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Market snapshot

64493 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64493 — Injection of lower or sacral spine facet joint using imaging guidance, single level

Billing groups
1,910
Named-group FFS services
247,943
FFS of Medicare
49%
Services YoY
-0.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~500,673 services

247,943 observed fee-for-service (50%) · ~252,730 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 — 64493 (CY2024)
FL 65,109 CA 59,424 TX 46,272 GA 27,169 NY 23,663

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

Named-group submitted charges
$312.1M
Named-group allowed amount
$44.9M
Named-group Medicare payments
$34.7M
Avg charge / svc
$1,259
Avg allowed / svc
$181
Avg payment / svc
$140
Average charge per group
$95 1,910 groups · avg submitted charge / service $36,115
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 64493 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 1,827 $822,074 $450 10.6% (843) 491-4937
2 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 1,752 $2,058,550 $1,175 12.5% (703) 971-4604
3 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 1,470 $1,598,500 $1,087 19.9% (502) 855-7200
4 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 1,257 $1,010,700 $804 7.3% —
5 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 1,255 $1,554,466 $1,239 7.6% —
6 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 1,255 $1,329,475 $1,059 9.8% (919) 544-7270
7 SOUTHEAST PAIN AND SPINE CARE SPECIALISTS, LLC NORFOLK VA INTERVENTIONAL PAIN MANAGEMENT 2 1,009 $3,858,499 $3,824 7.2% (757) 455-8887
8 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 923 $793,811 $860 2.0% (903) 606-5560
9 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 891 $799,216 $897 1.5% (530) 246-2467
10 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 854 $529,624 $620 3.6% (410) 571-2946
11 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 845 $494,361 $585 1.3% (352) 693-3378
12 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 837 $494,277 $591 1.8% (512) 244-4272
13 SOUTHERN CALIFORNIA PAIN CONSULTANTS, INC TORRANCE CA PAIN MANAGEMENT 2 813 $552,840 $680 1.4% (310) 540-9888
14 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 810 $3,498,092 $4,319 3.4% (212) 263-9700
15 JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL PHYSICIAN ASSISTANT 35 806 $1,043,091 $1,294 1.2% (904) 223-3321
16 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 798 $987,520 $1,237 8.9% (334) 288-7808
17 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 797 $502,292 $630 3.6% (866) 974-2673
18 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 790 $605,150 $766 4.6% (864) 255-1901
19 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 787 $1,003,892 $1,276 1.2% (863) 291-4000
20 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 767 $362,051 $472 1.3% (760) 340-3911
21 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 752 $676,987 $900 5.0% (615) 329-6600
22 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 749 $2,450,136 $3,271 2.8% (770) 929-9033
23 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 746 $622,378 $834 1.6% (254) 724-2663
24 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 714 $1,880,017 $2,633 5.6% (252) 847-4100
25 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 708 $712,526 $1,006 1.1% 9417059555110
26 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 697 $1,023,924 $1,469 47.3% (401) 457-1500
27 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 686 $247,140 $360 9.0% (405) 242-4100
28 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 670 $1,700,000 $2,537 3.9% (843) 839-7246
29 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 668 $838,875 $1,256 4.8% —
30 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 646 $217,270 $336 5.9% —
31 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 639 $644,908 $1,009 2.9% (623) 777-4747
32 BDC MEDICAL, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 5 632 $1,021,861 $1,617 8.3% (405) 751-0011
33 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 632 $341,618 $541 5.4% (318) 212-7960
34 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 623 $619,625 $995 10.9% (913) 588-1227
35 GULF COAST PAIN CONSULTANTS LLC PENSACOLA FL NURSE PRACTITIONER 36 616 $459,050 $745 0.9% (850) 484-4080
36 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 609 $554,052 $910 2.8% (602) 385-2115
37 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 593 $458,982 $774 13.3% (435) 216-7000
38 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 588 $683,800 $1,163 2.5% (631) 422-6166
39 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 587 $535,850 $913 2.7% (602) 406-3181
40 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 582 $648,680 $1,115 0.9% (407) 622-5766
41 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 580 $250,019 $431 2.6% —
42 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 579 $640,258 $1,106 1.0% (916) 681-8852
43 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 570 $740,458 $1,299 0.9% (850) 877-8174
44 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 570 $1,722,500 $3,022 4.7% (317) 228-7000
45 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 569 $1,848,672 $3,249 3.3% (864) 582-6396
46 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 568 $737,903 $1,299 2.4% (203) 869-1145
47 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 566 $523,937 $926 12.7% (435) 635-0174
48 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 566 $292,722 $517 2.8% —
49 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 561 $701,981 $1,251 0.9% (310) 423-0674
50 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 560 $320,740 $573 2.4% (301) 850-2768
51 GEORGIA PAIN AND WELLNESS CENTER LAWRENCEVILLE GA PHYSICIAN ASSISTANT 52 547 $536,795 $981 2.0% (770) 962-3642
52 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 528 $559,521 $1,060 1.1% (214) 220-2468
53 NEXUS PAIN CENTER OF HOUSTON COUNTY MACON GA INTERVENTIONAL PAIN MANAGEMENT 8 524 $1,233,497 $2,354 1.9% (478) 474-2947
54 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 522 $601,981 $1,153 0.9% (858) 455-9100
55 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 515 $716,997 $1,392 2.2% (631) 543-1440
56 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 514 $710,263 $1,382 3.1% —
57 SOUND PAIN ALLIANCE BELLINGHAM WA PHYSICIAN ASSISTANT 43 514 $590,476 $1,149 6.1% —
58 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 509 $470,957 $925 2.2% (914) 241-1050
59 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 508 $637,617 $1,255 0.9% (415) 600-1020
60 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 507 $493,999 $974 1.1% (806) 796-3000
61 TEXAS HEALTH BACK CARE ROCKWALL TX PHYSICAL MEDICINE AND REHABILITATION 47 506 $943,284 $1,864 1.1% (817) 442-9300
62 ORTHOPAEDIC ASSOCIATES OF ALLENTOWN ALLENTOWN PA ORTHOPEDIC SURGERY 42 505 $335,590 $665 2.5% (610) 973-6200
63 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 505 $458,874 $909 2.9% (803) 744-4900
64 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 499 $567,685 $1,138 4.2% (504) 842-3000
65 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 494 $853,234 $1,727 4.2% 22576922002164
66 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 493 $218,180 $443 6.7% (502) 928-1050
67 PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP SAN LUIS OBISPO CA NURSE PRACTITIONER 11 490 $1,061,025 $2,165 0.8% (805) 544-7246
68 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 489 $240,187 $491 0.8% (904) 449-7246
69 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 487 $730,335 $1,500 3.8% (704) 384-8200
70 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 474 $325,984 $688 0.7% (904) 634-0640
71 FAMILY SPINE AND PAIN CARE INSTITUTE LLC VENICE FL PAIN MANAGEMENT 3 471 $366,438 $778 0.7% (813) 495-8011
72 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 464 $515,818 $1,112 2.1% (480) 573-0130
73 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 460 $1,467,162 $3,189 2.9% (908) 273-4300
74 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 459 $1,747,630 $3,807 2.9% (732) 974-0404
75 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 459 $229,854 $501 0.7% (321) 312-3501
76 LOUISIANA PAIN CARE, LLC MONROE LA NURSE PRACTITIONER 15 457 $1,077,918 $2,359 3.9% (318) 323-6405
77 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 457 $1,022,045 $2,236 6.0% (507) 284-2511
78 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 457 $367,696 $805 3.6% (704) 323-2100
79 FLOWOOD PAIN CENTER, LLC FLOWOOD MS NURSE PRACTITIONER 23 451 $353,425 $784 4.5% (601) 420-2040
80 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 449 $152,040 $339 0.7% (239) 591-2803
81 PAIN CLINIC ASSOCIATES PLLC MEMPHIS TN ANESTHESIOLOGY 9 447 $266,678 $597 2.9% (901) 747-0040
82 INDEPENDENCE PAIN ASSOCIATES MEADOWBROOK PA NURSE PRACTITIONER 3 441 $286,650 $650 2.2% 21593819990
83 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 439 $430,230 $980 4.0% (978) 818-6350
84 PAIN CENTER OF VIRGINIA PLLC HAGERSTOWN VA PHYSICIAN ASSISTANT 2 438 $490,154 $1,119 3.1% (304) 263-6165
85 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 438 $310,666 $709 2.7% —
86 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 433 $1,149,681 $2,655 1.8% (516) 536-2800
87 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 428 $188,023 $439 39.7% (207) 885-9905
88 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 427 $250,721 $587 0.9% (817) 920-0484
89 NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES PC SYRACUSE NY NURSE PRACTITIONER 27 426 $364,600 $856 1.8% (315) 448-5111
90 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 423 $234,464 $554 3.5% —
91 OANDW ENTERPRISES STANLEYTOWN VA PHYSICIAN ASSISTANT 208 422 $362,060 $858 3.0% (888) 724-0268
92 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 422 $424,900 $1,007 1.9% (520) 829-6776
93 HULLANDER AND MOZINGO LP SAN LUIS OBISPO CA INTERVENTIONAL PAIN MANAGEMENT 10 421 $1,204,869 $2,862 0.7% (805) 329-6262
94 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 416 $284,796 $685 3.8% (719) 776-4780
95 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 411 $447,368 $1,088 2.6% (856) 247-7260
96 ORTHOPAEDIC SURGERY AND SPORTS MED SPECIALIST OF HAMPTON RDS PC NEWPORT NEWS VA PHYSICIAN ASSISTANT 27 409 $669,820 $1,638 2.9% —
97 LANCASTER GENERAL HOSPITAL LANCASTER PA NURSE PRACTITIONER 511 409 $190,357 $465 2.0% (267) 857-7751
98 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 407 $285,545 $702 0.6% (941) 627-9095
99 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 406 $438,634 $1,080 2.6% —
100 RESTORATION HEALTH OF SOUTH ALABAMA INC SPANISH FORT AL NURSE PRACTITIONER 8 404 $499,100 $1,235 4.5% (251) 626-0732

Showing the top 100 of 1,910 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 →