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Market snapshot

64635 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64635 — Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

Billing groups
1,624
Named-group FFS services
149,388
FFS of Medicare
49%
Services YoY
+6.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~302,948 services

149,388 observed fee-for-service (49%) · ~153,560 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 — 64635 (CY2024)
FL 38,651 CA 30,554 TX 29,982 GA 19,113 AZ 16,631

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

Named-group submitted charges
$318.3M
Named-group allowed amount
$56.5M
Named-group Medicare payments
$44.3M
Avg charge / svc
$2,131
Avg allowed / svc
$378
Avg payment / svc
$297
Average charge per group
$197 1,624 groups · avg submitted charge / service $30,344
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 64635 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 1,516 $3,840,760 $2,533 18.8% (703) 971-4604
2 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 1,319 $1,562,300 $1,184 22.3% (502) 855-7200
3 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 824 $2,743,715 $3,330 4.3% (770) 929-9033
4 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 760 $2,309,670 $3,039 18.7% (334) 288-7808
5 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 721 $1,395,821 $1,936 2.4% (903) 606-5560
6 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 708 $1,111,234 $1,570 2.4% (254) 724-2663
7 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 657 $875,598 $1,333 2.2% (512) 244-4272
8 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 643 $1,478,607 $2,300 2.1% (530) 246-2467
9 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 618 $1,015,733 $1,644 7.6% (919) 544-7270
10 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 608 $839,490 $1,381 14.2% (435) 635-0174
11 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 587 $2,120,580 $3,613 5.9% —
12 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 563 $735,260 $1,306 6.3% (318) 212-7960
13 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 557 $1,370,000 $2,460 3.3% (623) 777-4747
14 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 547 $807,188 $1,476 3.3% (866) 974-2673
15 JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL PHYSICIAN ASSISTANT 35 545 $1,758,009 $3,226 1.4% (904) 223-3321
16 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 538 $1,497,878 $2,784 3.2% (480) 573-0130
17 LOUISIANA PAIN CARE, LLC MONROE LA NURSE PRACTITIONER 15 534 $1,026,440 $1,922 5.9% (318) 323-6405
18 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 529 $1,579,374 $2,986 1.4% (863) 291-4000
19 NEXUS PAIN CENTER OF HOUSTON COUNTY MACON GA INTERVENTIONAL PAIN MANAGEMENT 8 517 $1,404,892 $2,717 2.7% (478) 474-2947
20 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 517 $581,400 $1,125 7.4% —
21 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 510 $1,382,388 $2,711 6.3% (252) 847-4100
22 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 79 499 $646,595 $1,296 4.2% (410) 571-2946
23 GULF COAST PAIN CONSULTANTS LLC PENSACOLA FL NURSE PRACTITIONER 36 490 $766,540 $1,564 1.3% (850) 484-4080
24 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 489 $387,728 $793 7.9% —
25 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 477 $1,022,369 $2,143 13.0% (913) 588-1227
26 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 477 $1,272,040 $2,667 4.2% (631) 422-6166
27 DESERT PAIN SPECIALISTS LLC SAINT GEORGE UT PHYSICIAN ASSISTANT 18 464 $850,976 $1,834 10.8% (435) 216-7000
28 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 460 $825,697 $1,795 1.2% 9417059555110
29 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 445 $1,187,080 $2,668 1.2% (407) 622-5766
30 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 427 $1,136,563 $2,662 1.4% (415) 600-1020
31 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 422 $413,545 $980 2.5% —
32 TULSA PAIN CONSULTANTS INC TULSA OK PAIN MANAGEMENT 5 414 $732,190 $1,769 7.2% (918) 742-7030
33 NEBRASKA PAIN INSTITUTE LLC LINCOLN NE PHYSICIAN ASSISTANT 9 410 $874,100 $2,132 15.2% (402) 488-7246
34 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 407 $1,466,196 $3,602 4.5% 22576922002164
35 EMIL H ANNABI MD PC TUCSON AZ NURSE PRACTITIONER 10 405 $347,140 $857 2.4% (520) 399-6000
36 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 400 $760,375 $1,901 2.4% (602) 406-3181
37 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 400 $427,421 $1,069 6.8% (502) 928-1050
38 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 396 $468,989 $1,184 1.0% (904) 449-7246
39 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 395 $698,745 $1,769 3.7% (615) 329-6600
40 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLET SC NURSE PRACTITIONER 6 393 $1,965,000 $5,000 5.6% (843) 839-7246
41 KORUNDA MEDICAL, LLC NAPLES FL INTERVENTIONAL PAIN MANAGEMENT 8 389 $311,582 $801 1.0% (239) 591-2803
42 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 386 $858,243 $2,223 2.3% (602) 385-2115
43 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 385 $467,206 $1,214 1.3% (760) 340-3911
44 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 383 $2,969,847 $7,754 3.3% (212) 263-9700
45 TEXAS HEALTH BACK CARE ROCKWALL TX PHYSICAL MEDICINE AND REHABILITATION 47 382 $601,128 $1,574 1.3% (817) 442-9300
46 PAIN CONSULTANTS OF WEST FLORIDA P A PENSACOLA FL PHYSICIAN ASSISTANT 6 380 $1,464,750 $3,855 1.0% (850) 494-0000
47 GEORGIA PAIN AND WELLNESS CENTER LAWRENCEVILLE GA PHYSICIAN ASSISTANT 52 370 $938,162 $2,536 1.9% (770) 962-3642
48 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 365 $843,237 $2,310 1.2% (214) 220-2468
49 OKLAHOMA PAIN MANAGEMENT PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 8 364 $307,144 $844 6.3% (405) 242-4100
50 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 360 $931,776 $2,588 1.2% (916) 681-8852
51 NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES PC SYRACUSE NY NURSE PRACTITIONER 27 360 $154,220 $428 3.1% (315) 448-5111
52 DYNAMIC PAIN AND WELLNESS LLC MOBILE FL NURSE PRACTITIONER 26 359 $446,309 $1,243 0.9% (251) 308-9800
53 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 359 $1,623,025 $4,521 7.1% (507) 284-2511
54 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE IN NURSE PRACTITIONER 159 351 $407,550 $1,161 4.8% (502) 855-7200
55 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 343 $1,385,920 $4,041 2.1% (800) 603-0558
56 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 338 $395,269 $1,169 3.1% (484) 526-2400
57 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 333 $446,837 $1,342 2.8% (301) 850-2768
58 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 330 $1,003,142 $3,040 4.1% —
59 BDC MEDICAL, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 5 325 $1,135,147 $3,493 5.7% (405) 751-0011
60 PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC LEESVILLE LA ORTHOPEDIC SURGERY 95 323 $643,218 $1,991 3.6% (337) 238-9931
61 PAIN CLINIC ASSOCIATES PLLC MEMPHIS TN ANESTHESIOLOGY 9 322 $378,396 $1,175 3.0% (901) 747-0040
62 MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC CORINTH MS NURSE PRACTITIONER 6 321 $401,250 $1,250 5.4% (662) 284-8565
63 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 319 $865,316 $2,713 0.8% (850) 877-8174
64 ERIC BAUMANN MD, PC PRESCOTT AZ INTERVENTIONAL PAIN MANAGEMENT 3 319 $526,500 $1,650 1.9% (928) 717-0788
