NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64640 Destruction of peripheral nerve or branch CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 75,212 services ▲ 22.6% YoY · 21,107 beneficiaries (CY2024, Medicare FFS)
Medicare paid $7.6M · $100.66 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
297
Named-group FFS services
42,944
FFS of Medicare
49%
Services YoY
+22.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~82,392 services

42,944 observed fee-for-service (52%) · ~39,448 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 — 64640 (CY2024)
TX 8,631 FL 5,820 PA 5,241 CA 5,218 OK 4,316

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

Named-group submitted charges
$32.0M
Named-group allowed amount
$5.5M
Named-group Medicare payments
$4.3M
Avg charge / svc
$745
Avg allowed / svc
$128
Avg payment / svc
$101
Average charge per group
$20 297 groups · avg submitted charge / service $4,898
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 64640 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 1,768 $1,422,592 $805 62.2% (662) 767-4200
2 ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 89 1,626 $719,292 $442 37.7% (918) 494-2665
3 INTEGRAL ANESTHESIA LLC TULSA OK CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 150 1,552 $542,850 $350 36.0% (918) 477-5000
4 LANDD PROFESSIONAL, INC. CLAREMONT CA PODIATRY 2 1,535 $557,200 $363 29.4% (909) 398-4687
5 CENTRAL TEXAS ANESTHESIA PARTNERS PLLC AUSTIN TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 830 $2,636,080 $3,176 9.6% (512) 206-8000
6 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 750 $454,853 $606 32.5% (504) 842-3000
7 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 747 $1,754,022 $2,348 19.6% (212) 263-9700
8 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 661 $373,465 $565 31.3% (603) 883-0091
9 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 620 $134,179 $216 41.9% (509) 946-4611
10 SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA PORTSMOUTH NH PHYSICIAN ASSISTANT 28 616 $797,300 $1,294 29.2% (603) 431-1121
11 ASSOCIATED ANESTHESIOLOGISTS OF FORT WAYNE PC FORT WAYNE IN ANESTHESIOLOGY 97 601 $438,730 $730 70.3% (260) 435-7001
12 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 595 $235,818 $396 6.9% (254) 724-2663
13 SHORE ORTHOPEDICS, INC EASTON MD PHYSICIAN ASSISTANT 28 589 $312,170 $530 34.1% 4108208226107
14 ELLIOT PROFESSIONAL SERVICES MANCHESTER NH PHYSICIAN ASSISTANT 394 552 $291,750 $529 26.1% (603) 552-1670
15 GRANITE ORTHOPAEDICS PLLC PRESCOTT AZ PHYSICIAN ASSISTANT 12 535 $258,853 $484 13.6% (928) 777-9950
16 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 530 $384,780 $726 9.1% (407) 896-1100
17 ORTHOWEST, LLC OMAHA NE PHYSICIAN ASSISTANT 110 487 $238,215 $489 37.2% (402) 609-3000
18 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 481 $582,156 $1,210 53.1% (302) 655-9494
19 ORTHOPEDIC ASSOCIATES PA FARMINGTON NM ORTHOPEDIC SURGERY 19 467 $339,509 $727 94.5% (505) 327-1400
20 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 465 $239,844 $516 44.2% (973) 971-5596
21 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 463 $390,342 $843 5.4% (903) 606-5560
22 VHS OUTPATIENT CLINICS INC PHOENIX AZ PHYSICIAN ASSISTANT 180 451 $265,188 $588 11.4% (602) 274-6506
23 INOV8 ORTHOPEDICS HOUSTON TX ORTHOPEDIC SURGERY 11 449 $224,500 $500 5.2% (346) 571-7500
24 SOMERS ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP PLLC CARMEL NY ORTHOPEDIC SURGERY 28 402 $283,283 $705 10.5% (845) 278-8400
25 MATTHEW FRIEDERICHS MD PLLC WEST FARGO ND ORTHOPEDIC SURGERY 2 397 $327,525 $825 45.3% (701) 707-0200
26 BOSTON ORTHOPAEDIC AND SPINE LLC BRIGHTON MA PHYSICIAN ASSISTANT 19 387 $827,024 $2,137 25.0% (617) 738-8642
27 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 383 $242,987 $634 24.8% (603) 883-0091
28 ORTHOPEDIC ASSOCIATES OF NORTHERN CALIFORNIA A MEDICAL GROUP CHICO CA ANESTHESIOLOGY 31 375 $223,675 $596 7.2% 5308974500128
