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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22103 Partial removal of bone at back of spine, each additional segment CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 205 services · est. ▲ 33.9% YoY · 60 FFS beneficiaries (CY2024, all-Medicare estimate) — 96 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview

Nationally, 3 billing groups and 3 clinicians bill 22103 — ~205 all-Medicare services · est. (96 observed FFS), and volume is up 34.0% year over year.

Market Brief 22103
The whole of 22103, written up and sourced.

The Brief is a national document for 22103. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for 22103 ran ~205 all-Medicare services (estimated), 96 observed fee-for-service in CY2024. The market is up 34.0% year over year. 3 billing groups and 3 clinicians bill it.
  2. 2Payment. Half the field lists between $385 and $553 per service; the median group lists $470. Submitted charges are provider-set list amounts, not payments.
Estimated all-Medicare volume estimate
FFS + estimated MA

~205 services

96 observed fee-for-service (47%) · ~109 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
Average charge

$483

per service, submitted list amounts — not payments · observed FFS basis
Charge-to-payment ratio

4.1×

average list $483 vs average Medicare payment $118 per service · basis-independent
Billing groups

3

3 at the ≥11-service disclosure floor
What they charge

Half the field lists between $385 and $553

Submitted charges are provider-set list amounts, not payments · median $470 (named groups)
Every group, one dot3 billing groups · median $470

Each dot is one billing group — 3 of them list this code

$0$400$800average submitted charge per service, per billing groupmedian $470
One dot per billing group, 22103 nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
MEVTNHWAIDMTNDMNWIILMINY: 32NYMARIORNVWYSDIAINOHPANJCTCA: 28CAUTCONEMOKYWVVAMDDEAZNMKSARTNNCSCDCOKLA: 36LAMSALGAHIAKTXFL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighbouring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.

Open a state market: LA · NY · CA — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

The whole field, one canvas3 groups · bubble = services
One billing groupOne billing groupOne billing group$100$250$500$750$1,000+Average submitted charge per service — list amounts, not paymentsServices per group — 22103, CY2024
One mark per physician group, 22103 nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.