NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

64491 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64491 — Injection of upper or middle spine facet joint using imaging guidance, second level

Billing groups
1,044
Named-group FFS services
62,992
FFS of Medicare
49%
Services YoY
+1.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~128,058 services

62,992 observed fee-for-service (49%) · ~65,066 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 — 64491 (CY2024)
FL 15,683 TX 8,867 CA 7,835 AZ 5,129 NY 3,952

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

Named-group submitted charges
$41.6M
Named-group allowed amount
$6.3M
Named-group Medicare payments
$5.0M
Avg charge / svc
$660
Avg allowed / svc
$100
Avg payment / svc
$79
Average charge per group
$59 1,044 groups · avg submitted charge / service $14,914
Market analyticsPlatform
a taste of the twelve-year trend layer

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 64491 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 737 $390,380 $530 21.1% (703) 971-4604
2 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 471 $115,262 $245 15.0% (843) 491-4937
3 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 407 $115,000 $283 15.8% (405) 242-4100
4 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 400 $178,782 $447 28.9% (502) 855-7200
5 JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL PHYSICIAN ASSISTANT 35 393 $273,074 $695 2.5% (904) 223-3321
6 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 355 $102,370 $288 4.0% (512) 244-4272
7 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 351 $159,766 $455 4.0% (903) 606-5560
8 GULF COAST PAIN CONSULTANTS LLC PENSACOLA FL NURSE PRACTITIONER 36 342 $142,440 $416 2.2% (850) 484-4080
9 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 330 $181,073 $549 6.4% (623) 777-4747
10 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 315 $186,705 $593 8.0% (631) 422-6166
11 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 313 $187,610 $599 10.0% —
12 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 312 $164,578 $527 11.5% (919) 544-7270
13 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 311 $61,935 $199 15.1% —
14 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 307 $171,780 $560 2.0% (407) 622-5766
15 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 300 $150,379 $501 3.4% (806) 796-3000
16 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 298 $109,238 $367 12.7% (410) 571-2946
17 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 295 $139,283 $472 3.8% (760) 340-3911
18 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 280 $141,696 $506 12.2% (615) 329-6600
19 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 271 $121,160 $447 3.5% (530) 246-2467
20 SOUTHEAST PAIN AND SPINE CARE SPECIALISTS, LLC NORFOLK VA INTERVENTIONAL PAIN MANAGEMENT 2 270 $726,874 $2,692 7.7% (757) 455-8887
21 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 266 $69,430 $261 5.2% (520) 829-6776
22 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 263 $396,438 $1,507 7.9% (770) 929-9033
23 FAMILY SPINE AND PAIN CARE INSTITUTE LLC VENICE FL PAIN MANAGEMENT 3 257 $112,384 $437 1.6% (813) 495-8011
24 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 254 $151,487 $596 11.2% —
25 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 240 $104,022 $433 36.6% (913) 588-1227
26 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 239 $77,151 $323 1.5% (904) 449-7246
27 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 237 $77,238 $326 4.6% (866) 974-2673
28 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 236 $112,000 $475 4.6% (602) 406-3181
