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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
95991 Maintenance of spinal canal or brain drug infusion pump by health care professional CPT · Treatment - Miscellaneous
Classification Treatment › Treatment - Miscellaneous (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 4,327 services ▲ 1.4% YoY · 1,620 beneficiaries (CY2024, Medicare FFS)
Medicare paid $291K · $67.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
38
Named-group FFS services
2,959
FFS of Medicare
49%
Services YoY
+1.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,222 services

2,959 observed fee-for-service (48%) · ~3,263 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 — 95991 (CY2024)
FL 1,453 CA 526 TX 415 VA 316 MD 204

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
$261K
Named-group Medicare payments
$197K
Avg charge / svc
$353
Avg allowed / svc
$88
Avg payment / svc
$67
Average charge per group
$105 38 groups · avg submitted charge / service $863
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 95991 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 525 $210,000 $400 36.1% (407) 622-5766
2 FORT WORTH INTERVENTIONAL LLC FORT WORTH TX INTERVENTIONAL PAIN MANAGEMENT 2 415 $98,604 $238 100.0% (817) 332-6092
3 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 129 $51,600 $400 40.8% (703) 971-4604
4 TAMPA PAIN RELIEF CENTER INC TAMPA FL NURSE PRACTITIONER 32 126 $79,380 $630 8.7% (813) 872-4492
5 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 123 $30,750 $250 91.1% —
6 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 108 $19,440 $180 7.4% —
7 RACC MEDICAL ASSOCIATES LLC FORT WAYNE IN PHYSICIAN ASSISTANT 22 101 $35,350 $350 82.1% (260) 748-3650
8 PREMIER SPINE AND PAIN CENTER PA JACKSONVILLE FL INTERVENTIONAL PAIN MANAGEMENT 2 85 $54,400 $640 5.8% (904) 264-0770
9 TALLAHASSEE NEUROLOGICAL CLINIC TALLAHASSEE FL NURSE PRACTITIONER 36 84 $42,000 $500 5.8% (850) 325-5000
10 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 83 $26,560 $320 100.0% (205) 934-3460
11 PIEDMONT COMPREHENSIVE PAIN MANAGEMENT GROUP LLC ANDERSON SC PHYSICAL MEDICINE AND REHABILITATION 5 80 $28,320 $354 74.8% 86422535511136
12 CAPITOL PAIN INSTITUTE PA AUSTIN KY NURSE PRACTITIONER 44 70 $60,397 $863 100.0% (512) 467-7246
13 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 65 $20,280 $312 100.0% (630) 933-4800
14 PAIN MANAGEMENT INSTITUTE LLC WOOSTER OH PAIN MANAGEMENT 2 65 $16,250 $250 48.1% (937) 548-3063
15 THE ANDERSON CLINIC INC ALEXANDRIA VA ORTHOPEDIC SURGERY 79 64 $22,848 $357 20.3% (703) 892-6500
16 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 61 $24,827 $407 4.2% (954) 659-5000
17 EFFINGHAM REHAB SERVICES, LLC KINGSLAND GA ORTHOPEDIC SURGERY 133 55 $11,000 $200 100.0% (419) 221-3717
18 PHYSICIANS GROUP SERVICES PA JACKSONVILLE FL PAIN MANAGEMENT 93 55 $17,366 $316 3.8% (904) 751-4906
19 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 53 $16,695 $315 16.8% (434) 924-5959
20 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 49 $6,060 $124 54.4% (206) 364-0500
21 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 43 $16,100 $374 8.2% (650) 723-4000
22 WOLVERINE ANESTHESIA LLC DULUTH MN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 43 $12,084 $281 100.0% (218) 728-8548
23 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 42 $6,342 $151 2.9% (305) 689-5437
24 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND WA PHYSICIAN ASSISTANT 588 41 $4,300 $105 45.6% —
25 CHRISTOPHER K MOCEK MD PA LITTLE ROCK AR NURSE PRACTITIONER 5 39 $8,775 $225 100.0% (501) 224-4001
26 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 38 $11,861 $312 100.0% (435) 635-0174
27 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 35 $24,080 $688 6.7% (415) 476-1000
28 PAIN AND SPINE SPECIALISTS OF CONNECTICUT LLC DANBURY MD NURSE PRACTITIONER 5 34 $13,600 $400 16.7% (203) 792-7277
29 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA MD NURSE PRACTITIONER 75 32 $12,800 $400 15.7% (703) 971-4604
30 REGENTS OF THE UNIVERSITY OF ORANGE CA ANESTHESIOLOGY 227 30 $9,150 $305 5.7% (714) 456-7004
31 THE METROHEALTH SYSTEM CLEVELAND OH NURSE PRACTITIONER 1175 29 $10,092 $348 21.5% (216) 778-7800
32 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 27 $8,505 $315 25.2% (843) 792-1414
33 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 22 $5,676 $258 17.9% —
34 CONSERVATIVE MEDICAL MANAGEMENT A LAFAYETTE LA INTERVENTIONAL PAIN MANAGEMENT 2 21 $5,250 $250 100.0% (337) 269-6335
35 OCALA ONCOLOGY CENTER PL OCALA FL NURSE PRACTITIONER 23 20 $3,600 $180 1.4% (352) 732-4032
36 HUTCHINSON CLINIC PA INC HUTCHINSON KS PHYSICIAN ASSISTANT 131 20 $4,080 $204 32.8% (620) 669-2500
37 SEMMES-MURPHEY CLINIC PC MEMPHIS TN NEUROSURGERY 65 19 $6,080 $320 22.4% (901) 522-7700
38 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 16 $5,120 $320 26.2% (913) 588-1227
39 MARTIN QUIROGA PC WARREN MI NEUROSURGERY 3 12 $3,960 $330 15.0% (586) 806-6466

*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 →