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Market snapshot

64480 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64480 — Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, each additional level

Billing groups
91
Named-group FFS services
3,486
FFS of Medicare
49%
Services YoY
+3.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,051 services

3,486 observed fee-for-service (49%) · ~3,565 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 — 64480 (CY2024)
CA 984 FL 850 NY 563 TX 546 MD 387

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

Named-group submitted charges
$3.1M
Named-group allowed amount
$346K
Named-group Medicare payments
$273K
Avg charge / svc
$878
Avg allowed / svc
$99
Avg payment / svc
$78
Average charge per group
$100 91 groups · avg submitted charge / service $3,668
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 64480 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PARS MEDICAL PC BROOKLYN NY PHYSICIAN ASSISTANT 3 224 $821,632 $3,668 39.8% (718) 431-2959
2 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 195 $76,428 $392 22.9% (904) 449-7246
3 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 165 $78,534 $476 30.2% (214) 220-2468
4 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 119 $51,840 $436 48.2% (704) 323-2100
5 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 112 $112,000 $1,000 65.9% (662) 328-1012
6 PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC LEESVILLE LA ORTHOPEDIC SURGERY 95 111 $79,079 $712 40.4% (337) 238-9931
7 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORD MA ORTHOPEDIC SURGERY 43 104 $102,960 $990 100.0% (978) 454-0706
8 INTERVENTIONAL SPINE PAIN CONSULTANTS PA NEWARK DE INTERVENTIONAL PAIN MANAGEMENT 5 77 $72,534 $942 57.9% (302) 478-7001
9 SOUTHEAST PAIN AND SPINE CARE SPECIALISTS, LLC NORFOLK VA INTERVENTIONAL PAIN MANAGEMENT 2 68 $104,895 $1,543 38.0% (757) 455-8887
10 ALLEGIANT INSTITUTE INC. LAS VEGAS NV ORTHOPEDIC SURGERY 19 68 $208,125 $3,061 22.1% (702) 320-8111
11 REHABILITATION ASSOCIATES OF THE MAIN LINE, P.C. MALVERN PA PHYSICAL MEDICINE AND REHABILITATION 14 59 $22,125 $375 15.4% (484) 596-5254
12 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 55 $105,450 $1,917 17.9% (702) 731-1616
13 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 55 $13,527 $246 16.1% (419) 423-5492
14 JOSEPH P. STAPLETON, MD PC HAPPY VALLEY OR NURSE PRACTITIONER 4 52 $15,340 $295 44.8% (503) 775-6500
15 MAYFIELD CLINIC INC CINCINNATI OH PHYSICIAN ASSISTANT 77 49 $16,415 $335 14.3% (513) 221-1100
16 DR GALAN MD NEUROLOGY AND PAIN MANAGEMENT PC SANTA MARIA CA PHYSICIAN ASSISTANT 4 47 $14,429 $307 4.8% (805) 270-0910
17 LONE STAR PAIN INSTITUTE WEATHERFORD TX PHYSICIAN ASSISTANT 4 47 $22,325 $475 8.6% —
18 ADVANCED PAIN CLINIC PA KISSIMMEE FL INTERVENTIONAL PAIN MANAGEMENT 2 46 $15,492 $337 5.4% (407) 935-9404
19 ISP HEALTH PLLC DALLAS TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 4 46 $15,188 $330 8.4% (214) 888-3883
20 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 45 $14,100 $313 33.8% (302) 731-2888
21 LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC LAS VEGAS NV NURSE PRACTITIONER 8 44 $46,663 $1,061 14.3% (702) 880-4193
22 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 41 $27,142 $662 100.0% (401) 457-1500
23 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 41 $5,602 $137 4.2% (530) 332-4470
24 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 41 $26,339 $642 4.8% (850) 877-8174
