NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J0475 Injection, baclofen, 10 mg HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 38,526 services ▼ 11.4% YoY · 2,591 beneficiaries (CY2024, Medicare FFS)
Medicare paid $5.1M · $132.81 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
53
Named-group FFS services
16,897
FFS of Medicare
49%
Services YoY
-11.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~33,282 services

16,897 observed fee-for-service (51%) · ~16,385 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 — J0475 (CY2024)
PA 10,025 MA 4,020 NY 2,900 MO 2,274 TX 1,676

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

Named-group submitted charges
$7.5M
Named-group allowed amount
$2.8M
Named-group Medicare payments
$2.2M
Avg charge / svc
$445
Avg allowed / svc
$167
Avg payment / svc
$131
Average charge per group
$40 53 groups · avg submitted charge / service $2,330
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J0475 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 INDIANA NEUROLOGY AND PAIN CENTER LLC INDIANAPOLIS IN PHYSICIAN ASSISTANT 12 1,188 $874,368 $736 81.7% (317) 939-6100
2 NATIONAL HEALTH REHABILITATION LLC TAMPA MA PHYSICAL MEDICINE AND REHABILITATION 151 1,152 $414,720 $360 28.7% (201) 654-6397
3 PHYSICAL MEDICINE AND REHAB MEDICAL SERVICE GROUP SYRACUSE NY PHYSICAL MEDICINE AND REHABILITATION 20 930 $279,000 $300 32.1% (315) 464-2296
4 SUBHASH SHAH MD PA WICHITA KS PHYSICIAN ASSISTANT 2 927 $231,750 $250 81.6% (316) 686-6866
5 W DEAN LORENZ MD PC FLORENCE SC PHYSICAL MEDICINE AND REHABILITATION 2 924 $254,100 $275 66.3% (843) 661-4390
6 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 922 $536,173 $582 31.8% (212) 263-9700
7 OSU PHYSICAL MEDICINE AND REHABILITATION, LLC COLUMBUS OH PHYSICAL MEDICINE AND REHABILITATION 35 557 $296,119 $532 46.8% (614) 366-9211
8 CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA MIRAMAR BEACH FL NEUROLOGY 3 505 $176,750 $350 34.2% (850) 932-5055
9 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 400 $219,600 $549 17.6% (314) 747-3000
10 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 399 $203,091 $509 33.6% —
11 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 389 $224,842 $578 100.0% (205) 934-3460
12 CHILDRENS HOSPITAL OF ORANGE COUNTY ORANGE CA PEDIATRIC MEDICINE 71 388 $161,200 $415 36.9% (888) 770-2462
13 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 364 $128,492 $353 79.0% —
14 TEXOMA NEUROLOGY ASSOCIATES, PA PLANO TX NEUROLOGY 25 363 $162,054 $446 21.7% 90389351414310
15 ACCESS PAIN SOLUTIONS TULSA OK NURSE PRACTITIONER 13 362 $164,500 $454 63.6% (918) 710-4112
16 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 346 $183,380 $530 36.3% (630) 933-4800
17 REHABILITATION AND PHYSICAL MEDICINE SPECIALISTS PC GRAND RAPIDS MI NURSE PRACTITIONER 6 336 $117,180 $349 100.0% (616) 459-0801
18 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 310 $107,496 $347 7.7% —
19 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 308 $190,960 $620 29.3% —
20 CHATTANOOGA SPINE AND REHABILITATION PLLC CHATTANOOGA TN PHYSICAL MEDICINE AND REHABILITATION 15 289 $144,500 $500 100.0% (423) 803-2226
21 RADIOLOGY OF INDIANA P C INDIANAPOLIS IN DIAGNOSTIC RADIOLOGY 116 266 $195,776 $736 18.3% (317) 579-2150
22 COMPREHENSIVE PAIN MANAGEMENT SERVICES INC WEST PALM BEACH FL INTERVENTIONAL PAIN MANAGEMENT 2 255 $137,445 $539 17.3% (561) 845-7432
23 KESSLER PROFESSIONAL SERVICES LLC WEST ORANGE NJ PHYSICAL MEDICINE AND REHABILITATION 44 249 $99,600 $400 41.6% (973) 731-3600
24 PIONEER SPORTS AND SPINE PLLC GILBERT AZ NURSE PRACTITIONER 2 248 $19,815 $80 45.1% (480) 249-5525
25 LIFESTYLE NEUROLOGY LLC GREENVILLE SC NURSE PRACTITIONER 4 243 $86,751 $357 17.4% (864) 655-4005
26 OSU NEUROSCIENCE CENTER, LLC COLUMBUS OH NEUROLOGY 119 233 $12,776 $55 19.6% (614) 293-4969
27 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 228 $72,541 $318 23.9% (847) 459-1160
28 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 227 $119,856 $528 16.3% —
29 TALLAHASSEE NEUROLOGICAL CLINIC TALLAHASSEE FL NURSE PRACTITIONER 36 224 $67,200 $300 15.2% (850) 325-5000
30 SIGNATURE MEDICAL GROUP OF KC PA OVERLAND PARK KS PHYSICIAN ASSISTANT 25 209 $86,526 $414 18.4% (913) 498-6000
31 OKLAHOMA MEDICAL RESEARCH FOUNDATION OKLAHOMA CITY OK NEUROLOGY 11 207 $71,415 $345 36.4% (405) 271-7410
32 INTERNATIONAL MULTIPLE SCLEROSIS MANAGEMENT PRACTICE, PC NEW YORK NY NEUROLOGY 7 199 $36,617 $184 6.9% (212) 265-8070
33 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 197 $89,832 $456 55.0% (651) 221-3456
34 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 194 $67,900 $350 62.6% (502) 855-7200
35 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 191 $47,730 $250 35.3% (515) 239-4400
36 GOOD SHEPHERD REHABILITATION HOSPITAL CENTER VALLEY PA PHYSICAL MEDICINE AND REHABILITATION 21 186 $59,148 $318 1.9% (610) 776-3278
37 PINELLAS PHYSIATRY ASSOCIATES PA CLEARWATER FL PHYSICAL MEDICINE AND REHABILITATION 3 173 $138,400 $800 11.7% (727) 327-2600
38 PIONEER SPINE AND SPORTS PHYSICIANS PC WEST SPRINGFIELD MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 29 166 $40,030 $241 4.1% (413) 785-1153
39 GILLETTE CHILDRENS SPECIALTY HEALTHCARE SAINT PAUL MN NURSE PRACTITIONER 103 161 $375,057 $2,330 45.0% (651) 291-2848
40 THE CENTER FOR PAIN AND SUPPORTIVE CARE P L L C PHOENIX AZ HOSPICE/PALLIATIVE CARE 5 156 $45,708 $293 28.4% (480) 889-0180
41 BAYCARE CLINIC LLP GREEN BAY WI PHYSICIAN ASSISTANT 199 150 $87,150 $581 24.4% —
42 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 146 $76,358 $523 13.9% (310) 423-0674
43 PAIN MANAGEMENT CONSULTANTS PC PORTLAND OR PAIN MANAGEMENT 2 129 $64,500 $500 100.0% (503) 292-7005
44 INTEGRATED REHAB CONSULTANTS LLC CHICAGO KY PHYSICAL MEDICINE AND REHABILITATION 164 116 $43,500 $375 37.4% (773) 224-5900
45 ADVENTIST PHYSICIAN SERVICES INC ROCKVILLE MD CARDIOVASCULAR DISEASE (CARDIOLOGY) 145 113 $40,182 $356 45.0% (301) 670-3000
46 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 113 $49,607 $439 1.1% —
47 MONTEREY BAY VASCULAR INC APTOS CA GENERAL SURGERY 3 106 $31,800 $300 10.1% (831) 318-0010
48 MD WEST ONE, PC OMAHA NE PHYSICIAN ASSISTANT 84 94 $34,313 $365 100.0% (402) 399-1900
49 MERITUS MEDICAL CENTER INC HAGERSTOWN DC NURSE PRACTITIONER 725 85 $33,550 $395 34.1% —
50 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 80 $40,800 $510 8.4% (309) 683-5050
51 VINCENT HUANG MD INC NEW YORK NY PHYSICAL MEDICINE AND REHABILITATION 4 73 $37,230 $510 2.5% (212) 870-5000
52 CAROLINA REHABILITATION AND SURGICAL ASSOCIATES, PA RALEIGH NC PHYSICIAN ASSISTANT 41 71 $35,500 $500 24.4% (919) 350-8779
53 BERMAN AND PITMAN LTD RENO NV NURSE PRACTITIONER 12 50 $2,005 $40 100.0% (775) 689-5410

*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 →