NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional 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 251,059 services ▼ 2.4% YoY · 188,529 beneficiaries (CY2024, Medicare FFS)
Medicare paid $16.7M · $66.60 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

1,432

Named groups billing this code
Named-group FFS services

157,793

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-2.4%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~305,966 services

157,793 observed fee-for-service (52%) · ~148,173 estimated Medicare Advantage.

Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — 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.

Billed → allowed → paid
Named-group submitted charges
$95.8M
Named-group allowed amount
$13.3M
Named-group Medicare payments
$10.5M
Avg charge / svc
$607
Avg allowed / svc
$84
Avg payment / svc
$67
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$49 1,432 groups · avg submitted charge / service $9,144
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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 1,619 $687,570 $425 15.6% (703) 971-4604
2 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 1,344 $431,402 $321 4.8% (310) 423-0674
3 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 1,284 $951,995 $741 12.4% —
4 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 1,069 $413,238 $387 4.5% (214) 220-2468
5 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 993 $262,194 $264 3.5% (239) 591-2803
6 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 925 $324,882 $351 34.2% (913) 588-1227
7 SOUTHERN CALIFORNIA PAIN CONSULTANTS, INC TORRANCE CA PAIN MANAGEMENT 2 921 $423,660 $460 3.3% (310) 540-9888
8 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 838 $234,690 $280 9.4% (410) 571-2946
9 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 827 $223,926 $271 3.5% (806) 796-3000
10 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 815 $159,526 $196 6.7% —
11 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 808 $176,438 $218 2.9% (925) 939-8585
12 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 799 $248,152 $311 2.8% (904) 449-7246
13 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 797 $387,342 $486 21.5% (435) 216-7000
14 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 762 $390,503 $512 2.7% 9417059555110
15 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 758 $129,312 $171 8.2% (770) 929-9033
16 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 754 $344,440 $457 2.7% (415) 600-1020
17 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 711 $96,170 $135 2.5% (352) 693-3378
18 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 705 $174,744 $248 3.0% (512) 244-4272
19 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 700 $624,030 $891 6.7% (630) 312-4562
20 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 694 $195,919 $282 5.7% (866) 974-2673
21 CHRISTIANA SPINE CENTER PA NEWARK DE PHYSICAL MEDICINE AND REHABILITATION 13 685 $753,500 $1,100 28.2% (302) 602-7000
22 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 671 $349,782 $521 5.5% (480) 573-0130
23 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 657 $394,200 $600 5.4% (602) 406-3181
24 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 621 $258,403 $416 5.1% (602) 385-2115
25 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 614 $166,625 $271 6.9% (301) 774-0500
26 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 590 $164,788 $279 8.6% (843) 491-4937
27 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 590 $293,612 $498 5.6% —
28 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 584 $282,540 $484 2.1% (407) 622-5766
