NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22840 Placement of stabilizing device to back of 1 spine bone in neck 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 31,665 services ▲ 0.1% YoY · 31,438 beneficiaries (CY2024, Medicare FFS)
Medicare paid $13.0M · $409.57 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
510
Named-group FFS services
20,364
FFS of Medicare
49%
Services YoY
+0.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~40,346 services

20,364 observed fee-for-service (50%) · ~19,982 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 — 22840 (CY2024)
CA 2,765 FL 2,759 TX 2,519 PA 1,423 AZ 1,253

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

Named-group submitted charges
$61.1M
Named-group allowed amount
$9.8M
Named-group Medicare payments
$7.8M
Avg charge / svc
$2,998
Avg allowed / svc
$482
Avg payment / svc
$385
Average charge per group
$255 510 groups · avg submitted charge / service $19,400
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 22840 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 394 $571,843 $1,451 14.2% (714) 634-4567
2 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 324 $494,820 $1,527 12.9% (214) 220-2468
3 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 323 $1,227,011 $3,799 25.8% (602) 944-2900
4 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 231 $259,361 $1,123 21.8% —
5 ABAY NEUROSCIENCE CENTER LLC WICHITA KS NURSE PRACTITIONER 16 207 $519,222 $2,508 33.4% (316) 609-2600
6 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 203 $500,738 $2,467 8.1% (972) 596-6800
7 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 197 $314,412 $1,596 25.2% —
8 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 173 $833,533 $4,818 16.6% (317) 228-7000
9 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 169 $443,750 $2,626 13.5% (602) 406-3181
10 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 152 $464,564 $3,056 19.7% (256) 539-2728
11 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 151 $317,964 $2,106 5.5% (858) 455-9100
12 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 151 $1,160,816 $7,688 15.4% —
13 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 147 $420,098 $2,858 19.2% (573) 443-2402
14 ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 89 146 $281,758 $1,930 18.6% (918) 494-2665
15 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 144 $682,983 $4,743 5.2% —
16 MD WEST ONE, PC OMAHA NE PHYSICIAN ASSISTANT 84 141 $314,468 $2,230 26.3% (402) 399-1900
17 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 136 $1,118,532 $8,224 14.6% (706) 494-3434
18 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 133 $205,138 $1,542 14.7% (614) 827-8700
19 GULFCOAST SPINE INSTITUTE, LLC TAMPA FL ORTHOPEDIC SURGERY 9 130 $228,200 $1,755 4.7% (813) 443-2108
20 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 127 $235,729 $1,856 4.6% (760) 340-3911
21 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 123 $222,788 $1,811 18.8% (303) 778-5797
22 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 118 $114,980 $974 4.3% —
23 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 117 $214,060 $1,830 30.5% (601) 354-4488
24 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 116 $191,510 $1,651 9.3% (520) 382-8200
25 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 116 $100,376 $865 4.2% (352) 336-6000
26 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 112 $113,317 $1,012 4.1% (904) 388-6518
27 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 112 $252,984 $2,259 4.1% (310) 423-0674
28 NEBRASKA SPINE CENTER, LLP OMAHA NE PHYSICIAN ASSISTANT 35 111 $219,065 $1,974 20.7% (402) 496-5517
29 GABRIELE JASPER MD, INC BRICK NJ ANESTHESIOLOGY 5 109 $258,805 $2,374 25.7% (732) 262-0700
30 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 109 $828,625 $7,602 11.1% (877) 632-6637
31 ERIK C SPAYDE MD INC THOUSAND OAKS CA PHYSICIAN ASSISTANT 4 108 $265,867 $2,462 3.9% 8053792322119
32 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 105 $349,168 $3,325 11.9% (301) 530-1010
33 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 103 $429,201 $4,167 10.9% (617) 732-5500
34 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 103 $169,402 $1,645 3.7% (904) 308-6900
35 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 101 $445,814 $4,414 3.7% (650) 723-4000
36 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 98 $406,909 $4,152 12.2% (901) 641-3000
37 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 98 $165,926 $1,693 7.8% (866) 974-2673
38 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 93 $356,035 $3,828 51.1% (406) 657-4000
39 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 93 $111,622 $1,200 11.9% (405) 604-6000
40 HUNTSMAN WEST SPINE LLC ST GEORGE UT NURSE PRACTITIONER 7 93 $106,354 $1,144 17.8% (435) 652-6024
41 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 90 $153,538 $1,706 23.3% (501) 500-3500
42 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 89 $194,552 $2,186 3.2% (415) 600-1020
43 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 89 $245,809 $2,762 8.4% (864) 587-3000
44 DUKE FORAGE ANSON NEUROSURGICAL LLP HENDERSON NV NEUROSURGERY 10 88 $296,820 $3,373 18.3% (702) 896-0940
45 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 87 $180,823 $2,078 3.5% (254) 724-2663
46 NEW ENGLAND MEDICAL CENTER GROUP PRACTICE INC BOSTON MA PHYSICIAN ASSISTANT 29 87 $393,327 $4,521 9.2% (617) 636-7399
