64635 — Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
139,754 observed fee-for-service (51%) · ~134,333 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market. Average submitted charge / service by billing state, among the highest-volume states; open a bar for that state's ranked market.
- Market position — where this market sits on volume and growth among all state markets, and its rank.
- Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
- Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
- National benchmarks — where each group's volume sits nationally and within its specialty.
- Market structure — how concentrated this market is, and who owns the volume.
- Medicare-wide scaling — the exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.
Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.
Notify me at launch →Specialty market — Pain Management: 5,701 services across 63 groups; top group 18%. See Pain Management across all states →
| # | Physician group | City | St | Specialty | Providers | 64635 svcs | Submitted charges | Avg charge | Medicare $ locked column | Share of specialty* | Share of state* | Phone |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC | CONYERS | GA | PAIN MANAGEMENT | 51 | 865 | $1,012,625 | $1,171 | premium | — | 4.5% | (770) 929-9033 |
| 2 | TULSA PAIN CONSULTANTS INC | TULSA | OK | PAIN MANAGEMENT | 5 | 380 | $670,240 | $1,764 | premium | — | 7.6% | (918) 742-7030 |
| 3 | COMPREHENSIVE PAIN CARE OF SOUTH FLORIDA LLC | WELLINGTON | FL | PAIN MANAGEMENT | 3 | 236 | $295,000 | $1,250 | premium | — | 0.6% | (561) 795-8655 |
| 4 | CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC | BOLINGBROOK | IL | PAIN MANAGEMENT | 8 | 221 | $444,210 | $2,010 | premium | — | 2.5% | (630) 312-4562 |
| 5 | PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT LLC | CONWAY | AR | PAIN MANAGEMENT | 3 | 204 | $526,035 | $2,579 | premium | — | 2.7% | — |
| 6 | DESERT SKY SPINE AND SPORTS MEDICINE PC | TUCSON | AZ | PAIN MANAGEMENT | 8 | 191 | $199,597 | $1,045 | premium | — | 1.2% | (520) 229-2080 |
| 7 | FAMILY SPINE AND PAIN CARE INSTITUTE LLC | VENICE | FL | PAIN MANAGEMENT | 3 | 188 | $387,989 | $2,064 | premium | — | 0.5% | (813) 495-8011 |
| 8 | THE PAIN REHABILITATION GROUP OF WICHITA FALLS PA | WICHITA FALLS | TX | PAIN MANAGEMENT | 2 | 153 | $87,975 | $575 | premium | — | 0.6% | (940) 696-8500 |
| 9 | LARINA V GUTENBERG DO PLLC | SAN ANTONIO | TX | PAIN MANAGEMENT | 4 | 152 | $262,448 | $1,727 | premium | — | 0.6% | (210) 298-4900 |
| 10 | SOUTHERN CALIFORNIA PAIN CONSULTANTS, INC | TORRANCE | CA | PAIN MANAGEMENT | 2 | 117 | $70,200 | $600 | premium | 24.1% | 0.4% | (310) 540-9888 |
| 11 | CENTER FOR INTERVENTIONAL PAIN SPINE LLC | WILMINGTON | DE | PAIN MANAGEMENT | 24 | 115 | $392,080 | $3,409 | premium | — | 5.7% | (844) 365-7246 |
