NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22558 Fusion of lower spine bone through abdomen 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 24,729 services ▲ 2.4% YoY · 24,380 beneficiaries (CY2024, Medicare FFS)
Medicare paid $14.0M · $564.26 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
372
Named-group FFS services
15,375
FFS of Medicare
49%
Services YoY
+2.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~31,507 services

15,375 observed fee-for-service (49%) · ~16,132 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 — 22558 (CY2024)
CA 3,240 TX 2,764 FL 1,891 NC 1,229 VA 990

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

Named-group submitted charges
$92.7M
Named-group allowed amount
$10.4M
Named-group Medicare payments
$8.3M
Avg charge / svc
$6,031
Avg allowed / svc
$678
Avg payment / svc
$540
Average charge per group
$362 372 groups · avg submitted charge / service $65,353
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 22558 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 336 $978,096 $2,911 12.2% (214) 220-2468
2 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 322 $1,575,957 $4,894 11.6% (972) 596-6800
3 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 286 $2,364,092 $8,266 8.8% (650) 723-4000
4 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 251 $1,290,329 $5,141 32.9% (256) 539-2728
5 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 204 $725,282 $3,555 6.3% (714) 634-4567
6 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 189 $440,819 $2,332 27.4% (843) 491-4937
7 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 186 $798,680 $4,294 5.7% (858) 455-9100
8 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 154 $716,408 $4,652 12.5% (704) 384-8200
9 DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA COVINGTON LA PHYSICIAN ASSISTANT 10 150 $891,049 $5,940 17.6% —
10 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 147 $629,895 $4,285 15.5% (513) 246-7000
11 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 143 $1,198,362 $8,380 4.4% (415) 476-1000
12 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 139 $1,180,410 $8,492 16.8% (706) 494-3434
13 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 138 $977,539 $7,084 27.7% (630) 469-9200
14 VIRGINIA SPINE SPECIALISTS PLLC MANASSAS VA PHYSICIAN ASSISTANT 4 138 $535,230 $3,878 13.9% (571) 921-4877
15 TOWN CENTER ORTHOPAEDIC ASSOCIATES P C RESTON VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 130 $551,375 $4,241 13.1% (703) 435-6604
16 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 129 $599,111 $4,644 10.5% (704) 323-2100
17 SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO NURSE PRACTITIONER 160 128 $471,275 $3,682 20.9% (573) 681-3249
18 SPINE INSTITUTE OF LOUISIANA LLC SHREVEPORT LA NURSE PRACTITIONER 13 125 $881,328 $7,051 14.7% (318) 629-5560
19 NORTH IDAHO DAY SURGERY LLC POST FALLS ID PHYSICIAN ASSISTANT 87 119 $484,907 $4,075 33.1% —
20 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 118 $566,872 $4,804 6.2% (407) 896-1100
21 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 117 $230,292 $1,968 6.2% (904) 388-6518
22 TEXAS SPINE CONSULTANTS, LLP ADDISON TX ORTHOPEDIC SURGERY 13 115 $878,232 $7,637 4.2% (214) 370-3535
23 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 115 $238,587 $2,075 16.7% —
24 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 113 $521,094 $4,611 13.4% (602) 406-3181
25 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 113 $224,088 $1,983 6.0% (321) 434-8878
26 HUNTSMAN WEST SPINE LLC ST GEORGE UT NURSE PRACTITIONER 7 113 $205,017 $1,814 30.5% (435) 652-6024
27 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 112 $551,936 $4,928 29.6% (502) 937-2209
