NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64490 Injection of upper or middle spine facet joint 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 175,362 services ▲ 3.4% YoY · 97,312 beneficiaries (CY2024, Medicare FFS)
Medicare paid $35.6M · $203.06 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,130
Named-group FFS services
71,689
FFS of Medicare
49%
Services YoY
+3.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~145,551 services

71,689 observed fee-for-service (49%) · ~73,862 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 — 64490 (CY2024)
FL 24,445 CA 18,508 TX 16,264 AZ 8,666 GA 8,380

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

Named-group submitted charges
$83.1M
Named-group allowed amount
$13.5M
Named-group Medicare payments
$10.5M
Avg charge / svc
$1,159
Avg allowed / svc
$189
Avg payment / svc
$146
Average charge per group
$105 1,130 groups · avg submitted charge / service $14,914
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 64490 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 787 $854,380 $1,086 19.3% (703) 971-4604
2 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 484 $236,126 $488 10.2% (843) 491-4937
3 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 413 $158,775 $384 13.9% (405) 242-4100
4 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 413 $339,180 $821 20.0% (502) 855-7200
5 JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL PHYSICIAN ASSISTANT 35 395 $539,656 $1,366 1.6% (904) 223-3321
6 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 382 $316,000 $827 8.0% —
7 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 377 $215,296 $571 2.3% (512) 244-4272
8 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 367 $132,766 $362 8.3% —
9 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 365 $333,559 $914 2.2% (903) 606-5560
10 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 359 $371,380 $1,034 11.2% (919) 544-7270
11 GULF COAST PAIN CONSULTANTS LLC PENSACOLA FL NURSE PRACTITIONER 36 352 $269,740 $766 1.4% (850) 484-4080
12 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 343 $176,990 $516 1.9% (760) 340-3911
13 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 337 $361,315 $1,072 3.9% (623) 777-4747
14 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 332 $364,170 $1,097 1.4% (407) 622-5766
15 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 325 $390,708 $1,202 5.4% (631) 422-6166
16 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 324 $300,382 $927 7.1% (615) 329-6600
17 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 307 $203,735 $664 4.8% (410) 571-2946
18 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 301 $307,333 $1,021 1.9% (806) 796-3000
19 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 285 $257,575 $904 3.3% (602) 406-3181
20 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 284 $254,338 $896 1.5% (530) 246-2467
21 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 282 $283,812 $1,006 7.3% —
22 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 276 $584,912 $2,119 3.3% (770) 929-9033
23 SOUTHEAST PAIN AND SPINE CARE SPECIALISTS, LLC NORFOLK VA INTERVENTIONAL PAIN MANAGEMENT 2 270 $1,246,314 $4,616 6.6% (757) 455-8887
24 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 267 $144,474 $541 3.1% (520) 829-6776
25 FAMILY SPINE AND PAIN CARE INSTITUTE LLC VENICE FL PAIN MANAGEMENT 3 256 $219,221 $856 1.0% (813) 495-8011
26 FLORIDA PAIN RELIEF GROUP PLLC TAMPA FL NURSE PRACTITIONER 82 251 $575,410 $2,292 1.0% (813) 739-7493
27 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 246 $216,318 $879 14.2% (913) 588-1227
