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Market snapshot

64634 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64634 — Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint

Billing groups
705
Named-group FFS services
31,412
FFS of Medicare
49%
Services YoY
+5.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~64,106 services

31,412 observed fee-for-service (49%) · ~32,694 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 — 64634 (CY2024)
FL 6,384 TX 4,567 AZ 3,276 CA 2,778 GA 1,764

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

Named-group submitted charges
$30.1M
Named-group allowed amount
$5.4M
Named-group Medicare payments
$4.3M
Avg charge / svc
$960
Avg allowed / svc
$172
Avg payment / svc
$137
Average charge per group
$64 705 groups · avg submitted charge / service $11,600
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 64634 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 442 $423,870 $959 30.0% (703) 971-4604
2 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 303 $130,806 $432 28.1% —
3 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 295 $171,500 $581 30.0% (502) 855-7200
4 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 290 $185,720 $640 8.9% (623) 777-4747
5 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 288 $88,411 $307 16.3% (770) 929-9033
6 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 260 $168,379 $648 4.1% (904) 449-7246
7 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 243 $235,484 $969 5.3% (903) 606-5560
8 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 221 $125,307 $567 4.8% (512) 244-4272
9 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 218 $722,500 $3,314 21.7% (843) 839-7246
10 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 209 $228,361 $1,093 20.4% (631) 422-6166
11 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 204 $322,461 $1,581 6.2% (480) 573-0130
12 GULF COAST PAIN CONSULTANTS LLC PENSACOLA FL NURSE PRACTITIONER 36 197 $80,030 $406 3.1% (850) 484-4080
13 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 187 $96,624 $517 13.7% (318) 212-7960
14 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 184 $320,440 $1,742 26.7% (334) 288-7808
15 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 183 $152,073 $831 22.1% (435) 216-7000
16 JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL PHYSICIAN ASSISTANT 35 176 $318,835 $1,812 2.8% (904) 223-3321
17 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 169 $178,312 $1,055 2.6% 9417059555110
18 TULSA PAIN CONSULTANTS INC TULSA OK PAIN MANAGEMENT 5 168 $130,462 $777 9.9% (918) 742-7030
19 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 161 $57,438 $357 9.5% (405) 242-4100
20 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 159 $161,857 $1,018 3.5% (806) 796-3000
21 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 156 $151,025 $968 11.4% 22576922002164
22 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 152 $131,085 $862 36.5% (913) 588-1227
23 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 151 $154,320 $1,022 2.4% (407) 622-5766
24 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 148 $55,200 $373 14.7% —
25 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 146 $113,625 $778 4.5% (602) 406-3181
26 NEXUS PAIN CENTER OF HOUSTON COUNTY MACON GA INTERVENTIONAL PAIN MANAGEMENT 8 140 $186,141 $1,330 7.9% (478) 474-2947
27 SUMMIT ORTHOPEDICS, LTD SAINT PAUL MN PHYSICIAN ASSISTANT 271 138 $80,676 $585 18.3% (651) 968-5201
28 LOUISIANA PAIN CARE, LLC MONROE LA NURSE PRACTITIONER 15 136 $97,648 $718 9.9% (318) 323-6405
29 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 136 $93,424 $687 19.1% —
