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Market snapshot

64642 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64642 — Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity

Billing groups
216
Named-group FFS services
15,342
FFS of Medicare
49%
Services YoY
+3.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~30,798 services

15,342 observed fee-for-service (50%) · ~15,456 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 — 64642 (CY2024)

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

Named-group submitted charges
$8.4M
Named-group allowed amount
$1.8M
Named-group Medicare payments
$1.4M
Avg charge / svc
$550
Avg allowed / svc
$119
Avg payment / svc
$90
Average charge per group
$110 216 groups · avg submitted charge / service $2,623
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 64642 services, CY2024
#Physician group City St Specialty Providers 64642 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 461 $323,161 $701 premium 41.5%
2 REHABILITATION ASSOCIATES OF THE MAIN LINE, P.C. MALVERN PA PHYSICAL MEDICINE AND REHABILITATION 14 441 $165,375 $375 premium 23.0% (484) 596-5254
3 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 328 $90,856 $277 premium 70.7% (405) 254-9690
4 SANDEEP THAKKAR DO A PROFESSIONAL CORPORATION IRVINE CA PHYSICIAN ASSISTANT 4 286 $57,200 $200 premium 11.4%
5 NATIONAL HEALTH REHABILITATION LLC TAMPA MA PHYSICAL MEDICINE AND REHABILITATION 151 272 $128,170 $471 premium 20.1% (201) 654-6397
6 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 267 $109,470 $410 premium 81.2% (501) 686-8000
7 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 255 $668,865 $2,623 premium 13.1% (212) 263-9700
8 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 247 $276,640 $1,120 premium 12.7% (212) 305-8559
9 GILLETTE CHILDRENS SPECIALTY HEALTHCARE SAINT PAUL MN NURSE PRACTITIONER 103 243 $77,031 $317 premium 26.7% (651) 291-2848
10 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 228 $131,240 $576 premium 16.9% (617) 724-0287
11 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 209 $106,720 $511 premium 58.4% (732) 362-3663
12 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 208 $224,432 $1,079 premium 31.6% (608) 287-2050
13 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 193 $46,647 $242 premium 100.0% (207) 885-9905
14 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 186 $44,850 $241 premium 18.4% (352) 693-3378
15 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 174 $22,816 $131 premium 9.1% (215) 662-2777
16 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 169 $330,259 $1,954 premium 8.7% (212) 241-4812
17 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 165 $67,815 $411 premium 26.2% (602) 406-6017
18 NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP CARLSBAD CA NEUROLOGY 44 157 $49,858 $318 premium 6.2% (760) 631-3000
19 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 152 $105,701 $695 premium 16.7% (612) 863-4000
20 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 148 $64,957 $439 premium 100.0% (402) 559-4000
21 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 146 $89,314 $612 premium 34.0% (314) 747-3000
22 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS MA ORTHOPEDIC SURGERY 1373 139 $55,600 $400 premium 10.3% (508) 385-4212
23 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 139 $57,565 $414 premium 5.5% (310) 423-3277
24 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 136 $91,800 $675 premium 10.5% (713) 566-5000
25 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 136 $112,336 $826 premium 7.0%
26 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 134 $58,022 $433 premium 18.6% (630) 933-4800
27 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 128 $37,938 $296 premium 5.1% (650) 723-4000
28 OSU PHYSICAL MEDICINE AND REHABILITATION, LLC COLUMBUS OH PHYSICAL MEDICINE AND REHABILITATION 35 124 $64,660 $521 premium 11.2% (614) 366-9211
