NEVVI Medicare utilization intelligence
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Market snapshot

64772 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64772 — Incision or removal of spinal nerve

Billing groups
36
Named-group FFS services
1,712
FFS of Medicare
49%
Services YoY
+64.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,273 services

1,712 observed fee-for-service (52%) · ~1,561 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 — 64772 (CY2024)

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

Named-group submitted charges
$4.9M
Named-group allowed amount
$526K
Named-group Medicare payments
$418K
Avg charge / svc
$2,858
Avg allowed / svc
$307
Avg payment / svc
$244
Average charge per group
$409 36 groups · avg submitted charge / service $29,991
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 64772 services, CY2024
#Physician group City St Specialty Providers 64772 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC PHOENIX AZ PHYSICIAN ASSISTANT 349 217 $213,961 $986 premium 57.7% (602) 839-3927
2 CENTER FOR PAIN MANAGEMENT, LLC HAGERSTOWN MD NURSE PRACTITIONER 39 191 $382,000 $2,000 premium 38.0% (301) 850-2768
3 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLAND SC PHYSICIAN ASSISTANT 78 127 $165,973 $1,307 premium 64.8% (843) 380-9330
4 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO CA PHYSICIAN ASSISTANT 16 113 $195,829 $1,733 premium 24.9% (949) 348-4000
5 SPINE INSTITUTE OF NORTH AMERICA LLC EAST WINDSOR NJ PHYSICIAN ASSISTANT 3 82 $779,000 $9,500 premium 38.5% (908) 812-8820
6 NEW YORK PAIN CONSULTANTS LLC BABYLON NY PHYSICIAN ASSISTANT 20 67 $134,000 $2,000 premium 30.5% (631) 422-6166
7 GULF COAST PAIN CONSULTANTS LLC PENSACOLA LA NURSE PRACTITIONER 36 64 $185,513 $2,899 premium 100.0% (850) 484-4080
8 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 61 $90,271 $1,480 premium 16.2% (602) 385-2115
9 PRECISION PAIN CARE INC LANCASTER OH ANESTHESIOLOGY 2 58 $98,600 $1,700 premium 74.4% (740) 689-9500
10 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 55 $254,705 $4,631 premium 25.0%
11 UCLA ASSOCIATED GENERAL SURGEONS LOS ANGELES CA GENERAL SURGERY 47 50 $188,438 $3,769 premium 11.0% (310) 267-7838
12 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 44 $94,004 $2,136 premium 100.0%
13 ORTHOSPORTS ASSOCIATES LLC BIRMINGHAM AL ORTHOPEDIC SURGERY 35 43 $127,617 $2,968 premium 71.7% (205) 838-3090
14 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 40 $48,680 $1,217 premium 61.5% (509) 946-4611
15 ATLANTIC SHORE SURGICAL ASSOCIATES, PC BRICK NJ GENERAL SURGERY 16 32 $959,719 $29,991 premium 15.0% (732) 701-4848
16 RUTLAND HOSPITAL, INC. RUTLAND VT NURSE PRACTITIONER 189 29 $65,569 $2,261 premium 100.0% (802) 775-7111
17 NEUROMICROSPINE PLLC PENSACOLA FL CHIROPRACTIC 6 28 $99,978 $3,571 premium 12.1% (850) 934-7545
18 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA ORTHOPEDIC SURGERY 67 28 $105,000 $3,750 premium 6.2% (310) 319-1234
19 CAROLINA HAND AND SPORTS MEDICINE, P.A. ASHEVILLE NC ORTHOPEDIC SURGERY 8 27 $39,960 $1,480 premium 22.7% 8282537521342
20 HAND SURGERY OF NORTHERN MICHIGAN PLC TRAVERSE CITY MI OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 9 27 $47,670 $1,766 premium 29.7% (231) 935-0800
21 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 27 $51,165 $1,895 premium 43.5% (903) 606-5560
22 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CT PHYSICIAN ASSISTANT 1699 27 $11,049 $409 premium 100.0% (310) 423-0674
23 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 26 $64,272 $2,472 premium 5.7% (650) 723-4000
24 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 26 $67,104 $2,581 premium 100.0% (615) 322-5000
25 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 24 $54,792 $2,283 premium 33.3% (775) 786-3040
26 BERKSHIRE ORTHOPAEDIC ASSOCIATES INC PITTSFIELD GU PHYSICIAN ASSISTANT 28 23 $47,725 $2,075 premium 100.0% (413) 499-6600
27 MISSOULA BONE AND JOINT LLC MISSOULA MT PHYSICIAN ASSISTANT 55 22 $30,690 $1,395 premium 28.9% (406) 721-4436
28 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 21 $64,575 $3,075 premium 53.8% (267) 339-3500
29 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 20 $39,820 $1,991 premium 64.5% (312) 563-2875
30 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 18 $30,489 $1,694 premium 46.2% (484) 526-2400
31 UPPER HAND ORTHOPAEDICS PC CORVALLIS OR OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 17 $30,061 $1,768 premium 100.0% (541) 207-0910
32 BOULDERCENTRE FOR ORTHOPEDICS PC BOULDER CO PHYSICIAN ASSISTANT 55 15 $20,790 $1,386 premium 37.5% (303) 449-2730
33 GOLDEN VALLEY HEALTH CENTERS MODESTO CA FAMILY PRACTICE 115 14 $21,000 $1,500 premium 3.1% (209) 722-4842
34 BERKSHIRE ORTHOPAEDIC ASSOCIATES INC PITTSFIELD MA PHYSICIAN ASSISTANT 28 14 $8,294 $592 premium 100.0% (413) 499-6600
35 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 13 $21,580 $1,660 premium 22.8% (757) 827-2480
36 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 11 $19,635 $1,785 premium 17.7% (214) 220-2468
37 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 11 $32,967 $2,997 premium 35.5% (217) 544-6464

*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 →