47 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 85 $289,062 $3,401 8.7% (630) 469-9200
48 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 85 $165,414 $1,946 19.2% (612) 863-6960
49 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 82 $179,310 $2,187 18.5% (612) 863-4000
50 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 81 $196,425 $2,425 7.6% (843) 720-8448
51 KEIPERSPINE PC EUGENE OR NEUROSURGERY 6 81 $162,000 $2,000 25.2% (541) 485-2357
52 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 80 $248,828 $3,110 2.9% (850) 877-8174
53 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 80 $145,263 $1,816 3.2% (903) 606-5560
54 NEWSOUTH NEUROSPINE, LLC FLOWOOD MS NEUROSURGERY 22 80 $307,800 $3,848 20.8% (601) 983-2859
55 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 79 $111,438 $1,411 10.4% (410) 761-1222
56 NEUROSCIENCE SPECIALISTS PC OKLAHOMA CITY OK NEUROSURGERY 16 77 $328,520 $4,266 9.8% (405) 748-3300
57 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 76 $89,472 $1,177 14.3% (515) 247-8400
58 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 76 $392,757 $5,168 36.7% (302) 366-7671
59 VIRGINIA SPINE SPECIALISTS PLLC MANASSAS VA PHYSICIAN ASSISTANT 4 76 $145,875 $1,919 8.6% (571) 921-4877
60 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 75 $208,385 $2,778 2.7% (800) 872-2273
61 VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA PHYSICIAN ASSISTANT 229 74 $97,204 $1,314 8.4% (540) 536-8000
62 SPINE INSTITUTE OF LOUISIANA LLC SHREVEPORT LA NURSE PRACTITIONER 13 74 $252,762 $3,416 14.5% (318) 629-5560
63 ARCIS HEALTHCARE LLC NORTH CHARLESTON SC PHYSICIAN ASSISTANT 33 74 $259,875 $3,512 7.0% (843) 797-5050
64 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 73 $110,787 $1,518 14.0% (801) 261-8346
65 NEUROSURGICAL CONSULTANTS LLP EVANSVILLE KY PHYSICIAN ASSISTANT 18 72 $299,232 $4,156 30.5% (812) 426-8410
66 TOWN CENTER ORTHOPAEDIC ASSOCIATES P C RESTON VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 71 $122,725 $1,729 8.1% (703) 435-6604
67 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 71 $146,998 $2,070 6.7% —
68 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 71 $94,457 $1,330 7.9% (419) 291-2003
69 THE ORTHOPAEDIC GROUP PC MOBILE AL ORTHOPEDIC SURGERY 69 71 $277,450 $3,908 9.2% (251) 476-5050
70 TMI SPORTS MEDICINE AND ORTHOPEDIC SURGERY PA ARLINGTON TX PHYSICIAN ASSISTANT 19 70 $77,615 $1,109 2.8% (817) 419-0303
71 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 69 $161,484 $2,340 7.8% (757) 827-2480
72 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 68 $94,175 $1,385 8.8% —
73 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 68 $254,009 $3,735 7.2% (617) 724-0287
74 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 68 $114,236 $1,680 13.0% (801) 475-3800
75 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 67 $112,746 $1,683 7.1% —
76 MOUNTAIN ORTHOPAEDICS LLC BOUNTIFUL UT PHYSICIAN ASSISTANT 27 66 $77,552 $1,175 12.6% (801) 295-7200
77 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 66 $277,193 $4,200 25.5% (208) 381-4210
78 DAVID BARNETT, MD PA ADDISON TX PHYSICIAN ASSISTANT 2 66 $234,517 $3,553 2.6% (913) 387-0511
79 GREATER PITTSBURGH ORTHOPAEDIC ASSOCIATES INC PITTSBURGH PA PHYSICIAN ASSISTANT 41 66 $116,800 $1,770 4.6% (412) 661-5500
80 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 64 $350,900 $5,483 4.5% —
81 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 64 $105,344 $1,646 2.5% (817) 878-5333
82 DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA COVINGTON LA PHYSICIAN ASSISTANT 10 63 $231,000 $3,667 12.3% —
83 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 62 $169,403 $2,732 2.2% (916) 681-8852
84 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 62 $95,502 $1,540 2.2% (714) 871-3006
85 ORTHOPEDICSNY, LLP ALBANY NY PHYSICIAN ASSISTANT 112 62 $87,392 $1,410 9.3% (518) 489-2663
86 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 62 $441,308 $7,118 9.3% (212) 263-9700
87 FLORIDA SPINE ASSOCIATES LLC BOCA RATON FL PHYSICIAN ASSISTANT 20 61 $529,687 $8,683 2.2% (561) 495-9511
88 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 61 $146,840 $2,407 2.4% (210) 575-8289
89 STEADMAN CLINIC PROFESSIONAL LLC VAIL CO PHYSICIAN ASSISTANT 77 61 $321,213 $5,266 9.3% (970) 476-1100
90 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 59 $133,426 $2,261 10.9% (425) 313-5422
91 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 58 $100,698 $1,736 9.4% (913) 588-1227
92 FAIRBANKS PARTNERS LLC CELEBRATION FL NEUROSURGERY 36 58 $42,456 $732 2.1% (407) 975-0200
93 SPINE AND SPORTS SPECIALITIES MEDICAL GROUP ORANGE CA ORTHOPEDIC SURGERY 15 58 $152,322 $2,626 2.1% (714) 598-1745
94 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 58 $308,595 $5,321 4.1% (215) 662-2777
95 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 57 $207,164 $3,634 10.7% —
96 KENNEDY WHITE AND RIGGS ORTHOPEDIC ASSOCIATES SARASOTA FL PHYSICIAN ASSISTANT 40 57 $57,684 $1,012 2.1% (941) 365-0655
97 SHAWNEE MISSION MEDICAL CENTER INC MERRIAM KS NURSE PRACTITIONER 262 56 $113,013 $2,018 9.0% (913) 676-2000
98 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 56 $378,112 $6,752 5.7% —
99 ATLANTIC BRAIN AND SPINE, P.A. WILMINGTON NC PHYSICIAN ASSISTANT 20 55 $153,665 $2,794 7.4% (910) 763-3333
100 NEUROLOGICAL AND SPINAL SURGERY LLC LINCOLN NE PHYSICIAN ASSISTANT 13 54 $93,139 $1,725 10.1% (402) 488-3002

Showing the top 100 of 510 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 →