NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64451 Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal › Nerve Block Injection - Back (CMS RBCS)
First observed 2020
National scale 4,983 services ▼ 22.2% YoY · 3,416 beneficiaries (CY2024, Medicare FFS)
Medicare paid $897K · $180.10 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
48
Named-group FFS services
1,852
FFS of Medicare
49%
Services YoY
-22.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,632 services

1,852 observed fee-for-service (51%) · ~1,780 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 — 64451 (CY2024)
FL 881 MD 641 TX 619 CA 449 OK 391

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

Named-group submitted charges
$1.6M
Named-group allowed amount
$377K
Named-group Medicare payments
$290K
Avg charge / svc
$849
Avg allowed / svc
$204
Avg payment / svc
$157
Average charge per group
$165 48 groups · avg submitted charge / service $3,568
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 64451 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 143 $46,656 $326 36.6% (405) 242-4100
2 WESTERN OKLAHOMA PAIN SPECIALISTS LLC OKLAHOMA CITY OK PAIN MANAGEMENT 10 104 $67,600 $650 26.6% (405) 601-4237
3 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER MD ORTHOPEDIC SURGERY 2158 96 $30,824 $321 15.0% (907) 694-8085
4 MARYLAND PAIN AND REGENERATIVE CENTER LLC WOODBRIDGE VA NURSE PRACTITIONER 4 87 $52,809 $607 100.0% (301) 659-0003
5 HEADACHE AND PAIN CENTER, A MEDICAL CORPORATION GRAY LA PHYSICIAN ASSISTANT 4 78 $278,300 $3,568 29.3% (985) 580-1200
6 ADVANCED PAIN CLINIC PA KISSIMMEE FL INTERVENTIONAL PAIN MANAGEMENT 2 65 $27,300 $420 7.4% (407) 935-9404
7 HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT PA HOT SPRINGS NC NURSE PRACTITIONER 11 64 $10,579 $165 100.0% (501) 321-4772
8 ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT PORTALES NM NURSE PRACTITIONER 34 57 $66,928 $1,174 62.6% (575) 356-6652
9 WESTERN OKLAHOMA PAIN SPECIALISTS LLC OKLAHOMA CITY LA PAIN MANAGEMENT 10 56 $36,400 $650 21.1% (405) 601-4237
10 MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC LIMA OH NURSE PRACTITIONER 251 52 $11,528 $222 34.4% (419) 227-3361
11 HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT PA HOT SPRINGS AR NURSE PRACTITIONER 11 51 $8,430 $165 23.4% (501) 321-4772
12 MANOOCHEHR MAZLOOMDOOST PSC LEXINGTON KY ANESTHESIOLOGY 5 48 $37,005 $771 51.1% (859) 275-4878
13 LOPEZ PAIN MANAGEMENT LLC PALM COAST FL PAIN MANAGEMENT 3 43 $52,096 $1,212 4.9% (386) 222-7746
14 OKLAHOMA PAIN PHYSICIANS PC NORMAN OK NURSE PRACTITIONER 5 43 $26,457 $615 11.0% (405) 310-2715
15 360 PAIN AND SPINE PLLC PLANO TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 4 42 $29,442 $701 6.8% (469) 589-1871
16 SPINE INSTITUTE OF NORTH AMERICA LLC EAST WINDSOR NJ PHYSICIAN ASSISTANT 3 41 $118,750 $2,896 67.2% (908) 812-8820
17 SPINE CARE OF OKLAHOMA LLC LAWTON OK INTERVENTIONAL PAIN MANAGEMENT 5 39 $20,600 $528 10.0% (405) 840-5100
18 GULF COAST PAIN CONSULTANTS LLC PENSACOLA FL NURSE PRACTITIONER 36 38 $19,070 $502 4.3% (850) 484-4080
19 SISKIYOU HOSPITAL INC YREKA CA NURSE PRACTITIONER 89 37 $39,730 $1,074 8.2% (530) 842-4121