29 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 579 $129,677 $224 11.4% (318) 212-7960
30 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 565 $95,685 $169 6.3% (443) 481-1000
31 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY ORTHOPEDIC SURGERY 32 560 $1,273,500 $2,274 3.6% (212) 241-9561
32 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 555 $222,442 $401 2.0% —
33 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 554 $172,294 $311 4.5% (623) 777-4747
34 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 551 $261,254 $474 7.4% (919) 544-7270
35 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 522 $233,856 $448 7.0% (704) 323-2100
36 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 518 $116,550 $225 4.2% (928) 773-2280
37 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 516 $252,840 $490 7.6% (843) 839-7246
38 SOUTHEASTERN PAIN AND REHABILITATION PHYSICIANS, PC TUSCALOOSA AL INTERVENTIONAL PAIN MANAGEMENT 4 507 $112,860 $223 12.7% (205) 759-7246
39 CHC PAIN MANAGEMENT CENTER, PA CAMDEN NJ ANESTHESIOLOGY 12 502 $407,940 $813 5.5% (609) 963-6770
40 GRAMERCY MEDICAL PAIN MANAGEMENT PA PEARL RIVER NY ANESTHESIOLOGY 2 497 $670,453 $1,349 3.2% (845) 368-0800
41 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 493 $776,783 $1,576 3.2% (516) 536-2800
42 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 487 $492,600 $1,011 14.5% (662) 328-1012
43 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 485 $121,250 $250 19.9% (502) 855-7200
44 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 483 $706,885 $1,464 5.3% (732) 974-0404
45 COMPREHENSIVE PAIN CARE OF SOUTH FLORIDA LLC WELLINGTON FL PAIN MANAGEMENT 3 480 $542,250 $1,130 1.7% (561) 795-8655
46 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 462 $80,842 $175 2.0% (817) 375-5200
47 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 461 $282,042 $612 3.0% (914) 241-1050
48 PARS MEDICAL PC BROOKLYN NY PHYSICIAN ASSISTANT 3 459 $398,360 $868 3.0% (718) 431-2959
49 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 440 $135,405 $308 6.4% (864) 255-1901
50 JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL PHYSICIAN ASSISTANT 35 436 $194,722 $447 1.5% (904) 223-3321
51 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 428 $78,432 $183 4.8% (301) 850-2768
52 THE QUEENS MEDICAL CENTER HONOLULU CA NURSE PRACTITIONER 190 426 $70,028 $164 1.5% —
53 ROBERT W NESBITT MD PC VESTAVIA HILLS AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 15 419 $110,240 $263 10.5% (205) 723-0088
54 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 418 $161,108 $385 1.8% (903) 606-5560
55 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 415 $513,080 $1,236 2.7% (212) 263-9700
56 RESTORE MEDICAL PARTNERS PLLC VENICE FL NURSE PRACTITIONER 15 411 $150,589 $366 1.4% (941) 375-3006
57 TRI-CITY ORTHOPAEDIC SURGERY MEDICAL GROUP INC. OCEANSIDE CA ORTHOPEDIC SURGERY 25 402 $79,792 $198 1.4% (760) 724-9000
58 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 398 $385,078 $968 1.4% (863) 291-4000
59 WILLIAM A. TISDALL, M.D., P.A. SAN ANTONIO TX PHYSICIAN ASSISTANT 9 397 $525,694 $1,324 1.7% —
60 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 396 $754,800 $1,906 17.2% (702) 731-1616
61 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 395 $169,206 $428 4.3% (484) 526-2400
62 INTERVENTIONAL SPINE AND PAIN, LLP ADDISON TX ANESTHESIOLOGY 3 394 $127,656 $324 1.7% (214) 888-3900
63 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 388 $157,090 $405 2.5% (631) 422-6166
64 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 384 $102,539 $267 1.6% (254) 724-2663
65 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORD MA ORTHOPEDIC SURGERY 43 384 $385,000 $1,003 7.7% (978) 454-0706
66 PAIN SOURCE SOLUTIONS LLC N KANSAS CITY MO INTERVENTIONAL PAIN MANAGEMENT 6 383 $248,950 $650 13.8% (816) 221-4114
67 GEORGIA PAIN AND WELLNESS CENTER LAWRENCEVILLE GA PHYSICIAN ASSISTANT 52 376 $168,363 $448 4.1% (770) 962-3642
68 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 374 $81,629 $218 1.3% (760) 340-3911
69 SOUTHERN MICHIGAN PAIN CONSULTANTS PC PORTAGE MI NURSE PRACTITIONER 12 367 $96,209 $262 8.3% (269) 329-2887
70 NEBRASKA SPINE CENTER, LLP OMAHA NE PHYSICIAN ASSISTANT 35 366 $164,700 $450 24.2% (402) 496-5517
71 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 360 $86,778 $241 9.7% (801) 261-8346
72 ANESTHESIA DYNAMICS LLC LECANTO FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 845 354 $153,363 $433 1.2% (352) 527-1825
73 SARAH BUSH LINCOLN HEALTH CENTER MATTOON IL NURSE PRACTITIONER 405 352 $203,842 $579 3.4% —
74 TEXAS HEALTH BACK CARE ROCKWALL TX PHYSICAL MEDICINE AND REHABILITATION 47 352 $221,331 $629 1.5% (817) 442-9300
75 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 350 $226,875 $648 1.3% (310) 443-8999
76 MAXIM BRAIN AND SPINE CEDAR KNOLLS NJ NURSE PRACTITIONER 25 347 $57,373 $165 3.8% (862) 260-4265
77 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 345 $104,333 $302 14.2% (502) 928-1050
78 GRANGER MEDICAL CLINIC PC WEST VALLEY CITY UT PHYSICIAN ASSISTANT 193 345 $126,960 $368 9.3% (801) 965-3600
79 ASSOCIATED ANESTHESIOLOGISTS SC PEORIA IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 148 343 $338,884 $988 3.3% (309) 692-5393
80 PALMETTO BONE AND JOINT CLINTON SC ORTHOPEDIC SURGERY 12 343 $131,026 $382 5.0% (864) 833-3046
81 WILLIAM A. TISDALL, M.D., P.A. SAN ANTONIO NM PHYSICIAN ASSISTANT 9 343 $444,586 $1,296 40.1% —
82 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 332 $69,497 $209 7.9% —
83 SPINEONE, PLLC LONE TREE CO PHYSICIAN ASSISTANT 10 331 $891,997 $2,695 7.9% (303) 951-7524
84 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 328 $74,258 $226 1.2% (415) 476-1000
85 SOUTHERN PAIN AND SPINE ASSOCIATES, LLC GAINESVILLE GA INTERVENTIONAL PAIN MANAGEMENT 19 327 $220,457 $674 3.6% (678) 971-4167
86 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 325 $99,000 $305 13.4% (302) 731-2888
87 OZARK ORTHOPAEDICS, P.A. FAYETTEVILLE AR PHYSICIAN ASSISTANT 57 325 $107,900 $332 18.9% (479) 521-2752
88 ARIZONA SPINE AND PAIN SPECIALISTS LLC GLENDALE AZ NURSE PRACTITIONER 26 321 $134,279 $418 2.6% (602) 795-8700
89 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 319 $164,800 $517 8.0% (334) 288-7808
90 THE PAIN CENTER OF ARIZONA, PC GILBERT AZ PHYSICIAN ASSISTANT 18 316 $168,517 $533 2.6% (623) 516-8252
91 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 315 $147,105 $467 3.0% (301) 530-1010
92 EMERSON PRACTICE ASSOCIATES, INC CONCORD MA INTERNAL MEDICINE 250 314 $119,806 $382 6.3% (978) 287-3020
93 ORTHOPAEDIC SURGERY AND SPORTS MED SPECIALIST OF HAMPTON RDS PC NEWPORT NEWS VA PHYSICIAN ASSISTANT 27 314 $238,640 $760 3.0% —
94 AARON B STEIN MD PLLC CRESTVIEW FL INTERVENTIONAL PAIN MANAGEMENT 2 312 $305,979 $981 1.1% (850) 475-2668
95 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 311 $85,163 $274 1.1% (714) 634-4567
96 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 309 $101,534 $329 4.5% —
97 LOUISIANA PAIN CARE, LLC MONROE LA NURSE PRACTITIONER 15 308 $193,317 $628 6.1% (318) 323-6405
98 PACIFIC COMPREHENSIVE PAIN MANAGEMENT INC LOS ALAMITOS CA ANESTHESIOLOGY 2 304 $106,750 $351 1.1% (562) 799-3888
99 TRICITY PAIN ASSOCIATES, PA SAN ANTONIO TX PHYSICIAN ASSISTANT 23 300 $717,150 $2,391 1.3% —
100 PREMIER BRAIN AND SPINE LLC UNION NJ PHYSICIAN ASSISTANT 127 300 $513,147 $1,710 3.3% (732) 906-9600

Showing the top 100 of 1,432 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 →