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Market snapshot

64636 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64636 — Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint

Billing groups
1,561
Named-group FFS services
149,254
FFS of Medicare
49%
Services YoY
+0.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~303,066 services

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

Top states — 64636 (CY2024)

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

Named-group submitted charges
$150.0M
Named-group allowed amount
$25.4M
Named-group Medicare payments
$20.3M
Avg charge / svc
$1,005
Avg allowed / svc
$171
Avg payment / svc
$136
Average charge per group
$58 1,561 groups · avg submitted charge / service $16,760
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 64636 services, CY2024
#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 →