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Medicare California · CY2024

Who bills the most Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (64636) to Medicare in California?

Medicare Part B FFS · CY2024 · as published by CMS
125
Billing groups
9,048
Named-group FFS services
$9,816,684
Named-group submitted charges
$1,085
Avg charge / service
$162
Avg allowed / service
22%
Top-5 concentration
6%
Independent share

125 physician groups billed Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (64636) to Medicare fee-for-service in California in 2024; the top five named groups hold 22% of that volume, and independent (non-hospital-affiliated) groups deliver 6%.

64636 — Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole California market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 49% of Medicare in California; Medicare Advantage penetration 45% → 51% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 64636 svcs Share*Phone
1 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDINGCAPODIATRY 37 626 4.6% (530) 246-2467
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTOCAINTERNAL MEDICINE 3716 395 2.9% (415) 600-1020
3 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGECAPHYSICIAN ASSISTANT 50 379 2.8% (760) 340-3911
4 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTOCADIAGNOSTIC RADIOLOGY 2420 340 2.5% (916) 681-8852
5 REDDING PAIN MEDICINE REDDINGCANURSE PRACTITIONER 2 270 2.0% (530) 247-3733
6 SCRIPPS HEALTH LA JOLLACAPHYSICIAN ASSISTANT 1431 251 1.8% (858) 455-9100
7 BASS MEDICAL GROUP WALNUT CREEKCAOTOLARYNGOLOGY 318 183 1.3%
8 REGENTS OF THE UNIV OF CA SACRAMENTOCADIAGNOSTIC RADIOLOGY 1608 161 1.2% (877) 827-7463
9 PAIN CLINICS OF CENTRAL CALIFORNIA, INC. MODESTOCANURSE PRACTITIONER 18 158 1.2% (833) 478-1818
10 NAPA VALLEY ORTHOPAEDIC MEDICAL GROUP INC NAPACAPHYSICIAN ASSISTANT 17 152 1.1% (707) 254-7117
11 ROY D NINI MD INC LOS ANGELESCAPHYSICAL MEDICINE AND REHABILITATION 3 152 1.1% (310) 423-9900
12 ENLOE MEDICAL CENTER CHICOCADIAGNOSTIC RADIOLOGY 362 149 1.1% (530) 332-4470
13 HULLANDER AND MOZINGO LP SAN LUIS OBISPOCAINTERVENTIONAL PAIN MANAGEMENT 10 149 1.1% (805) 329-6262
14 INTERVENTIONAL PAIN SOLUTIONS PC CHICOCAANESTHESIOLOGY 8 144 1.1% (530) 343-4757
15 NORCAL PAIN TREATMENT CENTER CORP TURLOCKCANURSE PRACTITIONER 10 143 1.0% (209) 448-3000
16 SPINE AND NERVE DIAGNOSTIC CENTER SACRAMENTOCAPHYSICAL MEDICINE AND REHABILITATION 11 140 1.0% (916) 419-9900
17 ORTHOSPINE ADVANCE HEALTH, INC. MERCEDCAORTHOPEDIC SURGERY 2 138 1.0% (209) 349-8429
18 MONTEREY SPINE AND JOINT PC MONTEREYCAPHYSICAL THERAPIST IN PRIVATE PRACTICE 80 138 1.0% (831) 648-7200
19 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGECAPHYSICIAN ASSISTANT 58 136 1.0% (714) 634-4567
