64494 — Injection of lower or sacral spine facet joint using imaging guidance, second level
225,942 observed fee-for-service (50%) · ~230,383 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
Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market. Average submitted charge / service by billing state, among the highest-volume states; open a bar for that state's ranked market.
- Market position — where this market sits on volume and growth among all state markets, and its rank.
- Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
- Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
- National benchmarks — where each group's volume sits nationally and within its specialty.
- Market structure — how concentrated this market is, and who owns the volume.
- Medicare-wide scaling — the exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.
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 →| # | Physician group | City | St | Specialty | Providers | 64494 svcs | Submitted charges | Avg charge | Medicare $ locked column | Share* | Phone |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | ORTHOSC LLC | MYRTLE BEACH | SC | PHYSICAL THERAPIST IN PRIVATE PRACTICE | 113 | 1,730 | $527,382 | $305 | premium | 14.0% | (843) 491-4937 |
| 2 | PHYSICAL MEDICINE ASSOCIATES LTD | ALEXANDRIA | VA | NURSE PRACTITIONER | 75 | 1,696 | $1,011,120 | $596 | premium | 13.4% | (703) 971-4604 |
| 3 | COMMONWEALTH PAIN ASSOCIATES PLLC | LOUISVILLE | KY | NURSE PRACTITIONER | 159 | 1,439 | $918,476 | $638 | premium | 25.5% | (502) 855-7200 |
| 4 | ILLINOIS BONE AND JOINT INSTITUTE, LLC | BANNOCKBURN | IL | ORTHOPEDIC SURGERY | 595 | 1,131 | $749,214 | $662 | premium | 9.9% | — |
| 5 | EMERGEORTHO PA | DURHAM | NC | PHYSICIAN ASSISTANT | 725 | 1,131 | $635,729 | $562 | premium | 10.3% | (919) 544-7270 |
| 6 | NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC | MT PLEASANT | SC | PHYSICIAN ASSISTANT | 29 | 1,072 | $707,005 | $660 | premium | 8.7% | — |
| 7 | SOUTHEAST PAIN AND SPINE CARE SPECIALISTS, LLC | NORFOLK | VA | INTERVENTIONAL PAIN MANAGEMENT | 2 | 1,004 | $2,305,243 | $2,296 | premium | 7.9% | (757) 455-8887 |
| 8 | CHRISTUS TRINITY CLINIC | TYLER | TX | NURSE PRACTITIONER | 1495 | 898 | $387,060 | $431 | premium | 3.3% | (903) 606-5560 |
| 9 | SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION | REDDING | CA | PODIATRY | 37 | 875 | $399,249 | $456 | premium | 3.1% | (530) 246-2467 |
| 10 | CORA HEALTH SERVICES INC | THE VILLAGES | FL | ORTHOPEDIC SURGERY | 1187 | 839 | $385,855 | $460 | premium | 1.9% | (352) 693-3378 |
| 11 | ADVANCED PAIN MANAGEMENT SPECIALISTS LLC | ANNAPOLIS | MD | PHYSICIAN ASSISTANT | 79 | 836 | $286,400 | $343 | premium | 9.4% | (410) 571-2946 |
| 12 | MARK MALONE MD PA | AUSTIN | TX | PHYSICIAN ASSISTANT | 95 | 815 | $246,792 | $303 | premium | 3.0% | (512) 244-4272 |
| 13 | SOUTHERN CALIFORNIA PAIN CONSULTANTS, INC | TORRANCE | CA | PAIN MANAGEMENT | 2 | 812 | $349,160 | $430 | premium | 2.9% | (310) 540-9888 |
| 14 | JACKSONVILLE SPINE CENTER PA | JACKSONVILLE | FL | PHYSICIAN ASSISTANT | 35 | 789 | $539,971 | $684 | premium | 1.8% | (904) 223-3321 |
