NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64644 Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2014
National scale 19,479 services ▲ 6.4% YoY · 8,251 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.2M · $110.68 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
202
Named-group FFS services
13,931
FFS of Medicare
49%
Services YoY
+6.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~27,586 services

13,931 observed fee-for-service (51%) · ~13,655 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 — 64644 (CY2024)
CA 1,664 NY 1,247 TX 1,170 IL 1,067 MA 1,000

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

Named-group submitted charges
$8.5M
Named-group allowed amount
$2.0M
Named-group Medicare payments
$1.5M
Avg charge / svc
$612
Avg allowed / svc
$146
Avg payment / svc
$110
Average charge per group
$121 202 groups · avg submitted charge / service $3,047
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 64644 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SANDEEP THAKKAR DO A PROFESSIONAL CORPORATION IRVINE CA PHYSICIAN ASSISTANT 4 507 $124,550 $246 30.5% —
2 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 373 $222,395 $596 49.2% (732) 362-3663
3 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 326 $198,208 $608 32.6% (617) 724-0287
4 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 318 $128,790 $405 27.2% (713) 566-5000
5 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 274 $223,063 $814 33.3% (612) 863-4000
6 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 239 $153,438 $642 20.4% (214) 633-5555
7 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 232 $706,904 $3,047 18.6% (212) 263-9700
8 GOOD SHEPHERD REHABILITATION HOSPITAL CENTER VALLEY PA PHYSICAL MEDICINE AND REHABILITATION 21 212 $111,724 $527 21.3% (610) 776-3278
9 ST LUKES METHODIST HOSPITAL CEDAR RAPIDS IA NURSE PRACTITIONER 82 203 $102,410 $504 44.9% (319) 368-5757
10 MEDICAL SERVICES RIC CHICAGO IL PHYSICAL MEDICINE AND REHABILITATION 93 198 $96,960 $490 18.6% (312) 238-1000
11 NATIONAL HEALTH REHABILITATION LLC TAMPA MA PHYSICAL MEDICINE AND REHABILITATION 151 194 $96,450 $497 19.4% (201) 654-6397
12 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 181 $89,233 $493 17.0% (630) 933-4800
13 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 176 $86,592 $492 41.0% (402) 354-8163
14 REHABILITATION ASSOCIATES OF THE MAIN LINE, P.C. MALVERN PA PHYSICAL MEDICINE AND REHABILITATION 14 171 $68,400 $400 17.2% (484) 596-5254
15 SFPMR SAN FRANCISCO CA PHYSICAL MEDICINE AND REHABILITATION 2 170 $59,500 $350 10.2% (415) 600-7710
16 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 161 $57,481 $357 16.7% (573) 882-2667
17 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 146 $73,277 $502 34.0% (402) 559-4000
18 HSHS MEDICAL GROUP INC DECATUR IL NURSE PRACTITIONER 202 145 $80,475 $555 13.6% (217) 423-2889
19 MISSISSIPPI METHODIST HOSPITAL REHABILITATION CENTER INC JACKSON MS NURSE PRACTITIONER 11 144 $66,960 $465 34.0% —
20 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 141 $132,544 $940 17.1% (507) 284-2511
21 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 139 $169,024 $1,216 16.6% (608) 287-2050
22 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 134 $88,240 $659 8.1% (650) 723-4000
23 CHATTANOOGA SPINE AND REHABILITATION PLLC CHATTANOOGA TN PHYSICAL MEDICINE AND REHABILITATION 15 131 $42,575 $325 78.9% (423) 803-2226
24 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 127 $60,299 $475 10.9% (210) 450-7044
25 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 126 $266,364 $2,114 15.0% (414) 955-4263
26 NEUROLOGY GROUP OF BERGEN COUNTY PA RIDGEWOOD NJ NEUROLOGY 26 123 $86,100 $700 16.2% (201) 444-0868
27 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 122 $156,160 $1,280 9.8% (212) 305-8559
28 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 116 $60,989 $526 39.2% (206) 223-6600
29 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 116 $184,255 $1,588 9.3% (866) 633-8255
30 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 112 $87,288 $779 9.6% —
31 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 110 $40,920 $372 48.2% —
32 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 109 $40,112 $368 18.0% (785) 354-9591
33 NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP CARLSBAD CA NEUROLOGY 44 109 $40,994 $376 6.6% (760) 631-3000
34 NEUROLOGY CENTER OF FAIRFAX, LTD FAIRFAX VA NEUROLOGY 14 107 $75,756 $708 30.5% 70387608001208
35 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 102 $40,698 $399 22.6% (515) 461-9786
36 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 101 $75,144 $744 10.1% (508) 334-1000
37 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 101 $94,585 $936 12.0% (860) 724-2579
38 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 101 $78,174 $774 14.4% —
39 W DEAN LORENZ MD PC FLORENCE SC PHYSICAL MEDICINE AND REHABILITATION 2 100 $28,000 $280 35.2% (843) 661-4390
40 OSU PHYSICAL MEDICINE AND REHABILITATION, LLC COLUMBUS OH PHYSICAL MEDICINE AND REHABILITATION 35 99 $60,390 $610 14.1% (614) 366-9211
41 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 97 $69,161 $713 11.5% (203) 739-7118
42 TEXOMA NEUROLOGY ASSOCIATES, PA PLANO TX NEUROLOGY 25 97 $41,061 $423 8.3% 90389351414310
43 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 97 $64,699 $667 47.3% (205) 934-3460
44 REHABILITATION CONSULTANTS PC NORWALK CT PHYSICAL MEDICINE AND REHABILITATION 2 95 $66,025 $695 11.3% (203) 523-0100
45 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 94 $33,940 $361 33.1% —
46 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 93 $92,501 $995 8.7% (309) 683-5050
47 DAYTON CENTER FOR NEUROLOGICAL DISORDERS INC CENTERVILLE OH PHYSICIAN ASSISTANT 26 92 $35,788 $389 13.1% (937) 439-6186
48 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 89 $12,034 $135 8.9% (215) 662-2777
49 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 88 $33,880 $385 37.1% (502) 629-2398
50 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 88 $57,288 $651 5.3% (877) 827-7463
51 SINGING RIVER HEALTH SYSTEM PASCAGOULA MS NURSE PRACTITIONER 282 85 $43,265 $509 20.1% (228) 818-0563
52 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 85 $73,166 $861 6.8% (212) 241-4812
53 NEWSOUTH NEUROSPINE, LLC FLOWOOD MS NEUROSURGERY 22 85 $59,585 $701 20.1% (601) 983-2859
54 DELAWARE PHYSIATRY DOVER DE NURSE PRACTITIONER 18 82 $30,340 $370 48.5% (302) 387-1407
55 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 81 $53,460 $660 4.9% (916) 681-8852
56 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 81 $29,079 $359 27.8% —
57 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON NY DIAGNOSTIC RADIOLOGY 3532 81 $49,248 $608 6.5% (617) 724-0287
58 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 78 $55,926 $717 7.3% (847) 459-1160
59 SALINA REGIONAL HEALTH CENTER INC SALINA KS NURSE PRACTITIONER 160 78 $17,286 $222 12.9% —
60 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 76 $48,108 $633 7.9% (314) 747-3000
61 MARY HITCHCOCK MEMORIAL HOSPITAL LEBANON NH NURSE PRACTITIONER 1270 75 $48,384 $645 45.2% (603) 650-5000
62 STONY BROOK ANAESTHESIOLOGY UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY ANESTHESIOLOGY 87 72 $88,560 $1,230 5.8% (631) 444-2975
63 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 71 $22,578 $318 33.2% (202) 429-2401
64 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 70 $32,597 $466 10.0% —
65 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 70 $37,310 $533 16.5% (601) 264-6000
