NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve) CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal Nerve Block Injection - Back (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 61,032 services ▲ 10.9% YoY · 23,134 beneficiaries (CY2024, Medicare FFS)
Medicare paid $8.3M · $136.06 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
289
Named-group FFS services
19,458
FFS of Medicare
49%
Services YoY
+10.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~40,653 services

19,458 observed fee-for-service (48%) · ~21,195 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 — 64445 (CY2024)

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

Named-group submitted charges
$11.7M
Named-group allowed amount
$2.7M
Named-group Medicare payments
$2.1M
Avg charge / svc
$602
Avg allowed / svc
$138
Avg payment / svc
$109
Average charge per group
$65 289 groups · avg submitted charge / service $4,200
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 64445 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 64445 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 DALLAS REGENERATIVE AND NEUROPATHY CENTER PLLC PLANO TX GENERAL PRACTICE 3 1,769 $532,780 $301 premium 5.5% (469) 209-8100
2 SHETH, MD, P.A. FRISCO TX NEUROLOGY 23 1,573 $728,900 $463 premium 4.9% (214) 619-1910
3 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 968 $426,004 $440 premium 15.9% (352) 693-3378
4 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 670 $181,200 $270 premium 11.0% (561) 495-0600
5 LEGACY HEALTHCARE SERVICES INC DURHAM TX INTERNAL MEDICINE 3859 545 $152,284 $279 premium 1.7% (919) 419-9600
6 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 504 $147,880 $293 premium 8.3% (239) 591-2803
7 ADVANTA MEDICAL P.C. BROOKLYN NY FAMILY PRACTICE 2 461 $98,010 $213 premium 14.6% (718) 934-8484
8 U S ANESTHESIA PARTNERS OF TEXAS, PA HOUSTON TX ANESTHESIOLOGY 2754 260 $427,247 $1,643 premium 0.8% (713) 375-7000
9 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 228 $53,651 $235 premium 35.0%
10 LONG LAKE ANESTHESIOLOGY CONSULTANTS PLC TROY MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 94 227 $45,400 $200 premium 19.7% (248) 265-4600
11 ORTHO FLORIDA LLC BOCA RATON FL ORTHOPEDIC SURGERY 112 209 $129,504 $620 premium 3.4% (954) 964-6114
12 INDEPENDENT PHYSICIANS NETWORK PLLC DALLAS TX ANESTHESIOLOGY 222 198 $66,912 $338 premium 0.6% (214) 252-3535
13 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 195 $152,460 $782 premium 4.0% (760) 340-3911
14 RIVERHILLS HEALTHCARE INC CINCINNATI OH NEUROLOGY 46 194 $77,068 $397 premium 20.4% (513) 241-2370
15 PRINCETON SPINE AND JOINT CENTER PRINCETON NJ PHYSICAL MEDICINE AND REHABILITATION 7 191 $45,063 $236 premium 20.7% (609) 454-0760
16 INTEGRAL ANESTHESIA LLC TULSA OK CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 150 176 $50,385 $286 premium 26.5% (918) 477-5000
17 PIONEER ANESTHESIA CONSULTANTS LLC MOORESVILLE IN ANESTHESIOLOGY 7 168 $147,000 $875 premium 27.8% (317) 831-1160
18 COMPASS ANESTHESIA PROVIDERS, PLLC HUMBLE TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 178 164 $315,700 $1,925 premium 0.5% (281) 369-9001
19 CONSENSUS MEDICAL GROUP LLC JERSEY CITY NJ PHYSICIAN ASSISTANT 144 163 $222,679 $1,366 premium 17.6% (201) 464-8888
