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Market snapshot

22551 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

22551 — Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc

Billing groups
410
Named-group FFS services
13,651
FFS of Medicare
49%
Services YoY
-2.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~27,390 services

13,651 observed fee-for-service (50%) · ~13,739 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 — 22551 (CY2024)
FL 2,442 TX 2,418 CA 1,253 GA 847 VA 837

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

Named-group submitted charges
$89.4M
Named-group allowed amount
$14.6M
Named-group Medicare payments
$11.7M
Avg charge / svc
$6,547
Avg allowed / svc
$1,073
Avg payment / svc
$855
Average charge per group
$539 410 groups · avg submitted charge / service $81,182
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 22551 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 322 $1,113,618 $3,458 13.3% (214) 220-2468
2 ABAY NEUROSCIENCE CENTER LLC WICHITA KS NURSE PRACTITIONER 16 249 $1,013,762 $4,071 63.7% (316) 609-2600
3 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 212 $511,653 $2,413 8.7% (904) 388-6518
4 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 166 $3,060,919 $18,439 6.8% (239) 312-7878
5 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 161 $863,463 $5,363 19.9% 22576922002164
6 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 148 $1,018,000 $6,878 21.6% (602) 406-3181
7 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 136 $486,336 $3,576 19.9% —
8 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 134 $302,675 $2,259 17.0% (919) 684-8111
9 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 132 $489,682 $3,710 5.4% (904) 308-6900
10 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 122 $274,047 $2,246 5.0% (321) 434-8878
11 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 117 $622,625 $5,322 40.5% (302) 366-7671
12 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 117 $668,119 $5,710 14.0% —
13 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 111 $296,976 $2,675 13.3% —
14 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 110 $455,625 $4,142 14.3% (615) 269-4545
15 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 106 $872,907 $8,235 12.7% (301) 530-1010
16 NEWSOUTH NEUROSPINE, LLC FLOWOOD MS NEUROSURGERY 22 105 $1,046,024 $9,962 22.0% (601) 983-2859
17 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 104 $706,067 $6,789 22.9% (417) 347-8200
18 TYLER NEUROSURGICAL ASSOCIATES, P.A. TYLER TX NEUROSURGERY 7 100 $296,408 $2,964 4.1% (903) 595-2441
19 FAIRBANKS PARTNERS LLC CELEBRATION FL NEUROSURGERY 36 98 $289,178 $2,951 4.0% (407) 975-0200
20 NEUROSCIENCE SPECIALISTS PC OKLAHOMA CITY OK NEUROSURGERY 16 98 $778,288 $7,942 14.3% (405) 748-3300
21 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 98 $376,800 $3,845 12.6% —
22 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 96 $793,092 $8,261 14.0% (602) 944-2900
23 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 93 $466,445 $5,016 3.8% (903) 606-5560
24 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 92 $309,857 $3,368 10.9% —
25 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 91 $1,117,500 $12,280 14.6% (847) 459-1160
26 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 85 $354,490 $4,170 10.9% (803) 256-4107
27 HEINRICH-JOSEY ORTHOPAEDICS AUSTIN TX PHYSICIAN ASSISTANT 22 85 $1,286,625 $15,137 3.5% (512) 476-2830
28 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 83 $317,546 $3,826 6.6% (858) 455-9100
29 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 78 $292,656 $3,752 3.2% (817) 878-5333
30 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE AR NURSE PRACTITIONER 241 77 $148,713 $1,931 22.2% (479) 571-4338
31 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 77 $406,055 $5,273 11.2% (256) 539-2728
32 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 75 $160,230 $2,136 3.1% —
33 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 75 $315,507 $4,207 28.1% —
34 ORTHOPAEDIC CENTER OF IL SPRINGFIELD IL ORTHOPEDIC SURGERY 30 75 $1,073,006 $14,307 12.0% (217) 547-9100
35 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 73 $330,000 $4,521 15.3% (601) 354-4488
36 GEORGIA NEUROSURGICAL INSTITUTE, P.C MACON GA NEUROSURGERY 22 72 $636,996 $8,847 8.5% (478) 743-7092
37 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 71 $232,095 $3,269 9.1% (843) 491-4937
38 NEUROLOGICAL SURGERY SPECIALIST OF NORTH TEXAS PLLC WICHITA FALLS TX PHYSICIAN ASSISTANT 7 71 $360,751 $5,081 2.9% (940) 764-7000
39 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 70 $1,235,118 $17,645 2.9% —
40 NEUROSURGICAL ASSOCIATES, P. C. BIRMINGHAM AL NEUROSURGERY 10 67 $346,500 $5,172 9.8% 20593389811810
41 DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA COVINGTON LA PHYSICIAN ASSISTANT 10 67 $600,000 $8,955 8.3% —
42 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 66 $449,225 $6,806 2.7% (850) 877-8174
43 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 65 $207,376 $3,190 8.4% (901) 759-3100
44 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 65 $209,698 $3,226 8.2% (410) 761-1222
45 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 64 $285,100 $4,455 9.3% —
46 SPINE INSTITUTE OF LOUISIANA LLC SHREVEPORT LA NURSE PRACTITIONER 13 63 $496,892 $7,887 7.8% (318) 629-5560
47 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 62 $384,710 $6,205 10.0% —