28 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 245 $301,922 $1,232 2.8% (480) 573-0130
29 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 245 $157,446 $643 2.8% (866) 974-2673
30 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 244 $294,209 $1,206 6.0% —
31 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 243 $132,312 $544 1.0% (904) 449-7246
32 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 241 $236,115 $980 2.8% (602) 385-2115
33 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 237 $254,662 $1,075 1.0% 9417059555110
34 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 235 $136,476 $581 6.0% (318) 212-7960
35 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 234 $587,500 $2,511 4.9% (843) 839-7246
36 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 229 $80,400 $351 0.9% (239) 591-2803
37 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 228 $192,660 $845 17.7% (435) 216-7000
38 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 227 $224,883 $991 1.4% (214) 220-2468
39 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 226 $288,195 $1,275 9.3% (334) 288-7808
40 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 211 $154,614 $733 0.9% (941) 627-9095
41 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 210 $260,876 $1,242 1.1% (310) 423-0674
42 SUMMIT ORTHOPEDICS, LTD SAINT PAUL MN PHYSICIAN ASSISTANT 271 209 $236,880 $1,133 6.8% (651) 968-5201
43 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 208 $135,619 $652 3.5% (914) 241-1050
44 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 205 $271,893 $1,326 0.8% (863) 291-4000
45 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 205 $276,385 $1,348 6.4% (704) 384-8200
46 GEORGIA PAIN AND WELLNESS CENTER LAWRENCEVILLE GA PHYSICIAN ASSISTANT 52 202 $278,284 $1,378 2.4% (770) 962-3642
47 BDC MEDICAL, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 5 199 $261,695 $1,315 6.7% (405) 751-0011
48 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 198 $93,777 $474 2.3% —
49 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 197 $180,095 $914 1.2% (817) 920-0484
50 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 196 $117,006 $597 3.1% (301) 850-2768
51 EMIL H ANNABI MD PC TUCSON AZ NURSE PRACTITIONER 10 195 $175,500 $900 2.3% (520) 399-6000
52 NEXUS PAIN CENTER OF HOUSTON COUNTY MACON GA INTERVENTIONAL PAIN MANAGEMENT 8 195 $422,243 $2,165 2.3% (478) 474-2947
53 CENTRAL TEXAS PAIN CENTER, PLLC NEW BRAUNFELS TX NURSE PRACTITIONER 27 195 $393,120 $2,016 1.2% (830) 627-3800
54 SOUND PAIN ALLIANCE BELLINGHAM WA PHYSICIAN ASSISTANT 43 189 $236,280 $1,250 7.2% —
55 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 186 $98,472 $529 0.8% (321) 312-3501
56 ELLEN W LIN MD PA SAN ANTONIO TX PHYSICIAN ASSISTANT 6 184 $99,320 $540 1.1% (210) 690-0777
57 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 182 $183,094 $1,006 0.7% (850) 877-8174
58 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 182 $96,146 $528 4.1% (303) 778-5797
59 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 180 $383,213 $2,129 5.6% (252) 847-4100
60 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 178 $609,000 $3,421 5.9% (317) 228-7000
61 RESTORATION HEALTH OF SOUTH ALABAMA INC SPANISH FORT AL NURSE PRACTITIONER 8 176 $160,050 $909 7.2% (251) 626-0732
62 SPINE AND PAIN CONSULTANT PLLC STATEN ISLAND NY ANESTHESIOLOGY 6 173 $197,000 $1,139 2.9% (718) 667-3577
63 HULLANDER AND MOZINGO LP SAN LUIS OBISPO CA INTERVENTIONAL PAIN MANAGEMENT 10 173 $509,400 $2,945 0.9% (805) 329-6262
64 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 173 $135,092 $781 2.0% (928) 773-2280
65 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 171 $176,473 $1,032 0.9% (858) 455-9100
