NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22634 Fusion of additional segment of spine with partial removal of spine bone and 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 8,884 services ▲ 5.6% YoY · 6,467 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.4M · $267.73 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
156
Named-group FFS services
5,706
FFS of Medicare
49%
Services YoY
+5.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,275 services

5,706 observed fee-for-service (51%) · ~5,569 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 — 22634 (CY2024)
CA 934 FL 798 TX 761 CO 462 AZ 424

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

Named-group submitted charges
$10.2M
Named-group allowed amount
$1.8M
Named-group Medicare payments
$1.4M
Avg charge / svc
$1,791
Avg allowed / svc
$313
Avg payment / svc
$249
Average charge per group
$175 156 groups · avg submitted charge / service $10,000
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 22634 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 135 $121,859 $903 38.1% (410) 761-1222
2 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 126 $184,670 $1,466 16.6% (210) 575-8289
3 NEBRASKA SPINE CENTER, LLP OMAHA NE PHYSICIAN ASSISTANT 35 114 $142,208 $1,247 53.5% (402) 496-5517
4 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 113 $83,897 $742 50.4% (701) 323-8300
5 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 109 $112,160 $1,029 14.3% (214) 220-2468
6 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 108 $147,505 $1,366 50.0% —
7 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 104 $76,700 $738 13.0% —
8 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 103 $78,064 $758 24.3% —
9 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 103 $268,752 $2,609 24.3% (602) 944-2900
10 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 95 $105,325 $1,109 31.6% —
11 FAIRBANKS PARTNERS LLC CELEBRATION FL NEUROSURGERY 36 90 $43,020 $478 11.3% (407) 975-0200
12 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 90 $112,500 $1,250 26.6% —
13 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 90 $161,010 $1,789 23.1% —
14 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 87 $64,346 $740 28.9% (740) 568-2214
15 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 85 $25,092 $295 9.1% —
16 HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC DENVER CO PHYSICIAN ASSISTANT 44 83 $130,534 $1,573 18.0% (303) 750-4933
17 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 78 $189,230 $2,426 32.0% 22576922002164
18 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 77 $83,735 $1,087 26.7% —
19 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 71 $405,000 $5,704 18.2% (847) 459-1160
20 ORTHOPAEDIC ASSOC MEDICAL CLINIC INC VISALIA CA ORTHOPEDIC SURGERY 11 69 $82,386 $1,194 7.4% (559) 733-3346
21 BIANCO BRAIN AND SPINE, LLC DALWORTHINGTON GARDENS TX NEUROSURGERY 5 67 $43,798 $654 8.8% (817) 701-4253
22 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 64 $64,504 $1,008 8.0% (904) 308-6900
23 NEUROLOGICAL AND SPINAL SURGERY LLC LINCOLN NE PHYSICIAN ASSISTANT 13 62 $59,225 $955 29.1% (402) 488-3002
24 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 62 $300,000 $4,839 53.4% (662) 328-1012
25 BENEFIS HOSPITALS INC GREAT FALLS MT PHYSICIAN ASSISTANT 400 60 $102,228 $1,704 81.1% (406) 455-5000
26 W. A. FOOTE MEMORIAL HOSPITAL, INC. JACKSON MI NURSE PRACTITIONER 475 60 $104,400 $1,740 24.6% (517) 205-1594
27 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 59 $150,627 $2,553 13.9% (434) 924-5959
28 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 58 $43,718 $754 37.7% (405) 604-6000
29 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 57 $66,747 $1,171 18.6% (615) 269-4545
30 NORTHERN ARIZONA HEALTHCARE CORPORATION FLAGSTAFF AZ PHYSICIAN ASSISTANT 395 56 $77,336 $1,381 13.2% (928) 773-2249
31 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 52 $72,710 $1,398 5.6% (415) 600-1020
32 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 52 $152,601 $2,935 21.3% (337) 235-8007
33 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 48 $71,865 $1,497 5.1% (916) 681-8852
34 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 48 $77,118 $1,607 5.1% (310) 423-0674
35 LAS CRUCES PHYSICIAN SERVICES LLC LAS CRUCES NM NURSE PRACTITIONER 100 47 $470,000 $10,000 100.0% —
36 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 45 $86,731 $1,927 9.7% (720) 777-1234
37 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 45 $81,476 $1,811 9.7% (303) 778-5797
38 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 44 $47,420 $1,078 10.4% (520) 382-8200
39 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 43 $136,367 $3,171 10.1% (800) 603-0558
40 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 43 $54,163 $1,260 14.0% (615) 329-6600
41 COLORADO SPINE SOLUTIONS, PC GREENWOOD VILLAGE CO ORTHOPEDIC SURGERY 2 43 $68,270 $1,588 9.3% (720) 927-7463
42 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 41 $240,970 $5,877 10.5% (877) 632-6637
43 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 41 $89,954 $2,194 9.7% —
44 CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC CHATTANOOGA TN ORTHOPEDIC SURGERY 25 39 $55,560 $1,425 12.7% (423) 493-5220
45 JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC WEST BRANCH MI PHYSICIAN ASSISTANT 11 39 $150,150 $3,850 16.0% (989) 343-3178
46 ORTHOPAEDIC SURGERY AND SPORTS MED SPECIALIST OF HAMPTON RDS PC NEWPORT NEWS VA PHYSICIAN ASSISTANT 27 38 $92,036 $2,422 9.0% —
47 BRIDGER ORTHOPEDICS AND SPORTS MEDICINE PC BOZEMAN CA PHYSICIAN ASSISTANT 66 38 $84,170 $2,215 4.1% (406) 587-0122
48 SEQUOIA ORTHOPAEDIC AND SPINE INSTITUTE INC Visalia CA ORTHOPEDIC SURGERY 2 38 $31,200 $821 4.1% —
49 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 37 $123,086 $3,327 8.7% (301) 530-1010
50 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 37 $138,750 $3,750 9.5% —
51 TRIA ORTHOPAEDIC CENTER LLC BLOOMINGTON MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 508 37 $50,135 $1,355 33.9% (952) 831-8742
52 SUSQUEHANNA PHYSICIAN SERVICES WILLIAMSPORT PA PHYSICIAN ASSISTANT 608 37 $35,154 $950 10.9% (570) 326-8005
53 MIDWEST ORTHOPEDIC CONSULTANTS SC ORLAND PARK IL PHYSICIAN ASSISTANT 27 36 $184,955 $5,138 9.2% (708) 226-3300
54 ADVANCED SPINAL CARE AND ASSOCIATES, LLC MORRISTOWN NJ ORTHOPEDIC SURGERY 6 36 $14,923 $415 100.0% (973) 538-0900
55 HEINRICH-JOSEY ORTHOPAEDICS AUSTIN TX PHYSICIAN ASSISTANT 22 36 $101,120 $2,809 4.7% (512) 476-2830
56 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 35 $25,347 $724 4.4% (904) 388-6518
57 ABAY NEUROSCIENCE CENTER LLC WICHITA KS NURSE PRACTITIONER 16 35 $56,736 $1,621 38.0% (316) 609-2600
58 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 33 $49,764 $1,508 4.3% (512) 324-7300
59 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 32 $31,680 $990 3.4% (925) 939-8585
60 NEUROSCIENCE SPECIALISTS PC OKLAHOMA CITY OK NEUROSURGERY 16 31 $84,584 $2,729 20.1% (405) 748-3300
61 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 31 $8,330 $269 3.9% (352) 336-6000
62 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 31 $46,066 $1,486 12.7% (574) 647-7275
63 CAMELBACK SPINE CARE PLLC PHOENIX AZ PHYSICIAN ASSISTANT 6 30 $61,260 $2,042 7.1% (602) 714-6970
64 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 30 $40,020 $1,334 27.5% (612) 863-4000
65 NEUROSURGICAL ASSOCIATES NASHVILLE TN PHYSICIAN ASSISTANT 28 29 $39,991 $1,379 9.4% 6153200007118
66 SOUTH TEXAS BRAIN AND SPINE INSTITUTE PA CORPUS CHRISTI TX NEUROSURGERY 3 29 $32,300 $1,114 3.8% (361) 883-4323
67 NEUROSURGICAL ASSOCIATES PC KNOXVILLE TN PHYSICIAN ASSISTANT 44 29 $57,033 $1,967 9.4% (865) 524-1869
68 THOMAS S LOFTUS MD PA AUSTIN TX NEUROSURGERY 3 28 $43,156 $1,541 3.7% (512) 836-0900
69 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 28 $23,563 $842 6.6% (928) 773-2280
70 AP OF NASHVILLE, LLC NASHVILLE TN PHYSICIAN ASSISTANT 18 27 $14,337 $531 8.8% (615) 222-2111
71 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND MA NURSE PRACTITIONER 2232 27 $40,716 $1,508 16.3% —
72 INDIANAPOLIS NEUROSURGICAL GROUP PC CARMEL IN NEUROSURGERY 50 27 $23,579 $873 11.1% (317) 396-1451
73 ALOMERE HEALTH ALEXANDRIA MN PHYSICIAN ASSISTANT 114 26 $35,672 $1,372 23.9% (320) 762-1511
74 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 26 $10,885 $419 10.7% (504) 842-3000
75 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS KY PHYSICIAN ASSISTANT 793 26 $24,752 $952 40.0% —
76 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 26 $171,444 $6,594 56.5% —
77 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 26 $146,276 $5,626 100.0% (414) 955-4263
78 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 26 $52,028 $2,001 15.7% —
79 KEIPERSPINE PC EUGENE OR NEUROSURGERY 6 26 $33,930 $1,305 100.0% (541) 485-2357
80 RALEIGH NEUROSURGICAL CLINIC INC RALEIGH NC PHYSICIAN ASSISTANT 52 26 $35,646 $1,371 14.7% (919) 785-3400
81 YOSHIHIRO KATSUURA PROFESSIONAL CORPORATION NOVATO CA ORTHOPEDIC SURGERY 2 25 $37,500 $1,500 2.7% (415) 697-8659
82 CNOS PC SIOUX CITY IA PHYSICIAN ASSISTANT 99 25 $35,200 $1,408 47.2% (712) 279-3500
83 MCGINLEY MEDICAL PC CASPER WY NURSE PRACTITIONER 7 25 $11,310 $452 100.0% (866) 678-4699
84 MULTICARE HEALTH SYSTEM GIG HARBOR OH NURSE PRACTITIONER 2289 23 $35,694 $1,552 7.6% —
85 PARAGON PHYSICAL THERAPY AND REHAB LLC BULLHEAD CITY AZ ORTHOPEDIC SURGERY 82 23 $28,525 $1,240 5.4% —
86 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 23 $34,740 $1,510 10.6% (206) 364-0500
87 BAPTIST MEDICAL GROUP LLC PENSACOLA WV PHYSICIAN ASSISTANT 248 22 $3,300 $150 100.0% —
88 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE CO NURSE PRACTITIONER 241 22 $19,404 $882 4.8% (479) 571-4338
89 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 22 $8,129 $370 10.2% —
90 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 22 $44,634 $2,029 2.8% (386) 231-6000
91 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 22 $21,868 $994 10.3% (402) 559-4000
92 KANSAS ORTHOPAEDIC CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 26 22 $35,530 $1,615 23.9% (316) 838-2020
93 MPOWER CLINICAL TX PHOENIX NY PHYSICIAN ASSISTANT 32 22 $8,294 $377 18.2% (210) 598-4268
94 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 22 $36,702 $1,668 51.2% (302) 366-7671
95 PT PROS, INC ELIZABETHTOWN KY ORTHOPEDIC SURGERY 325 22 $10,822 $492 33.8% (270) 982-4776
96 HENRY FORD HEALTH ROCHESTER HOSPITAL ROCHESTER MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 99 21 $19,488 $928 8.6% (248) 652-5000
97 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 21 $30,177 $1,437 5.0% (804) 764-6000
98 RESTORE SPINE LLC MELBOURNE FL PHYSICIAN ASSISTANT 5 21 $108,948 $5,188 2.6% (321) 462-3330
99 UTAH NEUROLOGICAL CLINIC INC PROVO CA NURSE PRACTITIONER 3 21 $33,600 $1,600 2.2% (801) 357-7404
100 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 21 $41,974 $1,999 2.8% —

Showing the top 100 of 156 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 →