Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional 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 469 services ▼ 17.6% YoY · 362 beneficiaries (CY2024, Medicare FFS)

Medicare paid $45K · $95.34 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

365

FFS of Medicare

49%

Services YoY

-17.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~701 services

365 observed fee-for-service (52%) · ~336 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 — 64495 (CY2024)

NY 154 IL 98 MA 80 AZ 73 CA 29

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

Named-group submitted charges

$96K

Named-group allowed amount

$43K

Named-group Medicare payments

$35K

Avg charge / svc

$262

Avg allowed / svc

$119

Avg payment / svc

$95

Average charge per group

$143–190

$190–238

$238–285

$285–333

$333–380

$380–428

$428–475

$475+

$143 9 groups · avg submitted charge / service $527

Market analyticsPlatform

a taste of the twelve-year trend layer

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 payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

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.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 64495 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	64495 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	MIDDLETOWN MEDICAL PC	MIDDLETOWN	NY	NURSE PRACTITIONER	172	115	$21,086	$183	premium	74.7%	(845) 342-4774
2	TOP PAIN CENTER	NORTH AURORA	IL	NURSE PRACTITIONER	2	98	$14,014	$143	premium	100.0%	(630) 809-9707
3	THE PAIN CENTER OF ARIZONA, PC	GILBERT	AZ	PHYSICIAN ASSISTANT	18	44	$23,204	$527	premium	60.3%	(623) 516-8252
4	UMASS MEMORIAL MEDICAL GROUP INC	WORCESTER	MA	PHYSICIAN ASSISTANT	2483	25	$12,886	$515	premium	31.2%	(508) 334-1000
5	BRUCE E MULLEN A PROFESSIONAL CORPORATION	CARSON CITY	NV	PHYSICAL MEDICINE AND REHABILITATION	4	21	$3,885	$185	premium	100.0%	(775) 883-7938
6	PAIN MANAGMENT OF BORO PARK PC	BROOKLYN	NY	INTERVENTIONAL PAIN MANAGEMENT	2	19	$6,654	$350	premium	12.3%	(718) 435-6441
7	RELIANT MEDICAL GROUP INC	WORCESTER	MA	NURSE PRACTITIONER	634	15	$6,525	$435	premium	18.8%	(508) 363-5000
8	BOSTON UNIVERSITY NEUROLOGY ASSOCIATES INC	BOSTON	MA	NEUROLOGY	61	14	$2,911	$208	premium	17.5%	(617) 638-8456
9	NURA PLLC	EDINA	MN	PHYSICIAN ASSISTANT	36	14	$4,531	$324	premium	100.0%	(763) 537-6000

*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 →