29 SPINECARE ASSOCIATES, LLC CLEARWATER FL PHYSICAL MEDICINE AND REHABILITATION 12 369 $296,610 $804 6.3% (727) 797-7463
30 BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC VANCLEAVE MS ORTHOPEDIC SURGERY 42 363 $453,387 $1,249 12.8% (228) 230-2663
31 SPINAL INTERVENTIONS, PLLC PROVO UT ANESTHESIOLOGY 3 339 $220,350 $650 38.4% (801) 223-4860
32 FAITH REGIONAL PHYSICIAN SERVICES LLC NORFOLK NE NURSE PRACTITIONER 185 315 $201,915 $641 24.0% (402) 371-4880
33 FOOT ANKLE SPECIALTY CENTERS, LLC GILBERT AZ PODIATRY 7 304 $100,773 $331 7.7% (480) 812-3668
34 LONDON GOHEL JOINT VENTURE HOUSTON TX DIAGNOSTIC RADIOLOGY 2 299 $144,450 $483 3.5% (713) 426-4010
35 TOPEKA PHYSICIAN GROUP LLC TOPEKA KS NURSE PRACTITIONER 153 293 $94,346 $322 36.0% (785) 295-7800
36 MOORESTOWN SPINE SPORTS AND WELLNESS MOORESTOWN PA PHYSICAL MEDICINE AND REHABILITATION 3 290 $143,533 $495 5.5% (856) 661-7900
37 BLACK HILLS ORTHOPEDIC AND SPINE CENTER INC RAPID CITY SD PHYSICIAN ASSISTANT 76 290 $354,095 $1,221 38.3% (605) 737-9151
38 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 279 $252,288 $904 12.1% (337) 235-8007
39 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 268 $276,750 $1,033 32.4% (702) 731-1616
40 ARIZONA SPINE AND PAIN SPECIALISTS LLC GLENDALE AZ NURSE PRACTITIONER 26 256 $213,504 $834 6.5% (602) 795-8700
41 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 253 $96,140 $380 22.5% (573) 331-3000
42 CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC CHATTANOOGA TN ORTHOPEDIC SURGERY 25 235 $228,060 $970 38.3% (423) 493-5220
43 INTEGRITY CHRONIC CARE MANAGEMENT LLC DELRAY BEACH TX ORTHOPEDIC SURGERY 4 235 $85,255 $363 2.7% (214) 473-4447
44 FOOT AND ANKLE SPECIALISTS OF ARIZONA PLLC GLENDALE AZ PODIATRY 14 234 $116,962 $500 5.9% (623) 544-9090
45 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 233 $375,399 $1,611 5.9% (480) 573-0130
46 REDWOOD ORTHOPAEDIC SURGERY ASSOCIATES AMC SANTA ROSA CA ORTHOPEDIC SURGERY 11 232 $92,800 $400 4.4% (707) 544-3400
47 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 227 $145,656 $642 17.3% (402) 559-4000
48 NEUROPATHY TREATMENT CLINIC OF OKLAHOMA LLC TULSA OK NURSE PRACTITIONER 4 225 $112,500 $500 5.2% (918) 708-1816
49 PRAIRIE LAKES HEALTH CARE SYSTEM INC WATERTOWN SD PHYSICIAN ASSISTANT 126 224 $138,988 $620 29.6% (605) 882-4743
50 PAIN EXPERTS OF ARIZONA PC GILBERT AZ PAIN MANAGEMENT 4 218 $123,355 $566 5.5% (480) 550-9393
51 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 217 $85,298 $393 16.9% (419) 423-5492
52 CEP AMERICA - ANESTHESIA PC DES MOINES CA ANESTHESIOLOGY 839 212 $95,400 $450 4.1% (515) 247-3121
53 PREMIER ORTHOPEDIC SPECIALISTS OF TULSA TULSA OK ORTHOPEDIC SURGERY 7 211 $52,410 $248 4.9% (918) 900-2520
54 DOWN EAST ORTHOPEDIC ASSOC PA BANGOR ME ORTHOPEDIC SURGERY 14 205 $102,060 $498 57.7% (207) 947-8381
55 SOUTHERN ORTHOPAEDIC ALLIANCE PLLC MOBILE AL PHYSICIAN ASSISTANT 105 201 $172,598 $859 11.2% (251) 435-2663
56 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 200 $155,000 $775 22.7% (515) 343-1000
57 ORTHOPAEDIC SPECIALISTS OF DALLAS PA ROCKWALL TX PHYSICIAN ASSISTANT 39 192 $114,025 $594 2.2% (972) 771-8111
58 CHICAGOLAND PAIN MANAGEMENT INSTITUTE INC BOLINGBROOK IL PAIN MANAGEMENT 8 191 $139,870 $732 9.8% (630) 312-4562
59 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 190 $186,714 $983 4.8% (623) 777-4747
60 VALLEY VIEW HOSPITAL ASSOCIATION GLENWOOD SPGS CO PHYSICIAN ASSISTANT 206 190 $149,150 $785 23.3% (970) 384-7290
61 COLORADO PAIN PRACTICE PLLC LAKEWOOD CO NURSE PRACTITIONER 15 189 $156,618 $829 23.2% (303) 468-7246
62 COVENANT MEDICAL GROUP LUBBOCK TX NURSE PRACTITIONER 227 186 $149,413 $803 2.2% (806) 725-5844
63 TULSA BONE AND JOINT ASSOCIATES PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 92 184 $86,112 $468 4.3% (918) 392-1513
64 LMG LLC MARRERO LA ORTHOPEDIC SURGERY 7 181 $135,750 $750 7.8% (504) 347-5421
