NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64486 Injection of local anesthetic for abdominal wall pain control on side using imaging guidance CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2015
National scale 489 services ▲ 0.4% YoY · 434 beneficiaries (CY2024, Medicare FFS)
Medicare paid $22K · $45.98 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

15

Named groups billing this code
Named-group FFS services

404

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+0.4%

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

~811 services

404 observed fee-for-service (50%) · ~407 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 — 64486 (CY2024)
NY 71 TN 66 WI 65 FL 57 NJ 49

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
$442K
Named-group allowed amount
$24K
Named-group Medicare payments
$19K
Avg charge / svc
$1,094
Avg allowed / svc
$60
Avg payment / svc
$48
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
$54 15 groups · avg submitted charge / service $3,200
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 64486 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 BAYCARE CLINIC LLP GREEN BAY WI PHYSICIAN ASSISTANT 199 65 $51,285 $789 100.0% —
2 RWJBH OBSERVATION ASSOCIATES LLC SOMERVILLE NJ PHYSICIAN ASSISTANT 937 49 $92,610 $1,890 100.0% (908) 685-2200
3 GBMC HOSPITAL BASED SERVICES LLC BALTIMORE MD ANESTHESIOLOGY 49 40 $48,000 $1,200 100.0% (443) 849-2121
4 MURFREESBORO ANESTHESIA GROUP, P.A. MURFREESBORO TN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 58 36 $10,800 $300 54.5% (615) 410-7873
5 EAST RIVER MEDICAL ASSOCIATES PC NEW YORK NY ANESTHESIOLOGY 111 33 $105,600 $3,200 46.5% (212) 606-1206
6 US ANESTHESIA PARTNERS OF FLORIDA INC ORLANDO FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1094 19 $5,305 $279 33.3% (407) 303-8110
7 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 16 $8,193 $512 35.6% (800) 926-8273
8 RWJBH OBSERVATION ASSOCIATES LLC SOMERVILLE NY PHYSICIAN ASSISTANT 937 15 $28,350 $1,890 21.1% (908) 685-2200
9 RWJBH OBSERVATION ASSOCIATES LLC SOMERVILLE CA PHYSICIAN ASSISTANT 937 15 $28,055 $1,870 33.3% (908) 685-2200
10 ANESTHESIA PARTNERS AND MANAGEMENT LLC PHOENIX AZ CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 171 14 $14,560 $1,040 100.0% (480) 420-4027
11 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO FL DIAGNOSTIC RADIOLOGY 2420 14 $7,574 $541 24.6% (916) 681-8852
12 STAMFORD ANESTHESIOLOGY SERVICES PC STAMFORD CT ANESTHESIOLOGY 49 14 $14,000 $1,000 100.0% (203) 276-1000
13 MURFREESBORO ANESTHESIA GROUP, P.A. MURFREESBORO OH CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 58 13 $3,900 $300 100.0% (615) 410-7873
14 LOW COUNTRY ANESTHESIA, PA BEAUFORT SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 63 13 $5,535 $426 100.0% (800) 228-0249
15 CENTRAL BREVARD ANESTHESIOLOGISTS PA MELBOURNE FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 27 13 $9,841 $757 22.8% (321) 752-1200
16 CHAG ANESTHESIA PC SYRACUSE NY CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 50 12 $645 $54 16.9% (315) 498-6200
17 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 12 $1,800 $150 100.0% (202) 429-2401
18 CARE ANESTHESIA SPECIALISTS INC PORT CHARLOTTE FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 19 11 $6,050 $550 19.3% (941) 766-4122

*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 →