| 12 | STEPHEN M SIMS MD PA | CONROE | TX | PAIN MANAGEMENT | 5 | 114 | $303,780 | $2,665 | premium | — | 0.4% | (936) 756-3444 |
| 13 | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC | CONYERS | FL | PAIN MANAGEMENT | 51 | 111 | $148,962 | $1,342 | premium | — | 0.3% | (770) 929-9033 |
| 14 | ADVANCED SPINE AND PAIN LLC | HAMMONTON | NJ | PAIN MANAGEMENT | 43 | 110 | $145,840 | $1,326 | premium | — | 1.5% | (888) 985-2727 |
| 15 | FLORIDA PAIN CARE PLLC | CLERMONT | FL | PAIN MANAGEMENT | 2 | 109 | $278,236 | $2,553 | premium | — | 0.3% | (352) 559-0979 |
| 16 | WISCONSIN SPINE AND PAIN SC | SHEBOYGAN | WI | PAIN MANAGEMENT | 17 | 104 | $210,822 | $2,027 | premium | — | 2.1% | (414) 455-1153 |
| 17 | DELMARVA PAIN AND SPINE CENTER LLC | NEWARK | DE | PAIN MANAGEMENT | 2 | 99 | $130,523 | $1,318 | premium | — | 4.9% | (302) 355-0900 |
| 18 | PAIN EXPERTS OF ARIZONA PC | GILBERT | AZ | PAIN MANAGEMENT | 4 | 99 | $90,679 | $916 | premium | — | 0.6% | (480) 550-9393 |
| 19 | ROCKFORD PAIN CENTER LTD | ROCKFORD | IL | PAIN MANAGEMENT | 6 | 94 | $289,903 | $3,084 | premium | — | 1.1% | (815) 316-7300 |
| 20 | ADVANCED SPINE AND PAIN LLC | HAMMONTON | PA | PAIN MANAGEMENT | 43 | 89 | $116,560 | $1,310 | premium | — | 0.9% | (888) 985-2727 |
| 21 | LONE STAR SPINE AND PAIN INSTITUTE PLLC | SAN MARCOS | TX | PAIN MANAGEMENT | 3 | 86 | $265,866 | $3,091 | premium | — | 0.3% | (512) 348-7074 |
| 22 | PHYSICIANS GROUP SERVICES PA | JACKSONVILLE | FL | PAIN MANAGEMENT | 93 | 78 | $172,820 | $2,216 | premium | — | 0.2% | (904) 751-4906 |
| 23 | WESTERN OKLAHOMA PAIN SPECIALISTS LLC | OKLAHOMA CITY | OK | PAIN MANAGEMENT | 10 | 71 | $98,322 | $1,385 | premium | — | 1.4% | (405) 601-4237 |
| 24 | TAHER SAIFULLAH MD A PROFESSIONAL MEDICAL CORPORATION | PASADENA | CA | PAIN MANAGEMENT | 2 | 70 | $136,419 | $1,949 | premium | 14.4% | 0.3% | (626) 469-2939 |
| 25 | KANSAS PAIN MANAGEMENT | ROELAND PARK | KS | PAIN MANAGEMENT | 8 | 69 | $138,007 | $2,000 | premium | — | 2.2% | (913) 339-9437 |
| 26 | DELAWARE SPINE AND INTERVENTIONAL PAIN LLC | NEWARK | DE | PAIN MANAGEMENT | 4 | 67 | $263,480 | $3,933 | premium | — | 3.3% | (302) 366-2200 |
| 27 | PAIN RELIEF SOLUTIONS | FORT LAUDERDALE | FL | PAIN MANAGEMENT | 13 | 66 | $66,000 | $1,000 | premium | — | 0.2% | (954) 458-1199 |
| 28 | NOVA ADVANCED PAIN MANAGEMENT PLLC | MANASSAS | VA | PAIN MANAGEMENT | 3 | 64 | $196,343 | $3,068 | premium | — | 0.9% | 7032572266127 |
| 29 | ALTURAS HEALTH LLC | ST GEORGE | UT | PAIN MANAGEMENT | 2 | 58 | $27,982 | $482 | premium | — | 1.4% | (435) 222-5527 |
| 30 | ATLAS PAIN AND SPINE PLLC | RICHMOND | KY | PAIN MANAGEMENT | 3 | 58 | $120,930 | $2,085 | premium | — | 1.0% | (859) 544-1068 |
