NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22511 Stabilization of lower spine bone CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal › Percutaneous Vertebroplasty (CMS RBCS)
First observed 2015
National scale 339 services ▼ 17.3% YoY · 329 beneficiaries (CY2024, Medicare FFS)
Medicare paid $113K · $332.07 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

11

Named groups billing this code
Named-group FFS services

237

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-17.3%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~503 services

237 observed fee-for-service (47%) · ~266 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 — 22511 (CY2024)
TX 66 FL 63 MD 46 KS 45 PA 36

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

Billed → allowed → paid
Named-group submitted charges
$723K
Named-group allowed amount
$106K
Named-group Medicare payments
$84K
Avg charge / svc
$3,052
Avg allowed / svc
$446
Avg payment / svc
$354
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$1,233 11 groups · avg submitted charge / service $8,380
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 22511 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HOUSTON RADIOLOGY ASSOCIATED HOUSTON TX DIAGNOSTIC RADIOLOGY 103 39 $126,673 $3,248 59.1% (281) 206-9020
2 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 31 $45,880 $1,480 100.0% (828) 213-1740
3 CENTRAL TEXAS RADIOLOGICAL ASSOCIATES PA WACO TX DIAGNOSTIC RADIOLOGY 59 27 $39,960 $1,480 40.9% (254) 751-4000
4 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 24 $201,120 $8,380 38.1% (904) 953-2000
5 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE PA PHYSICIAN ASSISTANT 593 21 $31,080 $1,480 58.3% (828) 213-1740
6 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 18 $30,594 $1,700 62.1% (617) 724-0287
7 FAIRBANKS PARTNERS LLC CELEBRATION FL NEUROSURGERY 36 17 $106,080 $6,240 27.0% (407) 975-0200
8 DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE PA PHYSICIAN ASSISTANT 192 15 $18,498 $1,233 41.7% —
9 LIMA RADIOLOGICAL ASSOCIATES LIMA OH DIAGNOSTIC RADIOLOGY 47 12 $20,605 $1,717 100.0% (419) 226-9023
10 MEDICAL IMAGING AND THERAPEUTICS LLC LADY LAKE FL DIAGNOSTIC RADIOLOGY 4 11 $40,777 $3,707 17.5% (352) 261-5502
11 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 11 $31,989 $2,908 37.9% (617) 732-5500
12 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 11 $30,140 $2,740 17.5% (863) 680-7780

*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 →