NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64430 Injection of anesthetic agent and/or steroid into external genitals and anus nerve CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 437 services ▲ 39.6% YoY · 233 beneficiaries (CY2024, Medicare FFS)
Medicare paid $35K · $79.80 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
6
Named-group FFS services
231
FFS of Medicare
49%
Services YoY
+39.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~488 services

231 observed fee-for-service (47%) · ~257 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 — 64430 (CY2024)

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

Named-group submitted charges
$122K
Named-group allowed amount
$20K
Named-group Medicare payments
$15K
Avg charge / svc
$529
Avg allowed / svc
$85
Avg payment / svc
$65
Average charge per group
$323 6 groups · avg submitted charge / service $1,616
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 64430 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 64430 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 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 57 $27,710 $486 premium 100.0% (502) 629-2398
2 RADIOLOGISTS OF UNIV OF ROCHESTER ROCHESTER NY DIAGNOSTIC RADIOLOGY 134 51 $16,450 $323 premium 72.9%
3 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 45 $20,163 $448 premium 100.0% (720) 777-1234
4 MEDICAL IMAGING OF LEHIGH VALLEY PC ALLENTOWN PA DIAGNOSTIC RADIOLOGY 119 33 $15,600 $473 premium 55.9% (610) 770-1606
5 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 26 $11,510 $443 premium 44.1%
6 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 19 $30,704 $1,616 premium 27.1%

*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 →