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Market snapshot

64425 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64425 — Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve

Billing groups
12
Named-group FFS services
619
FFS of Medicare
49%
Services YoY
+9.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,153 services

619 observed fee-for-service (54%) · ~534 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 — 64425 (CY2024)

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

Named-group submitted charges
$395K
Named-group allowed amount
$55K
Named-group Medicare payments
$42K
Avg charge / svc
$639
Avg allowed / svc
$89
Avg payment / svc
$68
Average charge per group
$209 12 groups · avg submitted charge / service $2,274
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 64425 services, CY2024
#Physician group City St Specialty Providers 64425 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 193 $40,428 $209 premium 33.2%
2 YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC PRESCOTT AZ NURSE PRACTITIONER 120 104 $23,023 $221 premium 90.4% (928) 771-3704
3 REJUV MEDICAL PA WAITE PARK MN NURSE PRACTITIONER 16 76 $50,283 $662 premium 57.1% (320) 217-8480
4 INTEGRATED ANESTHESIA ASSOCIATES LLC HARTFORD CT ANESTHESIOLOGY 406 73 $88,815 $1,217 premium 100.0% (860) 972-2117
5 BLANCHARD VALLEY REGIONAL HEALTH CENTER FINDLAY OH CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 95 42 $10,746 $256 premium 60.9% (419) 423-4500
6 U S ANESTHESIA PARTNERS OF TEXAS, PA HOUSTON TX ANESTHESIOLOGY 2754 39 $88,680 $2,274 premium 73.6% (713) 375-7000
7 NEUROVERSION ANCHORAGE AK PHYSICIAN ASSISTANT 10 22 $33,682 $1,531 premium 100.0% (907) 339-4650
8 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD PHYSICIAN ASSISTANT 386 17 $5,355 $315 premium 2.9%
9 KELSEY-SEYBOLD MEDICAL GROUP, PLLC HOUSTON TX FAMILY PRACTICE 923 14 $28,082 $2,006 premium 26.4% (713) 442-0000
10 UCLA ASSOCIATED GENERAL SURGEONS LOS ANGELES CA GENERAL SURGERY 47 14 $12,320 $880 premium 6.0% (310) 267-7838
11 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM MN PHYSICIAN ASSISTANT 3051 13 $10,296 $792 premium 9.8% (919) 684-8111
12 LOW COUNTRY ANESTHESIA, PA BEAUFORT SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 63 12 $3,528 $294 premium 100.0% (800) 228-0249

*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 →