NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64555 Insertion of peripheral nerve neurostimulator electrode through skin CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 11,454 services ▲ 40.2% YoY · 5,652 beneficiaries (CY2024, Medicare FFS)
Medicare paid $25.8M · $2249.40 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
92
Named-group FFS services
4,340
FFS of Medicare
49%
Services YoY
+40.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,912 services

4,340 observed fee-for-service (49%) · ~4,572 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 — 64555 (CY2024)
TX 2,232 CA 1,985 FL 1,278 AZ 667 NY 405

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

Named-group submitted charges
$19.5M
Named-group allowed amount
$2.2M
Named-group Medicare payments
$1.7M
Avg charge / svc
$4,500
Avg allowed / svc
$499
Avg payment / svc
$396
Average charge per group
$497 92 groups · avg submitted charge / service $24,398
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 64555 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 344 $1,581,662 $4,598 26.9% (904) 396-1725
2 FLORIDA PAIN RELIEF GROUP PLLC TAMPA FL NURSE PRACTITIONER 82 236 $3,766,238 $15,959 18.5% (813) 739-7493
3 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 223 $216,533 $971 11.2% (415) 600-1020
4 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 158 $343,306 $2,173 23.7% (520) 829-6776
5 DIABETES AND GLANDULAR DISEASE CLINIC PA SAN ANTONIO TX ENDOCRINOLOGY 9 115 $239,384 $2,082 5.2% (210) 614-8612
6 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 107 $90,950 $850 26.6% —
7 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 104 $95,888 $922 5.2% (916) 681-8852
8 INTERVENTIONAL PAIN SOLUTIONS PC CHICO CA ANESTHESIOLOGY 8 96 $146,344 $1,524 4.8% (530) 343-4757
9 EXPERT PAIN PA HOUSTON TX PAIN MANAGEMENT 2 91 $341,614 $3,754 4.1% (832) 862-7246
10 SHADELAND ANESTHESIA AND PAIN ASSOCIATES INC LAFAYETTE IN NURSE PRACTITIONER 40 78 $844,824 $10,831 21.8% 3177067246309
11 ORTHOWEST, LLC OMAHA IA PHYSICIAN ASSISTANT 110 75 $261,809 $3,491 100.0% (402) 609-3000
12 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 73 $57,555 $788 40.6% (913) 588-1227
13 CHICAGO SPINE AND JOINT, S.C. HINSDALE IL INTERVENTIONAL PAIN MANAGEMENT 7 72 $382,013 $5,306 17.9% (708) 482-4500
14 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 67 $596,970 $8,910 18.0% (414) 421-8400
15 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 66 $183,744 $2,784 16.4% —
16 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 64 $416,844 $6,513 2.9% (512) 244-4272
17 INTEGRATED PAIN ASSOCIATES PLLC KILLEEN TX NURSE PRACTITIONER 32 63 $329,763 $5,234 2.8% (254) 245-9175
18 FORT WORTH INTERVENTIONAL LLC FORT WORTH TX INTERVENTIONAL PAIN MANAGEMENT 2 61 $422,425 $6,925 2.7% (817) 332-6092
19 MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC LIMA OH NURSE PRACTITIONER 251 59 $32,686 $554 22.0% (419) 227-3361
20 PAIN PHYSICIANS OF WISCONSIN SC MILWAUKEE WI NURSE PRACTITIONER 28 58 $474,104 $8,174 15.6% (262) 297-7246
21 ALAN D SILBERBERG MD PA KYLE TX INTERVENTIONAL PAIN MANAGEMENT 6 58 $228,921 $3,947 2.6% (512) 298-1645
22 ZACHARY C COHEN MD APC SAN DIEGO CA PHYSICIAN ASSISTANT 15 58 $145,123 $2,502 2.9% (858) 571-3630
23 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 58 $28,826 $497 21.6% (513) 354-3700
24 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 53 $139,107 $2,625 19.7% (252) 847-4100
25 COLUMBIA PAIN MANAGEMENT, INC. HOOD RIVER WA PHYSICIAN ASSISTANT 16 52 $285,812 $5,496 41.6% (541) 386-9500
