NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 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 867,623 services ▼ 0.7% YoY · 592,657 beneficiaries (CY2024, Medicare FFS)
Medicare paid $177.3M · $204.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,978
Named-group FFS services
389,607
FFS of Medicare
49%
Services YoY
-0.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~781,415 services

389,607 observed fee-for-service (50%) · ~391,808 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 — 64483 (CY2024)
CA 95,886 TX 66,250 FL 65,880 GA 41,664 AZ 36,025

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

Named-group submitted charges
$517.8M
Named-group allowed amount
$77.7M
Named-group Medicare payments
$59.8M
Avg charge / svc
$1,329
Avg allowed / svc
$199
Avg payment / svc
$153
Average charge per group
$112 1,978 groups · avg submitted charge / service $22,021
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  CY2021  CY2020 
# Physician group City St Specialty Providers 64483 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 3,423 $4,431,050 $1,294 13.5% (703) 971-4604
2 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 2,744 $3,182,969 $1,160 10.6% (919) 544-7270
3 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 2,496 $2,612,521 $1,047 3.8% (214) 220-2468
4 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 2,068 $1,071,337 $518 2.2% (925) 939-8585
5 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 2,061 $1,875,256 $910 15.0% (913) 588-1227
6 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 1,965 $1,198,749 $610 9.4% (843) 491-4937
7 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 1,906 $3,400,650 $1,784 7.5% —
8 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 1,875 $2,225,480 $1,187 6.0% —
9 CHRISTIANA SPINE CENTER PA NEWARK DE PHYSICAL MEDICINE AND REHABILITATION 13 1,861 $3,292,800 $1,769 19.9% (302) 602-7000
10 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 1,860 $1,380,348 $742 1.9% (310) 423-0674
11 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 1,798 $1,733,092 $964 2.7% (806) 796-3000
12 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 1,783 $2,471,616 $1,386 6.9% (704) 323-2100
13 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,757 $2,819,906 $1,605 1.8% (415) 600-1020
14 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 1,740 $1,504,200 $864 21.7% (502) 855-7200
15 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 1,684 $802,403 $476 4.7% —
16 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 1,680 $2,408,400 $1,434 4.7% (602) 406-3181
17 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 1,665 $1,259,110 $756 4.6% (866) 974-2673
18 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 1,657 $2,083,928 $1,258 2.5% 9417059555110
19 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 1,609 $1,073,733 $667 4.6% (410) 571-2946
20 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 1,518 $3,200,104 $2,108 3.6% (770) 929-9033
21 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 1,512 $1,437,320 $951 4.2% (602) 385-2115
22 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 1,499 $1,648,320 $1,100 5.4% —
23 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 1,479 $1,156,315 $782 9.4% —
24 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 1,354 $1,206,945 $891 6.4% (615) 329-6600
25 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 1,343 $5,477,850 $4,079 4.6% (732) 974-0404
26 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 1,308 $1,778,280 $1,360 5.1% (919) 684-8111
27 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 1,299 $769,315 $592 7.9% (318) 212-7960
28 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 1,293 $966,409 $747 6.2% (864) 255-1901
29 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 1,258 $1,027,272 $817 4.5% (614) 827-8700
30 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 1,198 $900,516 $752 1.8% (352) 693-3378
31 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 1,193 $1,287,247 $1,079 14.6% (435) 216-7000
32 NEWSOUTH NEUROSPINE, LLC FLOWOOD MS NEUROSURGERY 22 1,187 $1,447,695 $1,220 8.6% (601) 983-2859
33 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 1,166 $1,439,987 $1,235 7.1% (337) 235-8007
34 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 1,147 $871,502 $760 1.7% (512) 244-4272
35 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 1,130 $512,001 $453 1.7% (239) 591-2803
36 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORD MA ORTHOPEDIC SURGERY 43 1,125 $4,040,760 $3,592 8.5% (978) 454-0706
37 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 1,124 $1,945,607 $1,731 4.4% (301) 530-1010
38 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 1,117 $2,179,520 $1,951 4.3% (252) 847-4100
39 MAYFIELD CLINIC INC CINCINNATI OH PHYSICIAN ASSISTANT 77 1,105 $1,004,172 $909 4.0% (513) 221-1100
40 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 1,100 $695,141 $632 3.5% —
41 NEBRASKA SPINE CENTER, LLP OMAHA NE PHYSICIAN ASSISTANT 35 1,092 $971,880 $890 17.4% (402) 496-5517
42 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,083 $1,424,537 $1,315 1.1% (858) 455-9100
43 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 1,078 $789,909 $733 3.1% (301) 774-0500
44 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 1,073 $1,060,978 $989 3.0% (623) 777-4747
45 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 1,069 $661,829 $619 3.1% (301) 850-2768
46 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 1,066 $597,958 $561 5.3% —
47 ROY M LERMAN M D P C KING OF PRUSSIA PA PHYSICAL MEDICINE AND REHABILITATION 14 1,063 $636,350 $599 3.3% (610) 337-3111
48 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 1,056 $756,310 $716 5.1% —
49 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 1,025 $1,343,860 $1,311 7.6% (334) 288-7808
50 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 1,016 $4,346,544 $4,278 3.0% (516) 536-2800
51 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 1,011 $1,203,980 $1,191 1.1% (714) 634-4567
52 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 1,002 $1,227,096 $1,225 4.7% (901) 759-3100
53 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 997 $1,087,728 $1,091 1.5% (817) 375-5200
54 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 971 $769,253 $792 11.9% (801) 261-8346
55 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 963 $943,680 $980 6.1% (425) 313-5422
56 ORTHOPAEDIC SURGERY AND SPORTS MED SPECIALIST OF HAMPTON RDS PC NEWPORT NEWS VA PHYSICIAN ASSISTANT 27 945 $2,153,550 $2,279 3.7% —
57 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK MN DIAGNOSTIC RADIOLOGY 81 920 $1,671,145 $1,816 7.1% (952) 541-1840
58 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 916 $1,025,832 $1,120 2.7% (203) 869-1145
59 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 906 $1,200,060 $1,325 6.8% (617) 421-1000
60 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 906 $1,669,320 $1,843 0.9% (310) 443-8999
61 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 898 $975,035 $1,086 1.4% (817) 920-0484
62 NEXUS PAIN CENTER OF HOUSTON COUNTY MACON GA INTERVENTIONAL PAIN MANAGEMENT 8 898 $1,656,798 $1,845 2.2% (478) 474-2947
63 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 887 $834,268 $941 2.7% (484) 526-2400
64 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY ORTHOPEDIC SURGERY 32 886 $4,270,000 $4,819 2.6% (212) 241-9561
65 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 881 $1,391,052 $1,579 2.4% (480) 573-0130
66 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 879 $1,056,234 $1,202 2.8% (877) 632-6637
67 SUMMIT ORTHOPEDICS, LTD SAINT PAUL MN PHYSICIAN ASSISTANT 271 872 $1,114,818 $1,278 6.7% (651) 968-5201
68 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 872 $3,086,025 $3,539 2.6% (212) 263-9700
69 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 859 $360,268 $419 0.9% (760) 340-3911
70 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 841 $392,660 $467 1.3% (972) 596-6800
71 TEXAS HEALTH BACK CARE ROCKWALL TX PHYSICAL MEDICINE AND REHABILITATION 47 833 $1,499,520 $1,800 1.3% (817) 442-9300
72 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 827 $826,798 $1,000 2.5% (610) 353-0800
73 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 822 $406,890 $495 2.3% (928) 773-2280
74 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 821 $1,649,040 $2,009 6.3% (507) 284-2511
75 SOUND PAIN ALLIANCE BELLINGHAM WA PHYSICIAN ASSISTANT 43 820 $986,680 $1,203 5.2% —
76 FLOWOOD PAIN CENTER, LLC FLOWOOD MS NURSE PRACTITIONER 23 812 $751,100 $925 5.9% (601) 420-2040
77 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 812 $1,237,030 $1,523 3.9% (843) 839-7246
78 PAIN SOURCE SOLUTIONS LLC N KANSAS CITY MO INTERVENTIONAL PAIN MANAGEMENT 6 810 $917,775 $1,133 7.3% (816) 221-4114
79 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 800 $989,770 $1,237 1.2% (407) 622-5766
80 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 785 $770,431 $981 2.8% (513) 354-3700
81 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 782 $408,600 $523 2.2% (443) 481-1000
82 ROBERT W NESBITT MD PC VESTAVIA HILLS AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 15 779 $397,310 $510 5.7% (205) 723-0088
83 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 767 $1,188,102 $1,549 2.3% (914) 241-1050
84 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 764 $385,441 $505 9.5% (502) 928-1050
85 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 757 $749,734 $990 1.1% (903) 606-5560
86 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 755 $2,360,140 $3,126 1.1% (239) 312-7878
87 GRANGER MEDICAL CLINIC PC WEST VALLEY CITY UT PHYSICIAN ASSISTANT 193 754 $858,803 $1,139 9.2% (801) 965-3600
88 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 743 $942,276 $1,268 2.9% (704) 384-8200
89 SARAH BUSH LINCOLN HEALTH CENTER MATTOON IL NURSE PRACTITIONER 405 742 $823,744 $1,110 2.4% —
90 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 733 $1,575,550 $2,149 2.4% —
91 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 733 $953,028 $1,300 3.6% (720) 777-1234
92 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 730 $1,782,849 $2,442 3.5% (864) 582-6396
93 CHC PAIN MANAGEMENT CENTER, PA CAMDEN NJ ANESTHESIOLOGY 12 730 $1,343,568 $1,841 2.5% (609) 963-6770
94 ADVANCED PAIN MEDICINE ASSOCIATES, LLC WICHITA KS NURSE PRACTITIONER 8 728 $917,872 $1,261 5.3% (316) 942-4519
95 ORTHOPAEDIC ASSOCIATES OF MUSKEGON PC MUSKEGON MI PHYSICIAN ASSISTANT 84 724 $795,504 $1,099 5.9% (231) 733-1326
96 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 714 $1,271,723 $1,781 0.7% (650) 723-4000
97 INNOVATIVE PAIN AND SPINE SPECIALISTS LINCOLN NE PHYSICIAN ASSISTANT 8 708 $786,477 $1,111 11.3% —
98 SOUTHEAST PAIN AND SPINE CARE SPECIALISTS, LLC NORFOLK VA INTERVENTIONAL PAIN MANAGEMENT 2 705 $2,431,066 $3,448 2.8% (757) 455-8887
99 SOUTHEASTERN PAIN AND REHABILITATION PHYSICIANS, PC TUSCALOOSA AL INTERVENTIONAL PAIN MANAGEMENT 4 697 $241,800 $347 5.1% (205) 759-7246
100 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 693 $592,150 $854 7.4% (302) 731-2888

Showing the top 100 of 1,978 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 →