28 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 108 $656,032 $6,074 18.9% (215) 662-2777
29 JAWAD A SHAH MD PC FLINT TX NURSE PRACTITIONER 92 108 $3,021,000 $27,972 3.9% —
30 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 108 $452,292 $4,188 10.9% —
31 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 107 $403,277 $3,769 17.5% (573) 443-2402
32 HIGHLAND CLINIC, A PROF MED CORP SHREVEPORT LA PHYSICIAN ASSISTANT 58 106 $1,020,992 $9,632 12.5% —
33 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 103 $260,950 $2,533 23.7% (405) 604-6000
34 THE CHRIST HOSPITAL CARDIOVASCULAR ASSOCIATES LLC CINCINNATI OH NURSE PRACTITIONER 144 103 $401,597 $3,899 10.8% —
35 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 99 $441,612 $4,461 3.1% (925) 939-8585
36 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 99 $376,900 $3,807 13.0% —
37 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 99 $425,997 $4,303 10.0% —
38 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 94 $452,717 $4,816 7.6% (919) 684-8111
39 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 94 $512,767 $5,455 2.9% (916) 983-7476
40 ARIZONA ADVANCED SURGERY LLC PHOENIX AZ GENERAL SURGERY 89 91 $282,981 $3,110 10.8% (602) 340-0201
41 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 89 $433,911 $4,875 3.2% (512) 816-8611
42 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 88 $453,288 $5,151 2.7% —
43 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 86 $683,596 $7,949 10.2% (602) 944-2900
44 MOUNTAIN ORTHOPAEDICS LLC BOUNTIFUL UT PHYSICIAN ASSISTANT 27 85 $207,475 $2,441 22.9% (801) 295-7200
45 ATLANTIC BRAIN AND SPINE, P.A. WILMINGTON NC PHYSICIAN ASSISTANT 20 85 $435,214 $5,120 6.9% (910) 763-3333
46 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 84 $269,529 $3,209 10.0% (866) 974-2673
47 UCSF DEPT OF SURGERY SAN FRANCISCO CA GENERAL SURGERY 212 82 $686,598 $8,373 2.5% (415) 476-1000
48 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 82 $404,888 $4,938 9.8% (602) 385-2115
49 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 82 $2,342,166 $28,563 13.8% (212) 263-9700
50 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 81 $338,850 $4,183 13.8% (509) 946-4611
51 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 79 $246,992 $3,126 2.4% (760) 340-3911
52 ERIK C SPAYDE MD INC THOUSAND OAKS CA PHYSICIAN ASSISTANT 4 78 $323,927 $4,153 2.4% 8053792322119
53 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 76 $393,410 $5,176 11.0% (803) 256-4107
54 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 76 $263,937 $3,473 12.6% (615) 385-3751
55 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 76 $390,654 $5,140 2.3% (800) 926-8273
56 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 74 $235,468 $3,182 19.2% (316) 263-0296
57 DENNIS J ROBISON MD PLLC PLANO NM GENERAL SURGERY 2 73 $2,156,140 $29,536 70.9% (972) 403-0801
58 ARCH HEALTH PARTNERS INC POWAY CA PHYSICIAN ASSISTANT 161 72 $284,733 $3,955 2.2% (858) 485-0050
59 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 72 $573,416 $7,964 7.3% (434) 924-5959
60 SPINE CENTER LLC BATON ROUGE LA PHYSICIAN ASSISTANT 17 72 $571,813 $7,942 8.5% (833) 774-6327
61 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 69 $477,502 $6,920 7.0% (301) 530-1010
62 MAYFIELD CLINIC INC CINCINNATI OH PHYSICIAN ASSISTANT 77 68 $361,120 $5,311 7.2% (513) 221-1100
63 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 67 $208,911 $3,118 11.4% (206) 223-6600
64 IDAHO PHYSICIAN SERVICES INC IDAHO FALLS ID PHYSICIAN ASSISTANT 18 67 $317,217 $4,735 18.6% (208) 528-1000
65 ORTHOPAEDICS OF JACKSON HOLE PC JACKSON WY ORTHOPEDIC SURGERY 14 66 $303,956 $4,605 100.0% (307) 733-3900
66 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 66 $362,304 $5,489 68.8% (302) 366-7671
67 NEUROSURGICAL GROUP OF TEXAS, LLP HOUSTON TX NEUROSURGERY 10 65 $826,345 $12,713 2.4% (713) 790-1211
68 SOUTH CAROLINA SPORTS MEDICINE AND ORTHOPAEDIC CENTER NORTH CHARLESTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 43 64 $166,592 $2,603 9.3% (843) 300-8585
69 ALLEGIANT INSTITUTE INC. LAS VEGAS NV ORTHOPEDIC SURGERY 19 64 $1,743,558 $27,243 18.7% (702) 320-8111
70 WILMINGTON SURGICAL ASSOCIATES PA WILMINGTON NC GENERAL SURGERY 9 64 $191,936 $2,999 5.2% (910) 763-7363
71 STRENGE SPINE CENTER PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 63 $448,831 $7,124 16.6% (270) 228-3973
72 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 61 $238,000 $3,902 8.9% (803) 749-5101
73 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 61 $146,519 $2,402 12.2% (312) 563-2875
74 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 61 $147,231 $2,414 5.0% (919) 544-7270
75 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 60 $459,424 $7,657 1.9% (415) 476-1000
76 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 59 $381,553 $6,467 9.8% (901) 641-3000
77 VASCULAR SURGERY ASSOCIATES LOS ANGELES CA VASCULAR SURGERY 5 58 $1,480,000 $25,517 1.8% (310) 652-8132
78 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 58 $169,911 $2,930 6.1% (614) 827-8700
79 HUTCHINSON REGIONAL MEDICAL CENTER INC HUTCHINSON KS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 149 58 $39,150 $675 15.1% (620) 665-2000
80 TRI-CITY ORTHOPAEDIC SURGERY MEDICAL GROUP INC. OCEANSIDE CA ORTHOPEDIC SURGERY 25 57 $200,143 $3,511 1.8% (760) 724-9000
81 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 56 $144,062 $2,573 50.0% (202) 429-2401
82 HOLYOKE MEDICAL CENTER INC HOLYOKE MA DIAGNOSTIC RADIOLOGY 201 54 $180,360 $3,340 58.1% (413) 534-2546
83 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 53 $268,232 $5,061 18.0% (541) 779-6250
84 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 52 $153,017 $2,943 8.8% —
85 EAST JEFFERSON PHYSICIANS GROUP LLC METAIRIE LA INTERNAL MEDICINE 218 51 $279,480 $5,480 6.0% (504) 503-5123
86 ADVANCED SURGEONS, PC BIRMINGHAM AL GENERAL SURGERY 6 51 $234,600 $4,600 6.7% (205) 595-8985
87 STEADMAN CLINIC PROFESSIONAL LLC VAIL CO PHYSICIAN ASSISTANT 77 50 $574,902 $11,498 7.6% (970) 476-1100
88 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 50 $1,064,650 $21,293 2.6% (239) 312-7878
89 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 49 $293,510 $5,990 8.0% (314) 747-3000
90 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 49 $299,961 $6,122 8.2% (615) 612-2146
91 COLORADO SPRINGS ORTHOPAEDIC GROUP COLORADO SPRINGS CO PHYSICIAN ASSISTANT 75 49 $233,119 $4,758 7.5% (719) 632-7669
92 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 49 $546,480 $11,153 13.9% (317) 228-7000
93 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 47 $269,854 $5,742 5.7% (404) 778-7525
94 PIEDMONT ORTHOPEDICS, LLC MARIETTA GA PHYSICIAN ASSISTANT 195 47 $214,932 $4,573 5.7% (770) 635-1812
95 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 47 $300,518 $6,394 2.5% (850) 863-8150
96 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 47 $231,017 $4,915 2.5% (904) 396-1725
97 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 46 $170,886 $3,715 1.7% (817) 375-5200
98 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 45 $324,041 $7,201 28.8% (406) 657-4000
99 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 45 $107,702 $2,393 7.6% —
100 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 44 $189,401 $4,305 2.3% (239) 343-9888

Showing the top 100 of 372 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 →