NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal › Destruction by Neurolytic Agent - Back (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 79,340 services ▲ 11.4% YoY · 56,527 beneficiaries (CY2024, Medicare FFS)
Medicare paid $31.6M · $398.61 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
768
Named-group FFS services
33,096
FFS of Medicare
49%
Services YoY
+11.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~67,433 services

33,096 observed fee-for-service (49%) · ~34,337 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 — 64633 (CY2024)
FL 10,534 TX 7,903 CA 7,104 AZ 5,272 GA 4,490

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

Named-group submitted charges
$62.5M
Named-group allowed amount
$11.3M
Named-group Medicare payments
$8.9M
Avg charge / svc
$1,889
Avg allowed / svc
$343
Avg payment / svc
$269
Average charge per group
$191 768 groups · avg submitted charge / service $18,078
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 64633 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 433 $928,450 $2,144 28.4% (703) 971-4604
2 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 301 $361,150 $1,200 22.1% (502) 855-7200
3 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 289 $413,820 $1,432 5.5% (623) 777-4747
4 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 259 $388,408 $1,500 5.8% (770) 929-9033
5 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 246 $136,432 $555 11.9% —
6 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 240 $453,697 $1,890 3.0% (903) 606-5560
7 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 234 $650,366 $2,779 4.4% (480) 573-0130
8 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 219 $275,355 $1,257 2.8% (512) 244-4272
9 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 216 $520,916 $2,412 12.1% (631) 422-6166
10 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 204 $198,912 $975 7.8% (318) 212-7960
11 GULF COAST PAIN CONSULTANTS LLC PENSACOLA FL NURSE PRACTITIONER 36 193 $228,340 $1,183 1.8% (850) 484-4080
12 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 188 $347,988 $1,851 18.8% (435) 216-7000
13 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 186 $555,840 $2,988 25.8% (334) 288-7808
14 JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL PHYSICIAN ASSISTANT 35 175 $549,923 $3,142 1.7% (904) 223-3321
15 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 174 $316,838 $1,821 3.3% (602) 406-3181
16 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 169 $289,980 $1,716 1.6% 9417059555110
17 TULSA PAIN CONSULTANTS INC TULSA OK PAIN MANAGEMENT 5 167 $296,400 $1,775 9.5% (918) 742-7030
18 NEXUS PAIN CENTER OF HOUSTON COUNTY MACON GA INTERVENTIONAL PAIN MANAGEMENT 8 166 $403,808 $2,433 3.7% (478) 474-2947
19 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 165 $133,338 $808 9.4% (405) 242-4100
20 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 165 $258,151 $1,565 16.5% (435) 635-0174
21 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 165 $382,520 $2,318 1.6% (407) 622-5766
22 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 159 $362,413 $2,279 2.0% (806) 796-3000
23 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 159 $193,877 $1,219 3.0% (866) 974-2673
24 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 158 $181,308 $1,148 1.5% (904) 449-7246
25 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 154 $401,744 $2,609 5.9% 22576922002164
26 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 152 $213,306 $1,403 2.9% (602) 385-2115
27 SUMMIT ORTHOPEDICS, LTD SAINT PAUL MN PHYSICIAN ASSISTANT 271 149 $281,961 $1,892 9.1% (651) 968-5201
28 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 148 $300,598 $2,031 2.1% (530) 246-2467