26 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 50 $38,849 $777 2.2% (817) 920-0484
27 NORTH IDAHO DAY SURGERY LLC POST FALLS ID PHYSICIAN ASSISTANT 87 50 $50,291 $1,006 75.8% —
28 INVICTUS HEALTHCARE SYSTEM PLLC TULSA OK NEUROSURGERY 4 49 $165,522 $3,378 17.0% (918) 994-4000
29 ARIZONA PAIN SPECIALISTS PLLC SCOTTSDALE AZ NURSE PRACTITIONER 41 45 $881,291 $19,584 6.7% (480) 563-6400
30 HOLYOKE MEDICAL CENTER INC HOLYOKE MA DIAGNOSTIC RADIOLOGY 201 45 $44,235 $983 33.1% (413) 534-2546
31 LEIA RISPOLI MD, INC. MARINA DEL REY CA PHYSICAL MEDICINE AND REHABILITATION 2 44 $54,400 $1,236 2.2% (310) 405-0595
32 TRICITY PAIN ASSOCIATES, PA SAN ANTONIO TX PHYSICIAN ASSISTANT 23 43 $365,786 $8,507 1.9% —
33 MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC TOLEDO OH NURSE PRACTITIONER 341 43 $26,994 $628 16.0% (419) 251-3180
34 CHATTANOOGA ORTHOPAEDIC GROUP, PC CHATTANOOGA TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 72 41 $24,272 $592 13.1% (423) 624-2696
35 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 40 $94,536 $2,363 61.5% (203) 688-4242
36 INTERVENTIONAL PAIN CENTER, PLLC HENDERSONVILLE TN NURSE PRACTITIONER 8 38 $279,300 $7,350 12.1% (615) 972-1100
37 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 38 $261,554 $6,883 10.2% (608) 287-2050
38 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE GA NURSE PRACTITIONER 2448 38 $26,866 $707 14.0% (502) 928-1050
39 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 37 $115,200 $3,114 1.9% (760) 340-3911
40 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 37 $32,523 $879 1.9% —
41 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 37 $26,600 $719 11.1% —
42 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 34 $60,588 $1,782 25.0% (617) 724-0287
43 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 33 $267,780 $8,115 8.2% —
44 NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES PC SYRACUSE NY NURSE PRACTITIONER 27 33 $22,440 $680 8.1% (315) 448-5111
45 RYAN K ANDERSON D P M P C BOUNTIFUL UT PODIATRY 51 32 $144,000 $4,500 50.8% (801) 292-4425
46 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 32 $188,800 $5,900 100.0% (501) 686-8000
47 JOSEPH DANIELS DO BENBROOK TX PHYSICIAN ASSISTANT 4 32 $124,181 $3,881 1.4% (817) 731-9400
48 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 30 $363,302 $12,110 1.5% (858) 455-9100
49 SOUTHERN PAIN AND SPINE ASSOCIATES, LLC GAINESVILLE GA INTERVENTIONAL PAIN MANAGEMENT 19 30 $69,072 $2,302 11.1% (678) 971-4167
50 ADVANCED ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE PC FREEHOLD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 36 30 $72,595 $2,420 24.4% (732) 720-2555
51 JAMES PETROS MD INC SAN JOSE CA PHYSICAL MEDICINE AND REHABILITATION 20 30 $632,777 $21,093 1.5% (408) 528-8833
52 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 30 $169,968 $5,666 1.5% (310) 443-8999
53 CAROLINAS PAIN INSTITUTE, PA WINSTON SALEM NC NURSE PRACTITIONER 6 30 $60,000 $2,000 11.2% (336) 765-6181
54 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 29 $32,741 $1,129 16.2% (301) 774-0500
55 COOPER PHYSICAL MEDICINE AND REHABILITATION ASSOCIATES PC CHERRY HILL NJ PHYSICAL MEDICINE AND REHABILITATION 12 29 $20,300 $700 23.6% (856) 414-6110
56 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 28 $22,400 $800 41.2% (401) 457-1500
57 GULF COAST PAIN CONSULTANTS LLC PENSACOLA LA NURSE PRACTITIONER 36 28 $42,320 $1,511 58.3% (850) 484-4080
58 COLUMBIA PAIN AND SPINE INSTITUTE GRESHAM OR NURSE PRACTITIONER 5 27 $252,072 $9,336 26.2% (503) 382-8100