25 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 41 $12,276 $299 4.8% (954) 772-2136
26 CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC INTERNAL MEDICINE 614 36 $10,353 $288 14.6% (910) 615-8000
27 SATISH K SHARMA MD PC HENDERSON NV NURSE PRACTITIONER 4 36 $20,081 $558 11.7% (702) 739-8323
28 HIGH DESERT SPORTS AND SPINE LLC BEND OR PHYSICIAN ASSISTANT 7 35 $13,883 $397 30.2% (541) 388-2333
29 GEORGETOWN PAIN MANAGEMENT LLC GREENBELT MD ANESTHESIOLOGY 3 35 $50,531 $1,444 9.0% 2402979016111
30 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 35 $9,520 $272 12.7% (318) 212-7960
31 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 34 $13,718 $403 27.2% (602) 385-2115
32 ROY D NINI MD INC LOS ANGELES CA PHYSICAL MEDICINE AND REHABILITATION 3 34 $34,000 $1,000 3.5% (310) 423-9900
33 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 33 $10,560 $320 46.5% (573) 331-3000
34 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 32 $16,768 $524 100.0% —
35 TIDEWATER ANESTHESIA ASSOCIATES, PA EASTON MD ANESTHESIOLOGY 34 32 $18,240 $570 8.3% (410) 822-5559
36 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 31 $7,938 $256 44.9% (615) 329-6600
37 MURAD ARIF MD INC MURRIETA CA ANESTHESIOLOGY 2 31 $12,432 $401 3.2% (317) 332-8152
38 CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC LAS VEGAS NV NURSE PRACTITIONER 10 29 $39,098 $1,348 9.4% (702) 476-9700
39 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 29 $19,836 $684 2.9% (415) 600-1020
40 INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC VERO BEACH FL PHYSICIAN ASSISTANT 5 29 $29,662 $1,023 3.4% (772) 360-1997
41 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 29 $17,931 $618 2.9% (310) 443-8999
42 PAIN MANAGEMENT ASSOCIATES, LLC GREENBELT MD CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 4 29 $81,775 $2,820 7.5% (301) 220-2333
43 CENTRAL OREGON SPINE AND SPORTS LLC BEND OR PHYSICIAN ASSISTANT 3 29 $12,840 $443 25.0% (541) 323-6280
44 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 28 $4,864 $174 22.4% —
45 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 28 $7,853 $280 2.8% (760) 340-3911
46 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC VINELAND NJ ORTHOPEDIC SURGERY 38 28 $27,927 $997 19.4% (856) 690-1616
47 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 28 $8,864 $317 2.8% (310) 423-0674
48 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 27 $10,340 $383 100.0% (913) 588-1227
49 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 27 $10,282 $381 3.2% (941) 627-9095
50 CORNERSTONE THERAPY AND BALANCE CENTER LLC SHREVEPORT LA FAMILY PRACTICE 102 27 $20,790 $770 9.8% —
51 CYRUS DADACHANJI MD INC WILDOMAR CA ANESTHESIOLOGY 2 26 $5,758 $221 2.6% (951) 526-1968
52 CHRONIC PAIN RELIEF PA DALLAS TX ANESTHESIOLOGY 2 26 $23,400 $900 4.8% (214) 983-1789
53 EUGENE J LIU MD PC SCARSDALE NY PAIN MANAGEMENT 2 25 $48,180 $1,927 4.4% (914) 693-1050
54 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 25 $9,450 $378 24.8% (719) 776-4780
55 MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC SHREVEPORT LA PHYSICIAN ASSISTANT 28 25 $16,749 $670 9.1% (318) 635-3052
56 AIKEN NEUROSCIENCES AND PAIN MANAGEMENT LLC AIKEN SC ANESTHESIOLOGY 2 24 $11,592 $483 57.1% (803) 642-6500
57 STEPHEN A GEPHARDT MD LTD LAS VEGAS NV PHYSICIAN ASSISTANT 7 23 $21,600 $939 7.5% (702) 912-4100