65 ARTHRITIS AND SPORTS ORTHOPAEDICS PC STERLING VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 24 181 $102,627 $567 16.5% 7034445000117
66 MIDLAND TEXAS ORTHOPEDIC GROUP INC MIDLAND TX PHYSICIAN ASSISTANT 16 176 $147,312 $837 2.0% (432) 686-0321
67 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 172 $110,983 $645 15.3% (417) 347-8200
68 BALDWIN BONE AND JOINT P C DAPHNE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 31 172 $88,500 $515 9.6% (251) 625-2663
69 ARCH ORTHOPEDIC AND SPINE, LLC ATHENS GA ORTHOPEDIC SURGERY 5 172 $220,402 $1,281 26.9% (706) 389-8941
70 CARTERET FOOT AND ANKLE SPECIALIST PC MOREHEAD CITY NC PODIATRY 2 169 $70,135 $415 12.0% (252) 247-3256
71 MURAD ARIF MD INC MURRIETA CA ANESTHESIOLOGY 2 167 $95,216 $570 3.2% (317) 332-8152
72 ORTHOPEDIC ASSOCIATES LLC SAINT LOUIS IL ORTHOPEDIC SURGERY 14 166 $251,520 $1,515 8.5% (314) 569-0612
73 CASCADE ORTHOPEDIC SPECIALISTS LLC ROSEBURG OR ORTHOPEDIC SURGERY 3 165 $168,300 $1,020 40.2% (541) 391-8155
74 MAINLAND PAIN MANAGEMENT ASSOCIATES LLC LINWOOD PA ANESTHESIOLOGY 2 165 $94,875 $575 3.1% (267) 273-9083
75 REHABILITATION ASSOCIATES OF THE MAIN LINE, P.C. MALVERN PA PHYSICAL MEDICINE AND REHABILITATION 14 164 $94,300 $575 3.1% (484) 596-5254
76 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE NC PHYSICIAN ASSISTANT 86 160 $60,885 $381 11.3% —
77 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO PHYSICIAN ASSISTANT 251 159 $111,560 $702 14.1% (417) 875-3000
78 PREMIER ANESTHESIA OF GEORGIA LLC SNELLVILLE GA ANESTHESIOLOGY ASSISTANT 63 159 $101,768 $640 24.8% (770) 979-0200
79 TRI-CITY ORTHOPAEDIC CLINIC P S C KENNEWICK WA ORTHOPEDIC SURGERY 19 153 $84,150 $550 10.3% (509) 460-5588
80 MOUNTAIN VIEW ORTHOPAEDICS AND ASSOCIATES PC HAZLE TOWNSHIP PA NURSE PRACTITIONER 3 145 $46,500 $321 2.8% (570) 455-7108
81 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 145 $53,505 $369 8.1% —
82 YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC PRESCOTT AZ NURSE PRACTITIONER 120 145 $70,090 $483 3.7% (928) 771-3704
83 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORD MA ORTHOPEDIC SURGERY 43 143 $111,000 $776 9.2% (978) 454-0706
84 NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, INC. BOSTON MA PHYSICIAN ASSISTANT 81 141 $71,089 $504 9.1% (617) 754-5800
85 BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT INTERNAL MEDICINE 73 140 $87,490 $625 100.0% (802) 257-8382
86 ARCH HEALTH PARTNERS INC POWAY CA PHYSICIAN ASSISTANT 161 139 $100,491 $723 2.7% (858) 485-0050
87 CORAM PODIATRY PLLC CORAM NY PODIATRY 3 137 $102,232 $746 3.6% (631) 696-9636
88 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 137 $53,949 $394 16.8% (303) 778-5797
89 MERCY HOSPITAL ROGERS BENTONVILLE AR NURSE PRACTITIONER 5 136 $58,839 $433 12.4% 47998661994900
90 EXCELSIOR ORTHOPAEDICS LLP AMHERST NY PHYSICIAN ASSISTANT 147 135 $64,800 $480 3.5% (716) 250-9999
91 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 131 $54,023 $412 3.4% (914) 241-1050
92 ORTHOPAEDIC SURGERY ASSOCIATES PA BOYNTON BEACH FL ORTHOPEDIC SURGERY 20 125 $129,214 $1,034 2.1% —
93 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 122 $114,314 $937 6.3% —
94 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 122 $105,522 $865 3.2% (203) 869-1145
95 FEMALE PELVIC MEDICINE INSTITUTE OF VIRGINIA PC MIDLOTHIAN VA NURSE PRACTITIONER 2 121 $43,667 $361 11.1% (804) 523-2533
96 AUSTIN SPORTS MEDICINE LLP AUSTIN FL ORTHOPEDIC SURGERY 17 121 $96,074 $794 2.1% (512) 450-1300
97 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 121 $60,503 $500 2.8% —
98 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 120 $111,456 $929 6.9% (410) 502-4340
99 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 118 $100,455 $851 8.4% (919) 544-7270
100 USA RESOURCES LAS VEGAS NV NURSE PRACTITIONER 2 118 $57,399 $486 14.3% (702) 248-3668

Showing the top 100 of 297 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 →