NEVVI Medicare utilization intelligence
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Market snapshot

64454 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64454 — Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance

Billing groups
334
Named-group FFS services
14,290
FFS of Medicare
49%
Services YoY
+15.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~28,311 services

14,290 observed fee-for-service (50%) · ~14,021 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; 1 state without payer-mix data excluded. How we scale

Top states — 64454 (CY2024)

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

Named-group submitted charges
$17.5M
Named-group allowed amount
$2.0M
Named-group Medicare payments
$1.6M
Avg charge / svc
$1,226
Avg allowed / svc
$140
Avg payment / svc
$109
Average charge per group
$105 334 groups · avg submitted charge / service $17,000
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 64454 services, CY2024
#Physician group City St Specialty Providers 64454 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 EAST RIVER MEDICAL ASSOCIATES PC NEW YORK NY ANESTHESIOLOGY 111 1,450 $5,521,237 $3,808 premium 39.3% (212) 606-1206
2 U S ANESTHESIA PARTNERS OF TEXAS, PA HOUSTON TX ANESTHESIOLOGY 2754 533 $730,320 $1,370 premium 23.3% (713) 375-7000
3 GOTTLIEB MIDWEST ANESTHESIOLOGISTS, LLC WESTMONT IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 46 267 $305,520 $1,144 premium 18.4% (630) 968-1800
4 ALLIED ANESTHESIA MEDICAL GROUP INC ORANGE CA ANESTHESIOLOGY 183 261 $292,320 $1,120 premium 11.9% (714) 744-8700
5 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 253 $107,819 $426 premium 20.0%
6 ANESTHESIOLOGY CONSULTANTS OF TREASURE VALLEY PLLC BOISE ID CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 26 242 $103,275 $427 premium 86.1% (208) 373-5000
7 TORRANCE ANESTHESIA MEDICAL GROUP INC. TORRANCE CA ANESTHESIOLOGY 49 227 $104,420 $460 premium 10.4% (310) 602-5480
8 SSM HEALTH CARE OF OKLAHOMA, INC. OKLAHOMA CITY OK CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 45 224 $37,064 $165 premium 37.6% (405) 272-7278
9 PRI CHICAGO PLLC ELMHURST IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 213 $145,905 $685 premium 14.7% (331) 979-7475
10 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 192 $84,480 $440 premium 8.8% (760) 340-3911
11 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 186 $271,440 $1,459 premium 50.4% (314) 747-3000
12 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 178 $161,460 $907 premium 12.3%
13 ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS NEW BEDFORD MA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 564 161 $43,470 $270 premium 27.2% (781) 983-9088
14 ATLANTICARE REGIONAL MEDICAL CENTER ATLANTIC CITY PA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 228 156 $174,575 $1,119 premium 38.9% (609) 345-4000
15 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 134 $114,310 $853 premium 12.3% (601) 264-6000
16 NEW JERSEY HEALTHCARE SPECIALISTS PC HACKENSACK NJ ANESTHESIOLOGY 582 130 $84,500 $650 premium 17.7% (201) 488-0066
17 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 120 $132,373 $1,103 premium 3.3% (631) 543-1440
18 ORTHOPEDIC ANESTHESIA PAIN SPECIALISTS FLORIDA PA WEST PALM BEACH NY ANESTHESIOLOGY 11 114 $331,475 $2,908 premium 3.1% (212) 606-1036
19 GARDNER ORTHOPEDICS LLC FORT MYERS FL PHYSICIAN ASSISTANT 22 111 $52,947 $477 premium 4.5% (239) 277-7070
20 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 102 $97,307 $954 premium 12.5% (919) 544-7270
21 ATLANTICARE REGIONAL MEDICAL CENTER ATLANTIC CITY NJ CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 228 100 $112,000 $1,120 premium 13.6% (609) 345-4000
22 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 97 $48,340 $498 premium 6.7%
23 US ANESTHESIA PARTNERS OF FLORIDA INC ORLANDO FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1094 94 $103,400 $1,100 premium 3.8% (407) 303-8110
24 LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC LAS VEGAS NV NURSE PRACTITIONER 8 89 $94,285 $1,059 premium 32.2% (702) 880-4193
25 SALINA REGIONAL HEALTH CENTER INC SALINA KS NURSE PRACTITIONER 160 87 $17,105 $197 premium 48.1%
26 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 85 $53,295 $627 premium 2.3% (518) 262-3277