58 ARGIRES MAROTTI NEUROSURGICAL ASSOCIATES OF LANCASTER, PC LANCASTER PA PHYSICIAN ASSISTANT 11 23 $2,300 $100 6.0% —
59 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 22 $10,780 $490 12.3% (703) 971-4604
60 THE PHYSIATRY MEDICAL GROUP INC REDWOOD CITY CA PHYSICAL MEDICINE AND REHABILITATION 6 22 $8,800 $400 2.2% —
61 DANIEL L BURKHEAD MD LTD LAS VEGAS NV PHYSICIAN ASSISTANT 7 21 $25,064 $1,194 6.8% (702) 316-2281
62 LEHIGH VALLEY PAIN AND PRIMARY CARE INC ALLENTOWN PA PHYSICIAN ASSISTANT 7 21 $7,497 $357 5.5% (610) 366-9000
63 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 21 $4,599 $219 5.4% (443) 481-1000
64 LIVINGHEALTHYMD PC HUNTSVILLE AL NURSE PRACTITIONER 9 21 $4,977 $237 22.6% (256) 715-7483
65 INDEPENDENCE PAIN ASSOCIATES MEADOWBROOK PA NURSE PRACTITIONER 3 21 $8,400 $400 5.5% 21593819990
66 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 20 $4,901 $245 3.6% (914) 681-0600
67 US MOBILE MEDICAL CARE PLLC NEW YORK NY ANESTHESIOLOGY 3 19 $11,476 $604 3.4% (347) 298-4100
68 PAIN CONTROL OF TEXAS PLLC AUSTIN TX PAIN MANAGEMENT 9 19 $52,500 $2,763 3.5% (512) 371-6398
69 TOP PAIN CENTER NORTH AURORA IL NURSE PRACTITIONER 2 19 $3,705 $195 100.0% (630) 809-9707
70 KONEN AND ASSOCIATES, P.A. DALLAS TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 16 18 $23,912 $1,328 3.3% (972) 765-1938
71 WORKSTAR OCCUPATIONAL HEALTH SYSTEMS INC KAPOLEI NY NURSE PRACTITIONER 17 18 $6,106 $339 3.2% (808) 676-5331
72 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 18 $5,561 $309 1.8% (415) 476-1000
73 WARREN PAIN CLINIC AND ACUPUNCTURE CENTER, PC WARREN PA ANESTHESIOLOGY 2 18 $5,544 $308 4.7% (814) 726-7365
74 JEFFREY B GLASER MD MEDICAL ENCINO CA ANESTHESIOLOGY 3 18 $10,800 $600 1.8% (818) 501-7246
75 MICHAEL E STEUER, MD, PC SOUTHAVEN TN NURSE PRACTITIONER 17 18 $3,960 $220 26.1% (662) 349-9990
76 M PARTNERS, LLC BONITA SPRINGS FL ANESTHESIOLOGY 3 18 $4,660 $259 2.1% (239) 690-7791
77 BRIDGER ORTHOPEDICS AND SPORTS MEDICINE PC BOZEMAN MT PHYSICIAN ASSISTANT 66 17 $5,525 $325 100.0% (406) 587-0122
78 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 17 $5,440 $320 100.0% (501) 500-3500
79 PAIN RELIEF CENTERS LOUISVILLE KY NURSE PRACTITIONER 4 17 $4,318 $254 100.0% (502) 430-6223
80 HAROLD J BAYONNE JR MD APMC WEST MONROE LA INTERVENTIONAL PAIN MANAGEMENT 2 16 $18,150 $1,134 5.8% (318) 855-3291
81 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE NC PHYSICIAN ASSISTANT 86 16 $4,522 $283 6.5% —
82 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 15 $9,000 $600 12.0% (602) 406-3181
83 HUDSON MD GROUP FORT LEE NJ INTERNAL MEDICINE 107 15 $15,000 $1,000 10.4% (201) 224-0011
84 FOX CHASE PAIN MANAGEMENT ASSOCIATES PC TREVOSE PA PAIN MANAGEMENT 6 14 $8,400 $600 3.6% (267) 288-5601
85 METRO DENVER PAIN MANAGEMENT PLLC ENGLEWOOD CO NURSE PRACTITIONER 18 13 $12,201 $939 12.9% (303) 750-8100
86 WENSONG LI MEDICINE PC FLUSHING NY PHYSICIAN ASSISTANT 3 13 $2,258 $174 2.3% (718) 886-7246
87 SPINEONE, PLLC LONE TREE CO PHYSICIAN ASSISTANT 10 13 $10,400 $800 12.9% (303) 951-7524
88 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 13 $3,056 $235 12.9% (303) 778-5797
89 HOOD MEDICAL GROUP GRANBURY TX FAMILY PRACTICE 54 12 $10,838 $903 2.2% (817) 578-8904
90 ADAMS COUNTY MEMORIAL HOSPITAL DECATUR IN NURSE PRACTITIONER 84 12 $5,049 $421 38.7% (260) 724-2145
91 CHRISTIANA SPINE CENTER PA NEWARK DE PHYSICAL MEDICINE AND REHABILITATION 13 11 $12,100 $1,100 8.3% (302) 602-7000

*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 →