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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
77003 Fluoroscopic guidance for spine or back muscle injection CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5,071 services ▼ 9.3% YoY · 3,836 beneficiaries (CY2024, Medicare FFS)
Medicare paid $162K · $31.90 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
88
Named-group FFS services
3,677
FFS of Medicare
49%
Services YoY
-9.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,977 services

3,677 observed fee-for-service (53%) · ~3,300 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 — 77003 (CY2024)

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

Named-group submitted charges
$1.0M
Named-group allowed amount
$152K
Named-group Medicare payments
$120K
Avg charge / svc
$285
Avg allowed / svc
$41
Avg payment / svc
$33
Average charge per group
$45 88 groups · avg submitted charge / service $1,137
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 77003 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 77003 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 NEUROVERSION ANCHORAGE AK PHYSICIAN ASSISTANT 10 380 $338,200 $890 premium 100.0% (907) 339-4650
2 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 160 $11,241 $70 premium 86.0% (913) 588-1227
3 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 151 $14,398 $95 premium 33.8% (813) 745-4673
4 DIAGNOSTIC IMAGING ALLIANCE OF LOUISVILLE PSC LOUISVILLE KY DIAGNOSTIC RADIOLOGY 28 148 $10,804 $73 premium 75.5% (502) 896-2120
5 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 128 $13,696 $107 premium 32.8% (626) 256-4673
6 FLAXVENTURES LLC LITTLE ROCK AR NURSE PRACTITIONER 3 123 $21,049 $171 premium 38.9% (501) 466-7246
7 SINGLETON ASSOCIATES PA HOUSTON TX DIAGNOSTIC RADIOLOGY 769 93 $49,848 $536 premium 19.4% (855) 504-4544
8 COMPREHENSIVE RADIOLOGY SERVICES PLLC HATTIESBURG MS DIAGNOSTIC RADIOLOGY 44 90 $9,900 $110 premium 52.3% (601) 268-8000
9 MORI BEAN AND BROOKS INC ORANGE PARK FL DIAGNOSTIC RADIOLOGY 947 88 $42,995 $489 premium 19.7% (904) 399-5550
10 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 81 $15,228 $188 premium 82.7% (507) 284-2511
11 CHARLOTTE RADIOLOGY PA CHARLOTTE NC DIAGNOSTIC RADIOLOGY 218 77 $15,862 $206 premium 35.2% (704) 362-1945
12 NORTHSIDE RADIOLOGY ASSOCIATES LLC ATLANTA FL DIAGNOSTIC RADIOLOGY 370 71 $38,056 $536 premium 15.9% (404) 851-6577
13 CAROLINA RADIOLOGY ASSOCIATES LLC MYRTLE BEACH SC DIAGNOSTIC RADIOLOGY 63 69 $6,210 $90 premium 38.5% (843) 692-1916
14 NORTHEAST ARKANSAS PAIN MEDICINE JONESBORO AR INTERVENTIONAL PAIN MANAGEMENT 2 67 $2,994 $45 premium 21.2% (870) 972-0411
15 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 67 $9,849 $147 premium 40.9%
16 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 61 $6,708 $110 premium 34.1%
17 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 57 $18,468 $324 premium 12.8% (786) 662-0600
18 RADIOLOGY ALLIANCE PC NASHVILLE TN DIAGNOSTIC RADIOLOGY 403 51 $27,336 $536 premium 45.5% (615) 312-0600
19 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 49 $14,602 $298 premium 12.6% (650) 723-4000
20 SONORAN RADIOLOGY LTD MESA AZ DIAGNOSTIC RADIOLOGY 474 48 $25,728 $536 premium 35.3% (832) 915-2534
21 BLACK HILLS ORTHOPEDIC AND SPINE CENTER INC RAPID CITY SD PHYSICIAN ASSISTANT 76 48 $12,960 $270 premium 100.0% (605) 737-9151
22 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 47 $3,948 $84 premium 34.3% (434) 924-5959
23 ADVANCED RADIOLOGY P A BALTIMORE MD DIAGNOSTIC RADIOLOGY 161 47 $4,324 $92 premium 74.6% (888) 972-9700
24 RADIOLOGY ASSOCIATES OF ABILENE PA ABILENE TX DIAGNOSTIC RADIOLOGY 25 44 $4,136 $94 premium 9.2% (325) 670-2000
25 CHICAGO SPINE AND JOINT, S.C. HINSDALE IL INTERVENTIONAL PAIN MANAGEMENT 7 42 $19,847 $473 premium 25.6% (708) 482-4500
26 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 39 $14,625 $375 premium 10.0% (310) 423-0674
27 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 38 $2,888 $76 premium 17.4% (828) 213-1740
28 BREVARD PHYSICIAN ASSOCIATES PLLC MELBOURNE FL DIAGNOSTIC RADIOLOGY 216 37 $4,292 $116 premium 8.3% (321) 434-9000
29 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 36 $10,512 $292 premium 26.5% (602) 385-2115
30 RADIOLOGY LTD LLC TUCSON AZ DIAGNOSTIC RADIOLOGY 102 36 $23,688 $658 premium 26.5% (520) 290-4842
31 HAMPTON ROADS RADIOLOGY ASSOCIATES PC VIRGINIA BEACH VA DIAGNOSTIC RADIOLOGY 37 36 $3,528 $98 premium 26.3% (757) 916-9630
32 NORTHSIDE RADIOLOGY ASSOCIATES LLC ATLANTA GA DIAGNOSTIC RADIOLOGY 370 34 $18,224 $536 premium 33.3% (404) 851-6577
33 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 32 $3,008 $94 premium 19.9% (215) 662-2777
34 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA NEUROSURGERY 27 32 $4,192 $131 premium 8.2% (714) 456-7004
35 HOUSTON RADIOLOGY ASSOCIATED HOUSTON TX DIAGNOSTIC RADIOLOGY 103 31 $6,412 $207 premium 6.5% (281) 206-9020
36 RADIOLOGY ASSOCIATES OF NORTH TEXAS PA FORT WORTH TX DIAGNOSTIC RADIOLOGY 340 31 $3,720 $120 premium 6.5% (817) 321-0470
37 COMMUNITY MEDICAL IMAGING INC SULLIVAN IN DIAGNOSTIC RADIOLOGY 5 31 $3,255 $105 premium 56.4% (812) 268-4311
38 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 30 $16,350 $545 premium 7.7% (916) 681-8852
39 RADIA INC P S SEATTLE WA DIAGNOSTIC RADIOLOGY 270 28 $2,621 $94 premium 24.8% (206) 320-3700
40 SOUTHERN PAIN ASSOCIATES, PLLC MERIDIAN MS NURSE PRACTITIONER 10 28 $4,200 $150 premium 16.3% (601) 482-9224
41 RADIOLOGY CONSULTANTS PC OKLAHOMA CITY OK DIAGNOSTIC RADIOLOGY 23 27 $6,156 $228 premium 31.0% (405) 384-5250
42 UNITED HEALTH SERVICES HOSPITALS, INC. JOHNSON CITY NY PHYSICIAN ASSISTANT 462 26 $1,991 $77 premium 13.8% (607) 763-6101
43 REGIONAL HEALTH SERVICES INC ERIE PA PHYSICIAN ASSISTANT 588 26 $2,106 $81 premium 16.1%
44 UNITED IMAGING CONSULTANTS LLC LEAWOOD KS DIAGNOSTIC RADIOLOGY 33 26 $1,690 $65 premium 14.0% (913) 498-6000
45 SONORAN RADIOLOGY LTD MESA FL DIAGNOSTIC RADIOLOGY 474 26 $3,815 $147 premium 5.8% (832) 915-2534
46 CENTRAL TEXAS PAIN INSTITUTE PLLC AUSTIN TX PHYSICIAN ASSISTANT 5 25 $28,425 $1,137 premium 5.2% (855) 876-7246
47 RALEIGH NEUROLOGY ASSOCIATES, P. A. RALEIGH NC PHYSICIAN ASSISTANT 50 24 $9,384 $391 premium 11.0% (919) 782-3456
48 RADIOLOGY ASSOCIATES OF NORTH IDAHO PA COEUR D ALENE ID DIAGNOSTIC RADIOLOGY 32 23 $2,369 $103 premium 67.6% (208) 625-6360
49 ALI NAIRIZI MD PC RENO NV PHYSICIAN ASSISTANT 7 22 $18,650 $848 premium 100.0%
50 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 22 $2,763 $126 premium 100.0% (802) 847-0000
51 DURHAM RADIOLOGY ASSOCIATES INC DURHAM NC DIAGNOSTIC RADIOLOGY 19 21 $1,827 $87 premium 9.6% (919) 471-4840
52 CHC PAIN MANAGEMENT CENTER, PA CAMDEN NJ ANESTHESIOLOGY 12 21 $3,066 $146 premium 100.0% (609) 963-6770
53 MSKCC RADIOLOGY GROUP NEW YORK NY DIAGNOSTIC RADIOLOGY 199 20 $3,400 $170 premium 10.6% (646) 888-5300
54 COLUMBUS RADIOLOGY CORP COLUMBUS PA DIAGNOSTIC RADIOLOGY 288 19 $10,184 $536 premium 11.8% (614) 228-7231
55 PROFESSIONAL RADIOLOGY INC CINCINNATI KY DIAGNOSTIC RADIOLOGY 44 19 $1,577 $83 premium 9.7% (513) 624-4500
56 X-RAY ASSOCIATES OF LOUISVILLE PSC LOUISVILLE KY DIAGNOSTIC RADIOLOGY 55 18 $2,087 $116 premium 9.2% (502) 897-8121
57 DIAGNOSTIC IMAGING ALLIANCE OF LOUISVILLE PSC LOUISVILLE MO DIAGNOSTIC RADIOLOGY 28 18 $1,314 $73 premium 30.5% (502) 896-2120
58 CHARLES R GORDON MD PA TYLER TX NURSE PRACTITIONER 25 17 $1,445 $85 premium 3.5% (903) 592-6000
59 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 17 $1,994 $117 premium 17.3% (507) 389-8509
60 RADIOLOGY ASSOCIATES OF CLEARWATER CLEARWATER FL DIAGNOSTIC RADIOLOGY 53 17 $2,601 $153 premium 3.8% (727) 441-3711
61 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 17 $1,440 $85 premium 54.8% (801) 261-8346
62 DIAGNOSTIC IMAGING ASSOCIATES INC TULSA OK DIAGNOSTIC RADIOLOGY 84 16 $3,616 $226 premium 18.4% (918) 935-3550
63 RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC COLUMBUS OH DIAGNOSTIC RADIOLOGY 243 16 $3,920 $245 premium 22.9% (614) 566-5600
64 RUSH UNIVERSITY MEDICAL GROUP CHICAGO MI PHYSICIAN ASSISTANT 1496 16 $1,536 $96 premium 36.4% (312) 563-2875
65 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 16 $1,936 $121 premium 36.4% (616) 363-7272
66 SUMMIT IMAGING SERVICES LLC COCHRAN VA DIAGNOSTIC RADIOLOGY 64 14 $3,066 $219 premium 10.2% (478) 934-6211
67 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH TX DIAGNOSTIC RADIOLOGY 4291 14 $7,043 $503 premium 2.9%
68 CARILION HEALTHCARE CORPORATION ROANOKE VA PHYSICIAN ASSISTANT 545 14 $742 $53 premium 10.2% (703) 562-2110
69 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 14 $1,526 $109 premium 23.7% (573) 882-2667
70 LAKELAND RADIOLOGISTS P A FLOWOOD MS DIAGNOSTIC RADIOLOGY 29 14 $2,268 $162 premium 8.1% (601) 936-2390
71 AUGUSTA MEDICAL GROUP FISHERSVILLE VA PHYSICIAN ASSISTANT 424 14 $630 $45 premium 10.2% (540) 332-5595
72 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 14 $3,724 $266 premium 8.5%
73 CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD PEORIA IL DIAGNOSTIC RADIOLOGY 196 13 $2,730 $210 premium 7.9% (309) 655-2000
74 OKLAHOMA RADIOLOGY GROUP P C OKLAHOMA CITY OK DIAGNOSTIC RADIOLOGY 61 13 $1,300 $100 premium 14.9% (405) 272-7000
75 HOUSTON RADIOLOGY ASSOCIATED HOUSTON IN DIAGNOSTIC RADIOLOGY 103 13 $2,666 $205 premium 23.6% (281) 206-9020
76 FORT COLLINS RADIOLOGIC ASSOCIATES PC FORT COLLINS CO DIAGNOSTIC RADIOLOGY 63 13 $2,457 $189 premium 100.0% (970) 495-7000
77 RADIOLOGY ASSOCIATES OF MACON PC MACON GA DIAGNOSTIC RADIOLOGY 65 13 $2,206 $170 premium 12.7% (478) 633-1235
78 COLUMBUS RADIOLOGY CORP COLUMBUS OH DIAGNOSTIC RADIOLOGY 288 13 $6,968 $536 premium 18.6% (614) 228-7231
79 TOLEDO RADIOLOGICAL ASSOCIATES INC COLDWATER OH DIAGNOSTIC RADIOLOGY 51 13 $1,144 $88 premium 18.6% (517) 279-5400
80 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 13 $1,716 $132 premium 18.6%
81 RADIA INC P S SEATTLE VA DIAGNOSTIC RADIOLOGY 270 12 $1,123 $94 premium 8.8% (206) 320-3700
82 CAPE RADIOLOGY GROUP PC CAPE GIRARDEAU MO DIAGNOSTIC RADIOLOGY 53 12 $1,080 $90 premium 20.3% (573) 334-6071
83 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 12 $972 $81 premium 10.6% (206) 223-6600
84 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 12 $6,363 $530 premium 2.5% (713) 592-5433
85 MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS INC IDAHO FALLS WA DIAGNOSTIC RADIOLOGY 59 12 $6,432 $536 premium 10.6% (208) 715-5220
86 INTEGRATED IMAGING CONSULTANTS LLC PARK RIDGE IL DIAGNOSTIC RADIOLOGY 174 12 $1,320 $110 premium 7.3% (847) 723-2210
87 JACKSON RADIOLOGY CONSULTANTS P C JACKSON MI DIAGNOSTIC RADIOLOGY 11 12 $1,464 $122 premium 27.3% (517) 783-2612
88 SHANNON CLINIC SAN ANGELO TX NURSE PRACTITIONER 515 12 $1,272 $106 premium 2.5% (325) 747-1511
89 LANCASTER RADIOLOGY ASSOCIATES LTD LANCASTER PA DIAGNOSTIC RADIOLOGY 46 12 $1,236 $103 premium 7.5% (717) 544-4900
90 VISTA RADIOLOGY, PC KNOXVILLE TN DIAGNOSTIC RADIOLOGY 68 11 $1,309 $119 premium 9.8% (865) 546-9484
91 FIRST UROLOGY PSC LOUISVILLE KY UROLOGY 55 11 $803 $73 premium 5.6% (812) 282-3899
92 RADIOLOGY ASSOCIATES OF ABILENE PA ABILENE OK DIAGNOSTIC RADIOLOGY 25 11 $1,034 $94 premium 12.6% (325) 670-2000
93 QUANTUM IMAGING AND THERAPEUTIC ASSOCIATES INC HARRISBURG PA DIAGNOSTIC RADIOLOGY 90 11 $1,206 $110 premium 6.8% (717) 932-5200
94 EASTERN RADIOLOGICAL ASSOCIATES PC BILLINGS MT DIAGNOSTIC RADIOLOGY 52 11 $1,166 $106 premium 100.0% (406) 969-4340
95 SUMMIT RADIOLOGY P C FORT WAYNE IN DIAGNOSTIC RADIOLOGY 104 11 $1,507 $137 premium 20.0% (260) 432-1568

*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 →