NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal › Arthrodesis - Spine (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 13,783 services ▼ 6.2% YoY · 8,524 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.0M · $214.56 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
193
Named-group FFS services
8,796
FFS of Medicare
49%
Services YoY
-6.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~17,658 services

8,796 observed fee-for-service (50%) · ~8,862 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 — 22552 (CY2024)
FL 1,884 TX 1,788 LA 856 CA 734 NC 641

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

Named-group submitted charges
$14.6M
Named-group allowed amount
$2.1M
Named-group Medicare payments
$1.7M
Avg charge / svc
$1,662
Avg allowed / svc
$242
Avg payment / svc
$193
Average charge per group
$126 193 groups · avg submitted charge / service $13,132
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 22552 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 360 $303,992 $844 20.1% (214) 220-2468
2 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 295 $466,730 $1,582 34.5% 22576922002164
3 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 235 $140,322 $597 12.5% (904) 388-6518
4 ABAY NEUROSCIENCE CENTER LLC WICHITA KS NURSE PRACTITIONER 16 217 $208,119 $959 80.1% (316) 609-2600
5 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 189 $87,383 $462 10.0% (321) 434-8878
6 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 171 $783,476 $4,582 9.1% (239) 312-7878
7 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 169 $100,316 $594 26.4% (919) 684-8111
8 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 163 $157,621 $967 32.0% (615) 269-4545
9 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 160 $143,856 $899 8.5% (904) 308-6900
10 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 157 $1,235,000 $7,866 33.0% (847) 459-1160
11 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 126 $100,600 $798 28.1% —
12 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 123 $140,800 $1,145 19.4% —
13 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 119 $149,500 $1,256 23.0% (602) 406-3181
14 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 114 $94,050 $825 26.2% —
15 ORTHOPAEDIC CENTER OF IL SPRINGFIELD IL ORTHOPEDIC SURGERY 30 111 $451,437 $4,067 23.3% (217) 547-9100
16 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 110 $240,642 $2,188 17.3% (301) 530-1010
17 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 104 $70,525 $678 16.4% —
18 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE AR NURSE PRACTITIONER 241 96 $38,304 $399 33.4% (479) 571-4338
19 HEINRICH-JOSEY ORTHOPAEDICS AUSTIN TX PHYSICIAN ASSISTANT 22 90 $204,750 $2,275 5.0% (512) 476-2830
20 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 89 $107,868 $1,212 17.2% (602) 385-2115
21 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 86 $176,900 $2,057 48.3% (302) 366-7671
22 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 81 $61,120 $755 14.0% (410) 761-1222
23 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 80 $269,604 $3,370 22.8% (803) 256-4107
24 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 74 $52,220 $706 21.1% (843) 491-4937
25 SPINE INSTITUTE OF LOUISIANA LLC SHREVEPORT LA NURSE PRACTITIONER 13 72 $166,430 $2,312 8.4% (318) 629-5560
26 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 68 $86,400 $1,271 40.5% (601) 354-4488
27 ORTHOPAEDIC INSTITUTE OF OHIO, INC LIMA OH PHYSICIAN ASSISTANT 75 68 $47,876 $704 18.3% (419) 222-6622
28 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 67 $74,671 $1,114 13.0% (928) 773-2280
29 SPINE SURGERY ASSOCIATES PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 5 65 $41,230 $634 14.9% (405) 242-4345
30 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 64 $101,200 $1,581 3.4% (850) 877-8174
31 THOMAS S LOFTUS MD PA AUSTIN TX NEUROSURGERY 3 62 $76,243 $1,230 3.5% (512) 836-0900
32 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 58 $289,362 $4,989 32.2% —
33 TORRANCE HEALTH ASSOCIATION INC TORRANCE CA FAMILY PRACTICE 298 58 $34,200 $590 7.9% (310) 257-7260
34 FAIRBANKS PARTNERS LLC CELEBRATION FL NEUROSURGERY 36 57 $37,952 $666 3.0% (407) 975-0200
35 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 56 $21,958 $392 6.5% (504) 842-3000
36 TOWN CENTER ORTHOPAEDIC ASSOCIATES P C RESTON VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 55 $48,450 $881 8.7% (703) 435-6604
37 TYLER NEUROSURGICAL ASSOCIATES, P.A. TYLER TX NEUROSURGERY 7 55 $31,734 $577 3.1% (903) 595-2441
38 GEORGIA NEUROSURGICAL INSTITUTE, P.C MACON GA NEUROSURGERY 22 55 $172,050 $3,128 12.3% (478) 743-7092
39 MHS PHYSICIANS OF TEXAS HUMBLE TX NEUROLOGY 114 54 $32,077 $594 3.0% (281) 319-8530
40 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 53 $69,562 $1,312 3.0% —
41 NORMAN REGIONAL PROVIDERS SPECIALTY CARE NORMAN OK NURSE PRACTITIONER 162 51 $50,073 $982 11.7% (405) 307-5700
42 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 51 $50,306 $986 10.0% (615) 329-6600
43 FERNANDO DELASOTTA MD PA LINWOOD NJ NEUROSURGERY 2 51 $173,550 $3,403 30.0% (609) 927-1000
44 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 51 $89,376 $1,752 22.2% (256) 539-2728
45 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 50 $35,286 $706 76.9% (515) 247-8400
46 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 49 $48,020 $980 40.2% —
47 WIREGRASS CLINIC LLC DOTHAN AL NURSE PRACTITIONER 67 49 $46,837 $956 21.3% —
48 SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO NURSE PRACTITIONER 160 48 $45,522 $948 25.7% (573) 681-3249
49 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 48 $90,097 $1,877 2.5% —
50 SUSQUEHANNA PHYSICIAN SERVICES WILLIAMSPORT PA PHYSICIAN ASSISTANT 608 48 $36,516 $761 39.3% (570) 326-8005
51 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 48 $77,808 $1,621 2.7% —
52 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 47 $105,012 $2,234 5.5% (337) 235-8007
53 DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA COVINGTON LA PHYSICIAN ASSISTANT 10 47 $210,000 $4,468 5.5% —
54 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 46 $46,090 $1,002 2.4% (904) 396-1725
55 MINIMALLY INVASIVE NEUROSURGERY PLLC SHERMAN TX PHYSICIAN ASSISTANT 2 45 $66,600 $1,480 2.5% (469) 947-7463
56 KEIPERSPINE PC EUGENE OR NEUROSURGERY 6 45 $50,630 $1,125 76.3% (541) 485-2357
57 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 45 $48,870 $1,086 15.7% (501) 500-3500
58 NEUROSURGICAL GROUP OF TEXAS, LLP HOUSTON TX NEUROSURGERY 10 45 $146,880 $3,264 2.5% (713) 790-1211
59 TEXOMACARE SPECIALTY PHYSICIANS DENISON TX INTERVENTIONAL CARDIOLOGY 37 44 $34,322 $780 2.5% (903) 465-3624
60 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 43 $67,869 $1,578 23.0% (417) 347-8200
61 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 43 $33,946 $789 5.9% (949) 791-3370
62 MISSOULA BONE AND JOINT LLC MISSOULA MT PHYSICIAN ASSISTANT 55 42 $31,291 $745 51.2% (406) 721-4436
63 TEXAS HEALTH BACK CARE ROCKWALL TX PHYSICAL MEDICINE AND REHABILITATION 47 42 $75,075 $1,788 2.3% (817) 442-9300
64 KENNEDY WHITE AND RIGGS ORTHOPEDIC ASSOCIATES SARASOTA FL PHYSICIAN ASSISTANT 40 42 $23,020 $548 2.2% (941) 365-0655
65 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 42 $9,887 $235 5.7% —
66 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 41 $21,179 $517 9.4% —
67 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 40 $180,000 $4,500 23.5% (800) 321-9999
68 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 40 $82,520 $2,063 5.4% (415) 476-1000
69 SPINE CENTER LLC BATON ROUGE LA PHYSICIAN ASSISTANT 17 40 $103,065 $2,577 4.7% (833) 774-6327
70 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 39 $115,709 $2,967 7.5% (800) 603-0558
71 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 38 $41,040 $1,080 7.5% (615) 612-2146
72 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 38 $177,000 $4,658 22.6% (662) 328-1012
73 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 38 $29,516 $777 5.2% (760) 340-3911
74 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 38 $41,760 $1,099 10.8% —
75 OKLAHOMA SPINE AND BRAIN INSTITUTE LLP TULSA OK NEUROSURGERY 4 37 $55,875 $1,510 8.5% (918) 749-0762
76 MOUNTAIN ORTHOPAEDICS LLC BOUNTIFUL UT PHYSICIAN ASSISTANT 27 37 $22,191 $600 59.7% (801) 295-7200
77 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 37 $45,954 $1,242 10.0% —
78 COLORADO SPRINGS ORTHOPAEDIC GROUP COLORADO SPRINGS CO PHYSICIAN ASSISTANT 75 37 $70,961 $1,918 15.7% (719) 632-7669
79 ALLEGIANT INSTITUTE INC. LAS VEGAS NV ORTHOPEDIC SURGERY 19 37 $485,900 $13,132 100.0% (702) 320-8111
80 ATLANTIC BRAIN AND SPINE, P.A. WILMINGTON NC PHYSICIAN ASSISTANT 20 37 $86,856 $2,347 5.8% (910) 763-3333
81 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 36 $34,764 $966 2.0% (214) 599-8624
82 AMERICAN NEUROSPINE INSTITUTE PLLC FRISCO TX NEUROSURGERY 2 36 $87,776 $2,438 2.0% (972) 806-1188
83 NEUROLOGICAL SURGERY SPECIALIST OF NORTH TEXAS PLLC WICHITA FALLS TX PHYSICIAN ASSISTANT 7 36 $42,912 $1,192 2.0% (940) 764-7000
84 SOUTHERN BRAIN AND SPINE METAIRIE LA NEUROSURGERY 11 35 $13,724 $392 4.1% 50445401411185
85 ORTHOPEDIC ASSOCIATES OF FLOWER MOUND PLLC FLOWER MOUND TX ORTHOPEDIC SURGERY 19 35 $122,500 $3,500 2.0% (972) 420-1776
86 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 34 $74,431 $2,189 15.7% —
87 ERIK C SPAYDE MD INC THOUSAND OAKS CA PHYSICIAN ASSISTANT 4 33 $79,200 $2,400 4.5% 8053792322119
88 ETMC PHYSICIAN GROUP, INC. TYLER TX NURSE PRACTITIONER 373 33 $8,316 $252 1.8% (903) 590-5611
89 MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC ROCHESTER HILLS MI PHYSICIAN ASSISTANT 16 33 $14,768 $448 18.8% (248) 215-8080
90 NEUROSCIENCE SPECIALISTS PC OKLAHOMA CITY OK NEUROSURGERY 16 33 $60,465 $1,832 7.6% (405) 748-3300
91 ERIC J. WOODARD MD PC BOSTON MA NEUROSURGERY 2 33 $86,700 $2,627 27.0% (781) 749-9071
92 MIDWEST ORTHOPAEDIC CENTER S C PEORIA IL PHYSICIAN ASSISTANT 46 32 $48,672 $1,521 6.7% (309) 691-1400
93 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 32 $40,392 $1,262 1.8% (972) 596-6800
94 FRONT RANGE SPINE AND NEUROSURGERY LONE TREE CO PHYSICIAN ASSISTANT 12 32 $48,000 $1,500 13.6% (303) 790-1800
95 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 32 $38,362 $1,199 23.2% —
96 COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES, PA MYRTLE BEACH MN OTOLARYNGOLOGY 7 31 $32,643 $1,053 25.8% (843) 449-6449
97 LAWRENCE PHYSICIANS LLC LAWRENCE KS PHYSICIAN ASSISTANT 219 31 $33,449 $1,079 11.4% —
98 PARAGON PHYSICAL THERAPY AND REHAB LLC BULLHEAD CITY AZ ORTHOPEDIC SURGERY 82 30 $50,340 $1,678 5.8% —
99 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 30 $40,324 $1,344 4.7% (919) 544-7270
100 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 29 $17,826 $615 12.3% (719) 776-4780

Showing the top 100 of 193 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 →