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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22207 Incision or removal of lower spine bone segment to correct deformity CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 179 services ▼ 22.2% YoY · 176 beneficiaries (CY2024, Medicare FFS)
Medicare paid $255K · $1421.80 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
9
Named-group FFS services
151
FFS of Medicare
49%
Services YoY
-22.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~313 services

151 observed fee-for-service (48%) · ~162 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 — 22207 (CY2024)

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

Named-group submitted charges
$1.3M
Named-group allowed amount
$279K
Named-group Medicare payments
$223K
Avg charge / svc
$8,682
Avg allowed / svc
$1,847
Avg payment / svc
$1,476
Average charge per group
$1,800 9 groups · avg submitted charge / service $12,658
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 22207 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 22207 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 39 $493,656 $12,658 premium 57.4% (415) 476-1000
2 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 18 $94,320 $5,240 premium 31.0% (615) 269-4545
3 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 18 $129,636 $7,202 premium 100.0%
4 NEUROSURGICAL ASSOCIATES NASHVILLE TN PHYSICIAN ASSISTANT 28 15 $100,380 $6,692 premium 25.9% 6153200007118
5 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 14 $130,242 $9,303 premium 20.6% (916) 681-8852
6 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 12 $112,800 $9,400 premium 100.0% (314) 747-3000
7 AP OF NASHVILLE, LLC NASHVILLE TN PHYSICIAN ASSISTANT 18 12 $21,600 $1,800 premium 20.7% (615) 222-2111
8 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON FL DIAGNOSTIC RADIOLOGY 3532 12 $142,109 $11,842 premium 100.0% (617) 724-0287
9 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 11 $86,198 $7,836 premium 100.0% (720) 777-1234

*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 →