20 MEDICAL HEALTH 4 ALL PC BROOKLYN NY OSTEOPATHIC MANIPULATIVE MEDICINE 2 154 $33,880 $220 premium 4.9% (718) 407-6333
21 PHOENIX REHABILITATION AND HEALTH SERVICES INC CRANBERRY TOWNSHIP AL PHYSICIAN ASSISTANT 2664 144 $65,725 $456 premium 21.0%
22 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 142 $62,440 $440 premium 21.4% (405) 604-6000
23 PRINCETON SPINE AND JOINT CENTER PRINCETON PA PHYSICAL MEDICINE AND REHABILITATION 7 135 $29,421 $218 premium 13.9% (609) 454-0760
24 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 134 $75,040 $560 premium 22.3% (919) 684-8111
25 M PARTNERS, LLC BONITA SPRINGS FL ANESTHESIOLOGY 3 132 $39,520 $299 premium 2.2% (239) 690-7791
26 EASTERN SHORE ANESTHESIA, P.C. FAIRHOPE AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 44 130 $27,820 $214 premium 18.9% (251) 990-1109
27 EAST MEMPHIS ANESTHESIA SERVICES PLC MEMPHIS TN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 28 125 $31,350 $251 premium 23.7% (901) 685-2200
28 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 123 $62,501 $508 premium 2.0% 9417059555110
29 WEITZ AND RITTER MD PA MIAMI FL RHEUMATOLOGY 6 120 $49,396 $412 premium 2.0% (305) 661-2299
30 MEDICAL PAIN MANAGEMENT SERVICES PLLC ALBANY NY PHYSICIAN ASSISTANT 16 118 $27,000 $229 premium 3.7% (518) 463-0171
31 MARC J HIRSH MD PA DELRAY BEACH FL RHEUMATOLOGY 9 118 $52,242 $443 premium 1.9% (561) 819-3100
32 AMERICAN ANESTHESIOLOGY SERVICES OF FLORIDA INC FORT MYERS FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 132 113 $150,738 $1,334 premium 1.9% (239) 489-4909
33 INTERVENTIONAL AND FUNCTIONAL PAIN CENTER CRANSTON RI NURSE PRACTITIONER 4 113 $28,250 $250 premium 100.0% (401) 648-6100
34 ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. SANTA BARBARA CA ANESTHESIOLOGY 12 111 $104,475 $941 premium 2.3% (805) 967-3411
35 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 110 $34,760 $316 premium 21.5%
36 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 110 $65,250 $593 premium 3.5% (845) 703-6999
37 NORTH CALVERT ANESTHESIOLOGY SERVICES LLC BALTIMORE MD ANESTHESIOLOGY 63 109 $66,490 $610 premium 16.7% (410) 332-9000
38 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 103 $41,200 $400 premium 14.9% (434) 924-5959
39 WESTON MEDICAL HEALTH CENTER LLC WESTON FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 101 $17,675 $175 premium 1.7% (954) 888-6650
40 ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OF PALM BEACH INC BOYNTON BEACH FL RHEUMATOLOGY 7 101 $29,645 $294 premium 1.7% (561) 439-1800
41 ANESTHESIA CONSULTING SERVICES, PA WICHITA KS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 76 100 $143,000 $1,430 premium 18.7% (316) 268-5000
42 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 100 $33,838 $338 premium 10.5% (419) 423-5492
43 EAST RIVER MEDICAL ASSOCIATES PC NEW YORK NY ANESTHESIOLOGY 111 100 $272,500 $2,725 premium 3.2% (212) 606-1206
44 ARLINGTON ANESTHESIA PARTNERS LLC CIRCLEVILLE OH CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 157 94 $32,775 $349 premium 9.9% (614) 352-6479
45 SOUTH COUNTY ANESTHESIA ASSOCIATES LTD SAINT LOUIS MO CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 79 93 $55,800 $600 premium 24.2% (314) 525-1000
46 KANSAS SPINE ANESTHESIA CORPORATION PA WICHITA KS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 60 93 $81,375 $875 premium 17.4% (316) 262-7263