27 NORTH CALVERT ANESTHESIOLOGY SERVICES LLC BALTIMORE MD ANESTHESIOLOGY 63 82 $57,400 $700 premium 6.5% (410) 332-9000
28 GARDEN STATE MEDICAL CENTER, LLC WHITING NJ PHYSICIAN ASSISTANT 10 76 $32,839 $432 premium 10.4% (732) 202-3000
29 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 76 $24,928 $328 premium 12.8% (405) 242-4100
30 BPW MEDICAL ASSOCIATES P C PITTSBURGH PA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 76 $19,848 $261 premium 19.0% (412) 469-6964
31 FLOWOOD PAIN CENTER, LLC FLOWOOD MS NURSE PRACTITIONER 23 73 $21,900 $300 premium 6.7% (601) 420-2040
32 FORT HEALTHCARE INC FORT ATKINSON WI OBSTETRICS/GYNECOLOGY 161 72 $40,994 $569 premium 15.6% (920) 563-5500
33 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 69 $53,240 $772 premium 10.2% (520) 382-8200
34 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 65 $41,192 $634 premium 11.8% (615) 329-6600
35 ANESTHESIOLOGY CONSULTANTS OF TREASURE VALLEY PLLC BOISE CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 26 64 $27,200 $425 premium 2.9% (208) 373-5000
36 ORTHOPAEDIC SURGERY AND SPORTS MED SPECIALIST OF HAMPTON RDS PC NEWPORT NEWS VA PHYSICIAN ASSISTANT 27 63 $47,880 $760 premium 16.1%
37 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 63 $29,770 $473 premium 11.0% (770) 422-2004
38 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 63 $64,780 $1,028 premium 2.5% (407) 622-5766
39 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 60 $45,640 $761 premium 8.9% (602) 385-2115
40 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 60 $39,533 $659 premium 4.1%
41 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 58 $31,730 $547 premium 11.2%
42 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 56 $62,035 $1,108 premium 2.3% (850) 877-8174
43 NARRAGANSETT BAY ANESTHESIA LLC WARWICK MA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 95 55 $65,870 $1,198 premium 9.3% (401) 737-7000
44 TRUSHA SHAH MD PC BETHPAGE NY ANESTHESIOLOGY 2 53 $44,250 $835 premium 1.4% (516) 605-0600
45 PAIN CLINIC ASSOCIATES PLLC MEMPHIS TN ANESTHESIOLOGY 9 52 $27,445 $528 premium 9.4% (901) 747-0040
46 NEWPORT HARBOR ANESTHESIA CONSULTANTS MEDICAL GROUP, INC. NEWPORT BEACH CA ANESTHESIOLOGY 82 52 $57,280 $1,102 premium 2.4% (949) 645-8600
47 GOTTLIEB MIDWEST ANESTHESIOLOGISTS, LLC WESTMONT IN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 46 51 $58,140 $1,140 premium 11.9% (630) 968-1800
48 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 51 $42,640 $836 premium 13.0% (703) 971-4604
49 T J SAMSON COMMUNITY HOSPITAL GLASGOW KY NURSE PRACTITIONER 179 51 $11,853 $232 premium 12.7% (270) 651-1111
50 PALMETTO PAIN MANAGEMENT LLC COLUMBIA NC ANESTHESIOLOGY 11 48 $32,400 $675 premium 5.9% (803) 779-3263
51 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 48 $24,000 $500 premium 4.4% (662) 328-1012
52 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 48 $32,784 $683 premium 1.9% (904) 634-0640
53 STONY BROOK ANAESTHESIOLOGY UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY ANESTHESIOLOGY 87 47 $69,090 $1,470 premium 1.3% (631) 444-2975
54 NURA PLLC EDINA MN PHYSICIAN ASSISTANT 36 47 $17,818 $379 premium 11.3% (763) 537-6000
55 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 47 $21,103 $449 premium 21.6% (318) 212-7960
56 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 46 $119,643 $2,601 premium 1.2% (516) 536-2800
57 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 46 $47,560 $1,034 premium 1.2% (631) 422-6166
58 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 46 $50,598 $1,100 premium 2.1% (310) 443-8999
59 MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC CORINTH MS NURSE PRACTITIONER 6 45 $23,772 $528 premium 4.1% (662) 284-8565
60 INTERVENTIONAL PAIN CONSULTANTS CLEVELAND TN NURSE PRACTITIONER 16 45 $15,750 $350 premium 8.2% (423) 339-9581
61 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 45 $12,150 $270 premium 7.6% (781) 983-9088
62 DR Q PAIN AND SPINE CLINIC PA LITTLE ROCK AR NURSE PRACTITIONER 14 45 $43,680 $971 premium 9.4% (501) 227-0184
63 UNIQUE PAIN MEDICINE PLLC NEW YORK NY PHYSICAL MEDICINE AND REHABILITATION 4 44 $88,000 $2,000 premium 1.2% (929) 363-0303
64 GREATER FLORIDA ANESTHESIOLOGISTS LLC SAINT PETERSBURG NY CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 327 44 $33,497 $761 premium 1.2% (954) 939-5000