65 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 315 $329,530 $1,046 2.9% —
66 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 311 $550,232 $1,769 4.4% (803) 744-4900
67 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 308 $731,523 $2,375 1.0% (806) 796-3000
68 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 306 $254,898 $833 0.8% (850) 474-8000
69 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 304 $379,939 $1,250 6.3% —
70 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 304 $366,871 $1,207 0.8% (321) 312-3501
71 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 300 $548,340 $1,828 5.8% —
72 THE PAIN CENTER OF ARIZONA, PC GILBERT AZ PHYSICIAN ASSISTANT 18 299 $407,019 $1,361 1.8% (623) 516-8252
73 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 296 $451,668 $1,526 1.8% (520) 829-6776
74 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 295 $344,263 $1,167 0.8% (352) 693-3378
75 INTERVENTIONAL SPINE AND PAIN PHYSICIANS PA MAPLE GROVE MN PHYSICIAN ASSISTANT 44 293 $550,524 $1,879 5.8% (763) 201-8191
76 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 290 $720,936 $2,486 3.6% (704) 384-8200
77 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 289 $902,940 $3,124 0.9% (858) 455-9100
78 UNITED HOSPITAL CENTER INC BRIDGEPORT WV PHYSICIAN ASSISTANT 298 287 $183,456 $639 18.7% (681) 342-1842
79 SOUND PAIN ALLIANCE BELLINGHAM WA PHYSICIAN ASSISTANT 43 286 $608,000 $2,126 5.6% —
80 ATHENS SPINE CENTER PC ATHENS GA NURSE PRACTITIONER 6 285 $398,466 $1,398 1.5% (706) 425-2400
81 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 282 $283,774 $1,006 4.0% (843) 491-4937
82 INTERVENTIONAL SPINE PAIN CONSULTANTS PA NEWARK DE INTERVENTIONAL PAIN MANAGEMENT 5 282 $797,202 $2,827 14.6% (302) 478-7001
83 CHICAGO SPINE AND JOINT, S.C. HINSDALE IL INTERVENTIONAL PAIN MANAGEMENT 7 280 $857,065 $3,061 2.8% (708) 482-4500
84 GRANGER MEDICAL CLINIC PC WEST VALLEY CITY UT PHYSICIAN ASSISTANT 193 279 $330,261 $1,184 6.5% (801) 965-3600
85 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 278 $558,780 $2,010 2.8% (630) 312-4562
86 REDDING PAIN MEDICINE REDDING CA NURSE PRACTITIONER 2 277 $786,779 $2,840 0.9% (530) 247-3733
87 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 276 $860,976 $3,119 2.4% (631) 543-1440
88 JACK E. MARSHALL M.D. LLC OKLAHOMA CITY OK ANESTHESIOLOGY 7 275 $452,912 $1,647 4.8% —
89 ELLEN W LIN MD PA SAN ANTONIO TX PHYSICIAN ASSISTANT 6 274 $345,240 $1,260 0.9% (210) 690-0777
90 SOUTHERN PAIN AND REHABILITATION INC PADUCAH KY NURSE PRACTITIONER 6 273 $1,090,269 $3,994 4.6% (270) 228-0118
91 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 271 $213,953 $789 3.9% —
92 SPINECARE ASSOCIATES, LLC CLEARWATER FL PHYSICAL MEDICINE AND REHABILITATION 12 271 $697,521 $2,574 0.7% (727) 797-7463
93 CANYON PAIN AND SPINE MESA AZ PHYSICIAN ASSISTANT 19 271 $540,215 $1,993 1.6% (480) 561-5000
94 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 270 $218,957 $811 3.7% —
95 FLOWOOD PAIN CENTER, LLC FLOWOOD MS NURSE PRACTITIONER 23 269 $255,750 $951 4.5% (601) 420-2040
96 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 265 $625,746 $2,361 3.6% (856) 247-7260
97 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 264 $134,850 $511 4.6% —
98 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS ID PHYSICIAN ASSISTANT 267 264 $316,203 $1,198 13.0% (208) 535-4343
99 ARIZONA SPINE AND PAIN SPECIALISTS LLC GLENDALE AZ NURSE PRACTITIONER 26 262 $479,236 $1,829 1.6% (602) 795-8700
100 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 261 $456,200 $1,748 0.7% (941) 627-9095

Showing the top 100 of 1,624 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 →