48 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 61 $292,932 $4,802 2.5% (254) 724-2663
49 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 61 $261,415 $4,285 7.9% (615) 329-6600
50 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 60 $543,300 $9,055 4.8% (415) 476-1000
51 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 60 $179,095 $2,985 10.9% (614) 827-8700
52 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 59 $306,500 $5,195 8.6% (602) 385-2115
53 IDAHO PHYSICIAN SERVICES INC IDAHO FALLS ID PHYSICIAN ASSISTANT 18 59 $291,973 $4,949 28.9% (208) 528-1000
54 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 56 $247,016 $4,411 20.5% —
55 AP OF NASHVILLE, LLC NASHVILLE TN PHYSICIAN ASSISTANT 18 55 $103,419 $1,880 7.1% (615) 222-2111
56 MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC ROCHESTER HILLS MI PHYSICIAN ASSISTANT 16 55 $132,135 $2,402 14.3% (248) 215-8080
57 KENNEDY WHITE AND RIGGS ORTHOPEDIC ASSOCIATES SARASOTA FL PHYSICIAN ASSISTANT 40 55 $132,439 $2,408 2.3% (941) 365-0655
58 TOWN CENTER ORTHOPAEDIC ASSOCIATES P C RESTON VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 54 $189,450 $3,508 6.5% (703) 435-6604
59 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 54 $161,276 $2,987 31.6% (515) 247-8400
60 TEXAS HEALTH BACK CARE ROCKWALL TX PHYSICAL MEDICINE AND REHABILITATION 47 54 $291,816 $5,404 2.2% (817) 442-9300
61 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 54 $371,944 $6,888 2.2% —
62 ATLANTIC BRAIN AND SPINE, P.A. WILMINGTON NC PHYSICIAN ASSISTANT 20 53 $513,989 $9,698 6.7% (910) 763-3333
63 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 52 $467,980 $9,000 6.4% (337) 235-8007
64 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 51 $204,233 $4,005 14.7% (501) 202-2093
65 VIRGINIA SPINE SPECIALISTS PLLC MANASSAS VA PHYSICIAN ASSISTANT 4 51 $206,427 $4,048 6.1% (571) 921-4877
66 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 50 $93,687 $1,874 7.3% —
67 OKLAHOMA SPINE AND BRAIN INSTITUTE LLP TULSA OK NEUROSURGERY 4 49 $253,961 $5,183 7.2% (918) 749-0762
68 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 49 $235,873 $4,814 3.9% (916) 983-7476
69 MOUNTAIN ORTHOPAEDICS LLC BOUNTIFUL UT PHYSICIAN ASSISTANT 27 49 $128,746 $2,627 29.2% (801) 295-7200
70 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 49 $717,739 $14,648 11.0% (212) 746-5454
71 FERNANDO DELASOTTA MD PA LINWOOD NJ NEUROSURGERY 2 49 $546,599 $11,155 17.6% (609) 927-1000
72 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 49 $585,532 $11,950 7.9% (877) 632-6637
73 ST VINCENT HOSPITAL SANTA FE NM PHYSICIAN ASSISTANT 313 48 $244,179 $5,087 100.0% —
74 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 48 $252,300 $5,256 6.2% (901) 641-3000
75 NEUROSURGICAL ASSOCIATES PC HENRICO VA NEUROSURGERY 16 48 $245,472 $5,114 5.7% (804) 288-8204
76 GRAND STRAND SPECIALTY ASSOCIATES, LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 32 48 $249,365 $5,195 6.2% (843) 692-1000
77 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 47 $415,995 $8,851 5.5% (706) 494-3434
78 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 46 $159,052 $3,458 3.7% (760) 340-3911
79 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 46 $218,080 $4,741 13.3% (501) 500-3500
80 THOMAS S LOFTUS MD PA AUSTIN TX NEUROSURGERY 3 45 $234,960 $5,221 1.9% (512) 836-0900
81 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 45 $276,266 $6,139 6.6% (928) 773-2280
82 SPINE CENTER LLC BATON ROUGE LA PHYSICIAN ASSISTANT 17 45 $418,795 $9,307 5.5% (833) 774-6327
83 MHS PHYSICIANS OF TEXAS HUMBLE TX NEUROLOGY 114 45 $185,803 $4,129 1.9% (281) 319-8530
84 NEUROSURGICAL GROUP OF TEXAS, LLP HOUSTON TX NEUROSURGERY 10 45 $635,670 $14,126 1.9% (713) 790-1211
85 LCMS NEUROSURGICAL INSTITUTE OF LAKE CHARLES LLC LAKE CHARLES LA NURSE PRACTITIONER 10 44 $236,498 $5,375 5.4% (337) 494-4720
86 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 44 $249,040 $5,660 1.8% —
87 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 44 $221,567 $5,036 1.8% (850) 416-2400
88 DAVID BARNETT, MD PA ADDISON TX PHYSICIAN ASSISTANT 2 44 $338,947 $7,703 1.8% (913) 387-0511
89 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 43 $784,750 $18,250 9.0% (662) 328-1012
90 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 43 $146,176 $3,399 5.5% (803) 744-4900
91 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 42 $316,722 $7,541 6.1% (205) 934-3460
92 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 42 $176,870 $4,211 6.1% (866) 974-2673
93 SOUTHERN OREGON NEUROSURGICAL AND SPINE ASSOCIATES, PC MEDFORD OR PHYSICIAN ASSISTANT 12 41 $434,591 $10,600 14.1% (541) 779-1672
94 ORTHOPAEDIC INSTITUTE OF OHIO, INC LIMA OH PHYSICIAN ASSISTANT 75 41 $119,729 $2,920 7.5% (419) 222-6622
95 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 41 $215,250 $5,250 4.9% (757) 827-2480
96 KEIPERSPINE PC EUGENE OR NEUROSURGERY 6 41 $183,434 $4,474 14.1% (541) 485-2357
97 SPINE SURGERY ASSOCIATES PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 5 40 $119,680 $2,992 5.8% (405) 242-4345
98 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 40 $303,226 $7,581 1.6% (561) 955-7100
99 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 39 $212,952 $5,460 1.6% (972) 596-6800
100 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 39 $130,825 $3,354 5.0% (803) 749-5101

Showing the top 100 of 410 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →