NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
20939 Aspiration of bone marrow for spine bone graft CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal › Arthrodesis - Spine (CMS RBCS)
First observed 2018
National scale 9,342 services ▼ 7.3% YoY · 8,973 beneficiaries (CY2024, Medicare FFS)
Medicare paid $454K · $48.61 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
152
Named-group FFS services
5,926
FFS of Medicare
49%
Services YoY
-7.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,976 services

5,926 observed fee-for-service (49%) · ~6,050 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 — 20939 (CY2024)
TX 779 FL 706 AZ 628 MI 621 CA 609

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

Named-group submitted charges
$2.1M
Named-group allowed amount
$349K
Named-group Medicare payments
$278K
Avg charge / svc
$360
Avg allowed / svc
$59
Avg payment / svc
$47
Average charge per group
$62 152 groups · avg submitted charge / service $5,000
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 20939 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 252 $29,232 $116 35.7% (321) 434-8878
2 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 242 $175,000 $723 38.5% (602) 944-2900
3 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 144 $36,000 $250 54.5% (843) 491-4937
4 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 141 $35,637 $253 39.4% —
5 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 129 $48,375 $375 34.2% (706) 494-3434
6 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 117 $22,464 $192 37.3% (615) 269-4545
7 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 113 $13,242 $117 18.0% (520) 382-8200
8 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 108 $16,555 $153 75.5% (801) 261-8346
9 KEIPERSPINE PC EUGENE OR NEUROSURGERY 6 105 $18,165 $173 38.2% (541) 485-2357
10 NEW ENGLAND MEDICAL CENTER GROUP PRACTICE INC BOSTON MA PHYSICIAN ASSISTANT 29 100 $39,100 $391 34.4% (617) 636-7399
11 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 100 $13,015 $130 32.6% (515) 239-4400
12 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 99 $21,564 $218 12.7% (972) 596-6800
13 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 95 $14,915 $157 32.4% (509) 946-4611
14 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 91 $16,744 $184 29.6% (515) 247-8400
15 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 90 $15,300 $170 11.6% (214) 599-8624
16 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 78 $30,186 $387 41.7% —
17 TITUS COUNTY HOSPITAL DISTRICT MOUNT PLEASANT TX INTERNAL MEDICINE 109 72 $16,416 $228 9.2% (903) 577-6000
18 JACKSONVILLE ORTHOPAEDIC INSTITUTE INC JACKSONVILLE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 61 69 $6,166 $89 9.8% (904) 858-7045
19 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 64 $9,600 $150 32.3% (501) 500-3500
20 JAMES J LYNCH MD LTD CARSON CITY NV PHYSICIAN ASSISTANT 84 63 $189,000 $3,000 47.0% (775) 783-6190
21 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 63 $17,878 $284 10.3% (650) 723-4000
22 GRAND STRAND SPECIALTY ASSOCIATES, LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 32 62 $12,632 $204 23.5% (843) 692-1000
23 GREAT LAKES NEUROSURGICAL ASSOCIATES PC GRAND RAPIDS MI PHYSICIAN ASSISTANT 13 61 $10,675 $175 9.8% (616) 454-3465
24 TORRANCE HEALTH ASSOCIATION INC TORRANCE CA FAMILY PRACTICE 298 61 $6,657 $109 10.0% (310) 257-7260
25 CAMELBACK SPINE CARE PLLC PHOENIX AZ PHYSICIAN ASSISTANT 6 58 $15,602 $269 9.2% (602) 714-6970
26 SOUTHERN OREGON NEUROSURGICAL AND SPINE ASSOCIATES, PC MEDFORD OR PHYSICIAN ASSISTANT 12 54 $21,972 $407 19.6% (541) 779-1672
27 MICHIGAN SPINE AND BRAIN INSTITUTE, PC MIDLAND MI PHYSICIAN ASSISTANT 3 54 $7,560 $140 8.7% 98975340001116
28 FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS BELLINGHAM WA NEUROSURGERY 8 54 $15,390 $285 18.4% (360) 676-0922
29 SPINE INSTITUTE OF LOUISIANA LLC SHREVEPORT LA NURSE PRACTITIONER 13 53 $10,600 $200 23.7% (318) 629-5560
30 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 52 $18,148 $349 8.5% (916) 983-7476
31 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 52 $10,278 $198 8.3% —
32 PHELPS MEMORIAL HEALTH CENTER HOLDREGE CO CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 36 51 $10,527 $206 27.3% (308) 995-2211
33 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 50 $7,125 $142 37.3% (702) 731-1616
34 CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC CHATTANOOGA TN ORTHOPEDIC SURGERY 25 48 $10,016 $209 15.3% (423) 493-5220
35 CNOS PC SIOUX CITY IA PHYSICIAN ASSISTANT 99 48 $17,460 $364 15.6% (712) 279-3500
36 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 47 $8,930 $190 23.7% (501) 686-8000
37 SOUTH TEXAS SPINAL CLINIC, P.A. SAN ANTONIO TX ORTHOPEDIC SURGERY 24 47 $6,580 $140 6.0% (210) 614-6432
38 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 46 $29,049 $632 31.1% —
39 LA JOLLA SPINE INSTITUTE MEDICAL GROUP INC SAN DIEGO CA ORTHOPEDIC SURGERY 8 45 $20,968 $466 7.4% (619) 265-7912
40 ORTHOPEDIC ASSOCIATES OF FLOWER MOUND PLLC FLOWER MOUND TX ORTHOPEDIC SURGERY 19 43 $86,000 $2,000 5.5% (972) 420-1776
41 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 42 $9,435 $225 6.9% (800) 872-2273
42 ORTHOPAEDICS NORTHEAST PC FORT WAYNE IN PHYSICIAN ASSISTANT 80 41 $10,358 $253 16.4% (260) 484-8551
43 BOSTON SPINE AND SCOLIOSIS, PC HOPEDALE MA ORTHOPEDIC SURGERY 3 41 $27,200 $663 14.1% (508) 297-8500
44 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 41 $9,012 $220 14.9% (541) 779-6250
45 INLAND NORTHWEST SPINE PLLC COEUR D ALENE OR NURSE PRACTITIONER 2 40 $115,200 $2,880 14.5% (208) 667-1376
46 JAMES J LYNCH MD LTD CARSON CITY CA PHYSICIAN ASSISTANT 84 39 $23,400 $600 6.4% (775) 783-6190
47 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 39 $8,736 $224 6.4% (925) 939-8585
48 CNOS PC SIOUX CITY SD PHYSICIAN ASSISTANT 99 39 $13,774 $353 23.5% (712) 279-3500
49 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 39 $4,524 $116 14.8% (843) 652-8450
50 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 39 $5,686 $146 20.9% —
51 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 38 $8,360 $220 100.0% (302) 366-7671
52 ORTHOPEDICS NEW ENGLAND INC NATICK MA PHYSICIAN ASSISTANT 27 37 $46,250 $1,250 12.7% (508) 655-0471
53 ORTHOWEST, LLC OMAHA NE PHYSICIAN ASSISTANT 110 36 $3,693 $103 28.6% (402) 609-3000
54 ORTHOPAEDIC SURGERY AND SPORTS MED SPECIALIST OF HAMPTON RDS PC NEWPORT NEWS VA PHYSICIAN ASSISTANT 27 36 $10,800 $300 10.1% —
55 RCCH TRIOS HEALTH LLC KENNEWICK WA NURSE PRACTITIONER 66 36 $4,959 $138 12.3% —
56 THOMAS S LOFTUS MD PA AUSTIN TX NEUROSURGERY 3 36 $12,312 $342 4.6% (512) 836-0900
57 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 36 $6,984 $194 10.1% —
58 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 35 $2,481 $71 16.4% (919) 544-7270
59 W. A. FOOTE MEMORIAL HOSPITAL, INC. JACKSON MI NURSE PRACTITIONER 475 35 $7,665 $219 5.6% (517) 205-1594
60 UNIVERSITY NEUROSURGICAL ASSOCIATES PC SOUTHFIELD MI NEUROSURGERY 34 34 $15,012 $442 5.5% (248) 351-6300
61 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 34 $8,814 $259 16.0% (919) 684-8111
62 GEORGIA NEUROSURGICAL INSTITUTE, P.C MACON GA NEUROSURGERY 22 34 $37,400 $1,100 9.0% (478) 743-7092
63 LAS CRUCES PHYSICIAN SERVICES LLC LAS CRUCES NM NURSE PRACTITIONER 100 33 $8,778 $266 100.0% —
64 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 33 $4,620 $140 5.4% (949) 791-3370
65 BIANCO BRAIN AND SPINE, LLC DALWORTHINGTON GARDENS TX NEUROSURGERY 5 32 $9,600 $300 4.1% (817) 701-4253
66 BALDWIN BONE AND JOINT P C DAPHNE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 31 32 $3,168 $99 25.8% (251) 625-2663
67 PENINSULA ORTHOPAEDIC ASSOC PA SALISBURY MD PHYSICIAN ASSISTANT 57 31 $6,572 $212 30.7% (410) 749-4154
68 NEUROLOGICAL AND SPINAL SURGERY LLC LINCOLN NE PHYSICIAN ASSISTANT 13 30 $6,750 $225 23.8% (402) 488-3002
69 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 30 $8,571 $286 9.6% (615) 612-2146
70 SPINE AND SPORTS SPECIALITIES MEDICAL GROUP ORANGE CA ORTHOPEDIC SURGERY 15 30 $9,000 $300 4.9% (714) 598-1745
71 ST. MARY'S MEDICAL GROUP, INC. ATHENS GA NURSE PRACTITIONER 128 29 $4,147 $143 7.7% (706) 389-3440
72 PROVIDENCE HEALTH ALLIANCE WACO TX PHYSICIAN ASSISTANT 121 29 $6,223 $215 3.7% (254) 537-6200
73 UNITED HOSPITAL CENTER INC BRIDGEPORT WV PHYSICIAN ASSISTANT 298 28 $5,626 $201 100.0% (681) 342-1842
74 MORRIS HOSPITAL MORRIS IL NURSE PRACTITIONER 116 28 $31,948 $1,141 15.0% (815) 942-0545
75 SCOTT LEARY MD INC SAN DIEGO CA NEUROSURGERY 2 26 $13,000 $500 4.3% (858) 223-2100
76 OPELOUSAS GENERAL HEALTH SYSTEM PHYSICIAN PRACTICES OPELOUSAS LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 64 25 $5,000 $200 11.2% (337) 594-3980
77 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 25 $6,875 $275 4.0% (602) 406-3181
78 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE PA PHYSICIAN ASSISTANT 534 25 $7,854 $314 8.1% —
79 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 25 $6,440 $258 3.5% (352) 336-6000
80 REGIONAL WEST PHYSICIANS CLINIC SCOTTSBLUFF NE NURSE PRACTITIONER 135 25 $5,695 $228 19.8% (308) 632-2215
81 ASPIRUS MEDICAL GROUP, INC. WAUSAU WI NURSE PRACTITIONER 265 25 $27,220 $1,089 24.0% (715) 847-2611
82 SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO NURSE PRACTITIONER 160 24 $4,291 $179 31.6% (573) 681-3249
83 RICHARD S. OBEDIAN MD PLLC HICKSVILLE NY ORTHOPEDIC SURGERY 2 24 $2,100 $88 16.2% (516) 933-4350
84 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 24 $10,032 $418 60.0% —
85 IHA OLMA SPECIALTY SERVICES LLC PONTIAC MI OBSTETRICS/GYNECOLOGY 38 23 $6,555 $285 3.7% (248) 858-2270
86 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 23 $4,738 $206 6.4% (804) 764-6000
87 FRONT RANGE SPINE AND NEUROSURGERY LONE TREE CO PHYSICIAN ASSISTANT 12 23 $6,900 $300 12.3% (303) 790-1800
88 BRIAN S PAGE DO PLLC GLENDALE AZ NURSE PRACTITIONER 18 23 $18,814 $818 3.7% (623) 466-6350
89 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 22 $4,356 $198 7.0% (901) 759-3100
90 SOUTHERN ORTHOPAEDIC ALLIANCE PLLC MOBILE AL PHYSICIAN ASSISTANT 105 22 $8,580 $390 17.7% (251) 435-2663
91 HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC DENVER CO PHYSICIAN ASSISTANT 44 22 $5,080 $231 11.8% (303) 750-4933
92 GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR PHYSICIAN ASSISTANT 388 22 $6,182 $281 8.0% (541) 768-7700
93 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 22 $5,631 $256 15.6% (612) 863-6960
94 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 21 $4,305 $205 2.7% (817) 375-5200
95 GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC TAMPA FL PHYSICIAN ASSISTANT 31 21 $3,324 $158 3.0% (813) 877-1415
96 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 20 $4,500 $225 100.0% (732) 362-3663
97 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 20 $4,500 $225 2.8% (386) 231-6000
98 ROCHESTER BRAIN AND SPINE GROUP PLLC ROCHESTER NY PHYSICIAN ASSISTANT 7 20 $9,300 $465 13.5% (585) 334-5560
99 CLEVELAND ORTHOPEDIC AND SPINE INSTITUTE, LLC MAYFIELD HEIGHTS OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 16 20 $3,839 $192 14.9% (844) 746-8537
100 SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE SPRINGFIELD MO NEUROSURGERY 15 20 $3,086 $154 26.3% (417) 885-3888

Showing the top 100 of 152 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →