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Market snapshot

G0481 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0481 — Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms

Billing groups
301
Named-group FFS services
138,718
FFS of Medicare
49%
Services YoY
+2.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~281,058 services

138,718 observed fee-for-service (49%) · ~142,340 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 — G0481 (CY2024)

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

Named-group submitted charges
$71.8M
Named-group allowed amount
$21.1M
Named-group Medicare payments
$21.1M
Avg charge / svc
$517
Avg allowed / svc
$152
Avg payment / svc
$152
Average charge per group
$45 301 groups · avg submitted charge / service $2,802
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Specialty market — Pain Management: 11,230 services across 11 groups; top group 60%. See Pain Management across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0481 services, CY2024
#Physician group City St Specialty Providers G0481 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 ADVANCED SPINE AND PAIN LLC HAMMONTON NJ PAIN MANAGEMENT 43 5,138 $3,620,030 $705 premium 18.2% (888) 985-2727
2 PHYSICIANS GROUP SERVICES PA JACKSONVILLE FL PAIN MANAGEMENT 93 2,567 $1,206,490 $470 premium 7.3% (904) 751-4906
3 ADVANCED SPINE AND PAIN LLC HAMMONTON PA PAIN MANAGEMENT 43 1,552 $1,093,295 $704 premium 9.3% (888) 985-2727
4 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS GA PAIN MANAGEMENT 51 730 $342,548 $469 premium 2.9% (770) 929-9033
5 CHRISTIAN GONZALEZ MD LLC AVENTURA FL PAIN MANAGEMENT 11 397 $248,665 $626 premium 1.1% (305) 974-5533
6 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS FL PAIN MANAGEMENT 51 241 $93,031 $386 premium 0.7% (770) 929-9033
7 BRIAN LE DO PC LAS VEGAS NV PAIN MANAGEMENT 4 97 $116,400 $1,200 premium 1.0% (702) 676-2000
8 WESTERN OKLAHOMA PAIN SPECIALISTS LLC OKLAHOMA CITY OK PAIN MANAGEMENT 10 95 $23,750 $250 premium 1.0% (405) 601-4237
9 CENTENNIAL MEDICAL GROUP LLP LAS VEGAS NM PAIN MANAGEMENT 10 82 $38,540 $470 premium 7.3% (702) 839-1203
10 CENTER FOR SPINE AND PAIN MEDICINE PC DALTON GA PAIN MANAGEMENT 4 79 $37,130 $470 premium 0.3% (706) 279-2635
11 INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC CONYERS IL PAIN MANAGEMENT 51 57 $26,790 $470 premium 1.4% (770) 929-9033
12 SOUTHEAST REGIONAL PAIN CTR PC Columbus GA PAIN MANAGEMENT 2 48 $10,800 $225 premium 0.2%
13 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON PA PAIN MANAGEMENT 24 44 $22,880 $520 premium 0.3% (844) 365-7246
14 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON DE PAIN MANAGEMENT 24 38 $19,760 $520 premium 4.4% (844) 365-7246
15 WESTERN OKLAHOMA PAIN SPECIALISTS LLC OKLAHOMA CITY LA PAIN MANAGEMENT 10 38 $9,500 $250 premium 1.2% (405) 601-4237
16 CAROLINAS PAIN CENTER PLLC HUNTERSVILLE NC PAIN MANAGEMENT 8 27 $6,642 $246 premium 0.0% (704) 500-2332

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →