NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22554 Fusion of upper spine bones through front of neck with partial removal of 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 681 services ▼ 17.2% YoY · 675 beneficiaries (CY2024, Medicare FFS)
Medicare paid $252K · $369.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
25
Named-group FFS services
537
FFS of Medicare
49%
Services YoY
-17.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,130 services

537 observed fee-for-service (48%) · ~593 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 — 22554 (CY2024)

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

Named-group submitted charges
$3.0M
Named-group allowed amount
$244K
Named-group Medicare payments
$194K
Avg charge / svc
$5,525
Avg allowed / svc
$454
Avg payment / svc
$362
Average charge per group
$752 25 groups · avg submitted charge / service $27,847
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 22554 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 22554 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 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 73 $297,037 $4,069 premium 85.9% (843) 720-8448
2 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 53 $160,539 $3,029 premium 35.1% (714) 634-4567
3 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 42 $117,390 $2,795 premium 59.2% (817) 878-5333
4 SPINE CENTER LLC BATON ROUGE LA PHYSICIAN ASSISTANT 17 39 $271,794 $6,969 premium 50.0% (833) 774-6327
5 DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA COVINGTON LA PHYSICIAN ASSISTANT 10 39 $256,650 $6,581 premium 50.0%
6 SPINE AND SPORTS SPECIALITIES MEDICAL GROUP ORANGE CA ORTHOPEDIC SURGERY 15 26 $137,228 $5,278 premium 17.2% (714) 598-1745
7 FLORIDA SPINE ASSOCIATES LLC BOCA RATON FL PHYSICIAN ASSISTANT 20 24 $346,418 $14,434 premium 19.4% (561) 495-9511
8 THE GREATER HOUSTON NEUROSURGERY CENTER, P.A. THE WOODLANDS AL ORTHOPEDIC SURGERY 7 24 $32,708 $1,363 premium 100.0% (281) 364-9509
9 ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA PORT CHARLOTTE FL PHYSICIAN ASSISTANT 36 18 $39,770 $2,209 premium 14.5% (941) 629-6262
10 THE LONGSTREET CLINIC, PC GAINESVILLE GA NURSE PRACTITIONER 144 16 $98,240 $6,140 premium 48.5% (770) 533-6511
11 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 15 $11,287 $752 premium 9.9% (916) 681-8852
12 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 15 $23,751 $1,583 premium 9.9% (626) 256-4673
13 SAINT FRANCIS PHYSICIAN NETWORK, LLC MEMPHIS TN PHYSICIAN ASSISTANT 75 14 $49,812 $3,558 premium 56.0% (901) 680-9205
14 PALM BEACH NEUROSURGERY LLC LAKE WORTH FL NEUROSURGERY 7 13 $143,494 $11,038 premium 10.5% (561) 433-4444
15 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 12 $55,599 $4,633 premium 7.9% (858) 455-9100
16 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 12 $27,879 $2,323 premium 35.3% (212) 746-5454
17 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 12 $127,524 $10,627 premium 14.1% (803) 395-3400
18 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 12 $24,432 $2,036 premium 9.7% (850) 877-8174
19 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 12 $48,864 $4,072 premium 9.7% (904) 396-1725
20 JAMES J LYNCH MD LTD CARSON CITY NV PHYSICIAN ASSISTANT 84 11 $306,317 $27,847 premium 47.8% (775) 783-6190
21 FRANK P. CAMMISA, JR, MD, PC NEW YORK NY PHYSICIAN ASSISTANT 3 11 $15,670 $1,425 premium 32.4% (212) 606-1946
22 MERITUS MEDICAL CENTER INC HAGERSTOWN MD NURSE PRACTITIONER 725 11 $41,308 $3,755 premium 50.0%
23 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 11 $121,418 $11,038 premium 8.9% (786) 662-0600
24 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 11 $50,550 $4,595 premium 100.0%
25 TENET FLORIDA PHYSICIAN SERVICES II, LLC MANGONIA PARK FL PHYSICIAN ASSISTANT 101 11 $161,337 $14,667 premium 8.9% (561) 844-6300

*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 →