65 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 44 $23,500 $534 premium 11.0% (502) 855-7200
66 GRAMERCY MEDICAL PAIN MANAGEMENT PA PEARL RIVER NY ANESTHESIOLOGY 2 43 $32,207 $749 premium 1.2% (845) 368-0800
67 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 43 $22,575 $525 premium 12.7% (843) 491-4937
68 ARIZONA SPINE AND PAIN SPECIALISTS LLC GLENDALE AZ NURSE PRACTITIONER 26 43 $21,686 $504 premium 6.4% (602) 795-8700
69 TRIDENT ANESTHESIA GROUP LLC CHARLESTON SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 122 43 $38,700 $900 premium 12.7% (843) 797-7000
70 ORTHOPAEDIC SPECIALISTS OF CONNECTICUT, PC BROOKFIELD CT PHYSICIAN ASSISTANT 21 42 $58,800 $1,400 premium 46.2% (203) 775-6205
71 PROVIDENCE HEALTH ALLIANCE WACO WI PHYSICIAN ASSISTANT 121 42 $42,575 $1,014 premium 9.1% (254) 537-6200
72 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 42 $65,567 $1,561 premium 1.7% (904) 953-2000
73 CASPER ORTHOPAEDIC ASSOCIATES PC CASPER WY ORTHOPEDIC SURGERY 28 41 $12,812 $312 premium 36.0% (307) 265-7205
74 HPI PHYSICIANS LLC OKLAHOMA CITY OK CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 48 41 $27,600 $673 premium 6.9% (405) 242-2713
75 ANESTHESIA DYNAMICS LLC LECANTO FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 845 41 $22,316 $544 premium 1.7% (352) 527-1825
76 ALEXANDER P HERSEL MD INC THOUSAND OAKS CA ANESTHESIOLOGY 7 41 $61,500 $1,500 premium 1.9% (805) 557-0096
77 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 40 $34,532 $863 premium 1.8% (916) 983-7476
78 FOUR CORNERS ANESTHESIA, P.A. FARMINGTON NM CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 7 40 $36,000 $900 premium 29.9% (505) 326-6400
79 PAIN RELIEF CENTERS LOUISVILLE KY NURSE PRACTITIONER 4 40 $16,800 $420 premium 10.0% (502) 430-6223
80 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 39 $34,923 $895 premium 1.1% (914) 241-1050
81 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 39 $31,360 $804 premium 3.1% (410) 502-4340
82 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 39 $45,125 $1,157 premium 4.8% (252) 847-4100
83 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 39 $9,204 $236 premium 2.7% (630) 312-4562
84 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 38 $31,349 $825 premium 1.7% (214) 220-2468
85 PALMETTO PAIN MANAGEMENT LLC COLUMBIA SC ANESTHESIOLOGY 11 38 $25,650 $675 premium 11.2% (803) 779-3263
86 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA ANESTHESIOLOGY 232 38 $76,795 $2,021 premium 1.7% (310) 794-1841
87 PAIN RELIEF INSTITUTE LLC MEDFORD OR PHYSICIAN ASSISTANT 7 38 $30,040 $791 premium 18.2%
88 PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC KANSAS CITY KS NURSE PRACTITIONER 56 38 $27,270 $718 premium 21.0%
89 KENTUCKYONE HEALTH MEDICAL GROUP INC LEXINGTON KY PHYSICIAN ASSISTANT 245 37 $17,598 $476 premium 9.2% (859) 276-4429
90 NABIL BARSOUM MD PA DEERFIELD BEACH FL NURSE PRACTITIONER 4 37 $16,650 $450 premium 1.5% (954) 426-9600
91 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 37 $26,887 $727 premium 1.0% (212) 746-5454
92 360 PAIN AND SPINE PLLC PLANO TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 4 37 $25,197 $681 premium 1.6% (469) 589-1871
93 ANESTHESIA GROUP OF ALBANY, PC ALBANY NY CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 95 37 $9,301 $251 premium 1.0% (518) 463-0050
94 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 37 $35,518 $960 premium 1.7% (415) 600-1020
95 MENTAL HEALTH ASSOCIATION IN INDIAN RIVER COUNTY INC VERO BEACH FL CLINICAL SOCIAL WORKER 10 37 $18,500 $500 premium 1.5% (772) 569-9788
96 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 36 $26,019 $723 premium 1.6% (254) 724-2663
97 INTERVENTIONAL SPINE AND PAIN, LLP ADDISON TX ANESTHESIOLOGY 3 35 $23,625 $675 premium 1.5% (214) 888-3900
98 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 35 $88,000 $2,514 premium 7.6% (608) 260-2900
99 SSM HEALTH CARE OF OKLAHOMA, INC. OKLAHOMA CITY IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 45 35 $5,740 $164 premium 2.4% (405) 272-7278
100 ADVANCING MEDICAL SOLUTIONS PSC PADUCAH KY NURSE PRACTITIONER 6 35 $7,083 $202 premium 8.7% (270) 554-5114

Showing the top 100 of 334 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 →