66 ERIC BAUMANN MD, PC PRESCOTT AZ INTERVENTIONAL PAIN MANAGEMENT 3 171 $131,320 $768 2.0% (928) 717-0788
67 INDEPENDENCE PAIN ASSOCIATES MEADOWBROOK PA NURSE PRACTITIONER 3 171 $111,150 $650 4.2% 21593819990
68 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 170 $128,777 $758 1.0% (254) 724-2663
69 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 166 $116,052 $699 12.9% (435) 635-0174
70 TRUSHA SHAH MD PC BETHPAGE NY ANESTHESIOLOGY 2 166 $140,828 $848 2.8% (516) 605-0600
71 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 164 $100,325 $612 0.7% (954) 772-2136
72 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 160 $72,774 $455 5.4% —
73 ARIZONA SPINE AND PAIN SPECIALISTS LLC GLENDALE AZ NURSE PRACTITIONER 26 157 $126,577 $806 1.8% (602) 795-8700
74 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 156 $111,884 $717 3.5% (719) 776-4780
75 INTERVENTIONAL SPINE AND PAIN PHYSICIANS PA MAPLE GROVE MN PHYSICIAN ASSISTANT 44 156 $182,548 $1,170 5.1% (763) 201-8191
76 GARDEN STATE MEDICAL CENTER, LLC WHITING NJ PHYSICIAN ASSISTANT 10 154 $117,443 $763 4.1% (732) 202-3000
77 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 154 $58,982 $383 0.6% (850) 474-8000
78 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 154 $115,160 $748 3.2% (803) 744-4900
79 ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA PORT CHARLOTTE FL PHYSICIAN ASSISTANT 36 154 $101,305 $658 0.6% (941) 629-6262
80 FLOWOOD PAIN CENTER, LLC FLOWOOD MS NURSE PRACTITIONER 23 152 $82,700 $544 4.8% (601) 420-2040
81 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 152 $79,402 $522 0.6% (352) 693-3378
82 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 150 $239,948 $1,600 3.8% 22576922002164
83 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE IN NURSE PRACTITIONER 159 150 $146,850 $979 5.0% (502) 855-7200
84 CHARLES R GORDON MD PA TYLER TX NURSE PRACTITIONER 25 149 $215,136 $1,444 0.9% (903) 592-6000
85 TAMPA PAIN RELIEF CENTER INC TAMPA FL NURSE PRACTITIONER 32 149 $225,453 $1,513 0.6% (813) 872-4492
86 RALEIGH NEUROLOGY ASSOCIATES, P. A. RALEIGH NC PHYSICIAN ASSISTANT 50 148 $138,972 $939 4.6% (919) 782-3456
87 PAIN CENTER OF VIRGINIA PLLC HAGERSTOWN VA PHYSICIAN ASSISTANT 2 147 $179,788 $1,223 3.6% (304) 263-6165
88 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 145 $161,751 $1,116 2.4% (631) 543-1440
89 HEADACHE AND PAIN CENTER, A MEDICAL CORPORATION GRAY LA PHYSICIAN ASSISTANT 4 145 $664,700 $4,584 3.7% (985) 580-1200
90 RESTORE MEDICAL PARTNERS PLLC VENICE FL NURSE PRACTITIONER 15 145 $96,652 $667 0.6% (941) 375-3006
91 LOUISIANA PAIN CARE, LLC MONROE LA NURSE PRACTITIONER 15 143 $311,389 $2,178 3.6% (318) 323-6405
92 INTEGRATED PAIN ASSOCIATES PLLC KILLEEN TX NURSE PRACTITIONER 32 143 $95,670 $669 0.9% (254) 245-9175
93 PAIN MANAGEMENT CENTERS OF AMERICA, PSC EVANSVILLE KY NURSE PRACTITIONER 24 143 $177,028 $1,238 6.9% (812) 477-7246
94 CENTRAL OREGON SPINE AND SPORTS LLC BEND OR PHYSICIAN ASSISTANT 3 142 $102,389 $721 5.4% (541) 323-6280
95 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 140 $53,270 $381 0.8% (925) 939-8585
96 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 137 $547,960 $4,000 3.6% (732) 974-0404
97 M PARTNERS, LLC BONITA SPRINGS FL ANESTHESIOLOGY 3 137 $48,650 $355 0.6% (239) 690-7791
98 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 136 $100,091 $736 7.5% —
99 ENID PAIN AND SPINE LLC ENID OK CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 3 134 $818,783 $6,110 4.5% —
100 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 134 $65,532 $489 4.5% (405) 254-9690

Showing the top 100 of 1,130 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 →