NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64616 Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2014
National scale 50,926 services ▲ 8.4% YoY · 19,592 beneficiaries (CY2024, Medicare FFS)
Medicare paid $6.8M · $133.06 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
374
Named-group FFS services
31,289
FFS of Medicare
49%
Services YoY
+8.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~63,552 services

31,289 observed fee-for-service (49%) · ~32,263 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 — 64616 (CY2024)
CA 5,849 FL 4,769 TX 3,492 NY 3,344 PA 2,774

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

Named-group submitted charges
$22.4M
Named-group allowed amount
$5.5M
Named-group Medicare payments
$4.2M
Avg charge / svc
$716
Avg allowed / svc
$176
Avg payment / svc
$133
Average charge per group
$171 374 groups · avg submitted charge / service $3,291
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 64616 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW YORK NEUROLOGY ASSOCIATES PC NEW YORK NY NEUROLOGY 6 620 $167,469 $270 18.5% (212) 352-8100
2 SANDEEP THAKKAR DO A PROFESSIONAL CORPORATION IRVINE CA PHYSICIAN ASSISTANT 4 426 $127,700 $300 7.3% —
3 SOUTH PUGET SOUND NEUROLOGY, PLLC TACOMA WA NURSE PRACTITIONER 4 408 $130,560 $320 27.3% (253) 284-4488
4 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 379 $274,890 $725 93.8% (501) 686-8000
5 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 378 $199,260 $527 59.5% (405) 254-9690
6 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 339 $347,780 $1,026 58.8% (860) 724-2579
7 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 337 $1,100,121 $3,264 10.1% (212) 263-9700
8 EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS PENSACOLA FL PHYSICIAN ASSISTANT 12 317 $223,802 $706 6.6% —
9 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 297 $300,884 $1,013 5.1% (858) 455-9100
10 NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP CARLSBAD CA NEUROLOGY 44 280 $127,448 $455 4.8% (760) 631-3000
11 NEUROLOGY CENTER OF FAIRFAX, LTD FAIRFAX VA NEUROLOGY 14 267 $297,235 $1,113 19.0% 70387608001208
12 REHABILITATION ASSOCIATES OF THE MAIN LINE, P.C. MALVERN PA PHYSICAL MEDICINE AND REHABILITATION 14 264 $120,120 $455 9.5% (484) 596-5254
13 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 261 $91,000 $349 5.5% (352) 693-3378
14 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 249 $302,920 $1,217 20.3% (507) 284-2511
15 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 240 $207,370 $864 36.8% (601) 264-6000
16 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 239 $89,873 $376 17.0% —
17 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 238 $289,900 $1,218 11.4% —
18 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 232 $185,562 $800 4.9% (305) 689-5437
19 BAPTIST NEUROLOGY INC JACKSONVILLE FL NEUROLOGY 44 231 $115,671 $501 4.8% (904) 398-5404
20 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 223 $210,105 $942 3.8% (877) 827-7463
21 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 222 $251,008 $1,131 19.4% (314) 747-3000
22 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 220 $119,536 $543 66.7% (402) 559-4000
23 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 213 $313,500 $1,472 6.4% (212) 305-8559
24 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 210 $256,626 $1,222 4.4% (352) 265-8990
25 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 206 $266,325 $1,293 6.2% (212) 241-4812
26 FOOTHILLS NEUROLOGY P C PHOENIX AZ NEUROLOGY 10 205 $63,675 $311 11.7% (480) 961-2365
27 ASHEVILLE NEUROLOGY SPECIALISTS, PA` ASHEVILLE NC PHYSICIAN ASSISTANT 7 204 $130,366 $639 16.7% 82821093009359
28 NORTHSTAR NEUROLOGY OF COLORADO SPRINGS PC COLORADO SPRINGS CO NEUROLOGY 3 201 $170,150 $847 12.8% (719) 694-3595
29 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 199 $264,830 $1,331 21.9% (404) 778-7525
30 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 197 $117,465 $596 10.8% (617) 732-5500
31 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 194 $147,204 $759 3.3% (916) 681-8852
32 GLENDALE NEUROLOGICAL ASSOCIATES PC FARMINGTON HILLS MI NEUROLOGY 40 191 $138,754 $726 24.6% —
33 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 189 $179,576 $950 23.6% (843) 792-1414
34 CENTRACARE CLINIC SAINT CLOUD MN PHYSICIAN ASSISTANT 747 186 $179,619 $966 15.1% (320) 252-5131
35 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 185 $225,544 $1,219 3.2% (415) 476-4029
36 TEXOMA NEUROLOGY ASSOCIATES, PA PLANO TX NEUROLOGY 25 185 $105,551 $571 5.3% 90389351414310
37 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 182 $121,040 $665 12.9% (434) 924-5959
38 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 179 $273,267 $1,527 32.0% (502) 937-2209
39 ELEONORA S SPOKOYNY MD INC MISSION VIEJO CA NEUROLOGY 2 178 $44,500 $250 3.0% (949) 586-5500
40 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 174 $149,292 $858 19.6% (615) 322-5000
41 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 173 $224,010 $1,295 11.2% —
42 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 170 $82,458 $485 38.6% (888) 484-3258
43 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 167 $124,773 $747 2.9% (916) 983-7476
44 RMH MEDICAL GROUP LLC ROCKINGHAM VA PHYSICIAN ASSISTANT 263 167 $54,929 $329 11.9% (540) 689-1110
45 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 167 $47,505 $284 46.8% (605) 322-5180
46 NORTH TEXAS INSTITUTE OF NEUROLOGY AND HEADACHE, PA FRISCO TX NEUROLOGY 5 165 $69,300 $420 4.7% (942) 403-8184
47 JOHNS HOPKINS REGIONAL PHYSICIANS LLC LUTHERVILLE MD OTOLARYNGOLOGY 80 161 $89,260 $554 13.6% (443) 275-1337
48 DENT NEUROLOGIC GROUP LLP AMHERST NY PHYSICIAN ASSISTANT 116 158 $71,750 $454 4.7% (716) 250-2000
49 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 157 $97,636 $622 4.7% (518) 262-3277
50 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 155 $84,185 $543 13.5% (573) 882-2667
51 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 155 $79,825 $515 18.6% (205) 934-3460
52 ALPHA NEURON, LLC TUSCALOOSA AL NURSE PRACTITIONER 8 152 $30,760 $202 18.2% (205) 523-5618
53 ROCKY MOUNTAIN MOVEMENT DISORDERS CENTER, P.C. ENGLEWOOD CO NEUROLOGY 5 152 $150,282 $989 9.7% (303) 357-5455
54 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 148 $134,586 $909 8.1% —
55 MOHSEN M HAMZA MD INC LOS ANGELES CA NEUROLOGY 2 146 $55,300 $379 2.5% (310) 477-7201
56 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 144 $59,436 $413 8.2% —
57 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 139 $110,250 $793 9.0% (847) 459-1160
58 MERITUS MEDICAL CENTER INC HAGERSTOWN MD NURSE PRACTITIONER 725 139 $46,800 $337 11.8% —
59 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 137 $82,942 $605 6.6% —
60 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 137 $160,797 $1,174 45.4% 22576922002164
61 DANIEL HEXTER MD PA ANNAPOLIS MD NEUROLOGY 7 137 $42,744 $312 11.6% (410) 266-9694
62 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 136 $53,014 $390 2.3% (310) 423-3277
63 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 135 $131,962 $978 7.7% (800) 603-0558
64 CLINICAL NEUROSCIENCES OF TAMPA BAY LLP CLEARWATER FL NEUROLOGY 5 134 $33,500 $250 2.8% (727) 443-3295
65 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 134 $174,944 $1,306 2.8% (904) 953-2000
66 SELKIRK NEUROLOGY PLLC SPOKANE WA NEUROLOGY 3 134 $37,118 $277 9.0% (509) 473-0885
67 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 130 $64,728 $498 20.5% —
68 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 130 $65,520 $504 2.2% (800) 872-2273
69 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 129 $65,894 $511 2.7% —
70 THEMA BRAIN HEALTH FLORIDA, LLC BOCA RATON FL NEUROLOGY 4 127 $31,250 $246 2.7% (561) 918-0003
71 CLEVELAND CLINIC NEVADA LAS VEGAS NV DIAGNOSTIC RADIOLOGY 33 125 $190,876 $1,527 51.0% (702) 483-6000
72 HIGHPOINT PAIN AND REHABILITATION PHYSICIANS PC CHALFONT PA PHYSICAL MEDICINE AND REHABILITATION 3 125 $55,625 $445 4.5% (215) 395-8888
73 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 124 $75,052 $605 8.3% —
74 TRUONG NEUROSCIENCE INSTITUTE INC. FOUNTAIN VALLEY CA NEUROLOGY 6 123 $47,250 $384 2.1% (714) 378-5062
75 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 123 $319,740 $2,600 14.8% (414) 955-4263
76 NEUROLOGIC AND HEADACHE CLINIC PALOS HEIGHTS IL NEUROLOGY 2 122 $91,500 $750 7.9% (708) 361-4520
77 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 121 $74,305 $614 19.1% (732) 362-3663
78 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 121 $59,368 $491 3.5% (512) 324-7300
79 NEUROSCIENCE CONSULTANTS LLP MIAMI FL NEUROLOGY 104 120 $136,536 $1,138 2.5% (305) 596-2080
80 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 119 $51,208 $430 7.6% —
81 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 119 $244,479 $2,054 14.3% (608) 287-2050
82 NEUROLOGICAL ASSOCIATES OF TUCSON TUCSON AZ OTOLARYNGOLOGY 60 118 $54,636 $463 6.7% (520) 795-7750
83 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 116 $36,350 $313 41.6% (207) 885-9905
84 SINGING RIVER HEALTH SYSTEM PASCAGOULA MS NURSE PRACTITIONER 282 116 $49,184 $424 17.8% (228) 818-0563
85 OSU NEUROSCIENCE CENTER, LLC COLUMBUS OH NEUROLOGY 119 114 $94,478 $829 5.5% (614) 293-4969
86 KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND TX NURSE PRACTITIONER 392 112 $45,808 $409 3.2% (606) 325-6888
87 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 111 $50,838 $458 3.2% (903) 606-5560
88 SCL HEALTH MONTANA BILLINGS MT PHYSICIAN ASSISTANT 39 109 $57,481 $527 25.9% (303) 237-5577
89 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 107 $47,708 $446 19.1% (502) 629-2398
90 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CONCORD NC PHYSICIAN ASSISTANT 600 107 $107,907 $1,008 8.8% (704) 403-3000
91 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 107 $65,520 $612 3.9% —
92 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROLOGY 102 107 $90,625 $847 1.8% —
93 OSU PHYSICAL MEDICINE AND REHABILITATION, LLC COLUMBUS OH PHYSICAL MEDICINE AND REHABILITATION 35 104 $83,600 $804 5.0% (614) 366-9211
94 APEX SPINE INSTITUTE RICHLAND WA PHYSICIAN ASSISTANT 9 104 $150,126 $1,444 7.0% (509) 606-5040
95 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 102 $57,960 $568 1.7% —
96 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 102 $33,250 $326 3.7% (215) 662-2777
97 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 102 $226,551 $2,221 2.1% (863) 291-4000
98 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 98 $16,805 $171 5.6% (520) 694-0111
99 HSHS MEDICAL GROUP INC DECATUR IL NURSE PRACTITIONER 202 98 $42,826 $437 6.4% (217) 423-2889
100 RICHARD ALEXAN MD INC BAKERSFIELD CA NURSE PRACTITIONER 3 98 $49,914 $509 1.7% (661) 395-0900

Showing the top 100 of 374 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 →