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Market snapshot

22630 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

22630 — Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc

Billing groups
51
Named-group FFS services
1,613
FFS of Medicare
49%
Services YoY
-9.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,199 services

1,613 observed fee-for-service (50%) · ~1,586 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 — 22630 (CY2024)
FL 407 CA 274 NE 134 SC 129 KY 122

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

Named-group submitted charges
$11.1M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.4M
Avg charge / svc
$6,868
Avg allowed / svc
$1,061
Avg payment / svc
$845
Average charge per group
$1,843 51 groups · avg submitted charge / service $30,763
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 22630 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 122 $3,753,047 $30,763 30.0% —
2 MD WEST ONE, PC OMAHA NE PHYSICIAN ASSISTANT 84 118 $457,056 $3,873 88.1% (402) 399-1900
3 ST VINCENT HOSPITAL SANTA FE NM PHYSICIAN ASSISTANT 313 83 $341,900 $4,119 76.9% —
4 PROVIDENCE HEALTH AND SERVICES MT MISSOULA MT PHYSICIAN ASSISTANT 345 66 $318,450 $4,825 82.5% (406) 327-1900
5 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 66 $169,916 $2,574 51.2% —
6 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 65 $253,585 $3,901 70.7% —
7 SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. SANTA ROSA LA ORTHOPEDIC SURGERY 8 62 $35,541 $573 53.9% 70754619225507
8 SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. SANTA ROSA CA ORTHOPEDIC SURGERY 8 61 $191,165 $3,134 22.3% 70754619225507
9 BONAVENTURE MEDICAL FOUNDATION LLC HOFFMAN EST IL DIAGNOSTIC RADIOLOGY 162 55 $314,820 $5,724 55.6% (847) 755-8208
10 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 48 $229,731 $4,786 37.2% (864) 587-3000
11 NORTHERN ARIZONA HEALTHCARE CORPORATION FLAGSTAFF AZ PHYSICIAN ASSISTANT 395 41 $134,068 $3,270 100.0% (928) 773-2249
12 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE FL PHYSICIAN ASSISTANT 1369 37 $105,931 $2,863 9.1% (505) 841-1234
13 VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA PHYSICIAN ASSISTANT 229 36 $101,129 $2,809 100.0% (540) 536-8000
14 LCMS NEUROSURGICAL INSTITUTE OF LAKE CHARLES LLC LAKE CHARLES LA NURSE PRACTITIONER 10 36 $184,800 $5,133 31.3% (337) 494-4720
15 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 33 $398,888 $12,088 33.3% (217) 544-6464
16 JACKSONVILLE ORTHOPAEDIC INSTITUTE INC JACKSONVILLE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 61 31 $106,150 $3,424 7.6% (904) 858-7045
17 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 30 $104,510 $3,484 51.7% —
18 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 29 $229,071 $7,899 10.6% (415) 476-1000
19 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 28 $114,688 $4,096 6.9% (727) 725-5060
20 STV NEURO I LLC BIRMINGHAM AL NEUROSURGERY 5 26 $120,224 $4,624 46.4% (205) 986-5200
21 NEUROSURGICAL CONSULTANTS LLP EVANSVILLE KY PHYSICIAN ASSISTANT 18 26 $212,417 $8,170 21.3% (812) 426-8410
22 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM PHYSICIAN ASSISTANT 1369 25 $71,575 $2,863 23.1% (505) 841-1234
23 GEORGIA NEUROSURGICAL INSTITUTE, P.C MACON GA NEUROSURGERY 22 24 $168,816 $7,034 28.2% (478) 743-7092
24 THE ORTHOPAEDIC NETWORK INC BOWLING GREEN OH ORTHOPEDIC SURGERY 4 23 $130,985 $5,695 47.9% (419) 353-6866
25 ORTHOWEST IRVINE CA ORTHOPEDIC SURGERY 47 22 $106,414 $4,837 8.0% (949) 586-3200
26 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 21 $95,256 $4,536 100.0% (856) 247-7260
27 TOTAL SPINE INSTITUTE PLLC BRANDON FL PHYSICIAN ASSISTANT 6 20 $334,263 $16,713 4.9% (813) 444-5567
28 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 19 $69,844 $3,676 15.6% (502) 928-1050
29 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE IN NURSE PRACTITIONER 2448 19 $13,969 $735 16.0% (502) 928-1050
30 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 18 $88,884 $4,938 6.6% (714) 871-3006
31 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 17 $98,398 $5,788 6.2% (858) 455-9100
32 CENTER FOR ORTHOPAEDICS AND SPINE LLC LAKE CHARLES LA NURSE PRACTITIONER 32 17 $84,184 $4,952 14.8% (337) 721-7236
33 SEMMES-MURPHEY CLINIC PC MEMPHIS TN NEUROSURGERY 65 16 $72,000 $4,500 23.9% (901) 522-7700
34 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 15 $89,100 $5,940 11.6% —
35 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS MI NURSE PRACTITIONER 549 15 $63,495 $4,233 25.9% (901) 226-3882
36 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 15 $109,410 $7,294 22.4% (615) 322-5000
37 VAIL-SUMMIT ORTHOPAEDICS PC FRISCO CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 32 15 $110,415 $7,361 27.8% (970) 668-0888
38 THOMAS A BRADY SPORTS MEDICINE CENTER, PC CARMEL IN PHYSICIAN ASSISTANT 95 14 $51,114 $3,651 11.8% (317) 817-1200
39 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 14 $93,548 $6,682 15.2% (978) 741-4133
40 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 14 $53,998 $3,857 11.8% —
41 RESEARCH NEUROSCIENCE INSTITUTE, LLC OVERLAND PARK MO NURSE PRACTITIONER 20 13 $63,879 $4,914 33.3% (816) 363-2500
42 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 13 $104,286 $8,022 15.3% (770) 219-7777
43 SIERRA NEUROSURGERY GROUP RENO NV NURSE PRACTITIONER 24 13 $100,607 $7,739 100.0% (775) 323-2080
44 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 13 $57,200 $4,400 27.1% —
45 COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. COLUMBUS GA NURSE PRACTITIONER 156 13 $84,240 $6,480 15.3% (706) 571-1120
46 REGIONAL BRAIN AND SPINE LLC CAPE GIRARDEAU MO NURSE PRACTITIONER 11 13 $125,567 $9,659 33.3% (573) 332-7746
47 STEADMAN CLINIC PROFESSIONAL LLC VAIL CO PHYSICIAN ASSISTANT 77 12 $88,566 $7,380 22.2% (970) 476-1100
48 LITTLETON HOSPITAL ASSOCIATION LITTLETON NH NURSE PRACTITIONER 103 12 $47,514 $3,960 100.0% (603) 444-7070
49 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 12 $91,552 $7,629 52.2% (570) 888-5858
50 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 12 $49,853 $4,154 2.9% (850) 416-2400
51 BAPTIST HEALTH SERVICES FORT SMITH AR FAMILY PRACTICE 107 12 $42,660 $3,555 100.0% (479) 709-7250
52 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 11 $64,288 $5,844 47.8% —
53 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 11 $330,000 $30,000 2.7% (352) 693-3378
54 SALINA REGIONAL HEALTH CENTER INC SALINA KS NURSE PRACTITIONER 160 11 $45,295 $4,118 100.0% —

*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 →