66 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 70 $23,800 $340 7.0% (215) 456-8242
67 PHYSICAL MEDICINE ASSOCIATES OF N.W. OHIO, INC. LIMA OH NURSE PRACTITIONER 5 67 $27,470 $410 9.5% (419) 228-5434
68 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 65 $56,290 $866 5.2% —
69 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 62 $37,786 $609 6.4% (417) 347-8200
70 DENT NEUROLOGIC GROUP LLP AMHERST NY PHYSICIAN ASSISTANT 116 62 $18,600 $300 5.0% (716) 250-2000
71 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 60 $38,880 $648 25.3% (502) 937-2209
72 BELLIN MEMORIAL HOSPITAL INC GREEN BAY WI NURSE PRACTITIONER 678 59 $52,959 $898 7.0% (920) 435-8326
73 MISSOULA VALLEY PHYSICAL MEDICINE AND REHABILITATION PLLC MISSOULA MT PHYSICAL MEDICINE AND REHABILITATION 3 58 $20,242 $349 64.4% (406) 327-4308
74 HEARTLAND REGIONAL MEDICAL CENTER SAINT JOSEPH MO NURSE PRACTITIONER 387 58 $7,018 $121 6.0% (816) 271-6870
75 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 58 $26,448 $456 16.5% (434) 924-5959
76 PHYSICAL MEDICINE AND REHAB MEDICAL SERVICE GROUP SYRACUSE NY PHYSICAL MEDICINE AND REHABILITATION 20 55 $23,375 $425 4.4% (315) 464-2296
77 NORTH PLATTE NEBRASKA HOSPITAL CORPORATION NORTH PLATTE NE PHYSICIAN ASSISTANT 240 55 $19,910 $362 12.8% (308) 568-8000
78 SELKIRK NEUROLOGY PLLC SPOKANE WA NEUROLOGY 3 55 $19,965 $363 18.6% (509) 473-0885
79 MONTAGE MEDICAL GROUP MONTEREY CA FAMILY PRACTICE 125 54 $18,360 $340 3.2% (831) 718-9701
80 BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC PHOENIX CO PHYSICIAN ASSISTANT 349 54 $11,448 $212 23.7% (602) 839-3927
81 CENTER FOR NEUROLOGICAL DISORDERS SC MILWAUKEE WI PHYSICAL MEDICINE AND REHABILITATION 7 52 $17,576 $338 6.2% (414) 769-4040
82 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 51 $19,650 $385 5.1% —
83 CLINIC FOR NEUROLOGY, PA HUNTSVILLE AL NEUROLOGY 3 50 $13,900 $278 24.4% (256) 533-4402
84 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 50 $28,650 $573 9.6% (919) 684-8111
85 LIFESPAN PHYSICIAN GROUP INC PROVIDENCE RI PHYSICIAN ASSISTANT 947 50 $25,550 $511 53.2% (401) 793-9172
86 NRHN REHAB PHYSICIAN SERVICES, INC PORTSMOUTH NH PHYSICAL MEDICINE AND REHABILITATION 21 49 $20,825 $425 29.5% (603) 501-5584
87 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 48 $23,987 $500 4.1% (254) 724-2663
88 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 48 $17,760 $370 6.8% —
89 UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY UT PHYSICAL MEDICINE AND REHABILITATION 93 48 $26,426 $551 53.9% (801) 587-6336
90 GAYLORD HOSPITAL, INC. WALLINGFORD CT INTERNAL MEDICINE 41 48 $20,538 $428 5.7% (203) 284-2800
91 PIONEER SPINE AND SPORTS PHYSICIANS PC WEST SPRINGFIELD MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 29 47 $32,914 $700 4.7% (413) 785-1153
92 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 47 $13,583 $289 4.4% —
93 THEDACARE, INCORPORATED APPLETON WI PHYSICIAN ASSISTANT 653 47 $64,235 $1,367 5.6% (920) 720-2300
94 EAST CAROLINA UNIVERSITY GREENVILLE NC NURSE PRACTITIONER 491 47 $15,809 $336 9.0% (252) 744-1406
95 MATTHEW L. BLOOM, D.O., PC VENTURA CA PHYSICAL MEDICINE AND REHABILITATION 4 46 $99,024 $2,153 2.8% (805) 351-0745
96 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 46 $10,672 $232 27.2% (302) 731-2888
97 WK PIERREMONT NEUROLOGY CLINIC SHREVEPORT LA NEUROLOGY 6 45 $16,962 $377 34.1% —
98 ST LOUIS SPINE AND JOINT PAIN SPECIALISTS LLC FENTON MO PHYSICAL MEDICINE AND REHABILITATION 2 45 $14,800 $329 4.7% (314) 516-3289
99 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 45 $23,760 $528 15.2% —
100 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 44 $11,132 $253 38.6% —

Showing the top 100 of 202 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 →