64636 — Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
149,254 observed fee-for-service (49%) · ~153,812 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
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 →| # | Physician group | City | St | Specialty | Providers | 64636 svcs | Submitted charges | Avg charge | Medicare $ locked column | Share* | Phone |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | PHYSICAL MEDICINE ASSOCIATES LTD | ALEXANDRIA | VA | NURSE PRACTITIONER | 75 | 1,568 | $1,623,700 | $1,036 | premium | 19.8% | (703) 971-4604 |
| 2 | COMMONWEALTH PAIN ASSOCIATES PLLC | LOUISVILLE | KY | NURSE PRACTITIONER | 159 | 1,284 | $956,800 | $745 | premium | 27.5% | (502) 855-7200 |
| 3 | TRUE NORTH MEDICAL GROUP PC | ROCKVILLE CENTRE | NY | PHYSICIAN ASSISTANT | 182 | 1,279 | $960,964 | $751 | premium | 14.4% | (516) 536-2800 |
| 4 | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC | CONYERS | GA | PAIN MANAGEMENT | 51 | 914 | $1,551,528 | $1,698 | premium | 10.8% | (770) 929-9033 |
| 5 | SC PAIN AND SPINE SPECIALISTS, LLC | MURRELLS INLET | SC | NURSE PRACTITIONER | 6 | 755 | $2,480,000 | $3,285 | premium | 12.8% | (843) 839-7246 |
| 6 | CHRISTUS TRINITY CLINIC | TYLER | TX | NURSE PRACTITIONER | 1495 | 715 | $591,319 | $827 | premium | 3.7% | (903) 606-5560 |
| 7 | SCOTT AND WHITE CLINIC | TEMPLE | TX | PHYSICIAN ASSISTANT | 2435 | 706 | $456,161 | $646 | premium | 3.6% | (254) 724-2663 |
| 8 | THE CENTER FOR PAIN OF MONTGOMERY LLC | MONTGOMERY | AL | NURSE PRACTITIONER | 50 | 701 | $1,178,560 | $1,681 | premium | 18.9% | (334) 288-7808 |
| 9 | FLORIDA INSTITUTE OF PAIN MEDICINE LLC | JACKSONVILLE | FL | NURSE PRACTITIONER | 26 | 671 | $402,888 | $600 | premium | 2.6% | (904) 449-7246 |
| 10 | MARK MALONE MD PA | AUSTIN | TX | PHYSICIAN ASSISTANT | 95 | 664 | $378,401 | $570 | premium | 3.4% | (512) 244-4272 |
| 11 | SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION | REDDING | CA | PODIATRY | 37 | 626 | $807,300 | $1,290 | premium | 4.6% | (530) 246-2467 |
| 12 | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC | HURRICANE | UT | NURSE PRACTITIONER | 41 | 597 | $316,751 | $531 | premium | 16.7% | (435) 635-0174 |
| 13 | EMERGEORTHO PA | DURHAM | NC | PHYSICIAN ASSISTANT | 725 | 595 | $582,225 | $979 | premium | 7.7% | (919) 544-7270 |
| 14 | LOUISIANA PAIN CARE, LLC | MONROE | LA | NURSE PRACTITIONER | 15 | 588 | $312,639 | $532 | premium | 11.3% | (318) 323-6405 |
| 15 | ILLINOIS BONE AND JOINT INSTITUTE, LLC | BANNOCKBURN | IL | ORTHOPEDIC SURGERY | 595 | 569 | $834,102 | $1,466 | premium | 7.8% | — |
| 16 | NOVASPINE PAIN INSTITUTE PLC | SUN CITY | AZ | PHYSICIAN ASSISTANT | 20 | 555 | $561,110 | $1,011 | premium | 5.1% | (623) 777-4747 |
| 17 | NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC | MT PLEASANT | SC | PHYSICIAN ASSISTANT | 29 | 554 | $306,300 | $553 | premium | 9.4% | — |
| 18 | POUDRE VALLEY MEDICAL GROUP LLC | COLORADO SPRINGS | CO | PHYSICIAN ASSISTANT | 2390 | 549 | $305,153 | $556 | premium | 15.7% | — |
