NEVVI Medicare utilization intelligence
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Market snapshot

64494 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64494 — Injection of lower or sacral spine facet joint using imaging guidance, second level

Billing groups
1,828
Named-group FFS services
225,942
FFS of Medicare
49%
Services YoY
-1.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~456,325 services

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

Top states — 64494 (CY2024)

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

Named-group submitted charges
$159.0M
Named-group allowed amount
$21.8M
Named-group Medicare payments
$17.2M
Avg charge / svc
$704
Avg allowed / svc
$96
Avg payment / svc
$76
Average charge per group
$53 1,828 groups · avg submitted charge / service $35,288
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 64494 services, CY2024
#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 →