59 CHARLES R GORDON MD PA TYLER TX NURSE PRACTITIONER 25 26 $338,832 $13,032 1.2% (903) 592-6000
60 ZONA SPINE AND PAIN, LLC GOODYEAR AZ PHYSICIAN ASSISTANT 2 26 $257,088 $9,888 3.9% (623) 321-5079
61 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 26 $17,030 $655 9.0% —
62 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 26 $48,178 $1,853 6.4% —
63 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 26 $13,312 $512 9.7% (704) 384-8200
64 ACTIVE LIFE PHYSICAL MEDICINE AND PAIN CENTER PLLC SURPRISE AZ PAIN MANAGEMENT 3 26 $26,600 $1,023 3.9% (623) 535-9777
65 CENTRAL TEXAS PAIN CENTER, PLLC NEW BRAUNFELS TX NURSE PRACTITIONER 27 26 $634,348 $24,398 1.2% (830) 627-3800
66 POHLMAN PAIN ASSOCIATES LLC DELRAY BEACH FL PHYSICAL MEDICINE AND REHABILITATION 3 25 $375,000 $15,000 2.0% (754) 206-1877
67 COMANCHE COUNTY HEALTHCARE CORPORATION LAWTON OK NURSE PRACTITIONER 113 24 $14,412 $600 8.3% (580) 536-0077
68 THE PAIN REHABILITATION GROUP OF WICHITA FALLS PA WICHITA FALLS TX PAIN MANAGEMENT 2 22 $38,400 $1,745 1.0% (940) 696-8500
69 PIEDMONT PHYSICIAN NETWORK LLC ROCK HILL SC PHYSICIAN ASSISTANT 100 22 $54,955 $2,498 6.6% —
70 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 22 $65,384 $2,972 46.8% (507) 284-2511
71 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 22 $141,650 $6,439 6.6% (864) 582-6396
72 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 22 $36,192 $1,645 7.0% (615) 322-5000
73 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 22 $20,694 $941 1.1% (877) 827-7463
74 SAINT VINCENT PHYSICIAN SERVICES INC WORCESTER MA NURSE PRACTITIONER 72 21 $20,013 $953 15.4% (508) 753-7259
75 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 21 $85,827 $4,087 7.3% (405) 242-4100
76 UNIVERSITY HEALTH PHYSICIANS KANSAS CITY MO EMERGENCY MEDICINE 346 21 $16,002 $762 22.1% (816) 404-1000
77 PARADIGM HEALTH SYSTEM LACOMBE LA NEUROLOGY 37 20 $12,831 $642 41.7% (985) 882-4500
78 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 19 $22,484 $1,183 1.0% (310) 423-0674
79 REGENTS OF THE UNIVERSITY OF ORANGE CA ANESTHESIOLOGY 227 17 $25,789 $1,517 0.9% (714) 456-7004
80 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 17 $96,012 $5,648 0.8% (214) 633-5555
81 BRAIN AND SPINE MEDICAL SERVICES PLLC WILLIAMSVILLE NY PHYSICIAN ASSISTANT 56 15 $52,818 $3,521 3.7% (716) 631-3555
82 COLORADO PAIN PRACTICE PLLC LAKEWOOD CO NURSE PRACTITIONER 15 15 $103,162 $6,877 18.1% (303) 468-7246
83 PRATT REHABILITATION MEDICINE ASSOCIATES INC BOSTON MA PHYSICAL MEDICINE AND REHABILITATION 4 15 $17,280 $1,152 11.0% (617) 636-5000
84 T J SAMSON COMMUNITY HOSPITAL GLASGOW KY NURSE PRACTITIONER 179 15 $9,000 $600 28.3% (270) 651-1111
85 ANASTASIA MEDICAL GROUP, LLC SAINT AUGUSTINE FL INTERNAL MEDICINE 3 14 $35,000 $2,500 1.1% (904) 461-0821
86 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 14 $21,534 $1,538 4.2% (843) 792-1414
87 CHARLES W JONES MD PA JEFFERSON NC GENERAL SURGERY 2 13 $25,913 $1,993 4.8% (336) 246-7779
88 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 13 $35,867 $2,759 1.0% (904) 953-2000
89 BLUE RIDGE HEALTHCARE MEDICAL GROUP INC MORGANTON NC NURSE PRACTITIONER 221 12 $29,975 $2,498 4.5% (828) 580-3278
90 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC LA CROSSE WI FAMILY PRACTICE 547 12 $37,500 $3,125 3.2% (608) 785-0940
91 BAYCARE CLINIC LLP GREEN BAY WI PHYSICIAN ASSISTANT 199 11 $91,817 $8,347 3.0% —
92 CENTRAL FLORIDA FOOT AND ANKLE WINTER HAVEN FL PODIATRY 2 11 $22,292 $2,027 0.9% (863) 299-4551

*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 →