| 19 | JACKSONVILLE SPINE CENTER PA | JACKSONVILLE | FL | PHYSICIAN ASSISTANT | 35 | 545 | $934,809 | $1,715 | premium | 2.1% | (904) 223-3321 |
| 20 | ADVANCED PAIN MANAGEMENT SPECIALISTS LLC | ANNAPOLIS | MD | PHYSICIAN ASSISTANT | 79 | 545 | $261,755 | $480 | premium | 10.1% | (410) 571-2946 |
| 21 | MOBILE ANESTHESIA ASSOCIATES LLC | WINTER HAVEN | FL | PHYSICIAN ASSISTANT | 45 | 543 | $821,030 | $1,512 | premium | 2.1% | (863) 291-4000 |
| 22 | EAST CAROLINA ANESTHESIA ASSOCIATES PLLC | GREENVILLE | NC | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 673 | 532 | $794,497 | $1,493 | premium | 6.9% | (252) 847-4100 |
| 23 | WK SPINE AND PAIN SPECIALISTS | SHREVEPORT | LA | PHYSICIAN ASSISTANT | 13 | 532 | $244,972 | $460 | premium | 10.2% | (318) 212-7960 |
| 24 | CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC | SUN CITY | AZ | PHYSICIAN ASSISTANT | 254 | 529 | $323,015 | $611 | premium | 4.8% | (866) 974-2673 |
| 25 | ADVANCED SPINE AND PAIN LLC | PHOENIX | AZ | PHYSICIAN ASSISTANT | 27 | 521 | $764,450 | $1,467 | premium | 4.8% | (480) 573-0130 |
| 26 | GULF COAST PAIN CONSULTANTS LLC | PENSACOLA | FL | NURSE PRACTITIONER | 36 | 495 | $285,375 | $577 | premium | 1.9% | (850) 484-4080 |
| 27 | KANSAS UNIVERSITY PHYSICIANS INC | KANSAS CITY | KS | NURSE PRACTITIONER | 1815 | 489 | $406,616 | $832 | premium | 23.1% | (913) 588-1227 |
| 28 | NEBRASKA PAIN INSTITUTE LLC | LINCOLN | NE | PHYSICIAN ASSISTANT | 9 | 485 | $404,000 | $833 | premium | 25.0% | (402) 488-7246 |
| 29 | NEXUS PAIN CENTER OF HOUSTON COUNTY | MACON | GA | INTERVENTIONAL PAIN MANAGEMENT | 8 | 485 | $667,106 | $1,375 | premium | 5.7% | (478) 474-2947 |
| 30 | PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC | LEESVILLE | LA | ORTHOPEDIC SURGERY | 95 | 470 | $507,061 | $1,079 | premium | 9.0% | (337) 238-9931 |
| 31 | NEW YORK PAIN CONSULTANTS LLC | BABYLON | NY | PHYSICIAN ASSISTANT | 20 | 462 | $516,450 | $1,118 | premium | 5.2% | (631) 422-6166 |
| 32 | DESERT PAIN SPECIALISTS LLC | SAINT GEORGE | UT | PHYSICIAN ASSISTANT | 18 | 453 | $342,921 | $757 | premium | 12.6% | (435) 216-7000 |
| 33 | NEUROMEDICAL CENTER | BATON ROUGE | LA | PHYSICIAN ASSISTANT | 108 | 448 | $565,064 | $1,261 | premium | 8.6% | 22576922002164 |
| 34 | ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA | BRADENTON | FL | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 25 | 446 | $406,998 | $913 | premium | 1.7% | 9417059555110 |
| 35 | TEXAS HEALTH BACK CARE | ROCKWALL | TX | PHYSICAL MEDICINE AND REHABILITATION | 47 | 429 | $311,148 | $725 | premium | 2.2% | (817) 442-9300 |
| 36 | FLORIDA PAIN AND REHABILITATION ASSOCIATES INC | WINTER PARK | FL | NURSE PRACTITIONER | 71 | 428 | $452,770 | $1,058 | premium | 1.7% | (407) 622-5766 |
| 37 | TULSA PAIN CONSULTANTS INC | TULSA | OK | PAIN MANAGEMENT | 5 | 415 | $264,350 | $637 | premium | 7.6% | (918) 742-7030 |
| 38 | GEORGIA PAIN AND WELLNESS CENTER | LAWRENCEVILLE | GA | PHYSICIAN ASSISTANT | 52 | 403 | $414,338 | $1,028 | premium | 4.7% | (770) 962-3642 |
| 39 | HONORHEALTH AMBULATORY | SCOTTSDALE | AZ | PHYSICIAN ASSISTANT | 601 | 403 | $147,005 | $365 | premium | 3.7% | — |
| 40 | EMIL H ANNABI MD PC | TUCSON | AZ | NURSE PRACTITIONER | 10 | 396 | $139,562 | $352 | premium | 3.6% | (520) 399-6000 |
| 41 | SUTTER BAY MEDICAL FOUNDATION | PALO ALTO | CA | INTERNAL MEDICINE | 3716 | 395 | $449,839 | $1,139 | premium | 2.9% | (415) 600-1020 |
| 42 | ORTHOLONESTAR PLLC | DALLAS | TX | PHYSICIAN ASSISTANT | 407 | 389 | $350,629 | $901 | premium | 2.0% | (214) 220-2468 |
| 43 | KORUNDA MEDICAL, LLC | NAPLES | FL | INTERVENTIONAL PAIN MANAGEMENT | 8 | 389 | $167,684 | $431 | premium | 1.5% | (239) 591-2803 |
| 44 | OKLAHOMA PAIN MANAGEMENT PLLC | OKLAHOMA CITY | OK | NURSE PRACTITIONER | 8 | 384 | $132,360 | $345 | premium | 7.0% | (405) 242-4100 |
| 45 | DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC | RANCHO MIRAGE | CA | PHYSICIAN ASSISTANT | 50 | 379 | $121,253 | $320 | premium | 2.8% | (760) 340-3911 |
| 46 | PAIN CONSULTANTS OF WEST FLORIDA P A | PENSACOLA | FL | PHYSICIAN ASSISTANT | 6 | 378 | $548,000 | $1,450 | premium | 1.5% | (850) 494-0000 |
| 47 | SPINECARE ASSOCIATES, LLC | CLEARWATER | FL | PHYSICAL MEDICINE AND REHABILITATION | 12 | 373 | $396,260 | $1,062 | premium | 1.4% | (727) 797-7463 |
| 48 | TENNESSEE ORTHOPAEDIC ALLIANCE PA | NASHVILLE | TN | PHYSICIAN ASSISTANT | 352 | 371 | $229,867 | $620 | premium | 6.3% | (615) 329-6600 |
| 49 | BAPTIST HEALTH MEDICAL GROUP INC | LOUISVILLE | KY | NURSE PRACTITIONER | 2448 | 370 | $174,525 | $472 | premium | 7.9% | (502) 928-1050 |
| 50 | ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC | SCOTTSDALE | AZ | ORTHOPEDIC SURGERY | 308 | 359 | $329,961 | $919 | premium | 3.3% | (602) 385-2115 |
| 51 | DYNAMIC PAIN AND WELLNESS LLC | MOBILE | FL | NURSE PRACTITIONER | 26 | 354 | $180,243 | $509 | premium | 1.4% | (251) 308-9800 |
| 52 | NEW YORK UNIVERSITY | NEW YORK | NY | DIAGNOSTIC RADIOLOGY | 5704 | 351 | $1,152,283 | $3,283 | premium | 3.9% | (212) 263-9700 |
| 53 | NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES PC | SYRACUSE | NY | NURSE PRACTITIONER | 27 | 349 | $45,267 | $130 | premium | 3.9% | (315) 448-5111 |
| 54 | THE PAIN CENTER OF ARIZONA, PC | GILBERT | AZ | PHYSICIAN ASSISTANT | 18 | 349 | $262,752 | $753 | premium | 3.2% | (623) 516-8252 |
| 55 | NEUROSURGICAL ASSOCIATES LTD | PHOENIX | AZ | NEUROSURGERY | 74 | 343 | $260,750 | $760 | premium | 3.1% | (602) 406-3181 |
| 56 | SUTTER VALLEY MEDICAL FOUNDATION | SACRAMENTO | CA | DIAGNOSTIC RADIOLOGY | 2420 | 340 | $366,656 | $1,078 | premium | 2.5% | (916) 681-8852 |
| 57 | COMMONWEALTH PAIN ASSOCIATES PLLC | LOUISVILLE | IN | NURSE PRACTITIONER | 159 | 340 | $256,400 | $754 | premium | 8.0% | (502) 855-7200 |
| 58 | CENTER FOR PAIN MANAGEMENT, LLC | HAGERSTOWN | MD | NURSE PRACTITIONER | 39 | 338 | $135,199 | $400 | premium | 6.2% | (301) 850-2768 |
