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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64645 Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, each additional extremity CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2014
National scale 2,397 services ▼ 2.6% YoY · 919 beneficiaries (CY2024, Medicare FFS)
Medicare paid $196K · $81.74 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
29
Named-group FFS services
1,534
FFS of Medicare
49%
Services YoY
-2.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,009 services

1,534 observed fee-for-service (51%) · ~1,475 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 — 64645 (CY2024)

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

Named-group submitted charges
$552K
Named-group allowed amount
$155K
Named-group Medicare payments
$120K
Avg charge / svc
$360
Avg allowed / svc
$101
Avg payment / svc
$78
Average charge per group
$175 29 groups · avg submitted charge / service $900
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 64645 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 64645 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 SANDEEP THAKKAR DO A PROFESSIONAL CORPORATION IRVINE CA PHYSICIAN ASSISTANT 4 186 $32,550 $175 premium 53.4%
2 HSHS MEDICAL GROUP INC DECATUR IL NURSE PRACTITIONER 202 118 $46,492 $394 premium 100.0% (217) 423-2889
3 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 92 $39,376 $428 premium 64.3% (617) 724-0287
4 DELAWARE PHYSIATRY DOVER DE NURSE PRACTITIONER 18 74 $19,240 $260 premium 100.0% (302) 387-1407
5 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 71 $31,311 $441 premium 20.4% (877) 827-7463
6 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 68 $27,290 $401 premium 58.6% (732) 362-3663
7 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 62 $17,050 $275 premium 16.1% (573) 882-2667
8 TEXOMA NEUROLOGY ASSOCIATES, PA PLANO TX NEUROLOGY 25 60 $17,244 $287 premium 36.1% 90389351414310
9 ST LUKES METHODIST HOSPITAL CEDAR RAPIDS IA NURSE PRACTITIONER 82 56 $19,318 $345 premium 100.0% (319) 368-5757
10 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 53 $16,960 $320 premium 100.0% (402) 354-8163
11 ALOMERE HEALTH ALEXANDRIA MN PHYSICIAN ASSISTANT 114 50 $17,150 $343 premium 52.1% (320) 762-1511
12 PHYSICAL MEDICINE ASSOCIATES OF N.W. OHIO, INC. LIMA OH NURSE PRACTITIONER 5 50 $15,500 $310 premium 59.5% (419) 228-5434
13 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 50 $22,550 $451 premium 30.1% (214) 633-5555
14 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 47 $22,795 $485 premium 34.6% (203) 739-7118
15 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 46 $25,535 $555 premium 47.9% (612) 863-4000
16 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 45 $15,885 $353 premium 60.8% (206) 223-6600
17 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 44 $20,196 $459 premium 100.0% (502) 937-2209
18 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 42 $12,096 $288 premium 100.0% (336) 713-9800
19 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 36 $17,640 $490 premium 10.3% (916) 681-8852
20 GOOD SHEPHERD REHABILITATION HOSPITAL CENTER VALLEY PA PHYSICAL MEDICINE AND REHABILITATION 21 35 $12,565 $359 premium 48.6% (610) 776-3278
21 DAYTON CENTER FOR NEUROLOGICAL DISORDERS INC CENTERVILLE OH PHYSICIAN ASSISTANT 26 34 $9,350 $275 premium 40.5% (937) 439-6186
22 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 33 $9,438 $286 premium 19.9% (713) 566-5000
23 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 30 $27,000 $900 premium 100.0% (212) 305-8559
24 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 29 $18,183 $627 premium 8.3% (650) 723-4000
25 SELKIRK NEUROLOGY PLLC SPOKANE WA NEUROLOGY 3 29 $7,134 $246 premium 39.2% (509) 473-0885
26 RADY CHILDREN'S HOSPITAL SAN DIEGO SAN DIEGO CA PEDIATRIC MEDICINE 147 26 $11,518 $443 premium 7.5% (858) 576-1700
27 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 24 $7,512 $313 premium 100.0% (434) 924-5959
28 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 23 $7,574 $329 premium 13.9% (210) 450-7044
29 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 21 $5,366 $256 premium 15.7% (785) 354-9591

*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 →