29 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 234 $127,256 $544 1.5% 9417059555110
30 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 232 $375,000 $1,616 7.4% (843) 839-7246
31 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 232 $176,136 $759 6.6% —
32 FLORIDA PAIN RELIEF GROUP PLLC TAMPA FL NURSE PRACTITIONER 82 228 $260,912 $1,144 1.5% (813) 739-7493
33 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 227 $110,712 $488 4.4% (602) 385-2115
34 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 225 $40,690 $181 1.4% (239) 591-2803
35 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 222 $138,920 $626 4.3% (480) 573-0130
36 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 219 $93,951 $429 22.1% (435) 216-7000
37 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 216 $64,272 $298 12.4% (318) 212-7960
38 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 208 $135,155 $650 12.8% (334) 288-7808
39 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 206 $76,726 $372 1.3% (941) 627-9095
40 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 203 $105,053 $518 2.3% (214) 220-2468
41 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 203 $111,940 $551 5.1% (914) 241-1050
42 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 203 $139,338 $686 1.3% (863) 291-4000
43 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 198 $88,917 $449 7.3% (704) 384-8200
44 BDC MEDICAL, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 5 196 $151,881 $775 7.6% (405) 751-0011
45 EMIL H ANNABI MD PC TUCSON AZ NURSE PRACTITIONER 10 193 $77,200 $400 3.8% (520) 399-6000
46 CENTRAL TEXAS PAIN CENTER, PLLC NEW BRAUNFELS TX NURSE PRACTITIONER 27 188 $189,504 $1,008 2.1% (830) 627-3800
47 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 187 $63,652 $340 8.0% (301) 850-2768
48 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 186 $46,091 $248 2.1% (817) 920-0484
49 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 183 $49,578 $271 1.2% (321) 312-3501
50 SOUND PAIN ALLIANCE BELLINGHAM WA PHYSICIAN ASSISTANT 43 181 $109,380 $604 15.4% —
51 GEORGIA PAIN AND WELLNESS CENTER LAWRENCEVILLE GA PHYSICIAN ASSISTANT 52 180 $125,743 $699 5.4% (770) 962-3642
52 INDEPENDENCE PAIN ASSOCIATES MEADOWBROOK PA NURSE PRACTITIONER 3 171 $59,850 $350 7.0% 21593819990
53 SUMMIT ORTHOPEDICS, LTD SAINT PAUL MN PHYSICIAN ASSISTANT 271 170 $100,110 $589 16.2% (651) 968-5201
54 SPINE AND PAIN CONSULTANT PLLC STATEN ISLAND NY ANESTHESIOLOGY 6 170 $145,500 $856 4.3% (718) 667-3577
55 ERIC BAUMANN MD, PC PRESCOTT AZ INTERVENTIONAL PAIN MANAGEMENT 3 170 $51,410 $302 3.3% (928) 717-0788
56 NEXUS PAIN CENTER OF HOUSTON COUNTY MACON GA INTERVENTIONAL PAIN MANAGEMENT 8 170 $180,024 $1,059 5.1% (478) 474-2947
57 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 167 $174,860 $1,047 6.1% (252) 847-4100
58 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 167 $68,871 $412 3.3% (928) 773-2280
59 ELLEN W LIN MD PA SAN ANTONIO TX PHYSICIAN ASSISTANT 6 167 $45,090 $270 1.9% (210) 690-0777
60 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 163 $43,599 $267 3.2% —
61 TRUSHA SHAH MD PC BETHPAGE NY ANESTHESIOLOGY 2 163 $66,954 $411 4.1% (516) 605-0600
62 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 162 $61,204 $378 1.8% (254) 724-2663
63 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 159 $84,478 $531 1.0% (850) 877-8174
64 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 156 $55,029 $353 1.0% (954) 772-2136
65 ARIZONA SPINE AND PAIN SPECIALISTS LLC GLENDALE AZ NURSE PRACTITIONER 26 155 $60,955 $393 3.0% (602) 795-8700
66 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 154 $54,146 $352 15.6% (435) 635-0174
67 RESTORATION HEALTH OF SOUTH ALABAMA INC SPANISH FORT AL NURSE PRACTITIONER 8 154 $76,800 $499 9.5% (251) 626-0732
68 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 152 $40,109 $264 1.0% (352) 693-3378
69 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 150 $29,100 $194 1.0% (850) 474-8000
70 PAIN CENTER OF VIRGINIA PLLC HAGERSTOWN VA PHYSICIAN ASSISTANT 2 149 $93,542 $628 4.3% (304) 263-6165
71 ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA PORT CHARLOTTE FL PHYSICIAN ASSISTANT 36 149 $49,843 $335 1.0% (941) 629-6262
72 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 148 $53,265 $360 7.2% (719) 776-4780
73 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 147 $37,752 $257 5.7% —
74 GARDEN STATE MEDICAL CENTER, LLC WHITING NJ PHYSICIAN ASSISTANT 10 146 $61,120 $419 9.1% (732) 202-3000
75 HEADACHE AND PAIN CENTER, A MEDICAL CORPORATION GRAY LA PHYSICIAN ASSISTANT 4 145 $520,200 $3,588 8.3% (985) 580-1200
76 HULLANDER AND MOZINGO LP SAN LUIS OBISPO CA INTERVENTIONAL PAIN MANAGEMENT 10 144 $362,750 $2,519 1.8% (805) 329-6262
77 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 144 $75,198 $522 4.6% (803) 744-4900
78 RESTORE MEDICAL PARTNERS PLLC VENICE FL NURSE PRACTITIONER 15 144 $48,939 $340 0.9% (941) 375-3006
79 LOUISIANA PAIN CARE, LLC MONROE LA NURSE PRACTITIONER 15 143 $112,268 $785 8.2% (318) 323-6405
80 INTEGRATED PAIN ASSOCIATES PLLC KILLEEN TX NURSE PRACTITIONER 32 141 $54,292 $385 1.6% (254) 245-9175
81 PAIN MANAGEMENT CENTERS OF AMERICA, PSC EVANSVILLE KY NURSE PRACTITIONER 24 140 $86,913 $621 10.1% (812) 477-7246
82 INTERVENTIONAL SPINE AND PAIN PHYSICIANS PA MAPLE GROVE MN PHYSICIAN ASSISTANT 44 140 $117,862 $842 13.4% (763) 201-8191
83 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE IN NURSE PRACTITIONER 159 140 $75,300 $538 9.6% (502) 855-7200
84 M PARTNERS, LLC BONITA SPRINGS FL ANESTHESIOLOGY 3 137 $25,020 $183 0.9% (239) 690-7791
85 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 134 $259,221 $1,934 9.2% (317) 228-7000
86 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 133 $255,498 $1,921 8.3% (732) 974-0404
87 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 132 $54,650 $414 10.4% —
88 ENID PAIN AND SPINE LLC ENID OK CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 3 132 $341,150 $2,584 5.1% —
89 MARYLAND PAIN AND REGENERATIVE CENTER LLC WOODBRIDGE VA NURSE PRACTITIONER 4 132 $32,483 $246 3.8% (301) 659-0003
90 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 132 $38,505 $292 5.1% (405) 254-9690
91 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 132 $81,472 $617 1.7% (310) 423-0674
92 SOUTHERN CALIFORNIA PAIN CONSULTANTS, INC TORRANCE CA PAIN MANAGEMENT 2 130 $58,500 $450 1.7% (310) 540-9888
93 SAMEER SYED MD PA PLANO TX PHYSICIAN ASSISTANT 16 130 $184,105 $1,416 1.5% (214) 817-4225
94 RALEIGH NEUROLOGY ASSOCIATES, P. A. RALEIGH NC PHYSICIAN ASSISTANT 50 129 $92,224 $715 4.7% (919) 782-3456
95 TAMPA PAIN RELIEF CENTER INC TAMPA FL NURSE PRACTITIONER 32 129 $115,800 $898 0.8% (813) 872-4492
96 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 129 $38,103 $295 6.3% (303) 778-5797
97 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 127 $21,754 $171 8.7% —
98 PAIN CONSULTANTS OF WEST FLORIDA P A PENSACOLA FL PHYSICIAN ASSISTANT 6 126 $108,109 $858 0.8% (850) 494-0000
99 SOUTHERN PAIN ASSOCIATES, PLLC MERIDIAN MS NURSE PRACTITIONER 10 126 $25,400 $202 9.3% (601) 482-9224
100 PHYSICIANS GROUP SERVICES PA JACKSONVILLE FL PAIN MANAGEMENT 93 125 $64,453 $516 0.8% (904) 751-4906

Showing the top 100 of 1,044 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 →