20 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS FL ORTHOPEDIC SURGERY 1373 35 $23,625 $675 4.0% (508) 385-4212
21 INTERVENTIONAL PAIN ASSOCIATES ALBUQUERQUE NM NURSE PRACTITIONER 4 34 $21,001 $618 37.4% (505) 588-7246
22 SOUTHERN PAIN ASSOCIATES, PLLC MERIDIAN MS NURSE PRACTITIONER 10 32 $9,600 $300 15.7% (601) 482-9224
23 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 31 $67,792 $2,187 3.5% (904) 953-2000
24 SOUTHERN COLORADO CLINIC PC PUEBLO CO NURSE PRACTITIONER 38 31 $31,464 $1,015 62.0% (719) 553-2200
25 TEXAS PAIN PARTNERS PLLC SAN ANTONIO TX NURSE PRACTITIONER 23 31 $106,413 $3,433 5.0% (210) 546-1480
26 COLUMBUS PHYSICAL MEDICINE CENTER INC COLUMBUS GA CHIROPRACTIC 2 30 $12,282 $409 62.5% (706) 330-1389
27 FOLEY CLINIC CORP. FOLEY AL NURSE PRACTITIONER 86 30 $8,706 $290 55.6% (251) 970-1090
28 GREGORY A AUZENNE MD PA MERIDIAN MS NURSE PRACTITIONER 4 27 $23,100 $856 13.2% (601) 286-5477
29 NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 361 24 $11,640 $485 11.8% (662) 377-3258
30 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 24 $10,827 $451 44.4% —
31 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 23 $44,400 $1,930 37.1% (401) 457-1500
32 JOHN SERPA MD P.A HIALEAH FL ANESTHESIOLOGY 2 22 $12,450 $566 2.5% (305) 698-9077
33 PAIN TREATMENT CENTERS OF AMERICA PLLC LITTLE ROCK TX NURSE PRACTITIONER 69 22 $15,444 $702 3.6% —
34 MEDWELL LLC MIDLAND PARK NJ GENERAL PRACTICE 11 20 $5,875 $294 32.8% (201) 819-1081
35 COMPREHENSIVE PAIN CENTER OF MISSISSIPPI MADISON MS NURSE PRACTITIONER 5 20 $6,300 $315 9.8% (769) 300-0730
36 COMPREHENSIVE REHABILITATION AND PAIN SPECIALISTS PLLC THORNTON CO PHYSICAL MEDICINE AND REHABILITATION 11 19 $29,697 $1,563 38.0% 3038445000104
37 THE NEUROLOGICAL INSTITUTE OF SAVANNAH AND CENTER FOR SPINE P C SAVANNAH GA NEUROSURGERY 28 18 $16,614 $923 37.5% (912) 355-1010
38 UNIVERSAL HEALTH SOLUTIONS LEAGUE CITY TX ANESTHESIOLOGY 2 18 $15,580 $866 2.9% (281) 549-6686
39 MONTEREY SPINE AND JOINT PC MONTEREY CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 80 18 $11,369 $632 4.0% (831) 648-7200
40 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 17 $14,950 $879 2.7% (410) 502-4340
41 OXFORD ORTHOPAEDICS AND SPORTS MEDICINE PLLC OXFORD AR ORTHOPEDIC SURGERY 12 17 $10,859 $639 7.8% —
42 RELIEVE PAIN CENTER INC SAN DIEGO CA PHYSICIAN ASSISTANT 4 17 $7,990 $470 3.8% (619) 849-5777
43 CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC LAS VEGAS NV NURSE PRACTITIONER 10 15 $14,973 $998 55.6% (702) 476-9700
44 UNIQUE PAIN MEDICINE PLLC NEW YORK NY PHYSICAL MEDICINE AND REHABILITATION 4 15 $30,000 $2,000 100.0% (929) 363-0303
45 NEW SMYRNA ORTHOPEDICS PA EDGEWATER FL PHYSICIAN ASSISTANT 2 15 $4,000 $267 1.7% (386) 426-1411
46 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 14 $7,434 $531 8.8% (617) 732-5500
47 DURANT HMA PHYSICIAN MANAGEMENT LLC DURANT OK FAMILY PRACTICE 24 14 $4,186 $299 3.6% —
48 AARON B STEIN MD PLLC CRESTVIEW FL INTERVENTIONAL PAIN MANAGEMENT 2 12 $6,000 $500 1.4% (850) 475-2668
49 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 12 $4,768 $397 2.7% (760) 340-3911
50 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 11 $3,120 $284 12.0% —

*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 →