30 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 136 $62,870 $462 2.1% (239) 591-2803
31 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 135 $75,149 $557 4.1% (866) 974-2673
32 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 134 $83,330 $622 4.1% (602) 385-2115
33 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 133 $162,860 $1,225 4.8% (530) 246-2467
34 INTERVENTIONAL SPINE AND PAIN PHYSICIANS PA MAPLE GROVE MN PHYSICIAN ASSISTANT 44 133 $66,340 $499 17.6% (763) 201-8191
35 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 129 $67,492 $523 4.6% (760) 340-3911
36 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 128 $98,366 $768 2.0% (941) 627-9095
37 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 128 $122,850 $960 10.1% (919) 544-7270
38 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 127 $46,835 $369 14.8% (410) 571-2946
39 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 126 $66,524 $528 15.2% (435) 635-0174
40 EMIL H ANNABI MD PC TUCSON AZ NURSE PRACTITIONER 10 126 $49,896 $396 3.8% (520) 399-6000
41 PAIN CARE LLC STOCKBRIDGE GA ANESTHESIOLOGY 8 125 $84,090 $673 7.1% (770) 960-2701
42 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 124 $48,224 $389 7.3% —
43 ARIZONA SPINE AND PAIN SPECIALISTS LLC GLENDALE AZ NURSE PRACTITIONER 26 123 $93,420 $760 3.8% (602) 795-8700
44 ERIC BAUMANN MD, PC PRESCOTT AZ INTERVENTIONAL PAIN MANAGEMENT 3 123 $57,120 $464 3.8% (928) 717-0788
45 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 116 $69,672 $601 2.5% (254) 724-2663
46 PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC LEESVILLE LA ORTHOPEDIC SURGERY 95 116 $123,585 $1,065 8.5% (337) 238-9931
47 ACCESS PAIN SOLUTIONS TULSA OK NURSE PRACTITIONER 13 114 $73,035 $641 6.7% (918) 710-4112
48 RESTORE MEDICAL PARTNERS PLLC VENICE FL NURSE PRACTITIONER 15 114 $58,344 $512 1.8% (941) 375-3006
49 FLORIDA PAIN RELIEF GROUP PLLC TAMPA FL NURSE PRACTITIONER 82 113 $226,767 $2,007 1.8% (813) 739-7493
50 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 113 $69,414 $614 1.8% (321) 312-3501
51 PAIN CONSULTANTS OF ALABAMA, LLC PASCAGOULA MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 11 113 $26,470 $234 14.8% (228) 938-0699
52 THE PAIN CENTER OF ARIZONA, PC GILBERT AZ PHYSICIAN ASSISTANT 18 113 $88,253 $781 3.4% (623) 516-8252
53 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 112 $190,190 $1,698 3.4% (800) 603-0558
54 ELLEN W LIN MD PA SAN ANTONIO TX PHYSICIAN ASSISTANT 6 112 $80,640 $720 2.5% (210) 690-0777
55 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 111 $82,460 $743 2.4% (214) 220-2468
56 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 110 $41,030 $373 1.7% (850) 474-8000
57 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS ID PHYSICIAN ASSISTANT 267 109 $33,645 $309 36.0% (208) 535-4343
58 DYNAMIC PAIN AND WELLNESS LLC MOBILE FL NURSE PRACTITIONER 26 106 $59,498 $561 1.7% (251) 308-9800
59 NEBRASKA PAIN INSTITUTE LLC LINCOLN NE PHYSICIAN ASSISTANT 9 104 $97,200 $935 26.3% (402) 488-7246
60 PAIN MANAGEMENT CENTERS OF AMERICA, PSC EVANSVILLE KY NURSE PRACTITIONER 24 101 $118,020 $1,169 10.3% (812) 477-7246
61 ARIZONA PAIN SPECIALISTS PLLC SCOTTSDALE AZ NURSE PRACTITIONER 41 100 $207,452 $2,075 3.1% (480) 563-6400
62 INTERVENTIONAL SPINE AND PAIN, LLP ADDISON TX ANESTHESIOLOGY 3 99 $37,917 $383 2.2% (214) 888-3900
63 APEX SPINE INSTITUTE RICHLAND WA PHYSICIAN ASSISTANT 9 99 $133,155 $1,345 19.6% (509) 606-5040
64 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 97 $90,405 $932 9.0% (719) 776-4780
65 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE IN NURSE PRACTITIONER 159 97 $64,000 $660 17.1% (502) 855-7200
66 ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA PORT CHARLOTTE FL PHYSICIAN ASSISTANT 36 96 $80,862 $842 1.5% (941) 629-6262
67 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 95 $47,055 $495 10.1% (419) 423-5492
68 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 94 $41,205 $438 9.6% (502) 928-1050
69 CHARLES R GORDON MD PA TYLER TX NURSE PRACTITIONER 25 93 $63,700 $685 2.0% (903) 592-6000
70 TAMPA PAIN RELIEF CENTER INC TAMPA FL NURSE PRACTITIONER 32 93 $151,151 $1,625 1.5% (813) 872-4492
71 SPINECARE ASSOCIATES, LLC CLEARWATER FL PHYSICAL MEDICINE AND REHABILITATION 12 93 $109,508 $1,178 1.5% (727) 797-7463
72 GEORGIA PAIN AND WELLNESS CENTER LAWRENCEVILLE GA PHYSICIAN ASSISTANT 52 91 $73,435 $807 5.2% (770) 962-3642
73 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 91 $41,871 $460 2.8% —
74 PAIN CLINIC ASSOCIATES PLLC MEMPHIS TN ANESTHESIOLOGY 9 91 $42,900 $471 7.2% (901) 747-0040
75 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 91 $83,276 $915 7.2% (704) 384-8200
76 OANDW ENTERPRISES STANLEYTOWN VA PHYSICIAN ASSISTANT 208 90 $135,000 $1,500 6.1% (888) 724-0268
77 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 90 $156,306 $1,737 1.4% (863) 291-4000
78 PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT LLC CONWAY AR PAIN MANAGEMENT 3 88 $189,081 $2,149 9.5% —
79 SPINAL INTERVENTIONS, PLLC PROVO UT ANESTHESIOLOGY 3 88 $63,000 $716 10.6% (801) 223-4860
80 REDDING PAIN MEDICINE REDDING CA NURSE PRACTITIONER 2 88 $154,000 $1,750 3.2% (530) 247-3733
81 BDC MEDICAL, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 5 87 $165,190 $1,899 5.1% (405) 751-0011
82 PAIN CONSULTANTS OF WEST FLORIDA P A PENSACOLA FL PHYSICIAN ASSISTANT 6 86 $109,482 $1,273 1.3% (850) 494-0000
83 HEADACHE AND PAIN CENTER, A MEDICAL CORPORATION GRAY LA PHYSICIAN ASSISTANT 4 83 $386,400 $4,655 6.1% (985) 580-1200
84 ADVANCED PAIN OF TULSA PLLC TULSA OK NURSE PRACTITIONER 8 82 $45,400 $554 4.8% (918) 901-9701
85 ESTATE VENTURES LLC PALM COAST FL NEUROLOGY 2 81 $48,843 $603 1.3% 9042303006104
86 JACK E. MARSHALL M.D. LLC OKLAHOMA CITY OK ANESTHESIOLOGY 7 80 $42,908 $536 4.7% —
87 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 79 $33,015 $418 9.2% (301) 850-2768
88 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 78 $94,812 $1,216 1.2% (850) 877-8174
89 PAIN PHYSICIANS OF WISCONSIN SC MILWAUKEE WI NURSE PRACTITIONER 28 77 $70,779 $919 21.3% (262) 297-7246
90 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 77 $53,724 $698 2.4% (520) 829-6776
91 CENTRAL FLORIDA SPINE AND PAIN MELBOURNE FL PHYSICIAN ASSISTANT 4 76 $39,509 $520 1.2% (321) 802-5021
92 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 76 $46,092 $606 27.1% (515) 343-1000
93 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 76 $23,552 $310 4.5% (405) 254-9690
94 PAIN SOURCE SOLUTIONS LLC N KANSAS CITY MO INTERVENTIONAL PAIN MANAGEMENT 6 75 $91,450 $1,219 10.5% (816) 221-4114
95 FAMILY SPINE AND PAIN CARE INSTITUTE LLC VENICE FL PAIN MANAGEMENT 3 74 $75,480 $1,020 1.2% (813) 495-8011
96 CANYON PAIN AND SPINE MESA AZ PHYSICIAN ASSISTANT 19 74 $70,152 $948 2.3% (480) 561-5000
97 MARYLAND PAIN AND REGENERATIVE CENTER LLC WOODBRIDGE VA NURSE PRACTITIONER 4 74 $55,850 $755 5.0% (301) 659-0003
98 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 73 $21,582 $296 1.6% (817) 920-0484
99 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 73 $81,291 $1,114 7.9% —
100 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 73 $62,548 $857 5.0% —

Showing the top 100 of 705 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 →