| 31 | BRIAN LE DO PC | LAS VEGAS | NV | PAIN MANAGEMENT | 4 | 56 | $178,800 | $3,193 | premium | — | 1.3% | (702) 676-2000 |
| 32 | INVICTUS HEALTH LLC | NEWPORT NEWS | VA | PAIN MANAGEMENT | 2 | 56 | $49,010 | $875 | premium | — | 0.8% | (757) 310-6413 |
| 33 | ERIC FANAEE MD PC | WEST ISLIP | NY | PAIN MANAGEMENT | 2 | 53 | $487,200 | $9,192 | premium | — | 0.5% | (631) 422-5371 |
| 34 | BRIAN BELNAP DO A MEDICAL CORPORATION | ENCINITAS | CA | PAIN MANAGEMENT | 2 | 53 | $48,190 | $909 | premium | 10.9% | 0.2% | (760) 650-4040 |
| 35 | RESTORATIVE PAIN CARE | WEST CHESTER | PA | PAIN MANAGEMENT | 2 | 51 | $142,961 | $2,803 | premium | — | 0.5% | (518) 650-5687 |
| 36 | NORTHWEST SUBURBAN PAIN ASSOCIATES LLC | ARLINGTON HEIGHTS | IL | PAIN MANAGEMENT | 4 | 50 | $53,159 | $1,063 | premium | — | 0.6% | (847) 255-0900 |
| 37 | CHRISTIAN GONZALEZ MD LLC | AVENTURA | FL | PAIN MANAGEMENT | 11 | 49 | $163,406 | $3,335 | premium | — | 0.1% | (305) 974-5533 |
| 38 | SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES INC | SANTA ANA | CA | PAIN MANAGEMENT | 4 | 49 | $78,280 | $1,598 | premium | 10.1% | 0.2% | (949) 999-3631 |
| 39 | ACTIVE LIFE PHYSICAL MEDICINE AND PAIN CENTER PLLC | SURPRISE | AZ | PAIN MANAGEMENT | 3 | 49 | $45,280 | $924 | premium | — | 0.3% | (623) 535-9777 |
| 40 | PAIN MEDICINE OF THE SOUTH, PLLC | KNOXVILLE | NC | PAIN MANAGEMENT | 2 | 48 | $32,625 | $680 | premium | — | 0.6% | (865) 672-5070 |
| 41 | COASTAL PAIN AND SPINAL DIAGNOSTICS MEDICAL GROUP INC | CARLSBAD | CA | PAIN MANAGEMENT | 8 | 46 | $147,237 | $3,201 | premium | 9.5% | 0.2% | (760) 753-7127 |
| 42 | DALLAS PAIN INSTITUTE | SHERMAN | TX | PAIN MANAGEMENT | 6 | 45 | $141,777 | $3,151 | premium | — | 0.2% | (903) 892-1999 |
| 43 | PAIN CONTROL OF TEXAS PLLC | AUSTIN | TX | PAIN MANAGEMENT | 9 | 43 | $225,000 | $5,233 | premium | — | 0.2% | (512) 371-6398 |
| 44 | EXPERT PAIN PA | HOUSTON | TX | PAIN MANAGEMENT | 2 | 40 | $52,890 | $1,322 | premium | — | 0.1% | (832) 862-7246 |
| 45 | FABITO ANESTHESIA AND PAIN SPECIALISTS PC | HENDERSON | NV | PAIN MANAGEMENT | 6 | 38 | $115,308 | $3,034 | premium | — | 0.9% | (702) 982-1300 |
| 46 | PAIN MANAGEMENT OF NORTH DALLAS, PA | FRISCO | TX | PAIN MANAGEMENT | 4 | 38 | $45,600 | $1,200 | premium | — | 0.1% | (214) 618-0853 |
| 47 | PAIN MANAGEMENT CONSULTANTS PC | PORTLAND | OR | PAIN MANAGEMENT | 2 | 36 | $51,282 | $1,424 | premium | — | 0.8% | (503) 292-7005 |
| 48 | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC | CONYERS | IL | PAIN MANAGEMENT | 51 | 36 | $37,348 | $1,037 | premium | — | 0.4% | (770) 929-9033 |
| 49 | ADVANCED PAIN MANAGEMENT MEDICAL GROUP | VALENCIA | CA | PAIN MANAGEMENT | 2 | 35 | $95,500 | $2,729 | premium | 7.2% | 0.1% | (661) 288-7978 |
| 50 | SOUTH TEXAS CLINIC FOR PAIN MANAGEMENT | MCALLEN | TX | PAIN MANAGEMENT | 3 | 34 | $34,038 | $1,001 | premium | — | 0.1% | — |
| 51 | CENTER FOR SPINE AND PAIN MEDICINE PC | DALTON | AL | PAIN MANAGEMENT | 4 | 32 | $85,808 | $2,682 | premium | — | 0.9% | (706) 279-2635 |
| 52 | PAIN CLINIC MANAGEMENT GROUP PLLC | ROCHESTER HILLS | OH | PAIN MANAGEMENT | 12 | 27 | $74,880 | $2,773 | premium | — | 0.3% | (248) 852-7484 |
| 53 | LOPEZ PAIN MANAGEMENT LLC | PALM COAST | FL | PAIN MANAGEMENT | 3 | 24 | $65,664 | $2,736 | premium | — | 0.1% | (386) 222-7746 |
| 54 | PHYZMED ASSOCIATES INC | SANTA MONICA | CA | PAIN MANAGEMENT | 2 | 24 | $67,388 | $2,808 | premium | 4.9% | 0.1% | (310) 547-2777 |
| 55 | CENTER FOR SPINE AND PAIN MEDICINE PC | DALTON | TX | PAIN MANAGEMENT | 4 | 23 | $27,422 | $1,192 | premium | — | 0.1% | (706) 279-2635 |
| 56 | UNIVERSITY SPINE AND PAIN CENTER INC | HERMOSA BEACH | CA | PAIN MANAGEMENT | 3 | 23 | $12,650 | $550 | premium | 4.7% | 0.1% | (424) 488-0500 |
| 57 | PAIN CARE PROVIDERS A PROFESSIONAL MEDICAL CORPORATION | IRVINE | CA | PAIN MANAGEMENT | 2 | 23 | $34,885 | $1,517 | premium | 4.7% | 0.1% | (949) 872-2400 |
| 58 | PAIN MANAGEMENT GROUP PLLC | ALLEGAN | MI | PAIN MANAGEMENT | 7 | 22 | $19,926 | $906 | premium | — | 0.4% | (269) 686-4300 |
| 59 | ORTHOMED PAIN RELIEF CENTERS LLC | SARASOTA | FL | PAIN MANAGEMENT | 2 | 21 | $26,103 | $1,243 | premium | — | 0.1% | (941) 371-7171 |
| 60 | PITTSBURGH PAIN PHYSICIANS | CRANBERRY TWP | PA | PAIN MANAGEMENT | 2 | 19 | $16,100 | $847 | premium | — | 0.2% | (412) 533-2022 |
| 61 | ST CHARLES SPINE INSTITUTE | THOUSAND OAKS | CA | PAIN MANAGEMENT | 5 | 18 | $12,600 | $700 | premium | 3.7% | 0.1% | (805) 379-2322 |
| 62 | PAIN MANAGEMENT INSTITUTE LLC | WOOSTER | OH | PAIN MANAGEMENT | 2 | 17 | $19,550 | $1,150 | premium | — | 0.2% | (937) 548-3063 |
| 63 | INTEGRATED PAIN AND NEUROSCIENCE | NEW ORLEANS | LA | PAIN MANAGEMENT | 2 | 16 | $40,000 | $2,500 | premium | — | 0.2% | (504) 300-9020 |
| 64 | ALIGN SPINE AND PAIN INSTITUTE LLC | DULUTH | GA | PAIN MANAGEMENT | 2 | 15 | $30,448 | $2,030 | premium | — | 0.1% | (770) 988-7246 |
| 65 | WESTERN OKLAHOMA PAIN SPECIALISTS LLC | OKLAHOMA CITY | LA | PAIN MANAGEMENT | 10 | 15 | $28,973 | $1,932 | premium | — | 0.2% | (405) 601-4237 |
| 66 | MEDHAT F MIKHAEL MD INC | LONG BEACH | CA | PAIN MANAGEMENT | 14 | 14 | $72,466 | $5,176 | premium | 2.9% | 0.1% | (562) 595-0060 |
| 67 | ARUL DORAISWAMY MD APC | HEMET | CA | PAIN MANAGEMENT | 3 | 13 | $12,194 | $938 | premium | 2.7% | 0.0% | (951) 765-1712 |
| 68 | CENTENNIAL MEDICAL GROUP LLP | LAS VEGAS | NV | PAIN MANAGEMENT | 10 | 12 | $53,660 | $4,472 | premium | — | 0.3% | (702) 839-1203 |
*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →