NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22216 Incision or removal of spine bone segment, 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 7,790 services ▼ 6.0% YoY · 3,405 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.7M · $220.90 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
62
Named-group FFS services
5,241
FFS of Medicare
49%
Services YoY
-6.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,691 services

5,241 observed fee-for-service (49%) · ~5,450 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 — 22216 (CY2024)
CA 2,823 TX 689 CO 478 FL 471 AZ 393

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

Named-group submitted charges
$7.9M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$1.1M
Avg charge / svc
$1,506
Avg allowed / svc
$272
Avg payment / svc
$217
Average charge per group
$141 62 groups · avg submitted charge / service $6,542
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 22216 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 733 $510,680 $697 26.0% (714) 634-4567
2 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 337 $414,087 $1,229 11.9% (858) 455-9100
3 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 274 $320,392 $1,169 39.8% (972) 596-6800
4 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 238 $255,842 $1,075 8.4% (916) 681-8852
5 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON FL DIAGNOSTIC RADIOLOGY 3532 177 $266,477 $1,506 37.6% (617) 724-0287
6 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 175 $256,840 $1,468 25.4% —
7 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 173 $177,463 $1,026 44.0% —
8 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 171 $642,789 $3,759 48.2% —
9 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 159 $500,224 $3,146 33.3% (720) 777-1234
10 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 159 $1,040,122 $6,542 65.4% —
11 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 110 $206,030 $1,873 100.0% (434) 924-5959
12 ST. JOHN PHYSICIANS, INC. TULSA OK NURSE PRACTITIONER 263 101 $81,406 $806 49.3% —
13 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 99 $94,717 $957 45.6% (617) 732-5500
14 PEACEHEALTH MEDICAL GROUP EUGENE OR NURSE PRACTITIONER 259 95 $95,930 $1,010 100.0% (541) 222-8700
15 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 92 $98,716 $1,073 19.2% (303) 778-5797
16 W. A. FOOTE MEMORIAL HOSPITAL, INC. JACKSON MI NURSE PRACTITIONER 475 91 $115,570 $1,270 43.1% (517) 205-1594
17 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 87 $166,950 $1,919 3.1% (415) 476-1000
18 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 86 $140,355 $1,632 18.3% (305) 689-5437
19 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 83 $18,044 $217 2.9% —
20 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 81 $93,024 $1,148 2.9% (415) 600-1020
21 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 80 $184,160 $2,302 2.8% (650) 723-4000
22 OU HEALTH PARTNERS INC OKLAHOMA CITY CA PHYSICIAN ASSISTANT 1160 78 $113,003 $1,449 2.8% (405) 271-4311
23 VIVEK A MEHTA MD INC IRVINE CA CLINICAL PSYCHOLOGIST 7 69 $19,500 $283 2.4% (949) 344-3468
24 NEUROSCIENCE SPECIALISTS PC OKLAHOMA CITY OK NEUROSURGERY 16 68 $66,938 $984 33.2% (405) 748-3300
25 MONTEREY SPINE AND JOINT PC MONTEREY CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 80 68 $67,218 $988 2.4% (831) 648-7200
26 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 65 $160,104 $2,463 2.3% (310) 423-3277
27 ORTHOPAEDIC ASSOC MEDICAL CLINIC INC VISALIA CA ORTHOPEDIC SURGERY 11 61 $52,667 $863 2.2% (559) 733-3346
28 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 60 $42,382 $706 8.7% (214) 220-2468
29 COLORADO SPINE SOLUTIONS, PC GREENWOOD VILLAGE CO ORTHOPEDIC SURGERY 2 60 $69,570 $1,160 12.6% (720) 927-7463
30 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 56 $7,923 $141 100.0% (775) 786-3040
31 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 56 $186,616 $3,332 15.8% —
32 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 53 $204,050 $3,850 100.0% (401) 457-1500
33 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 53 $7,499 $141 50.5% (573) 443-2402
34 NEBRASKA SPINE CENTER, LLP OMAHA NE PHYSICIAN ASSISTANT 35 52 $66,820 $1,285 100.0% (402) 496-5517
35 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 51 $42,024 $824 32.1% (615) 269-4545
36 SPINE CENTER LLC BATON ROUGE LA PHYSICIAN ASSISTANT 17 41 $79,944 $1,950 100.0% (833) 774-6327
37 HENRY FORD HEALTH ROCHESTER HOSPITAL ROCHESTER MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 99 38 $27,170 $715 18.0% (248) 652-5000
38 TRAVIS LOIDOLT DO INC FOLSOM CA PHYSICIAN ASSISTANT 4 38 $49,439 $1,301 1.3% (916) 800-4685
39 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 38 $55,928 $1,472 1.3% (800) 926-8273
40 HEY CLINIC PA RALEIGH NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 37 $56,111 $1,517 14.5% (919) 790-1717
41 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 36 $123,872 $3,441 100.0% (507) 284-2511
42 SPINE SURGERY ASSOCIATES PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 5 36 $46,728 $1,298 17.6% (405) 242-4345
43 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 34 $45,730 $1,345 9.6% (312) 563-2875
44 FARZAD MASSOUDI MD INCORPORATED LAGUNA HILLS CA NEUROSURGERY 2 33 $33,000 $1,000 1.2% (949) 588-5800
45 SEMMES-MURPHEY CLINIC PC MEMPHIS TN NEUROSURGERY 65 33 $38,280 $1,160 20.8% (901) 522-7700
46 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 31 $48,993 $1,580 7.9% (602) 944-2900
47 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 31 $79,453 $2,563 23.1% —
48 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 30 $93,528 $3,118 7.6% (800) 603-0558
49 ATRIUM HEALTH NEUROSPINE NETWORK LLC CHARLOTTE CA PHYSICIAN ASSISTANT 98 29 $4,640 $160 1.0% (704) 376-1605
50 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 28 $71,260 $2,545 7.9% (847) 459-1160
51 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 28 $34,608 $1,236 10.9% (704) 323-2100
52 NEUROSURGICAL ASSOCIATES NASHVILLE TN PHYSICIAN ASSISTANT 28 27 $27,432 $1,016 17.0% 6153200007118
53 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 27 $37,152 $1,376 1.0% (877) 827-7463
54 PLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC PLYMOUTH MA ORTHOPEDIC SURGERY 32 27 $19,556 $724 12.4% 78193424001204
55 ELITE ORTHOPAEDICS OF IRVING PLLC DENTON TX PHYSICIAN ASSISTANT 55 26 $30,380 $1,168 3.8% (940) 384-3535
56 ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC SAINT JOSEPH MO ORTHOPEDIC SURGERY 21 24 $15,570 $649 22.9% (816) 233-9888
57 AP OF NASHVILLE, LLC NASHVILLE TN PHYSICIAN ASSISTANT 18 22 $8,646 $393 13.8% (615) 222-2111
58 SPINE HYDER PC CROWN POINT IN ORTHOPEDIC SURGERY 2 22 $33,190 $1,509 34.9% (219) 797-7463
59 MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC ROCHESTER HILLS MI PHYSICIAN ASSISTANT 16 20 $10,000 $500 9.5% (248) 215-8080
60 PREMIER HEALTH SPECIALISTS INC DAYTON IN PHYSICIAN ASSISTANT 574 19 $17,974 $946 30.2% —
61 COLLIER NEUROLOGIC SPECIALISTS LLC NAPLES FL NEUROLOGY 14 19 $5,800 $305 4.0% (239) 262-8971
62 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 16 $14,640 $915 100.0% (801) 261-8346

*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 →