| 59 | ST LUKES PHYSICIAN GROUP INC | BETHLEHEM | PA | PHYSICIAN ASSISTANT | 2164 | 337 | $107,452 | $319 | premium | 4.7% | (484) 526-2400 |
| 60 | MAYO CLINIC ARIZONA | PHOENIX | AZ | PHYSICIAN ASSISTANT | 1635 | 336 | $632,250 | $1,882 | premium | 3.1% | (800) 603-0558 |
| 61 | MAYO CLINIC | ROCHESTER | MN | NURSE PRACTITIONER | 4896 | 330 | $436,457 | $1,323 | premium | 12.2% | (507) 284-2511 |
| 62 | FLORIDA JOINT AND SPINE INSTITUTE PA | SEBRING | FL | ORTHOPEDIC SURGERY | 14 | 330 | $272,413 | $825 | premium | 1.3% | (863) 385-2222 |
| 63 | BDC MEDICAL, PLLC | OKLAHOMA CITY | OK | PHYSICIAN ASSISTANT | 5 | 322 | $554,711 | $1,723 | premium | 5.9% | (405) 751-0011 |
| 64 | ORTHOVIRGINIA INC | NORTH CHESTERFIELD | VA | PHYSICIAN ASSISTANT | 567 | 321 | $400,180 | $1,247 | premium | 4.0% | — |
| 65 | TALLAHASSEE ORTHOPEDIC CLINIC III PL | TALLAHASSEE | FL | PHYSICIAN ASSISTANT | 542 | 316 | $454,363 | $1,438 | premium | 1.2% | (850) 877-8174 |
| 66 | HEALTH FIRST PRIVIA MEDICAL GROUP | INDIALANTIC | FL | NURSE PRACTITIONER | 235 | 316 | $197,182 | $624 | premium | 1.2% | (321) 312-3501 |
| 67 | ERIC BAUMANN MD, PC | PRESCOTT | AZ | INTERVENTIONAL PAIN MANAGEMENT | 3 | 313 | $229,600 | $734 | premium | 2.9% | (928) 717-0788 |
| 68 | PAIN CLINIC ASSOCIATES PLLC | MEMPHIS | TN | ANESTHESIOLOGY | 9 | 310 | $161,920 | $522 | premium | 5.2% | (901) 747-0040 |
| 69 | NEUROSURGICAL ASSOCIATES , LLP | LUBBOCK | TX | NURSE PRACTITIONER | 33 | 307 | $301,072 | $981 | premium | 1.6% | (806) 796-3000 |
| 70 | WEST FLORIDA MEDICAL CENTER CLINIC PA | PENSACOLA | FL | PHYSICIAN ASSISTANT | 109 | 305 | $103,090 | $338 | premium | 1.2% | (850) 474-8000 |
| 71 | LAHEY CLINIC INC | BURLINGTON | MA | NURSE PRACTITIONER | 1400 | 304 | $141,159 | $464 | premium | 7.2% | — |
| 72 | ORTHOCAROLINA | CHARLOTTE | NC | PHYSICIAN ASSISTANT | 304 | 304 | $115,290 | $379 | premium | 3.9% | (704) 323-2100 |
| 73 | CORA HEALTH SERVICES INC | THE VILLAGES | FL | ORTHOPEDIC SURGERY | 1187 | 301 | $176,589 | $587 | premium | 1.2% | (352) 693-3378 |
| 74 | LEXINGTON HEALTH INC | WEST COLUMBIA | SC | NURSE PRACTITIONER | 909 | 299 | $239,837 | $802 | premium | 5.1% | (803) 744-4900 |
| 75 | SPECTRUM PAIN CLINICS INC | CORDOVA | TN | NURSE PRACTITIONER | 8 | 297 | $149,550 | $504 | premium | 5.0% | (901) 405-6470 |
| 76 | MERCY CLINIC SPRINGFIELD COMMUNITIES | SPRINGFIELD | MO | PHYSICIAN ASSISTANT | 1128 | 296 | $271,632 | $918 | premium | 7.2% | — |
| 77 | ACCESS PAIN SOLUTIONS | TULSA | OK | NURSE PRACTITIONER | 13 | 296 | $177,276 | $599 | premium | 5.4% | (918) 710-4112 |
| 78 | PAIN CONSULTANTS OF ALABAMA, LLC | PASCAGOULA | MS | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 11 | 296 | $59,400 | $201 | premium | 9.4% | (228) 938-0699 |
| 79 | ORTHOSC LLC | MYRTLE BEACH | SC | PHYSICAL THERAPIST IN PRIVATE PRACTICE | 113 | 287 | $120,068 | $418 | premium | 4.9% | (843) 491-4937 |
