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Market snapshot

64484 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64484 — Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level

Billing groups
1,422
Named-group FFS services
158,891
FFS of Medicare
49%
Services YoY
-2.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~319,041 services

158,891 observed fee-for-service (50%) · ~160,150 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 — 64484 (CY2024)
FL 28,246 CA 27,532 TX 21,755 NY 15,458 AZ 12,774

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

Named-group submitted charges
$99.3M
Named-group allowed amount
$13.1M
Named-group Medicare payments
$10.4M
Avg charge / svc
$625
Avg allowed / svc
$83
Avg payment / svc
$65
Average charge per group
$57 1,422 groups · avg submitted charge / service $31,071
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 64484 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 1,646 $696,480 $423 16.1% (703) 971-4604
2 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 1,425 $415,987 $292 5.2% (310) 423-0674
3 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 1,260 $485,286 $385 5.8% (214) 220-2468
4 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 1,215 $903,880 $744 11.9% —
5 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 1,212 $636,758 $525 4.3% 9417059555110
6 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 1,005 $213,362 $212 3.6% (239) 591-2803
7 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 1,001 $186,980 $187 7.8% —
8 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 980 $303,770 $310 34.8% (913) 588-1227
9 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 973 $272,244 $280 10.9% (410) 571-2946
10 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 944 $505,828 $536 3.4% (415) 600-1020
11 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 856 $583,160 $681 8.6% (630) 312-4562
12 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 831 $231,340 $278 12.2% (843) 491-4937
13 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 828 $120,711 $146 2.9% (352) 693-3378
14 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 826 $253,060 $306 6.5% (602) 385-2115
15 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 815 $221,373 $272 3.7% (806) 796-3000
16 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 813 $581,736 $716 6.4% (480) 573-0130
17 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 811 $243,198 $300 2.9% (904) 449-7246
18 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 783 $470,400 $601 6.1% (602) 406-3181
19 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 748 $390,978 $523 7.5% —
20 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 738 $135,881 $184 2.7% (925) 939-8585
21 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 729 $354,294 $486 20.8% (435) 216-7000
22 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 704 $176,000 $250 26.9% (502) 855-7200
23 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 654 $179,406 $274 7.8% (770) 929-9033
24 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 650 $170,815 $263 7.3% (301) 774-0500
25 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 644 $948,809 $1,473 7.2% (732) 974-0404
26 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 643 $143,389 $223 13.5% (318) 212-7960
27 CHRISTIANA SPINE CENTER PA NEWARK DE PHYSICAL MEDICINE AND REHABILITATION 13 640 $704,000 $1,100 28.8% (302) 602-7000
28 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 639 $198,729 $311 5.0% (623) 777-4747
29 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 628 $173,843 $277 4.9% (866) 974-2673
30 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 586 $262,976 $449 8.4% (704) 323-2100
31 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY ORTHOPEDIC SURGERY 32 580 $1,338,750 $2,308 3.8% (212) 241-9561
32 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 568 $885,888 $1,560 3.7% (516) 536-2800
33 SOUTHERN CALIFORNIA PAIN CONSULTANTS, INC TORRANCE CA PAIN MANAGEMENT 2 547 $251,620 $460 2.0% (310) 540-9888
34 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 544 $233,875 $430 7.8% (919) 544-7270
35 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 537 $120,825 $225 4.2% (928) 773-2280
36 SOUTHEASTERN PAIN AND REHABILITATION PHYSICIANS, PC TUSCALOOSA AL INTERVENTIONAL PAIN MANAGEMENT 4 524 $117,040 $223 12.3% (205) 759-7246
37 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 520 $161,625 $311 7.7% (864) 255-1901
38 ROBERT W NESBITT MD PC VESTAVIA HILLS AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 15 503 $95,767 $190 11.8% (205) 723-0088
39 CHC PAIN MANAGEMENT CENTER, PA CAMDEN NJ ANESTHESIOLOGY 12 503 $400,095 $795 5.6% (609) 963-6770
40 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 499 $101,915 $204 5.6% (443) 481-1000
41 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 478 $191,200 $400 1.7% —
42 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 475 $212,860 $448 1.7% (407) 622-5766
43 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 464 $157,190 $339 2.1% (512) 244-4272
44 PAIN SOURCE SOLUTIONS LLC N KANSAS CITY MO INTERVENTIONAL PAIN MANAGEMENT 6 453 $294,450 $650 17.7% (816) 221-4114
45 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 451 $682,915 $1,514 2.9% (212) 263-9700
46 GRAMERCY MEDICAL PAIN MANAGEMENT PA PEARL RIVER NY ANESTHESIOLOGY 2 449 $605,701 $1,349 2.9% (845) 368-0800
47 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 448 $270,124 $603 2.9% (914) 241-1050
48 THE PAIN CENTER OF ARIZONA, PC GILBERT AZ PHYSICIAN ASSISTANT 18 439 $223,054 $508 3.4% (623) 516-8252
49 TEXAS HEALTH BACK CARE ROCKWALL TX PHYSICAL MEDICINE AND REHABILITATION 47 436 $277,544 $637 2.0% (817) 442-9300
50 MAXIM BRAIN AND SPINE CEDAR KNOLLS NJ NURSE PRACTITIONER 25 433 $224,011 $517 4.8% (862) 260-4265
51 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 428 $165,320 $386 2.0% (903) 606-5560
52 RESTORE MEDICAL PARTNERS PLLC VENICE FL NURSE PRACTITIONER 15 428 $155,474 $363 1.5% (941) 375-3006
53 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 425 $188,740 $444 4.5% (484) 526-2400
54 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 414 $90,360 $218 1.5% (760) 340-3911
55 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 414 $309,008 $746 1.5% (310) 443-8999
56 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 412 $266,680 $647 6.1% (843) 839-7246
57 TRI-CITY ORTHOPAEDIC SURGERY MEDICAL GROUP INC. OCEANSIDE CA ORTHOPEDIC SURGERY 25 408 $89,216 $219 1.5% (760) 724-9000
58 JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL PHYSICIAN ASSISTANT 35 406 $224,680 $553 1.4% (904) 223-3321
59 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 403 $120,879 $300 9.9% (615) 329-6600
60 THE QUEENS MEDICAL CENTER HONOLULU CA NURSE PRACTITIONER 190 397 $80,099 $202 1.4% —
61 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 395 $105,136 $266 11.3% (801) 261-8346
62 COMPREHENSIVE PAIN CARE OF SOUTH FLORIDA LLC WELLINGTON FL PAIN MANAGEMENT 3 394 $441,832 $1,121 1.4% (561) 795-8655
63 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 389 $131,482 $338 1.8% (817) 375-5200
64 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 388 $159,490 $411 2.5% (631) 422-6166
65 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 388 $74,614 $192 4.3% (301) 850-2768
66 WILLIAM A. TISDALL, M.D., P.A. SAN ANTONIO NM PHYSICIAN ASSISTANT 9 387 $517,126 $1,336 37.6% —
67 PARS MEDICAL PC BROOKLYN NY PHYSICIAN ASSISTANT 3 386 $335,142 $868 2.5% (718) 431-2959
68 CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC ALBANY NY ORTHOPEDIC SURGERY 67 372 $213,625 $574 2.4% (518) 489-2666
69 INTERVENTIONAL SPINE AND PAIN, LLP ADDISON TX ANESTHESIOLOGY 3 370 $119,880 $324 1.7% (214) 888-3900
70 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 370 $157,033 $424 1.3% (714) 634-4567
71 NEBRASKA SPINE CENTER, LLP OMAHA NE PHYSICIAN ASSISTANT 35 369 $166,050 $450 23.5% (402) 496-5517
72 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORD MA ORTHOPEDIC SURGERY 43 369 $373,000 $1,011 7.4% (978) 454-0706
73 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 364 $110,270 $303 13.9% (502) 928-1050
74 SPINEONE, PLLC LONE TREE CO PHYSICIAN ASSISTANT 10 359 $963,197 $2,683 8.1% (303) 951-7524
75 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 359 $361,000 $1,006 12.8% (662) 328-1012
76 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 358 $94,058 $263 1.6% (254) 724-2663
77 SARAH BUSH LINCOLN HEALTH CENTER MATTOON IL NURSE PRACTITIONER 405 350 $178,054 $509 3.5% —
78 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 349 $115,170 $330 5.1% —
79 POHLMAN PAIN ASSOCIATES LLC DELRAY BEACH FL PHYSICAL MEDICINE AND REHABILITATION 3 347 $299,510 $863 1.2% (754) 206-1877
80 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 346 $283,784 $820 1.2% (863) 291-4000
81 GRANGER MEDICAL CLINIC PC WEST VALLEY CITY UT PHYSICIAN ASSISTANT 193 340 $125,488 $369 9.7% (801) 965-3600
82 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 335 $179,430 $536 7.8% (334) 288-7808
83 NOVA ADVANCED PAIN MANAGEMENT PLLC MANASSAS VA PAIN MANAGEMENT 3 325 $218,140 $671 3.2% 7032572266127
84 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 323 $47,804 $148 2.5% (520) 324-4230
85 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 321 $208,508 $650 2.1% (203) 869-1145
86 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 317 $175,237 $553 4.6% (252) 847-4100
87 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 316 $394,200 $1,247 55.5% (401) 457-1500
88 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 316 $67,428 $213 7.1% —
89 LARINA V GUTENBERG DO PLLC SAN ANTONIO TX PAIN MANAGEMENT 4 316 $134,841 $427 1.5% (210) 298-4900
90 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 315 $152,344 $484 1.1% (858) 455-9100
91 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 315 $111,741 $355 7.4% (256) 539-2728
92 FLOWOOD PAIN CENTER, LLC FLOWOOD MS NURSE PRACTITIONER 23 314 $106,960 $341 11.2% (601) 420-2040
93 OZARK ORTHOPAEDICS, P.A. FAYETTEVILLE AR PHYSICIAN ASSISTANT 57 313 $93,600 $299 18.9% (479) 521-2752
94 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 312 $160,401 $514 2.0% (631) 543-1440
95 PALMETTO BONE AND JOINT CLINTON SC ORTHOPEDIC SURGERY 12 308 $117,656 $382 4.5% (864) 833-3046
96 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 302 $597,550 $1,979 15.2% (702) 731-1616
97 ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 36 302 $136,680 $453 1.4% (972) 985-1072
98 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 300 $82,325 $274 1.1% (415) 476-1000
99 GEORGIA PAIN AND WELLNESS CENTER LAWRENCEVILLE GA PHYSICIAN ASSISTANT 52 299 $140,582 $470 3.6% (770) 962-3642
100 NORTH PLATTE NEBRASKA HOSPITAL CORPORATION NORTH PLATTE NE PHYSICIAN ASSISTANT 240 299 $86,341 $289 19.1% (308) 568-8000

Showing the top 100 of 1,422 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 →