47 DARTMOUTH-HITCHCOCK CLINIC LEBANON NH PHYSICIAN ASSISTANT 1441 90 $139,504 $1,550 premium 50.6% (603) 650-5000
48 RIDEOUT MEMORIAL HOSPITAL MARYSVILLE CA DIAGNOSTIC RADIOLOGY 89 89 $96,471 $1,084 premium 1.8% (530) 740-1900
49 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 89 $34,443 $387 premium 13.7% (410) 502-4340
50 INTEGRAL ANESTHESIA LLC TULSA AZ CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 150 88 $25,193 $286 premium 22.5% (918) 477-5000
51 ORTHOMED STAFFING PLLC PLANO MO CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 347 85 $233,750 $2,750 premium 22.1% (972) 596-6800
52 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 84 $73,500 $875 premium 1.7% (310) 423-0674
53 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 82 $60,830 $742 premium 21.3% (573) 443-2402
54 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 80 $54,116 $676 premium 1.7% (916) 681-8852
55 PALMETTO ANESTHESIA ASSOCIATES GREENVILLE SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 105 79 $159,185 $2,015 premium 15.4% (864) 269-3419
56 ALICJA STEINER MD A PROFESSIONAL MEDICAL CORPORATION SAN DIEGO CA INTERVENTIONAL PAIN MANAGEMENT 3 70 $20,160 $288 premium 1.4% (619) 948-8464
57 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI KY PHYSICIAN ASSISTANT 468 70 $26,808 $383 premium 11.3% (513) 354-3700
58 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 67 $46,800 $699 premium 13.1% (843) 839-7246
59 CENTURY MEDICAL AND DENTAL CENTER INC BROOKLYN NY PHYSICIAN ASSISTANT 104 66 $18,690 $283 premium 2.1% (718) 650-2233
60 ADVANCING MEDICAL SOLUTIONS PSC PADUCAH KY NURSE PRACTITIONER 6 65 $9,656 $149 premium 10.5% (270) 554-5114
61 EMERGENCHEALTH PLLC SAN ANTONIO TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 984 65 $113,477 $1,746 premium 0.2% (210) 921-2000
62 CHS ANESTHESIA SERVICES GROUP INC CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 749 63 $82,215 $1,305 premium 10.5% (704) 355-2000
63 BLACK RIVER ANESTHESIA STAFFING LLC WATERVLIET MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 2 62 $27,900 $450 premium 5.4% (269) 463-2300
64 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS IN ORTHOPEDIC SURGERY 348 61 $46,550 $763 premium 10.1% (317) 802-2000
65 HIGHPOINT PAIN AND REHABILITATION PHYSICIANS PC CHALFONT PA PHYSICAL MEDICINE AND REHABILITATION 3 61 $42,500 $697 premium 6.3% (215) 395-8888
66 DERRY MEDICAL CENTER, PA DERRY NH FAMILY PRACTICE 106 61 $26,000 $426 premium 34.3% (603) 537-1300
67 METROPOLITAN ANESTHESIA NETWORK LLP COON RAPIDS MN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 527 60 $75,155 $1,253 premium 35.5% (763) 236-6786
68 MOTOR CITY ANESTHESIA SERVICES PLLC DEARBORN MI ANESTHESIOLOGY 2 60 $12,588 $210 premium 5.2% (734) 212-3097
69 SOUND PAIN ALLIANCE BELLINGHAM WA PHYSICIAN ASSISTANT 43 60 $25,020 $417 premium 81.1%
70 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 59 $22,420 $380 premium 12.7% (501) 500-3500
71 MANATEE MEDICAL SPECIALISTS LLC BRADENTON FL NURSE PRACTITIONER 7 58 $11,600 $200 premium 1.0% (941) 795-5922
72 BAYCARE CLINIC LLP GREEN BAY WI PHYSICIAN ASSISTANT 199 58 $45,994 $793 premium 33.1%
73 FAR NORTHERN ANESTHESIA CONSULTANTS REDDING CA ANESTHESIOLOGY 6 57 $43,890 $770 premium 1.2% (530) 244-5400
