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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22327 Treatment of broken or dislocated middle spine bone CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2016
National scale 46 services ▼ 9.8% YoY · 46 beneficiaries (CY2024, Medicare FFS)
Medicare paid $51K · $1102.51 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
3
Named-group FFS services
34
FFS of Medicare
49%
Services YoY
-9.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~73 services

34 observed fee-for-service (47%) · ~39 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 — 22327 (CY2024)

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

Named-group submitted charges
$194K
Named-group allowed amount
$45K
Named-group Medicare payments
$36K
Avg charge / svc
$5,713
Avg allowed / svc
$1,332
Avg payment / svc
$1,066
Average charge per group
$4,963 3 groups · avg submitted charge / service $6,542
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 22327 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 22327 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 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 12 $67,697 $5,641 premium 100.0% (858) 455-9100
2 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 11 $71,962 $6,542 premium 100.0% (205) 934-3460
3 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 11 $54,597 $4,963 premium 100.0% (206) 364-0500

*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 →