| 15 | MOBILE ANESTHESIA ASSOCIATES LLC | WINTER HAVEN | FL | PHYSICIAN ASSISTANT | 45 | 762 | $511,702 | $672 | premium | 1.7% | (863) 291-4000 |
| 16 | NEW YORK UNIVERSITY | NEW YORK | NY | DIAGNOSTIC RADIOLOGY | 5704 | 757 | $1,402,944 | $1,853 | premium | 4.5% | (212) 263-9700 |
| 17 | CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC | SUN CITY | AZ | PHYSICIAN ASSISTANT | 254 | 756 | $245,408 | $325 | premium | 5.6% | (866) 974-2673 |
| 18 | SCOTT AND WHITE CLINIC | TEMPLE | TX | PHYSICIAN ASSISTANT | 2435 | 722 | $297,711 | $412 | premium | 2.7% | (254) 724-2663 |
| 19 | DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC | RANCHO MIRAGE | CA | PHYSICIAN ASSISTANT | 50 | 716 | $194,396 | $272 | premium | 2.6% | (760) 340-3911 |
| 20 | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC | CONYERS | GA | PAIN MANAGEMENT | 51 | 712 | $1,169,683 | $1,643 | premium | 6.2% | (770) 929-9033 |
| 21 | ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA | BRADENTON | FL | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 25 | 704 | $370,086 | $526 | premium | 1.6% | 9417059555110 |
| 22 | TENNESSEE ORTHOPAEDIC ALLIANCE PA | NASHVILLE | TN | PHYSICIAN ASSISTANT | 352 | 693 | $336,116 | $485 | premium | 8.5% | (615) 329-6600 |
| 23 | THE CENTER FOR PAIN OF MONTGOMERY LLC | MONTGOMERY | AL | NURSE PRACTITIONER | 50 | 692 | $442,030 | $639 | premium | 12.0% | (334) 288-7808 |
| 24 | OKLAHOMA PAIN MANAGEMENT PLLC | OKLAHOMA CITY | OK | NURSE PRACTITIONER | 8 | 682 | $121,548 | $178 | premium | 9.8% | (405) 242-4100 |
| 25 | SC PAIN AND SPINE SPECIALISTS, LLC | MURRELLS INLET | SC | NURSE PRACTITIONER | 6 | 667 | $1,072,500 | $1,608 | premium | 5.4% | (843) 839-7246 |
| 26 | EAST CAROLINA ANESTHESIA ASSOCIATES PLLC | GREENVILLE | NC | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 673 | 641 | $830,955 | $1,296 | premium | 5.8% | (252) 847-4100 |
| 27 | ORTHOVIRGINIA INC | NORTH CHESTERFIELD | VA | PHYSICIAN ASSISTANT | 567 | 637 | $399,375 | $627 | premium | 5.0% | — |
| 28 | NOVASPINE PAIN INSTITUTE PLC | SUN CITY | AZ | PHYSICIAN ASSISTANT | 20 | 631 | $328,138 | $520 | premium | 4.7% | (623) 777-4747 |
| 29 | BDC MEDICAL, PLLC | OKLAHOMA CITY | OK | PHYSICIAN ASSISTANT | 5 | 629 | $565,446 | $899 | premium | 9.0% | (405) 751-0011 |
| 30 | BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC | GREENVILLE | SC | NURSE PRACTITIONER | 288 | 622 | $197,074 | $317 | premium | 5.0% | (864) 255-1901 |
| 31 | KANSAS UNIVERSITY PHYSICIANS INC | KANSAS CITY | KS | NURSE PRACTITIONER | 1815 | 613 | $256,328 | $418 | premium | 20.5% | (913) 588-1227 |
| 32 | GULF COAST PAIN CONSULTANTS LLC | PENSACOLA | FL | NURSE PRACTITIONER | 36 | 609 | $244,930 | $402 | premium | 1.4% | (850) 484-4080 |
| 33 | WK SPINE AND PAIN SPECIALISTS | SHREVEPORT | LA | PHYSICIAN ASSISTANT | 13 | 590 | $166,848 | $283 | premium | 9.9% | (318) 212-7960 |
| 34 | NEW YORK PAIN CONSULTANTS LLC | BABYLON | NY | PHYSICIAN ASSISTANT | 20 | 577 | $342,540 | $594 | premium | 3.4% | (631) 422-6166 |
| 35 | DESERT PAIN SPECIALISTS LLC | SAINT GEORGE | UT | PHYSICIAN ASSISTANT | 18 | 573 | $228,627 | $399 | premium | 15.5% | (435) 216-7000 |
| 36 | SUTTER VALLEY MEDICAL FOUNDATION | SACRAMENTO | CA | DIAGNOSTIC RADIOLOGY | 2420 | 568 | $320,211 | $564 | premium | 2.0% | (916) 681-8852 |
| 37 | ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC | SCOTTSDALE | AZ | ORTHOPEDIC SURGERY | 308 | 565 | $260,830 | $462 | premium | 4.2% | (602) 385-2115 |
| 38 | FLORIDA PAIN AND REHABILITATION ASSOCIATES INC | WINTER PARK | FL | NURSE PRACTITIONER | 71 | 560 | $325,020 | $580 | premium | 1.3% | (407) 622-5766 |
| 39 | CENTER FOR PAIN MANAGEMENT, LLC | HAGERSTOWN | MD | NURSE PRACTITIONER | 39 | 555 | $181,724 | $327 | premium | 6.2% | (301) 850-2768 |
| 40 | POUDRE VALLEY MEDICAL GROUP LLC | COLORADO SPRINGS | CO | PHYSICIAN ASSISTANT | 2390 | 547 | $102,601 | $188 | premium | 10.1% | — |
| 41 | ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC | GREENWICH | NY | PHYSICIAN ASSISTANT | 259 | 543 | $293,569 | $541 | premium | 3.2% | (203) 869-1145 |
| 42 | HONORHEALTH AMBULATORY | SCOTTSDALE | AZ | PHYSICIAN ASSISTANT | 601 | 535 | $125,068 | $234 | premium | 3.9% | — |
| 43 | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC | HURRICANE | UT | NURSE PRACTITIONER | 41 | 531 | $253,705 | $478 | premium | 14.4% | (435) 635-0174 |
| 44 | GEORGIA PAIN AND WELLNESS CENTER | LAWRENCEVILLE | GA | PHYSICIAN ASSISTANT | 52 | 528 | $301,704 | $571 | premium | 4.6% | (770) 962-3642 |
| 45 | TALLAHASSEE ORTHOPEDIC CLINIC III PL | TALLAHASSEE | FL | PHYSICIAN ASSISTANT | 542 | 527 | $354,464 | $673 | premium | 1.2% | (850) 877-8174 |
| 46 | NEUROSURGICAL ASSOCIATES LTD | PHOENIX | AZ | NEUROSURGERY | 74 | 516 | $255,250 | $495 | premium | 3.8% | (602) 406-3181 |
| 47 | NEUROSURGICAL ASSOCIATES , LLP | LUBBOCK | TX | NURSE PRACTITIONER | 33 | 504 | $248,978 | $494 | premium | 1.9% | (806) 796-3000 |
| 48 | INDIANA SPINE GROUP, PC | CARMEL | IN | ORTHOPEDIC SURGERY | 49 | 503 | $933,000 | $1,855 | premium | 7.9% | (317) 228-7000 |
| 49 | SOUND PAIN ALLIANCE | BELLINGHAM | WA | PHYSICIAN ASSISTANT | 43 | 502 | $294,120 | $586 | premium | 10.6% | — |
| 50 | LEHIGH VALLEY PHYSICIAN GROUP | ALLENTOWN | PA | PHYSICIAN ASSISTANT | 2389 | 489 | $128,995 | $264 | premium | 3.8% | — |
| 51 | NEXUS PAIN CENTER OF HOUSTON COUNTY | MACON | GA | INTERVENTIONAL PAIN MANAGEMENT | 8 | 485 | $548,834 | $1,132 | premium | 4.2% | (478) 474-2947 |
| 52 | OPTUM MEDICAL CARE PC | MOUNT KISCO | NY | INTERNAL MEDICINE | 1040 | 484 | $305,931 | $632 | premium | 2.8% | (914) 241-1050 |
| 53 | LEXINGTON HEALTH INC | WEST COLUMBIA | SC | NURSE PRACTITIONER | 909 | 483 | $399,285 | $827 | premium | 3.9% | (803) 744-4900 |
| 54 | TIMOTHY D. GROTH MD PC | SMITHTOWN | NY | PHYSICIAN ASSISTANT | 42 | 482 | $332,161 | $689 | premium | 2.8% | (631) 543-1440 |
| 55 | FLORIDA INSTITUTE OF PAIN MEDICINE LLC | JACKSONVILLE | FL | NURSE PRACTITIONER | 26 | 480 | $137,174 | $286 | premium | 1.1% | (904) 449-7246 |
| 56 | OCHSNER CLINIC LLC | NEW ORLEANS | LA | NURSE PRACTITIONER | 2839 | 472 | $212,803 | $451 | premium | 7.9% | (504) 842-3000 |