74 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 57 $29,412 $516 premium 1.8% (631) 543-1440
75 NOVUS LOUISIANA MEDICAL PROFESSIONAL CORPORATION SHREVEPORT AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 22 57 $12,597 $221 premium 12.3% (318) 213-3800
76 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 57 $25,023 $439 premium 12.3% (501) 686-8000
77 MISSOULA ANESTHESIOLOGY PC MISSOULA MT ANESTHESIOLOGY 52 56 $39,200 $700 premium 100.0% (406) 543-7271
78 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 55 $61,767 $1,123 premium 1.1% (559) 459-6000
79 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM CA PHYSICIAN ASSISTANT 3051 54 $30,240 $560 premium 1.1% (919) 684-8111
80 ST LUKES CLINIC LLC TWIN FALLS TN NURSE PRACTITIONER 308 54 $14,750 $273 premium 10.2%
81 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 52 $20,800 $400 premium 18.1% (770) 422-2004
82 FIELDEN,HANSON,ISAACS,MIYADA,ROBISON,YEH LTD LAS VEGAS NV ANESTHESIOLOGY 172 51 $49,980 $980 premium 37.8% (702) 878-0700
83 THE MIGRAINE AND SPINE CLINIC OF VALDOSTA LLC VALDOSTA GA NURSE PRACTITIONER 2 49 $19,600 $400 premium 17.1% (229) 333-9838
84 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY ORTHOPEDIC SURGERY 32 48 $70,200 $1,462 premium 1.5% (212) 241-9561
85 NORTHSTAR ANESTHESIA OF VIRGINIA, LLC ALEXANDRIA VA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 410 47 $93,718 $1,994 premium 6.8% (703) 504-3000
86 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 47 $32,618 $694 premium 1.0% (877) 827-7463
87 MARC J HIRSH MD PA DELRAY BEACH CT RHEUMATOLOGY 9 46 $20,587 $448 premium 40.4% (561) 819-3100
88 OPTIMAL ORTHOPAEDICS PLLC WILMINGTON DE GENERAL PRACTICE 2 46 $19,688 $428 premium 100.0% (610) 876-6180
89 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 46 $14,904 $324 premium 6.6% (757) 595-9880
90 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 46 $8,602 $187 premium 7.1% (202) 429-2401
91 RESTORATIVE PHYSICAL MEDICINE PLLC NOVI MI PHYSICAL MEDICINE AND REHABILITATION 19 46 $11,675 $254 premium 4.0% (248) 697-2942
92 CLOUD PEAK ANESTHESIA LLC GILLETTE WY CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 2 45 $58,500 $1,300 premium 60.8% (307) 686-8283
93 MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC LORAIN OH NURSE PRACTITIONER 139 44 $10,035 $228 premium 4.6% (440) 988-1009
94 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 44 $30,404 $691 premium 28.2% (720) 777-1234
95 TIFT REGIONAL HEALTH SYSTEM INC TIFTON GA NURSE PRACTITIONER 294 44 $10,842 $246 premium 15.3% (229) 391-4100
96 ORTHOMED STAFFING PLLC PLANO PA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 347 43 $118,250 $2,750 premium 4.4% (972) 596-6800
97 ANESTHESIA SCHEDULING SERVICES, P.C. OKLAHOMA CITY OK ANESTHESIOLOGY 54 42 $23,520 $560 premium 6.3% (405) 272-8000
98 FAMILY SPINE AND PAIN CARE INSTITUTE LLC VENICE FL PAIN MANAGEMENT 3 42 $28,392 $676 premium 0.7% (813) 495-8011
99 CONWAY ANESTHESIOLOGY CONSULTANTS, PA CONWAY AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 22 42 $26,544 $632 premium 9.0% (501) 327-6665
100 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 42 $20,355 $485 premium 10.7% (520) 829-6776

Showing the top 100 of 289 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 →