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Market snapshot

22830 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

22830 — Exploration of spine fusion

Billing groups
56
Named-group FFS services
1,509
FFS of Medicare
49%
Services YoY
-3.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,119 services

1,509 observed fee-for-service (48%) · ~1,610 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 — 22830 (CY2024)
CA 583 FL 269 LA 210 TX 205 AL 127

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

Named-group submitted charges
$4.7M
Named-group allowed amount
$426K
Named-group Medicare payments
$339K
Avg charge / svc
$3,139
Avg allowed / svc
$282
Avg payment / svc
$225
Average charge per group
$339 56 groups · avg submitted charge / service $9,284
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 22830 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 103 $307,456 $2,985 17.7% (858) 455-9100
2 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 74 $282,551 $3,818 58.3% (256) 539-2728
3 ORTHOWEST IRVINE CA ORTHOPEDIC SURGERY 47 71 $184,600 $2,600 12.2% (949) 586-3200
4 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 62 $158,652 $2,559 30.2% (972) 596-6800
5 ALLEGIANT INSTITUTE INC. LAS VEGAS NV ORTHOPEDIC SURGERY 19 59 $249,500 $4,229 50.0% (702) 320-8111
6 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 58 $73,083 $1,260 21.6% (321) 434-8878
7 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 56 $245,512 $4,384 64.4% (602) 944-2900
8 SPINE CENTER LLC BATON ROUGE LA PHYSICIAN ASSISTANT 17 54 $313,548 $5,806 25.7% (833) 774-6327
9 SPINE INSTITUTE OF LOUISIANA LLC SHREVEPORT LA NURSE PRACTITIONER 13 51 $337,398 $6,616 24.3% (318) 629-5560
10 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 44 $67,760 $1,540 7.5% (714) 634-4567
11 ERIK C SPAYDE MD INC THOUSAND OAKS CA PHYSICIAN ASSISTANT 4 38 $204,174 $5,373 6.5% 8053792322119
12 NORTH IDAHO DAY SURGERY LLC POST FALLS ID PHYSICIAN ASSISTANT 87 38 $53,901 $1,418 100.0% —
13 DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA COVINGTON LA PHYSICIAN ASSISTANT 10 36 $166,200 $4,617 17.1% —
14 ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 89 33 $49,327 $1,495 100.0% (918) 494-2665
15 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 28 $45,788 $1,635 42.4% (501) 500-3500
16 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 27 $36,855 $1,365 56.2% (843) 652-8450
17 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 26 $90,850 $3,494 22.0% (302) 366-7671
18 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 25 $40,121 $1,605 21.2% (775) 786-3040
19 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 25 $20,832 $833 4.3% (760) 340-3911
20 ATLANTIC BRAIN AND SPINE, P.A. WILMINGTON NC PHYSICIAN ASSISTANT 20 25 $39,898 $1,596 100.0% (910) 763-3333
21 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 24 $100,560 $4,190 20.3% (302) 655-9494
22 KEIPERSPINE PC EUGENE OR NEUROSURGERY 6 24 $51,072 $2,128 100.0% (541) 485-2357
23 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 23 $36,707 $1,596 11.2% (214) 220-2468
24 GREATER PITTSBURGH ORTHOPAEDIC ASSOCIATES INC PITTSBURGH PA PHYSICIAN ASSISTANT 41 23 $44,304 $1,926 19.7% (412) 661-5500
25 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 22 $33,921 $1,542 8.2% (904) 308-6900
26 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 21 $39,480 $1,880 43.8% (843) 491-4937
27 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 21 $47,313 $2,253 31.8% (501) 686-8000
28 PALM BEACH NEUROSURGERY LLC LAKE WORTH FL NEUROSURGERY 7 20 $140,340 $7,017 7.4% (561) 433-4444
29 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 20 $10,024 $501 3.4% —
30 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 19 $6,440 $339 26.8% (573) 443-2402
31 STRENGE SPINE CENTER PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 19 $106,400 $5,600 100.0% (270) 228-3973
32 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 18 $49,500 $2,750 15.4% —
33 NEW ENGLAND MEDICAL CENTER GROUP PRACTICE INC BOSTON MA PHYSICIAN ASSISTANT 29 18 $86,580 $4,810 25.7% (617) 636-7399
34 SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C. SPRINGFIELD MO PHYSICIAN ASSISTANT 9 17 $11,802 $694 23.9% (417) 269-3000
35 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 16 $46,166 $2,885 2.7% (916) 681-8852
36 FARZAD MASSOUDI MD INCORPORATED LAGUNA HILLS CA NEUROSURGERY 2 16 $44,000 $2,750 2.7% (949) 588-5800
37 DUKE FORAGE ANSON NEUROSURGICAL LLP HENDERSON NV NEUROSURGERY 10 16 $28,343 $1,771 13.6% (702) 896-0940
38 PHELPS MEMORIAL HEALTH CENTER HOLDREGE CO CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 36 15 $43,362 $2,891 30.0% (308) 995-2211
39 CENTENNIAL SURGICAL CLINIC, LLC NASHVILLE TN CARDIAC SURGERY 15 15 $27,765 $1,851 20.8% (615) 342-1000
40 SOUTH PALM ORTHOSPINE INSTITUTE DELRAY BEACH FL CHIROPRACTIC 4 14 $17,136 $1,224 5.2% (561) 742-5959
41 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 14 $110,138 $7,867 5.2% (904) 634-0640
42 ATRIUM HEALTH NEUROSPINE NETWORK LLC CHARLOTTE CA PHYSICIAN ASSISTANT 98 14 $6,160 $440 2.4% (704) 376-1605
43 BSISA PLLC LIVE OAK TX NURSE PRACTITIONER 7 14 $97,102 $6,936 6.8% (210) 625-4733
44 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 13 $98,800 $7,600 44.8% (847) 459-1160
45 HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI PHYSICIAN ASSISTANT 196 13 $26,132 $2,010 29.5% —
46 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 12 $74,640 $6,220 35.3% (203) 688-4242
47 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 12 $62,031 $5,169 5.7% 22576922002164
48 PLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC PLYMOUTH MA ORTHOPEDIC SURGERY 32 12 $20,110 $1,676 17.1% 78193424001204
49 SOUTH TEXAS SPINAL CLINIC, P.A. SAN ANTONIO TX ORTHOPEDIC SURGERY 24 12 $111,408 $9,284 5.9% (210) 614-6432
50 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 12 $19,080 $1,590 10.3% (443) 481-1000
51 HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC DENVER CO PHYSICIAN ASSISTANT 44 12 $29,256 $2,438 24.0% (303) 750-4933
52 AP OF NASHVILLE, LLC NASHVILLE FL PHYSICIAN ASSISTANT 18 11 $7,066 $642 4.1% (615) 222-2111
53 TEXAS SPINE CONSULTANTS, LLP ADDISON TX ORTHOPEDIC SURGERY 13 11 $43,629 $3,966 5.4% (214) 370-3535
54 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 11 $27,999 $2,545 5.4% (512) 816-8611
55 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 11 $38,016 $3,456 15.7% —
56 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 11 $26,598 $2,418 5.4% (512) 324-7300

*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 →