20 MURAD ARIF MD INC MURRIETACAANESTHESIOLOGY 2 126 0.9% (317) 332-8152
21 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELESCAORTHOPEDIC SURGERY 136 117 0.9% (310) 443-8999
22 SPANISH HILLS INTERVENTIONAL PAIN SPECIALISTS INC A MEDICAL CORP CAMARILLOCAANESTHESIOLOGY 6 115 0.8% (805) 484-8558
23 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICACAANESTHESIOLOGY 232 109 0.8% (310) 794-1841
24 VALERY D TARASENKO MD INC VACAVILLECAINTERVENTIONAL PAIN MANAGEMENT 2 107 0.8% (707) 359-2255
25 COMMUNITY FOUNDATION MEDICAL GROUP FRESNOCAPHYSICIAN ASSISTANT 292 105 0.8%
26 OROHEALTH CORPORATION A NON PROFIT HEALTHCARE SYSTEM OROVILLECAINTERNAL MEDICINE 124 103 0.8% (530) 532-8654
27 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELESCAPHYSICIAN ASSISTANT 1699 103 0.8% (310) 423-0674
28 THE PHYSIATRY MEDICAL GROUP INC REDWOOD CITYCAPHYSICAL MEDICINE AND REHABILITATION 6 100 0.7%
29 CASEY FISHER MD A PROFESSIONAL CORPORATION OCEANSIDECAPHYSICAL MEDICINE AND REHABILITATION 2 99 0.7% (760) 610-0522
30 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACHCAPHYSICIAN ASSISTANT 30 99 0.7% (949) 722-7038
31 MONTEREY BAY VASCULAR INC APTOSCAGENERAL SURGERY 3 90 0.7% (831) 318-0010
32 ALTA ORTHOPAEDIC MEDICAL GROUP INC SANTA BARBARACAPHYSICIAN ASSISTANT 22 89 0.6% (805) 963-9377
33 SOUTHERN CALIFORNIA PAIN CONSULTANTS, INC TORRANCECAPAIN MANAGEMENT 2 86 0.6% (310) 540-9888
34 TAHER SAIFULLAH MD A PROFESSIONAL MEDICAL CORPORATION PASADENACAPAIN MANAGEMENT 2 86 0.6% (626) 469-2939
35 ALEXANDER P HERSEL MD INC THOUSAND OAKSCAANESTHESIOLOGY 7 85 0.6% (805) 557-0096
36 ADVANCED PAIN MANAGEMENT MEDICAL GROUP VALENCIACAPAIN MANAGEMENT 2 81 0.6% (661) 288-7978
37 JEFFREY B GLASER MD MEDICAL ENCINOCAANESTHESIOLOGY 3 81 0.6% (818) 501-7246
38 COASTAL PAIN AND SPINAL DIAGNOSTICS MEDICAL GROUP INC CARLSBADCAPAIN MANAGEMENT 8 77 0.6% (760) 753-7127
39 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOMCADIAGNOSTIC RADIOLOGY 1197 75 0.5% (916) 983-7476
40 SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES INC SANTA ANACAPAIN MANAGEMENT 4 71 0.5% (949) 999-3631
41 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICACAORTHOPEDIC SURGERY 67 69 0.5% (310) 319-1234
42 PROVIDENCE MEDICAL FOUNDATION FULLERTONCAPHYSICIAN ASSISTANT 1455 66 0.5% (714) 871-3006
43 SUMMIT PAIN ALLIANCE INC SANTA ROSACANURSE PRACTITIONER 5 66 0.5% (707) 623-9803
44 DR GALAN MD NEUROLOGY AND PAIN MANAGEMENT PC SANTA MARIACAPHYSICIAN ASSISTANT 4 65 0.5% (805) 270-0910
45 STANFORD HEALTH CARE STANFORDCADIAGNOSTIC RADIOLOGY 3039 65 0.5% (650) 723-4000
46 DR KAMRAN PARSA INC PALMDALECANURSE PRACTITIONER 19 64 0.5% 6614802377207
47 REGENTS OF THE UNIVERSITY OF ORANGECAANESTHESIOLOGY 227 62 0.5% (714) 456-7004
48 SOUTHERN CALIFORNIA SPINE AND JOINT INSTITUTE PC MURRIETACAINTERVENTIONAL PAIN MANAGEMENT 2 61 0.4% (951) 696-2215
