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Market snapshot

64421 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64421 — Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block

Billing groups
30
Named-group FFS services
2,441
FFS of Medicare
49%
Services YoY
+18.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,869 services

2,441 observed fee-for-service (50%) · ~2,428 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 — 64421 (CY2024)
CA 3,190 FL 740 PA 438 TX 329 MI 317

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$84K
Named-group Medicare payments
$64K
Avg charge / svc
$633
Avg allowed / svc
$34
Avg payment / svc
$26
Average charge per group
$54 30 groups · avg submitted charge / service $3,053
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 64421 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 COMPREHENSIVE PAIN CARE MEDICAL CENTERS INC LONG BEACH CA NURSE PRACTITIONER 2 941 $494,025 $525 29.5% (562) 485-5020
2 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 204 $160,752 $788 27.6% (863) 680-7780
3 NEUROVERSION ANCHORAGE AK PHYSICIAN ASSISTANT 10 166 $390,266 $2,351 100.0% (907) 339-4650
4 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 120 $27,985 $233 36.5% (903) 606-5560
5 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 86 $29,240 $340 11.6% (561) 495-0600
6 PAIN MANAGEMENT CENTERS OF AMERICA, PSC EVANSVILLE KY NURSE PRACTITIONER 24 73 $76,275 $1,045 42.7% (812) 477-7246
7 PRINCETON SPINE AND JOINT CENTER PRINCETON NJ PHYSICAL MEDICINE AND REHABILITATION 7 72 $4,146 $58 100.0% (609) 454-0760
8 INTERVENTIONAL PAIN SPECIALISTS PLLC HOUSTON TX NURSE PRACTITIONER 10 71 $4,900 $69 21.6% (281) 991-2200
9 PRINCETON SPINE AND JOINT CENTER PRINCETON PA PHYSICAL MEDICINE AND REHABILITATION 7 70 $3,467 $50 16.0% (609) 454-0760
10 SAMEER SYED MD PA PLANO TX PHYSICIAN ASSISTANT 16 49 $49,000 $1,000 14.9% (214) 817-4225
11 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 45 $3,350 $74 6.1% (239) 591-2803
12 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 43 $27,262 $634 66.2% (434) 924-5959
13 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 42 $4,885 $116 5.7% (941) 627-9095
14 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 41 $61,500 $1,500 41.4% (630) 312-4562
15 OHIO PAIN CLINIC LLC DAYTON OH NURSE PRACTITIONER 2 37 $10,804 $292 25.5% (937) 434-2226
16 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 36 $14,772 $410 4.9% (813) 745-4673
17 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM MN PHYSICIAN ASSISTANT 3051 35 $29,449 $841 100.0% (919) 684-8111
18 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 34 $3,675 $108 1.1% (714) 634-4567
19 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 29 $2,842 $98 0.9% (760) 340-3911
20 PAIN CLINIC ASSOCIATES PLLC MEMPHIS TN ANESTHESIOLOGY 9 27 $13,496 $500 30.7% (901) 747-0040
21 KANSAS SPINE AND SPECIALTY HOSPITAL LLC WICHITA KS NURSE PRACTITIONER 8 27 $6,436 $238 100.0% (316) 462-5321
22 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 26 $11,284 $434 19.5% (402) 354-8163
23 AUGUSTA MEDICAL GROUP FISHERSVILLE VA PHYSICIAN ASSISTANT 424 22 $8,888 $404 33.8% (540) 332-5595
24 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 21 $2,878 $137 14.5% (419) 423-5492
25 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 19 $4,916 $259 0.6% —
26 MARC J HIRSH MD PA DELRAY BEACH FL RHEUMATOLOGY 9 19 $14,630 $770 2.6% (561) 819-3100
27 ROBERT G SALAZAR MD INC FRESNO CA PHYSICIAN ASSISTANT 4 19 $58,000 $3,053 0.6% (559) 432-6807
28 MEDSTAR MEDICAL GROUP II LLC WASHINGTON CA PHYSICIAN ASSISTANT 3707 16 $3,950 $247 0.5% (202) 429-2401
29 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 15 $5,730 $382 18.5% (520) 829-6776
30 PAIN RELIEF SOLUTIONS FORT LAUDERDALE FL PAIN MANAGEMENT 13 14 $1,006 $72 1.9% (954) 458-1199
31 DELAWARE ANESTHESIA ASSOCIATES PA LEWES DE CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 35 11 $11,429 $1,039 100.0% (302) 441-1078
32 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 11 $2,701 $246 100.0% (202) 429-2401

*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 →