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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64722 Release of unspecified nerve CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,087 services ▼ 8.9% YoY · 389 beneficiaries (CY2024, Medicare FFS)
Medicare paid $180K · $165.64 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
8
Named-group FFS services
741
FFS of Medicare
49%
Services YoY
-8.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,491 services

741 observed fee-for-service (50%) · ~750 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 — 64722 (CY2024)

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

Named-group submitted charges
$555K
Named-group allowed amount
$146K
Named-group Medicare payments
$116K
Avg charge / svc
$749
Avg allowed / svc
$198
Avg payment / svc
$156
Average charge per group
$446 8 groups · avg submitted charge / service $1,782
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 64722 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 64722 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 TRINITY INTEGRATIVE MEDICAL SPECIALISTS INC TEMECULA CA NURSE PRACTITIONER 4 377 $179,075 $475 premium 54.9% (951) 501-4252
2 NEUROLOGICAL SURGERY PRACTICE OF LONG ISLAND PLLC ROCKVILLE CENTRE NY NEUROSURGERY 14 106 $47,304 $446 premium 100.0% 516442346110
3 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 90 $160,380 $1,782 premium 100.0% (210) 804-5400
4 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 46 $52,375 $1,139 premium 100.0% (603) 883-0091
5 ARIA PODIATRY CARE PLLC CUMMING GA PODIATRY 45 39 $53,520 $1,372 premium 100.0% (877) 674-1211
6 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 35 $15,940 $455 premium 100.0% (603) 883-0091
7 SANTA CLARITA EAR NOSE AND THROAT MEDICAL ASSOCIATES VALENCIA CA OTOLARYNGOLOGY 8 25 $35,529 $1,421 premium 3.6% (661) 259-2500
8 SIMEDHEALTH LLC GAINESVILLE FL NURSE PRACTITIONER 91 12 $5,700 $475 premium 100.0% (352) 416-1082
9 WHITE RIVER HEALTH SYSTEM, INC. BATESVILLE AZ NURSE PRACTITIONER 180 11 $4,950 $450 premium 15.3% (870) 793-7519

*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 →