NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64520 Injection of anesthetic agent into middle or lower spine sympathetic nerve 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 2,252 services ▼ 5.4% YoY · 1,124 beneficiaries (CY2024, Medicare FFS)
Medicare paid $463K · $205.50 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
1,055
FFS of Medicare
49%
Services YoY
-5.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,714 services

1,055 observed fee-for-service (62%) · ~659 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 — 64520 (CY2024)

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$236K
Named-group Medicare payments
$185K
Avg charge / svc
$1,448
Avg allowed / svc
$224
Avg payment / svc
$175
Average charge per group
$92 21 groups · avg submitted charge / service $2,498
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 64520 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 64520 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 NEUROVERSION ANCHORAGE AK PHYSICIAN ASSISTANT 10 382 $953,090 $2,495 premium 100.0% (907) 339-4650
2 FLAXVENTURES LLC LITTLE ROCK AR NURSE PRACTITIONER 3 112 $77,220 $689 premium 40.1% (501) 466-7246
3 NORTHEAST ARKANSAS PAIN MEDICINE JONESBORO AR INTERVENTIONAL PAIN MANAGEMENT 2 69 $6,338 $92 premium 24.7% (870) 972-0411
4 PARS MEDICAL PC BROOKLYN NY PHYSICIAN ASSISTANT 3 56 $89,600 $1,600 premium 11.0% (718) 431-2959
5 MAXIM KARABACH M.D, LLC WHITING NY INTERNAL MEDICINE 2 53 $18,280 $345 premium 10.4% (732) 716-1700
6 PAIN MANAGEMENT CENTERS OF AMERICA, PSC EVANSVILLE IN NURSE PRACTITIONER 24 45 $37,224 $827 premium 50.6% (812) 477-7246
7 SEDATION VACATION PERIOPERATIVE MEDICINE PLLC BROOKLYN NY ANESTHESIOLOGY 87 37 $15,085 $408 premium 7.3% (718) 688-3937
8 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 33 $30,456 $923 premium 36.7%
9 CHICAGO SPINE AND JOINT, S.C. HINSDALE IL INTERVENTIONAL PAIN MANAGEMENT 7 31 $32,084 $1,035 premium 33.0% (708) 482-4500
10 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 28 $47,850 $1,709 premium 29.8% (630) 312-4562
11 FOX CHASE PAIN MANAGEMENT ASSOCIATES PC TREVOSE PA PAIN MANAGEMENT 6 27 $13,500 $500 premium 30.0% (267) 288-5601
12 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 26 $24,846 $956 premium 23.9% (602) 385-2115
13 SOUTHERN PAIN ASSOCIATES, PLLC MERIDIAN MS NURSE PRACTITIONER 10 25 $10,000 $400 premium 42.4% (601) 482-9224
14 CENTRAL TEXAS PAIN INSTITUTE PLLC AUSTIN TX PHYSICIAN ASSISTANT 5 21 $52,458 $2,498 premium 9.0% (855) 876-7246
15 CHC PAIN MANAGEMENT CENTER, PA CAMDEN NJ ANESTHESIOLOGY 12 20 $18,538 $927 premium 100.0% (609) 963-6770
16 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 19 $27,370 $1,441 premium 17.4% (480) 573-0130
17 PAIN RELIEF CENTERS LOUISVILLE KY NURSE PRACTITIONER 4 17 $7,740 $455 premium 42.5% (502) 430-6223
18 ALI NAIRIZI MD PC RENO NV PHYSICIAN ASSISTANT 7 15 $27,511 $1,834 premium 100.0%
19 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 15 $21,805 $1,454 premium 32.6% (507) 389-8509
20 NORCAL PAIN TREATMENT CENTER CORP TURLOCK CA NURSE PRACTITIONER 10 13 $7,666 $590 premium 11.1% (209) 448-3000
21 PIERREMONT ANESTHESIA CONSULTANTS SHREVEPORT LA ANESTHESIOLOGY 3 11 $8,910 $810 premium 100.0% (318) 797-1743

*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 →