49 PACIFIC COMPREHENSIVE PAIN MANAGEMENT INC LOS ALAMITOSCAANESTHESIOLOGY 2 59 0.4% (562) 799-3888
50 ZACHARY C COHEN MD APC SAN DIEGOCAPHYSICIAN ASSISTANT 15 58 0.4% (858) 571-3630
51 BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION POMONACAINTERVENTIONAL PAIN MANAGEMENT 2 54 0.4% (909) 865-9500
52 USC CARE MEDICAL GROUP INC LOS ANGELESCADIAGNOSTIC RADIOLOGY 1374 52 0.4% (800) 872-2273
53 SANSUM CLINIC SANTA BARBARACAINTERNAL MEDICINE 322 50 0.4% (805) 681-7500
54 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURACAPHYSICIAN ASSISTANT 79 50 0.4%
55 EXCELLE ANESTHESIA SERVICES INC BAKERSFIELDCACERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 41 49 0.4% (661) 632-5504
56 R AJAKWE MD AND R TATEVOSSIAN MD A PROFESSIONAL MEDICAL CORPORATION BURBANKCAANESTHESIOLOGY 7 49 0.4% (818) 325-2088
57 TORRANCE HEALTH ASSOCIATION INC TORRANCECAFAMILY PRACTICE 298 49 0.4% (310) 257-7260
58 INTEGRATED PAIN MANAGEMENT MEDICAL GROUP INC WALNUT CREEKCAPHYSICAL MEDICINE AND REHABILITATION 40 49 0.4% (925) 482-8151
59 MATTHEW L. BLOOM, D.O., PC VENTURACAPHYSICAL MEDICINE AND REHABILITATION 4 48 0.4% (805) 351-0745
60 BRIAN BELNAP DO A MEDICAL CORPORATION ENCINITASCAPAIN MANAGEMENT 2 48 0.4% (760) 650-4040
61 COMFORT ANESTHESIA ASSOCIATES INC HANFORDCACERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 81 47 0.3% (559) 582-9000
62 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGOCADIAGNOSTIC RADIOLOGY 2057 46 0.3% (800) 926-8273
63 ALGOS INC A MEDICAL CORPORATION PASADENACAPHYSICAL MEDICINE AND REHABILITATION 24 45 0.3% (626) 403-6200
64 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCOCAPHYSICIAN ASSISTANT 277 45 0.3% (415) 476-1000
65 HOAG CLINIC NEWPORT BEACHCAPHYSICIAN ASSISTANT 436 45 0.3% (949) 791-3370
66 ST CHARLES SPINE INSTITUTE THOUSAND OAKSCAPAIN MANAGEMENT 5 43 0.3% (805) 379-2322
67 FREMONT PAIN TREAMTMENT CENTER FREMONTCAINTERNAL MEDICINE 4 42 0.3% (510) 818-9237
68 ADVANCED PAIN DIAGNOSTIC AND SOLUTIONS INC SACRAMENTOCANURSE PRACTITIONER 20 42 0.3% (916) 953-7571
69 PAIN MANAGEMENT ASSOCIATES INC LAGUNA HILLSCAPHYSICAL MEDICINE AND REHABILITATION 3 42 0.3% (949) 588-7246
70 ARIZONA PAIN TREATMENT CENTER P C PHOENIXCANURSE PRACTITIONER 10 41 0.3% (602) 254-6879
71 PENINSULA ORTHOPEDIC ASSOCIATES INC DALY CITYCAORTHOPEDIC SURGERY 18 41 0.3% (650) 756-5630
72 OSF MEDICAL GROUP OF CALIFORNIA INC SANTA BARBARACANEUROLOGY 5 39 0.3% (805) 563-3307
73 RIDGECREST REGIONAL HOSPITAL RIDGECRESTCANURSE PRACTITIONER 93 38 0.3% (760) 446-6404
74 RESTORATIVE SPINE AND PAIN INC TEMPLETONCAPHYSICAL MEDICINE AND REHABILITATION 2 38 0.3% (805) 550-6689
75 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJOCAPHYSICIAN ASSISTANT 16 38 0.3% (949) 348-4000
76 PAIN MANAGEMENT CONSULTANTS A PROFESSIONAL MEDICAL CORPORATION OCEANSIDECAPHYSICIAN ASSISTANT 6 37 0.3% (760) 941-7336
77 EVOLVE RESTORATIVE CENTER SANTA ROSACAPHYSICAL THERAPIST IN PRIVATE PRACTICE 9 37 0.3% (844) 527-7369
78 ROBERT G SALAZAR MD INC FRESNOCAPHYSICIAN ASSISTANT 4 35 0.3% (559) 432-6807
79 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGSCAPHYSICIAN ASSISTANT 148 33 0.2%
80 MARK TWAIN MEDICAL CENTER SAN ANDREASCAFAMILY PRACTICE 27 32 0.2% (209) 754-3521
81 NORTHRIDGE PAIN MANAGEMENT SPECIALISTS MEDICAL CORPORATION NORTHRIDGECACERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 31 0.2% (818) 993-3428
82 SPINE AND SPORTS SPECIALITIES MEDICAL GROUP ORANGECAORTHOPEDIC SURGERY 15 30 0.2% (714) 598-1745
83 COLUMBIA PAIN MANAGEMENT, INC. HOOD RIVERCAPHYSICIAN ASSISTANT 16 30 0.2% (541) 386-9500
84 RELIEVE PAIN CENTER INC SAN DIEGOCAPHYSICIAN ASSISTANT 4 29 0.2% (619) 849-5777
85 NCSRA MEDICAL CORPORATION SACRAMENTOCAPHYSICAL MEDICINE AND REHABILITATION 4 29 0.2% (916) 389-7100
86 MARC MASKOWITZ MD A PROFESSIONAL CORPORATION SACRAMENTOCAEMERGENCY MEDICINE 2 28 0.2% (916) 564-2225
87 CEP AMERICA - ANESTHESIA PC DES MOINESCAANESTHESIOLOGY 839 26 0.2% (515) 247-3121
88 REVIVEX HEALTHCARE INC TORRANCECAINTERVENTIONAL PAIN MANAGEMENT 2 25 0.2% (310) 437-7399
89 REMEDY MEDICAL GROUP SAN MATEOCAPHYSICIAN ASSISTANT 13 25 0.2% (650) 306-9490
90 ANDREW W HESSELTINE MD INC COLTONCAPHYSICIAN ASSISTANT 8 24 0.2% (909) 887-2991
91 PREMIER PAIN CONSULTANTS FULLERTONCAPHYSICAL MEDICINE AND REHABILITATION 4 24 0.2% (714) 525-8822
92 JEFFREY L MANSOOR MD INC STOCKTONCAINTERVENTIONAL PAIN MANAGEMENT 2 24 0.2% (209) 461-3109
93 STEN ERIK KRAMER MD INC NEWPORT BEACHCAPHYSICAL MEDICINE AND REHABILITATION 2 23 0.2% (949) 720-1944
94 ROLAND D REINHART M D A PROFESSIONAL CORPORATION PALM DESERTCAINTERVENTIONAL PAIN MANAGEMENT 2 23 0.2% (760) 341-2360
95 ORTHOPEDIC ASSOCIATES OF NORTHERN CALIFORNIA A MEDICAL GROUP CHICOCAANESTHESIOLOGY 31 23 0.2% 5308974500128
96 PHYZMED ASSOCIATES INC SANTA MONICACAPAIN MANAGEMENT 2 23 0.2% (310) 547-2777
97 UNIVERSITY SPINE AND PAIN CENTER INC HERMOSA BEACHCAPAIN MANAGEMENT 3 22 0.2% (424) 488-0500
98 CITY OF HOPE MEDICAL FOUNDATION DUARTECANURSE PRACTITIONER 942 22 0.2% (626) 256-4673
99 PAIN CARE PROVIDERS A PROFESSIONAL MEDICAL CORPORATION IRVINECAPAIN MANAGEMENT 2 21 0.2% (949) 872-2400
100 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEMCAPHYSICIAN ASSISTANT 2609 21 0.2% (336) 713-9800

*Share of California's disclosed Medicare-FFS services for 64636, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 64636 in California — including groups registered elsewhere ("City" is each 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.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

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 →