NEVVI Medicare utilization intelligence
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Market snapshot

22633 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

22633 — Fusion of spine in lower back with partial removal of spine bone and disc

Billing groups
507
Named-group FFS services
23,738
FFS of Medicare
49%
Services YoY
+1.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~47,092 services

23,738 observed fee-for-service (50%) · ~23,354 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 — 22633 (CY2024)

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

Named-group submitted charges
$158.7M
Named-group allowed amount
$26.9M
Named-group Medicare payments
$21.4M
Avg charge / svc
$6,684
Avg allowed / svc
$1,133
Avg payment / svc
$902
Average charge per group
$634 507 groups · avg submitted charge / service $47,709
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 22633 services, CY2024
#Physician group City St Specialty Providers 22633 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 399 $1,470,430 $3,685 premium 15.7% (214) 220-2468
2 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 396 $3,727,422 $9,413 premium 25.8% (602) 944-2900
3 NEBRASKA SPINE CENTER, LLP OMAHA NE PHYSICIAN ASSISTANT 35 359 $1,599,376 $4,455 premium 43.6% (402) 496-5517
4 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 285 $2,068,435 $7,258 premium 16.4%
5 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 251 $1,220,789 $4,864 premium 16.7% (303) 778-5797
6 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 221 $557,035 $2,521 premium 6.8%
7 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 206 $1,036,081 $5,030 premium 15.4%
8 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 205 $2,002,658 $9,769 premium 11.8%
9 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 203 $780,941 $3,847 premium 23.3%
10 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 198 $1,305,000 $6,591 premium 12.9% (602) 406-3181
11 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 196 $828,125 $4,225 premium 24.0%
12 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 189 $738,764 $3,909 premium 12.3% (520) 382-8200
13 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 179 $607,823 $3,396 premium 18.0% (410) 761-1222
14 ABAY NEUROSCIENCE CENTER LLC WICHITA KS NURSE PRACTITIONER 16 173 $838,202 $4,845 premium 28.4% (316) 609-2600
15 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 169 $617,673 $3,655 premium 14.2%
16 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 167 $1,848,600 $11,069 premium 12.5% (301) 530-1010
17 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 163 $839,354 $5,149 premium 6.4% (210) 575-8289
18 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 159 $1,967,730 $12,376 premium 12.0% (317) 228-7000
19 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 146 $1,095,255 $7,502 premium 4.5% (850) 877-8174
20 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 143 $427,221 $2,988 premium 10.7%
21 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 142 $397,386 $2,798 premium 45.4% (701) 323-8300
22 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 142 $657,600 $4,631 premium 28.2% (601) 354-4488
23 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 141 $757,706 $5,374 premium 6.5% (415) 600-1020
24 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 141 $562,678 $3,991 premium 4.3% (904) 308-6900
25 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 138 $905,080 $6,559 premium 20.5% 22576922002164
26 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 137 $357,004 $2,606 premium 4.2% (904) 388-6518
27 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 137 $342,074 $2,497 premium 4.2% (352) 336-6000
28 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 136 $487,579 $3,585 premium 12.7%
29 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 136 $791,981 $5,823 premium 6.3% (310) 423-0674
30 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 135 $968,688 $7,175 premium 12.9% (617) 732-5500
31 FAIRBANKS PARTNERS LLC CELEBRATION FL NEUROSURGERY 36 134 $236,242 $1,763 premium 4.1% (407) 975-0200
32 KEIPERSPINE PC EUGENE OR NEUROSURGERY 6 134 $650,168 $4,852 premium 33.0% (541) 485-2357
33 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 134 $3,087,254 $23,039 premium 7.7% (877) 632-6637
34 NEUROLOGICAL AND SPINAL SURGERY LLC LINCOLN NE PHYSICIAN ASSISTANT 13 128 $594,300 $4,643 premium 15.5% (402) 488-3002
35 NEWSOUTH NEUROSPINE, LLC FLOWOOD MS NEUROSURGERY 22 127 $1,001,000 $7,882 premium 25.2% (601) 983-2859
36 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 126 $666,414 $5,289 premium 14.6% (843) 720-8448
37 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 125 $634,908 $5,079 premium 13.0% (901) 641-3000
38 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 122 $321,807 $2,638 premium 10.3% (740) 568-2214
39 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 118 $451,998 $3,830 premium 31.9% (801) 261-8346
40 INDIANAPOLIS NEUROSURGICAL GROUP PC CARMEL IN NEUROSURGERY 50 117 $327,542 $2,800 premium 8.8% (317) 396-1451
41 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 113 $720,030 $6,372 premium 50.0% (406) 657-4000
42 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 113 $501,480 $4,438 premium 20.1% (501) 500-3500
43 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 113 $390,000 $3,451 premium 13.1%
44 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 112 $1,158,002 $10,339 premium 16.6% (337) 235-8007
45 JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC WEST BRANCH MI PHYSICIAN ASSISTANT 11 110 $1,562,000 $14,200 premium 11.8% (989) 343-3178
46 NEUROSCIENCE SPECIALISTS PC OKLAHOMA CITY OK NEUROSURGERY 16 109 $918,375 $8,425 premium 12.5% (405) 748-3300
47 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 109 $353,626 $3,244 premium 9.2% (513) 354-3700
48 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 107 $614,346 $5,742 premium 5.0% (916) 681-8852
49 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 105 $643,750 $6,131 premium 20.9% (662) 328-1012
50 FLORIDA SPINE ASSOCIATES LLC BOCA RATON FL PHYSICIAN ASSISTANT 20 103 $2,127,104 $20,652 premium 3.2% (561) 495-9511
51 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 103 $1,186,440 $11,519 premium 5.9%
52 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 103 $1,004,564 $9,753 premium 4.8% (415) 476-1000
53 SHAWNEE MISSION MEDICAL CENTER INC MERRIAM KS NURSE PRACTITIONER 262 102 $502,692 $4,928 premium 16.7% (913) 676-2000
54 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 102 $1,004,149 $9,845 premium 7.6% (434) 924-5959
55 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 99 $270,510 $2,732 premium 25.1% (515) 247-8400
56 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 99 $293,326 $2,963 premium 11.4% (405) 604-6000
57 HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC DENVER CO PHYSICIAN ASSISTANT 44 98 $572,746 $5,844 premium 6.5% (303) 750-4933
58 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 98 $390,726 $3,987 premium 3.8% (817) 878-5333
59 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 97 $382,502 $3,943 premium 10.1% (615) 329-6600
60 CAMELBACK SPINE CARE PLLC PHOENIX AZ PHYSICIAN ASSISTANT 6 96 $726,575 $7,568 premium 6.3% (602) 714-6970
61 NORTHERN ARIZONA HEALTHCARE CORPORATION FLAGSTAFF AZ PHYSICIAN ASSISTANT 395 95 $365,794 $3,850 premium 6.2% (928) 773-2249
62 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 95 $750,792 $7,903 premium 6.3% (720) 777-1234
63 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 95 $2,627,150 $27,654 premium 9.2% (212) 263-9700
64 NEW ENGLAND MEDICAL CENTER GROUP PRACTICE INC BOSTON MA PHYSICIAN ASSISTANT 29 93 $1,019,838 $10,966 premium 8.9% (617) 636-7399
65 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 88 $517,457 $5,880 premium 10.8% (425) 313-5422
66 KANSAS ORTHOPAEDIC CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 26 88 $531,520 $6,040 premium 14.4% (316) 838-2020
67 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 88 $346,094 $3,933 premium 3.5% (903) 606-5560
68 TORRANCE HEALTH ASSOCIATION INC TORRANCE CA FAMILY PRACTICE 298 87 $235,800 $2,710 premium 4.0% (310) 257-7260
69 SUMMIT ORTHOPEDICS, LTD SAINT PAUL MN PHYSICIAN ASSISTANT 271 86 $623,982 $7,256 premium 14.7% (651) 968-5201
70 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 86 $135,171 $1,572 premium 5.7% (720) 497-6616
71 SPINE SURGERY ASSOCIATES PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 5 86 $658,860 $7,661 premium 9.9% (405) 242-4345
72 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 82 $427,539 $5,214 premium 14.0% (612) 863-4000
73 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 81 $153,084 $1,890 premium 3.8%
74 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 80 $599,313 $7,491 premium 6.0%
75 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 79 $769,144 $9,736 premium 7.4% (706) 494-3434
76 ORTHOPAEDIC CENTER OF IL SPRINGFIELD IL ORTHOPEDIC SURGERY 30 78 $1,310,348 $16,799 premium 4.5% (217) 547-9100
77 NEUROSURGICAL ASSOCIATES PC KNOXVILLE TN PHYSICIAN ASSISTANT 44 77 $533,071 $6,923 premium 8.0% (865) 524-1869
78 DUKE FORAGE ANSON NEUROSURGICAL LLP HENDERSON NV NEUROSURGERY 10 77 $345,155 $4,483 premium 20.8% (702) 896-0940
79 CAROLINA NEUROSURGERY AND SPINE ASSOCIATES PA CHARLOTTE NC PHYSICIAN ASSISTANT 105 76 $498,670 $6,561 premium 6.9% (704) 376-1605
80 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 75 $227,988 $3,040 premium 8.7%
81 GREATER PITTSBURGH ORTHOPAEDIC ASSOCIATES INC PITTSBURGH PA PHYSICIAN ASSISTANT 41 73 $270,000 $3,699 premium 5.5% (412) 661-5500
82 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 72 $384,336 $5,338 premium 2.8% (254) 724-2663
83 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 72 $365,756 $5,080 premium 26.0% (208) 381-4210
84 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 72 $571,179 $7,933 premium 6.9%
85 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 72 $335,904 $4,665 premium 2.8% (512) 324-7300
86 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 71 $681,262 $9,595 premium 4.1% (630) 469-9200
87 RIVERSIDE HEALTH SYSTEM KANKAKEE IL NURSE PRACTITIONER 211 71 $421,598 $5,938 premium 4.1% (815) 936-3240
88 CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC CHATTANOOGA TN ORTHOPEDIC SURGERY 25 70 $372,404 $5,320 premium 7.3% (423) 493-5220
89 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 70 $345,730 $4,939 premium 12.5% (501) 686-8000
90 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 70 $388,815 $5,555 premium 2.2% (850) 416-2400
91 HEINRICH-JOSEY ORTHOPAEDICS AUSTIN TX PHYSICIAN ASSISTANT 22 70 $1,147,200 $16,389 premium 2.7% (512) 476-2830
92 SPINE COLORADO PC DURANGO CO PHYSICIAN ASSISTANT 8 70 $650,188 $9,288 premium 4.7% (970) 382-9500
93 VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA PHYSICIAN ASSISTANT 229 69 $213,138 $3,089 premium 5.2% (540) 536-8000
94 PEACEHEALTH MEDICAL GROUP EUGENE OR NURSE PRACTITIONER 259 68 $287,511 $4,228 premium 16.7% (541) 222-8700
95 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 68 $515,000 $7,574 premium 3.9% (847) 459-1160
96 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 67 $207,310 $3,094 premium 6.7% (443) 481-1000
97 IDAHO PHYSICIAN SERVICES INC IDAHO FALLS ID PHYSICIAN ASSISTANT 18 67 $364,614 $5,442 premium 24.2% (208) 528-1000
98 KENNEDY WHITE AND RIGGS ORTHOPEDIC ASSOCIATES SARASOTA FL PHYSICIAN ASSISTANT 40 67 $165,992 $2,478 premium 2.1% (941) 365-0655
99 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 67 $240,936 $3,596 premium 3.1% (800) 872-2273
100 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 66 $1,395,258 $21,140 premium 2.0% (239) 312-7878

Showing the top 100 of 507 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 →