29 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 123 $70,281 $571 premium 29.9% (843) 792-1414
30 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 122 $60,390 $495 premium 43.7% (601) 815-4775
31 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 119 $75,379 $633 premium 16.5% (847) 459-1160
32 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 111 $64,602 $582 premium 4.4% (916) 681-8852
33 PHYSICAL MEDICINE AND REHAB MEDICAL SERVICE GROUP SYRACUSE NY PHYSICAL MEDICINE AND REHABILITATION 20 111 $38,385 $346 premium 5.7% (315) 464-2296
34 W DEAN LORENZ MD PC FLORENCE SC PHYSICAL MEDICINE AND REHABILITATION 2 111 $22,200 $200 premium 26.9% (843) 661-4390
35 CLEVELAND CLINIC NEVADA LAS VEGAS NV DIAGNOSTIC RADIOLOGY 33 108 $71,280 $660 premium 65.5% (702) 483-6000
36 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 106 $84,820 $800 premium 15.9% (860) 724-2579
37 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 106 $207,548 $1,958 premium 16.1% (414) 955-4263
38 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 100 $58,499 $585 premium 4.0% (858) 455-9100
39 GOOD SHEPHERD REHABILITATION HOSPITAL CENTER VALLEY PA PHYSICAL MEDICINE AND REHABILITATION 21 99 $44,451 $449 premium 5.2% (610) 776-3278
40 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 99 $33,957 $343 premium 8.9% (513) 354-3700
41 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 98 $29,008 $296 premium 21.3%
42 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 94 $41,149 $438 premium 7.3% (210) 450-7044
43 MISSISSIPPI METHODIST HOSPITAL REHABILITATION CENTER INC JACKSON MS NURSE PRACTITIONER 11 92 $37,444 $407 premium 33.0%
44 ASHEVILLE NEUROLOGY SPECIALISTS, PA` ASHEVILLE NC PHYSICIAN ASSISTANT 7 92 $36,708 $399 premium 15.5% 82821093009359
45 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 90 $29,340 $326 premium 26.5%
46 ST LUKES METHODIST HOSPITAL CEDAR RAPIDS IA NURSE PRACTITIONER 82 89 $38,362 $431 premium 27.2% (319) 368-5757
47 ADVANCED PAIN CLINIC PA KISSIMMEE FL INTERVENTIONAL PAIN MANAGEMENT 2 88 $27,280 $310 premium 8.7% (407) 935-9404
48 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 88 $27,632 $314 premium 7.9% (513) 584-1000
49 CLEVELAND CLINIC CLEVELAND NY PHYSICIAN ASSISTANT 6828 88 $61,688 $701 premium 4.5%
50 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 87 $50,895 $585 premium 58.0% (205) 934-3460
51 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 85 $28,730 $338 premium 19.8% (573) 882-2667
52 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 84 $21,464 $256 premium 13.4%
53 UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY UT PHYSICAL MEDICINE AND REHABILITATION 93 83 $40,116 $483 premium 45.6% (801) 587-6336
54 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 81 $46,089 $569 premium 26.9% (502) 937-2209
55 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 81 $33,372 $412 premium 7.3%
56 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 81 $20,241 $250 premium 60.9% (605) 322-5180
57 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 80 $35,303 $441 premium 7.9%
58 GUNDERSEN LUTHERAN MEDICAL CENTER INC LA CROSSE WI PHYSICIAN ASSISTANT 901 80 $36,125 $452 premium 12.1% (608) 783-7300
59 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 79 $108,336 $1,371 premium 4.1% (866) 633-8255
60 TRUE NORTH MEDICAL AT NORTH SUFFOLK, PLLC COMMACK NY NEUROLOGY 20 78 $114,504 $1,468 premium 4.0% (631) 364-9119
61 MARY HITCHCOCK MEMORIAL HOSPITAL LEBANON NH NURSE PRACTITIONER 1270 77 $21,441 $278 premium 32.0% (603) 650-5000
62 ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY PHYSICIAN ASSISTANT 480 76 $26,296 $346 premium 3.9% (518) 525-1852
63 MEDICAL SERVICES RIC CHICAGO IL PHYSICAL MEDICINE AND REHABILITATION 93 76 $34,045 $448 premium 10.5% (312) 238-1000
64 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 76 $33,288 $438 premium 22.2% (734) 763-5459
