 premium 6.3% (630) 312-4562
69 VENTANA ANESTHESIA ASSOCIATES INC MONTEREY IL ANESTHESIOLOGY 24 13 $22,863 $1,759 premium 5.9% (831) 624-5311
70 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER CT PHYSICIAN ASSISTANT 2483 13 $11,960 $920 premium 52.0% (508) 334-1000
71 PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA CHARLOTTE NC ANESTHESIOLOGY 217 13 $15,625 $1,202 premium 100.0% (704) 316-2000
72 AUGUSTA MEDICAL GROUP FISHERSVILLE VA PHYSICIAN ASSISTANT 424 13 $1,352 $104 premium 13.3% (540) 332-5595
73 WEST RIVER ANESTHESIOLOGY CONSULTANTS PC RAPID CITY SD ANESTHESIOLOGY 13 12 $1,033 $86 premium 30.0% (605) 755-1000
74 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 12 $23,496 $1,958 premium 5.4% (847) 459-1160
75 SOUTHWEST OHIO ANESTHESIA CONSULTANTS LLC CINCINNATI OH CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 375 12 $17,088 $1,424 premium 5.3% (513) 624-4500
76 VALLEY ANESTHESIOLOGY CONSULTANTS INC SCOTTSDALE AZ ANESTHESIOLOGY 282 12 $4,369 $364 premium 19.7% (480) 323-3000
77 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE OH NURSE PRACTITIONER 1442 12 $7,560 $630 premium 5.3% (502) 629-2398
78 UNITED ANESTHESIA SERVICES PC WAYNE CT CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 422 12 $15,422 $1,285 premium 48.0% (610) 645-2000
79 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 11 $28,248 $2,568 premium 0.3% (650) 723-4000
80 CITY OF HOPE MEDICAL FOUNDATION DUARTE PA NURSE PRACTITIONER 942 11 $2,717 $247 premium 3.2% (626) 256-4673
81 PRATT ANESTHESIOLOGY ASSOCIATES INC BOSTON CO ANESTHESIOLOGY 155 11 $5,904 $537 premium 100.0% (617) 636-6044

*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 →