NEVVI Medicare utilization intelligence

On the fee-for-service record this fell to about 0.7× its 2015 level — but MA-adjusted, the total held near 1.0×: a shrinking share, not a shrinking market.

Medicare reported an estimated 6.6 million Nerve Block Injection - Back services in the United States in 2024

Published Jul 2026 · CMS Part B PUF 📋 Cite See the data →
Medicare Nerve Block Injection - Back services · fee-for-service record vs MA-adjusted total · 2015–2024
20152016201720182019202020212022202320243.3 million6.6 millionFee-for-service recordMA-adjusted total (est.)
Two series: the measured fee-for-service record and the MA-adjusted estimated total (FFS × total÷FFS enrollment). Their gap is Medicare Advantage's share, which the public file does not itemize by procedure. A services-volume count — billed services, not a count of procedures, visits, transports, or people. Cells under 11 beneficiaries withheld by CMS. Excludes commercial payers.
Utilization rate · per 1,000 fee-for-service beneficiaries · 2015–2024
2015201620172018201920202021202220232024116
Billed Nerve Block Injection - Back services per 1,000 fee-for-service beneficiaries — an enrollment-independent rate that isolates utilization from the shrinking fee-for-service pool. Assumption-free, so it is NOT scaled to total Medicare.
Share of the published Musculoskeletal families · billed services · 2024
Joint InjectionJoint Injection: 6.5M6.5MNerve Block Injection -…Nerve Block Injection - Back: 3.3M3.3MDestruction by Neurolyt…Destruction by Neurolytic Agent - Back: 712K712KArthrodesis - SpineArthrodesis - Spine: 638K638KArthroplasty - KneeArthroplasty - Knee: 551K551KArthroplasty - HipArthroplasty - Hip: 288K288KArthroscopy - Upper Ext…Arthroscopy - Upper Extremity: 282K282K
This family is 2nd of 12 published Musculoskeletal families — about 25% of their combined billed services. A share of billed fee-for-service services, assumption-free (not scaled).

In 2024, Medicare's fee-for-service record carried about 3.3 million Nerve Block Injection - Back billed services in the United States; scaled for Medicare Advantage — roughly half of Medicare enrollment — that is an estimated 6.6 million services, or about 116 per 1,000 fee-for-service beneficiaries.

This counts reported Medicare Nerve Block Injection - Back SERVICES — billed services, not procedures, visits, transports, or people. A single episode can bill several services, and one person can be served many times, so this is a volume of billed services and nothing more. On the fee-for-service record the 2024 volume was about 3.3 million billed services; scaled to total Medicare enrollment it is an estimated 6.6 million. Assumption-free, that is about 116 Nerve Block Injection - Back services per 1,000 fee-for-service beneficiaries. Across 2015–2024 the estimated total moved about 1.0 times (about 0.7 times on the fee-for-service record alone, before the Medicare Advantage adjustment).

What this is

Reported Medicare fee-for-service Nerve Block Injection - Back billed services, 2015 to 2024, scaled to total Medicare enrollment, with the assumption-free per-1,000-beneficiary rate stated alongside.

What it is not

Not a count of procedures, visits, transports, or people (a services-volume count — one episode can bill several services), not Medicare Advantage measured directly, not all-payer, and not a care-quality or need signal. The scaled figures are estimates: the calculation assumes MA per-capita utilization ≈ FFS; MA plans may manage utilization differently. The per-1,000 rate is on the fee-for-service record and is not scaled.