65 ALBERT D. JANERICH, MD WEST PITTSTON PA PHYSICAL MEDICINE AND REHABILITATION 3 75 $28,125 $375 premium 3.9% (570) 824-4111
66 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 73 $9,636 $132 premium 52.1% (701) 234-2000
67 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 73 $24,893 $341 premium 22.3% (515) 461-9786
68 UNIVERSITY OF MARYLAND NEUROLOGY ASSOCIATES PA BALTIMORE MD NEUROLOGY 55 73 $21,900 $300 premium 28.1% (410) 448-6383
69 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 73 $41,610 $570 premium 5.7% (214) 633-5555
70 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 70 $27,370 $391 premium 15.2% (434) 924-5959
71 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 70 $59,500 $850 premium 2.8% (415) 476-4029
72 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 69 $20,700 $300 premium 5.3% (713) 266-9955
73 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 68 $26,838 $395 premium 20.8% (515) 247-8400
74 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 68 $41,004 $603 premium 10.2% (203) 739-7118
75 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 67 $9,088 $136 premium 47.9% (701) 323-8300
76 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 67 $24,924 $372 premium 31.6% (888) 484-3258
77 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS UT PHYSICIAN ASSISTANT 267 66 $24,090 $365 premium 36.3% (208) 535-4343
78 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 66 $17,622 $267 premium 9.1%
79 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 66 $19,272 $292 premium 36.1% (202) 429-2401
80 RMH MEDICAL GROUP LLC ROCKINGHAM VA PHYSICIAN ASSISTANT 263 65 $13,300 $205 premium 14.1% (540) 689-1110
81 SOUTH PUGET SOUND NEUROLOGY, PLLC TACOMA WA NURSE PRACTITIONER 4 64 $9,920 $155 premium 18.6% (253) 284-4488
82 MISSOULA VALLEY PHYSICAL MEDICINE AND REHABILITATION PLLC MISSOULA MT PHYSICAL MEDICINE AND REHABILITATION 3 63 $25,837 $410 premium 56.2% (406) 327-4308
83 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 63 $31,626 $502 premium 10.6% (919) 684-8111
84 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 63 $21,150 $336 premium 3.3% (215) 456-8242
85 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 62 $30,132 $486 premium 8.6% (312) 563-2875
86 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 62 $40,424 $652 premium 4.6% (508) 334-1000
87 NORTHEASTERN REHABILITATION ASSOCIATES, PC SCRANTON PA PHYSICAL MEDICINE AND REHABILITATION 48 61 $18,300 $300 premium 3.2% (570) 344-3788
88 NEUROLOGY CENTER OF FAIRFAX, LTD FAIRFAX VA NEUROLOGY 14 61 $41,663 $683 premium 13.2% 70387608001208
89 NEUROLOGIC AND HEADACHE CLINIC PALOS HEIGHTS IL NEUROLOGY 2 60 $45,000 $750 premium 8.3% (708) 361-4520
90 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 59 $17,491 $296 premium 10.5%
91 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 58 $12,296 $212 premium 4.5% (512) 324-7300
92 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 57 $18,012 $316 premium 26.9%
93 BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC PHOENIX CO PHYSICIAN ASSISTANT 349 56 $10,192 $182 premium 16.5% (602) 839-3927
94 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 55 $19,250 $350 premium 2.2%
95 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 54 $16,308 $302 premium 13.1%
96 SHEPHERD CENTER, INC. ATLANTA GA PHYSICAL MEDICINE AND REHABILITATION 49 54 $40,301 $746 premium 21.3% (404) 352-2020
97 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 53 $37,524 $708 premium 5.8% (952) 993-3123
98 THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC NEENAH WI NURSE PRACTITIONER 59 53 $71,285 $1,345 premium 8.0% (920) 725-9373
99 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 51 $10,047 $197 premium 9.1% (302) 731-2888
100 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 50 $14,700 $294 premium 10.8%

Showing the top 100 of 216 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 →