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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64461 Injection of anesthetic agent into thoracic vertebra using imaging guidance, single site CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal Nerve Block Injection - Back (CMS RBCS)
First observed 2016
National scale 2,324 services ▼ 1.7% YoY · 1,964 beneficiaries (CY2024, Medicare FFS)
Medicare paid $172K · $73.85 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
1,536
FFS of Medicare
49%
Services YoY
-1.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,305 services

1,536 observed fee-for-service (46%) · ~1,769 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 — 64461 (CY2024)

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

Named-group submitted charges
$1.8M
Named-group allowed amount
$133K
Named-group Medicare payments
$105K
Avg charge / svc
$1,159
Avg allowed / svc
$86
Avg payment / svc
$69
Average charge per group
$200 21 groups · avg submitted charge / service $3,738
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 64461 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 64461 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 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 536 $805,706 $1,503 premium 95.2% (904) 953-2000
2 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 332 $200,910 $605 premium 94.3%
3 NORTH SHORE - LIJ ANESTHESIOLOGY, PC NEW HYDE PARK NY ANESTHESIOLOGY 1012 115 $185,600 $1,614 premium 50.0% (516) 734-8600
4 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 83 $93,080 $1,121 premium 28.7% (800) 926-8273
5 BON SECOURS ST FRANCIS XAVIER HOSPITAL INC CHARLESTON SC ANESTHESIOLOGY 210 66 $91,080 $1,380 premium 31.3% (843) 402-1436
6 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 62 $39,060 $630 premium 21.5% (310) 423-0674
7 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 56 $84,744 $1,513 premium 100.0% (608) 287-2050
8 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 29 $7,134 $246 premium 13.7% (803) 744-4900
9 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH TX DIAGNOSTIC RADIOLOGY 4291 26 $17,738 $682 premium 38.2%
10 WICHITA FALLS ANESTHESIA PLLC WICHITA FALLS TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 36 26 $7,410 $285 premium 38.2% (940) 764-7000
11 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 24 $17,856 $744 premium 49.0%
12 JAMES PETROS MD INC SAN JOSE CA PHYSICAL MEDICINE AND REHABILITATION 20 20 $33,292 $1,665 premium 6.9% (408) 528-8833
13 ANESTHESIOLOGY ASSOCIATES OF BORO PARK, LLP BROOKLYN NY ANESTHESIOLOGY 48 17 $33,600 $1,976 premium 7.4% (718) 283-8816
14 BON SECOURS ST FRANCIS XAVIER HOSPITAL INC CHARLESTON FL ANESTHESIOLOGY 210 16 $22,080 $1,380 premium 2.8% (843) 402-1436
15 U S ANESTHESIA PARTNERS OF TEXAS, PA HOUSTON TX ANESTHESIOLOGY 2754 16 $21,888 $1,368 premium 23.5% (713) 375-7000
16 MEDSTREAM ANESTHESIA PLLC HENDERSONVILLE VA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 614 14 $8,848 $632 premium 100.0% (828) 696-1000
17 CHS ANESTHESIA SERVICES GROUP INC CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 749 14 $4,770 $341 premium 6.2% (704) 355-2000
18 PHYSICIAN SPECIALISTS IN ANESTHESIA, P.C. ATLANTA GA ANESTHESIOLOGY ASSISTANT 106 13 $2,600 $200 premium 54.2% (404) 257-1415
19 BEL-PARK ANESTHESIA ASSOCIATES, INC. YOUNGSTOWN OH CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 159 13 $6,006 $462 premium 26.5% (330) 480-3658
20 UNIVERSITY ANESTHESIOLOGISTS SC CHICAGO CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 160 13 $14,320 $1,102 premium 4.5% (312) 521-5500
21 MEDSTREAM ANESTHESIA PLLC HENDERSONVILLE OH CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 614 12 $7,584 $632 premium 24.5% (828) 696-1000
22 ANESTHESIA MANAGEMENT SOLUTIONS OF OKLAHOMA PLLC DURANT IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 8 11 $4,477 $407 premium 24.4% (580) 931-2270
23 MODERN ANESTHESIA AND BILLING SERVICES, LLC SARASOTA FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 11 $41,116 $3,738 premium 2.0% (941) 870-1879
24 THE ANESTHESIA MEDICAL GROUP INC WAILUKU MA ANESTHESIOLOGY 28 11 $29,295 $2,663 premium 23.4% (808) 244-9056

*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 →