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Market snapshot

95873 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95873 — Electrical stimulation for guidance with injection of chemical for paralysis of nerve muscle

Billing groups
36
Named-group FFS services
2,106
FFS of Medicare
49%
Services YoY
-10.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,017 services

2,106 observed fee-for-service (52%) · ~1,911 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 — 95873 (CY2024)

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

Named-group submitted charges
$330K
Named-group allowed amount
$89K
Named-group Medicare payments
$70K
Avg charge / svc
$157
Avg allowed / svc
$42
Avg payment / svc
$33
Average charge per group
$19 36 groups · avg submitted charge / service $460
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 95873 services, CY2024
#Physician group City St Specialty Providers 95873 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 211 $17,353 $82 premium 53.7% (617) 724-0287
2 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 185 $39,590 $214 premium 78.7% (402) 354-8163
3 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 139 $7,435 $53 premium 100.0% (202) 429-2401
4 UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY UT PHYSICAL MEDICINE AND REHABILITATION 93 135 $8,783 $65 premium 100.0% (801) 587-6336
5 REHABILITATION CONSULTANTS PC NORWALK CT PHYSICAL MEDICINE AND REHABILITATION 2 103 $25,235 $245 premium 66.5% (203) 523-0100
6 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON NY DIAGNOSTIC RADIOLOGY 3532 87 $7,161 $82 premium 20.8% (617) 724-0287
7 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 76 $13,300 $175 premium 100.0% (515) 461-9786
8 KESSLER PROFESSIONAL SERVICES LLC WEST ORANGE NJ PHYSICAL MEDICINE AND REHABILITATION 44 65 $19,565 $301 premium 45.5% (973) 731-3600
9 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS FL ORTHOPEDIC SURGERY 1373 62 $19,344 $312 premium 100.0% (508) 385-4212
10 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 60 $5,973 $100 premium 15.3%
11 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 59 $3,835 $65 premium 41.3% (732) 362-3663
12 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 58 $4,176 $72 premium 15.5% (717) 531-5638
13 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 53 $12,455 $235 premium 12.7% (518) 262-3277
14 PHYSICAL MEDICINE AND REHAB MEDICAL SERVICE GROUP SYRACUSE NY PHYSICAL MEDICINE AND REHABILITATION 20 52 $10,140 $195 premium 12.4% (315) 464-2296
15 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 52 $9,845 $189 premium 12.4% (866) 633-8255
16 TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT PHYSICIAN ASSISTANT 591 52 $12,688 $244 premium 33.5% (860) 714-3500
17 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 51 $4,590 $90 premium 58.0% (214) 633-5555
18 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 46 $21,160 $460 premium 11.0% (212) 305-8559
19 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 46 $3,680 $80 premium 11.0% (212) 241-4812
20 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 45 $7,065 $157 premium 100.0% (888) 484-3258
21 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 45 $6,390 $142 premium 43.7%
22 PHYSICAL MEDICINE AND REHABILITATION OF LONG ISLAND BRIGHTWATERS NY NURSE PRACTITIONER 7 45 $8,990 $200 premium 10.8% (631) 300-0797
23 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 37 $3,034 $82 premium 42.0% (713) 566-5000
24 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 34 $6,676 $196 premium 9.1% (215) 662-2777
25 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 33 $3,003 $91 premium 8.4% (508) 334-1000
26 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 30 $6,360 $212 premium 29.1% (513) 584-1000
27 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 28 $4,396 $157 premium 27.2%
28 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 27 $6,642 $246 premium 7.2% (610) 353-0800
29 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 27 $3,861 $143 premium 52.9% (734) 763-5459
30 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 24 $5,280 $220 premium 100.0% (615) 322-5000
31 GILLETTE CHILDRENS SPECIALTY HEALTHCARE SAINT PAUL MN NURSE PRACTITIONER 103 24 $5,112 $213 premium 100.0% (651) 291-2848
32 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 23 $964 $42 premium 100.0%
33 GOOD SHEPHERD REHABILITATION HOSPITAL CENTER VALLEY PA PHYSICAL MEDICINE AND REHABILITATION 21 22 $4,928 $224 premium 5.9% (610) 776-3278
34 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 20 $373 $19 premium 100.0% (605) 322-5180
35 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 19 $8,493 $447 premium 13.3% (973) 971-5596
36 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 18 $900 $50 premium 4.8% (215) 456-8242
37 W DEAN LORENZ MD PC FLORENCE SC PHYSICAL MEDICINE AND REHABILITATION 2 13 $1,560 $120 premium 100.0% (843) 661-4390

*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 →