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Market snapshot

64635 nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

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

Billing groups
1,610
Named-group FFS services
139,754
FFS of Medicare
49%
Services YoY
+6.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~274,087 services

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

Top states — 64635 (CY2024)

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

Named-group submitted charges
$284.0M
Named-group allowed amount
$52.4M
Named-group Medicare payments
$41.1M
Avg charge / svc
$2,032
Avg allowed / svc
$375
Avg payment / svc
$294
Average charge per group
$203 1,610 groups · avg submitted charge / service $31,182
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Specialty market — Pain Management: 5,701 services across 63 groups; top group 18%. See Pain Management across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 64635 services, CY2023
#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 →