| 57 | FAMILY SPINE AND PAIN CARE INSTITUTE LLC | VENICE | FL | PAIN MANAGEMENT | 3 | 471 | $189,813 | $403 | premium | 1.1% | (813) 495-8011 |
| 58 | NORTHWESTERN MEDICAL FACULTY FOUNDATION | CHICAGO | IL | NURSE PRACTITIONER | 4339 | 471 | $322,854 | $685 | premium | 4.1% | — |
| 59 | ORTHOLONESTAR PLLC | DALLAS | TX | PHYSICIAN ASSISTANT | 407 | 467 | $252,817 | $541 | premium | 1.7% | (214) 220-2468 |
| 60 | CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES | SPARTANBURG | SC | PHYSICIAN ASSISTANT | 60 | 462 | $552,495 | $1,196 | premium | 3.8% | (864) 582-6396 |
| 61 | BAPTIST HEALTH MEDICAL GROUP INC | LOUISVILLE | KY | NURSE PRACTITIONER | 2448 | 455 | $112,932 | $248 | premium | 8.1% | (502) 928-1050 |
| 62 | LOUISIANA PAIN CARE, LLC | MONROE | LA | NURSE PRACTITIONER | 15 | 453 | $393,412 | $868 | premium | 7.6% | (318) 323-6405 |
| 63 | NEUROMEDICAL CENTER | BATON ROUGE | LA | PHYSICIAN ASSISTANT | 108 | 453 | $419,518 | $926 | premium | 7.6% | 22576922002164 |
| 64 | KORUNDA MEDICAL, LLC | NAPLES | FL | INTERVENTIONAL PAIN MANAGEMENT | 8 | 450 | $78,558 | $175 | premium | 1.0% | (239) 591-2803 |
| 65 | HEALTH FIRST PRIVIA MEDICAL GROUP | INDIALANTIC | FL | NURSE PRACTITIONER | 235 | 450 | $116,460 | $259 | premium | 1.0% | (321) 312-3501 |
| 66 | ADVANCED SPINE AND PAIN LLC | PHOENIX | AZ | PHYSICIAN ASSISTANT | 27 | 443 | $252,840 | $571 | premium | 3.3% | (480) 573-0130 |
| 67 | INDEPENDENCE PAIN ASSOCIATES | MEADOWBROOK | PA | NURSE PRACTITIONER | 3 | 441 | $143,325 | $325 | premium | 3.4% | 21593819990 |
| 68 | ORTHOPAEDIC ASSOCIATES OF ALLENTOWN | ALLENTOWN | PA | ORTHOPEDIC SURGERY | 42 | 440 | $169,050 | $384 | premium | 3.4% | (610) 973-6200 |
| 69 | PAIN CENTER OF VIRGINIA PLLC | HAGERSTOWN | VA | PHYSICIAN ASSISTANT | 2 | 438 | $255,150 | $583 | premium | 3.5% | (304) 263-6165 |
| 70 | TEXAS HEALTH BACK CARE | ROCKWALL | TX | PHYSICAL MEDICINE AND REHABILITATION | 47 | 436 | $500,940 | $1,149 | premium | 1.6% | (817) 442-9300 |
| 71 | SOUTHEAST ORTHOPEDIC SPECIALISTS LLC | JACKSONVILLE | FL | PHYSICIAN ASSISTANT | 143 | 434 | $155,418 | $358 | premium | 1.0% | (904) 634-0640 |
| 72 | NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES PC | SYRACUSE | NY | NURSE PRACTITIONER | 27 | 421 | $185,415 | $440 | premium | 2.5% | (315) 448-5111 |
| 73 | SUTTER BAY MEDICAL FOUNDATION | PALO ALTO | CA | INTERNAL MEDICINE | 3716 | 420 | $267,285 | $636 | premium | 1.5% | (415) 600-1020 |
| 74 | UNIVERSITY ORTHOPEDICS INC | PROVIDENCE | RI | ORTHOPEDIC SURGERY | 180 | 417 | $304,200 | $729 | premium | 58.9% | (401) 457-1500 |
| 75 | PAIN CLINIC ASSOCIATES PLLC | MEMPHIS | TN | ANESTHESIOLOGY | 9 | 415 | $223,189 | $538 | premium | 5.1% | (901) 747-0040 |
| 76 | ORTHOCAROLINA | CHARLOTTE | NC | PHYSICIAN ASSISTANT | 304 | 414 | $222,842 | $538 | premium | 3.8% | (704) 323-2100 |
| 77 | TRUE NORTH MEDICAL GROUP PC | ROCKVILLE CENTRE | NY | PHYSICIAN ASSISTANT | 182 | 411 | $551,544 | $1,342 | premium | 2.4% | (516) 536-2800 |
| 78 | CEDARS-SINAI MEDICAL CARE FOUNDATION | LOS ANGELES | CA | PHYSICIAN ASSISTANT | 1699 | 411 | $247,856 | $603 | premium | 1.5% | (310) 423-0674 |
| 79 | PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC | TUCSON | AZ | NURSE PRACTITIONER | 24 | 410 | $156,320 | $381 | premium | 3.0% | (520) 829-6776 |
| 80 | NOVANT HEALTH MEDICAL GROUP, LLC | WINSTON SALEM | NC | PHYSICIAN ASSISTANT | 2389 | 409 | $180,642 | $442 | premium | 3.7% | (704) 384-8200 |
| 81 | MAYO CLINIC | ROCHESTER | MN | NURSE PRACTITIONER | 4896 | 408 | $399,397 | $979 | premium | 11.1% | (507) 284-2511 |
| 82 | FLOWOOD PAIN CENTER, LLC | FLOWOOD | MS | NURSE PRACTITIONER | 23 | 407 | $112,800 | $277 | premium | 9.0% | (601) 420-2040 |
| 83 | SUMMIT MEDICAL GROUP PA | BERKELEY HEIGHTS | NJ | PHYSICIAN ASSISTANT | 1183 | 407 | $655,414 | $1,610 | premium | 5.0% | (908) 273-4300 |
| 84 | ORTHONJ LLC | MANASQUAN | NJ | PHYSICIAN ASSISTANT | 300 | 404 | $773,182 | $1,914 | premium | 5.0% | (732) 974-0404 |
| 85 | SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. | PEABODY | MA | PHYSICIAN ASSISTANT | 87 | 400 | $226,225 | $566 | premium | 4.4% | (978) 818-6350 |
| 86 | VIRTUA MEDICAL GROUP, PA | VOORHEES | NJ | PHYSICIAN ASSISTANT | 1662 | 397 | $220,060 | $554 | premium | 4.9% | (856) 247-7260 |
| 87 | TEXAS HEALTH CARE PLLC | FORT WORTH | TX | NURSE PRACTITIONER | 364 | 396 | $91,939 | $232 | premium | 1.5% | (817) 920-0484 |
| 88 | SW FLORIDA PAIN CENTER INC. | PORT CHARLOTTE | FL | NURSE PRACTITIONER | 3 | 396 | $147,322 | $372 | premium | 0.9% | (941) 627-9095 |
| 89 | ENDEAVOR HEALTH MEDICAL GROUP | EVANSTON | IL | NURSE PRACTITIONER | 3380 | 395 | $138,732 | $351 | premium | 3.4% | — |
| 90 | EMIL H ANNABI MD PC | TUCSON | AZ | NURSE PRACTITIONER | 10 | 387 | $150,150 | $388 | premium | 2.9% | (520) 399-6000 |
| 91 | ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. | NORTH CHELMSFORD | MA | ORTHOPEDIC SURGERY | 43 | 383 | $461,300 | $1,204 | premium | 4.2% | (978) 454-0706 |
| 92 | COMMUNITY PHYSICIANS OF INDIANA INC | INDIANAPOLIS | IN | PHYSICIAN ASSISTANT | 1594 | 381 | $151,163 | $397 | premium | 6.0% | — |
| 93 | OANDW ENTERPRISES | STANLEYTOWN | VA | PHYSICIAN ASSISTANT | 208 | 380 | $296,032 | $779 | premium | 3.0% | (888) 724-0268 |
| 94 | SPINE AND PAIN CONSULTANT PLLC | STATEN ISLAND | NY | ANESTHESIOLOGY | 6 | 378 | $268,800 | $711 | premium | 2.2% | (718) 667-3577 |
| 95 | RESTORATION HEALTH OF SOUTH ALABAMA INC | SPANISH FORT | AL | NURSE PRACTITIONER | 8 | 378 | $240,000 | $635 | premium | 6.6% | (251) 626-0732 |
| 96 | CENTRAL TEXAS PAIN CENTER, PLLC | NEW BRAUNFELS | TX | NURSE PRACTITIONER | 27 | 376 | $345,313 | $918 | premium | 1.4% | (830) 627-3800 |
| 97 | LAHEY CLINIC INC | BURLINGTON | MA | NURSE PRACTITIONER | 1400 | 375 | $150,807 | $402 | premium | 4.1% | — |
| 98 | TRUSHA SHAH MD PC | BETHPAGE | NY | ANESTHESIOLOGY | 2 | 373 | $91,967 | $247 | premium | 2.2% | (516) 605-0600 |
| 99 | COMMONWEALTH PAIN ASSOCIATES PLLC | LOUISVILLE | IN | NURSE PRACTITIONER | 159 | 373 | $248,850 | $667 | premium | 5.9% | (502) 855-7200 |
| 100 | MAINEHEALTH | PORTLAND | ME | NURSE PRACTITIONER | 2574 | 372 | $81,973 | $220 | premium | 39.8% | (207) 885-9905 |
Showing the top 100 of 1,828 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 →