29 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 147 $116,400 $792 11.6% —
30 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 144 $113,522 $788 14.7% —
31 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 142 $292,545 $2,060 15.6% (913) 588-1227
32 INTERVENTIONAL SPINE AND PAIN PHYSICIANS PA MAPLE GROVE MN PHYSICIAN ASSISTANT 44 138 $204,419 $1,481 8.4% (763) 201-8191
33 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 136 $107,970 $794 1.3% (239) 591-2803
34 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 135 $152,765 $1,132 1.9% (760) 340-3911
35 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 134 $220,396 $1,645 9.7% (919) 544-7270
36 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 130 $171,269 $1,317 1.6% (254) 724-2663
37 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 130 $179,021 $1,377 1.2% (941) 627-9095
38 LOUISIANA PAIN CARE, LLC MONROE LA NURSE PRACTITIONER 15 128 $240,132 $1,876 4.9% (318) 323-6405
39 EMIL H ANNABI MD PC TUCSON AZ NURSE PRACTITIONER 10 128 $111,872 $874 2.4% (520) 399-6000
40 REDDING PAIN MEDICINE REDDING CA NURSE PRACTITIONER 2 126 $357,543 $2,838 1.8% (530) 247-3733
41 ERIC BAUMANN MD, PC PRESCOTT AZ INTERVENTIONAL PAIN MANAGEMENT 3 125 $138,000 $1,104 2.4% (928) 717-0788
42 ARIZONA SPINE AND PAIN SPECIALISTS LLC GLENDALE AZ NURSE PRACTITIONER 26 123 $208,658 $1,696 2.3% (602) 795-8700
43 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 123 $140,956 $1,146 2.3% (520) 829-6776
44 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 118 $65,608 $556 6.7% —
45 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 118 $117,307 $994 2.2% —
46 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 117 $126,950 $1,085 5.5% (410) 571-2946
47 FLORIDA PAIN RELIEF GROUP PLLC TAMPA FL NURSE PRACTITIONER 82 116 $397,955 $3,431 1.1% (813) 739-7493
48 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 116 $580,000 $5,000 9.2% (843) 839-7246
49 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 114 $436,500 $3,829 2.2% (800) 603-0558
50 RESTORE MEDICAL PARTNERS PLLC VENICE FL NURSE PRACTITIONER 15 114 $130,295 $1,143 1.1% (941) 375-3006
51 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 113 $95,146 $842 1.1% (850) 474-8000
52 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 113 $118,946 $1,053 1.1% (321) 312-3501
53 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS ID PHYSICIAN ASSISTANT 267 112 $113,675 $1,015 21.7% (208) 535-4343
54 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 111 $190,965 $1,720 1.4% (214) 220-2468
55 PAIN CARE LLC STOCKBRIDGE GA ANESTHESIOLOGY 8 107 $189,000 $1,766 2.4% (770) 960-2701
56 DYNAMIC PAIN AND WELLNESS LLC MOBILE FL NURSE PRACTITIONER 26 106 $133,280 $1,257 1.0% (251) 308-9800
57 ARIZONA PAIN SPECIALISTS PLLC SCOTTSDALE AZ NURSE PRACTITIONER 41 104 $223,588 $2,150 2.0% (480) 563-6400
58 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE IN NURSE PRACTITIONER 159 104 $132,600 $1,275 8.0% (502) 855-7200
59 CHARLES R GORDON MD PA TYLER TX NURSE PRACTITIONER 25 103 $121,000 $1,175 1.3% (903) 592-6000
60 THE PAIN CENTER OF ARIZONA, PC GILBERT AZ PHYSICIAN ASSISTANT 18 103 $136,269 $1,323 2.0% (623) 516-8252
61 APEX SPINE INSTITUTE RICHLAND WA PHYSICIAN ASSISTANT 9 102 $311,688 $3,056 8.5% (509) 606-5040
62 ELLEN W LIN MD PA SAN ANTONIO TX PHYSICIAN ASSISTANT 6 102 $125,460 $1,230 1.3% (210) 690-0777
63 SPINAL INTERVENTIONS, PLLC PROVO UT ANESTHESIOLOGY 3 101 $167,738 $1,661 10.1% (801) 223-4860
64 PAIN MANAGEMENT CENTERS OF AMERICA, PSC EVANSVILLE KY NURSE PRACTITIONER 24 101 $264,750 $2,621 7.4% (812) 477-7246
65 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 100 $97,804 $978 7.4% (502) 928-1050
66 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 100 $140,805 $1,408 4.0% (615) 329-6600