| 80 | ELLEN W LIN MD PA | SAN ANTONIO | TX | PHYSICIAN ASSISTANT | 6 | 287 | $198,030 | $690 | premium | 1.5% | (210) 690-0777 |
| 81 | UNIVERSITY PHYSICIANS AND SURGEONS, INC | HUNTINGTON | WV | NURSE PRACTITIONER | 390 | 287 | $97,200 | $339 | premium | 19.2% | (304) 691-8500 |
| 82 | UNITED HOSPITAL CENTER INC | BRIDGEPORT | WV | PHYSICIAN ASSISTANT | 298 | 284 | $48,735 | $172 | premium | 19.0% | (681) 342-1842 |
| 83 | LARINA V GUTENBERG DO PLLC | SAN ANTONIO | TX | PAIN MANAGEMENT | 4 | 284 | $229,026 | $806 | premium | 1.5% | (210) 298-4900 |
| 84 | SOUND PAIN ALLIANCE | BELLINGHAM | WA | PHYSICIAN ASSISTANT | 43 | 284 | $265,446 | $935 | premium | 11.1% | — |
| 85 | PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC | TUCSON | AZ | NURSE PRACTITIONER | 24 | 279 | $165,660 | $594 | premium | 2.6% | (520) 829-6776 |
| 86 | MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC | CORINTH | MS | NURSE PRACTITIONER | 6 | 278 | $319,700 | $1,150 | premium | 8.8% | (662) 284-8565 |
| 87 | INTERVENTIONAL SPINE AND PAIN PHYSICIANS PA | MAPLE GROVE | MN | PHYSICIAN ASSISTANT | 44 | 278 | $190,321 | $685 | premium | 10.3% | (763) 201-8191 |
| 88 | LEHIGH VALLEY PHYSICIAN GROUP | ALLENTOWN | PA | PHYSICIAN ASSISTANT | 2389 | 275 | $126,900 | $461 | premium | 3.9% | — |
| 89 | ATHENS SPINE CENTER PC | ATHENS | GA | NURSE PRACTITIONER | 6 | 275 | $203,500 | $740 | premium | 3.2% | (706) 425-2400 |
| 90 | SAINTS MEDICAL GROUP, LLC | OKLAHOMA CITY | OK | PHYSICIAN ASSISTANT | 435 | 274 | $51,300 | $187 | premium | 5.0% | — |
| 91 | TIMOTHY D. GROTH MD PC | SMITHTOWN | NY | PHYSICIAN ASSISTANT | 42 | 273 | $486,653 | $1,783 | premium | 3.1% | (631) 543-1440 |
| 92 | REDDING PAIN MEDICINE | REDDING | CA | NURSE PRACTITIONER | 2 | 270 | $470,056 | $1,741 | premium | 2.0% | (530) 247-3733 |
| 93 | CHICAGO SPINE AND JOINT, S.C. | HINSDALE | IL | INTERVENTIONAL PAIN MANAGEMENT | 7 | 268 | $625,079 | $2,332 | premium | 3.7% | (708) 482-4500 |
| 94 | FLOWOOD PAIN CENTER, LLC | FLOWOOD | MS | NURSE PRACTITIONER | 23 | 267 | $92,920 | $348 | premium | 8.4% | (601) 420-2040 |
| 95 | GRANGER MEDICAL CLINIC PC | WEST VALLEY CITY | UT | PHYSICIAN ASSISTANT | 193 | 266 | $131,220 | $493 | premium | 7.4% | (801) 965-3600 |
| 96 | PRESBYTERIAN HEALTHCARE SERVICES | ALBUQUERQUE | NM | PHYSICIAN ASSISTANT | 1369 | 265 | $51,675 | $195 | premium | 15.4% | (505) 841-1234 |
| 97 | SOUTHERN PAIN AND REHABILITATION INC | PADUCAH | KY | NURSE PRACTITIONER | 6 | 264 | $434,406 | $1,645 | premium | 5.7% | (270) 228-0118 |
| 98 | DR Q PAIN AND SPINE CLINIC PA | LITTLE ROCK | AR | NURSE PRACTITIONER | 14 | 264 | $245,520 | $930 | premium | 5.1% | (501) 227-0184 |
| 99 | CANYON PAIN AND SPINE | MESA | AZ | PHYSICIAN ASSISTANT | 19 | 262 | $213,944 | $817 | premium | 2.4% | (480) 561-5000 |
| 100 | VIRTUA MEDICAL GROUP, PA | VOORHEES | NJ | PHYSICIAN ASSISTANT | 1662 | 261 | $308,436 | $1,182 | premium | 7.3% | (856) 247-7260 |
Showing the top 100 of 1,561 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 →