67 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 100 $90,551 $906 6.4% (419) 423-5492
68 NEBRASKA PAIN INSTITUTE LLC LINCOLN NE PHYSICIAN ASSISTANT 9 98 $221,250 $2,258 15.8% (402) 488-7246
69 TAMPA PAIN RELIEF CENTER INC TAMPA FL NURSE PRACTITIONER 32 97 $353,026 $3,639 0.9% (813) 872-4492
70 ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA PORT CHARLOTTE FL PHYSICIAN ASSISTANT 36 96 $139,896 $1,457 0.9% (941) 629-6262
71 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 95 $147,941 $1,557 4.6% (719) 776-4780
72 JACK E. MARSHALL M.D. LLC OKLAHOMA CITY OK ANESTHESIOLOGY 7 95 $136,164 $1,433 5.4% —
73 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 92 $258,951 $2,815 0.9% (863) 291-4000
74 PAIN CLINIC ASSOCIATES PLLC MEMPHIS TN ANESTHESIOLOGY 9 91 $88,938 $977 3.6% (901) 747-0040
75 PAIN CONSULTANTS OF ALABAMA, LLC PASCAGOULA MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 11 91 $71,750 $788 6.0% (228) 938-0699
76 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 91 $211,569 $2,325 6.6% (704) 384-8200
77 ESTATE VENTURES LLC PALM COAST FL NEUROLOGY 2 90 $121,230 $1,347 0.9% 9042303006104
78 PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT LLC CONWAY AR PAIN MANAGEMENT 3 89 $258,078 $2,900 5.4% —
79 PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP SAN LUIS OBISPO CA NURSE PRACTITIONER 11 89 $187,200 $2,103 1.3% (805) 544-7246
80 ACCESS PAIN SOLUTIONS TULSA OK NURSE PRACTITIONER 13 89 $129,000 $1,449 5.1% (918) 710-4112
81 PAIN CONSULTANTS OF WEST FLORIDA P A PENSACOLA FL PHYSICIAN ASSISTANT 6 88 $234,401 $2,664 0.8% (850) 494-0000
82 BDC MEDICAL, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 5 87 $309,761 $3,560 5.0% (405) 751-0011
83 PAIN PHYSICIANS OF WISCONSIN SC MILWAUKEE WI NURSE PRACTITIONER 28 86 $175,749 $2,044 10.6% (262) 297-7246
84 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 86 $106,132 $1,234 4.0% (301) 850-2768
85 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 84 $175,716 $2,092 0.8% (850) 877-8174
86 HEADACHE AND PAIN CENTER, A MEDICAL CORPORATION GRAY LA PHYSICIAN ASSISTANT 4 83 $483,000 $5,819 3.2% (985) 580-1200
87 PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC LEESVILLE LA ORTHOPEDIC SURGERY 95 83 $160,764 $1,937 3.2% (337) 238-9931
88 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 82 $204,288 $2,491 1.2% (858) 455-9100
89 MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC CORINTH MS NURSE PRACTITIONER 6 81 $97,200 $1,200 5.4% (662) 284-8565
90 CHICAGO SPINE AND JOINT, S.C. HINSDALE IL INTERVENTIONAL PAIN MANAGEMENT 7 81 $319,401 $3,943 5.5% (708) 482-4500
91 GEORGIA PAIN AND WELLNESS CENTER LAWRENCEVILLE GA PHYSICIAN ASSISTANT 52 80 $150,877 $1,886 1.8% (770) 962-3642
92 ADVANCED PAIN OF TULSA PLLC TULSA OK NURSE PRACTITIONER 8 80 $90,000 $1,125 4.6% (918) 901-9701
93 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 79 $161,950 $2,050 5.4% (630) 312-4562
94 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 78 $99,864 $1,280 17.8% (515) 343-1000
95 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 77 $158,517 $2,059 1.1% (916) 681-8852
96 CANYON PAIN AND SPINE MESA AZ PHYSICIAN ASSISTANT 19 77 $162,239 $2,107 1.5% (480) 561-5000
97 PAIN SOURCE SOLUTIONS LLC N KANSAS CITY MO INTERVENTIONAL PAIN MANAGEMENT 6 76 $117,000 $1,539 7.8% (816) 221-4114
98 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 76 $144,807 $1,905 5.0% —
99 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 75 $163,143 $2,175 0.9% (817) 920-0484
100 HULLANDER AND MOZINGO LP SAN LUIS OBISPO CA INTERVENTIONAL PAIN MANAGEMENT 10 75 $241,800 $3,224 1.1% (805) 329-6262

Showing the top 100 of 768 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 →