NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22842 Placement of stabilizing device to back, 3-6 spine bone segments 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 54,378 services ▼ 0.4% YoY · 53,595 beneficiaries (CY2024, Medicare FFS)
Medicare paid $23.2M · $426.09 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
701
Named-group FFS services
34,364
FFS of Medicare
49%
Services YoY
-0.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~68,338 services

34,364 observed fee-for-service (50%) · ~33,974 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 — 22842 (CY2024)
CA 4,391 FL 4,202 TX 4,060 OH 2,373 MD 2,230

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

Named-group submitted charges
$113.8M
Named-group allowed amount
$17.3M
Named-group Medicare payments
$13.8M
Avg charge / svc
$3,311
Avg allowed / svc
$504
Avg payment / svc
$402
Average charge per group
$216 701 groups · avg submitted charge / service $84,438
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 22842 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ABAY NEUROSCIENCE CENTER LLC WICHITA KS NURSE PRACTITIONER 16 554 $1,397,480 $2,523 40.6% (316) 609-2600
2 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 531 $784,799 $1,478 13.1% (214) 220-2468
3 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 315 $806,704 $2,561 19.4% (602) 406-3181
4 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 286 $420,720 $1,471 6.5% (714) 634-4567
5 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 262 $724,171 $2,764 14.0% —
6 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 261 $380,328 $1,457 11.0% —
7 NEBRASKA SPINE CENTER, LLP OMAHA NE PHYSICIAN ASSISTANT 35 249 $464,940 $1,867 33.9% (402) 496-5517
8 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 242 $1,178,443 $4,870 5.5% (650) 723-4000
9 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 242 $440,690 $1,821 14.0% (303) 778-5797
10 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 230 $578,726 $2,516 5.7% (972) 596-6800
11 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 220 $865,736 $3,935 5.0% (415) 476-1000
12 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 220 $406,868 $1,849 12.6% (615) 269-4545
13 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 202 $1,341,102 $6,639 11.1% —
14 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 199 $1,171,575 $5,887 10.0% —
15 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 190 $191,096 $1,006 4.5% (321) 434-8878
16 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 189 $463,995 $2,455 4.7% (817) 281-2977
17 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 189 $1,025,356 $5,425 12.0% (317) 228-7000
18 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 187 $904,358 $4,836 13.2% (617) 732-5500
19 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 185 $1,291,663 $6,982 10.1% —
20 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 178 $171,410 $963 4.2% (904) 388-6518
21 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 177 $251,496 $1,421 7.5% (513) 354-3700
22 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 175 $804,193 $4,595 10.8% (602) 944-2900
23 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 158 $789,667 $4,998 29.8% (302) 366-7671
24 FAIRBANKS PARTNERS LLC CELEBRATION FL NEUROSURGERY 36 156 $114,660 $735 3.7% (407) 975-0200
25 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 156 $366,770 $2,351 3.8% (210) 575-8289
26 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 156 $210,092 $1,347 7.0% (410) 761-1222
27 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 156 $242,288 $1,553 6.6% (614) 827-8700
28 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 151 $663,757 $4,396 13.6% 22576922002164
29 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 151 $238,300 $1,578 23.3% (801) 261-8346
30 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 150 $177,438 $1,183 16.5% (515) 247-8400
31 NEUROSCIENCE SPECIALISTS PC OKLAHOMA CITY OK NEUROSURGERY 16 150 $801,873 $5,346 11.6% (405) 748-3300
32 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 150 $258,093 $1,721 16.0% —
33 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 147 $178,245 $1,213 13.1% (843) 491-4937
34 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 143 $1,177,965 $8,238 9.3% (706) 494-3434
35 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 136 $319,742 $2,351 3.1% (858) 455-9100
36 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 135 $393,905 $2,918 3.1% (310) 423-0674
37 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 131 $143,890 $1,098 3.1% —
38 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 130 $1,702,471 $13,096 8.7% (212) 263-9700
39 TOWN CENTER ORTHOPAEDIC ASSOCIATES P C RESTON VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 127 $236,875 $1,865 6.8% (703) 435-6604
40 MAYFIELD CLINIC INC CINCINNATI OH PHYSICIAN ASSISTANT 77 127 $236,104 $1,859 5.4% (513) 221-1100
41 NORTH IDAHO DAY SURGERY LLC POST FALLS ID PHYSICIAN ASSISTANT 87 126 $190,896 $1,515 29.6% —
42 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 124 $149,405 $1,205 9.6% (405) 604-6000
43 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 122 $135,385 $1,110 5.1% (740) 568-2214
44 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 120 $162,383 $1,353 5.4% (443) 481-1000
45 GRAND STRAND SPECIALTY ASSOCIATES, LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 32 120 $269,703 $2,248 10.7% (843) 692-1000
46 NEUROLOGICAL AND SPINAL SURGERY LLC LINCOLN NE PHYSICIAN ASSISTANT 13 118 $219,154 $1,857 16.1% (402) 488-3002
47 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 118 $188,446 $1,597 9.1% —
48 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 118 $251,222 $2,129 12.6% (206) 364-0500
49 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 117 $140,064 $1,197 6.2% —
50 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 116 $479,404 $4,133 6.4% (630) 469-9200
51 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 116 $218,748 $1,886 2.9% (512) 324-7300
52 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 115 $406,444 $3,534 6.0% (919) 684-8111
53 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 115 $254,265 $2,211 2.8% (254) 724-2663
54 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 115 $283,487 $2,465 2.8% (512) 816-8611
55 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 112 $298,610 $2,666 9.9% (803) 749-5101
56 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 111 $129,544 $1,167 44.6% (701) 323-8300
57 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 111 $441,787 $3,980 35.6% (406) 657-4000
58 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 110 $227,052 $2,064 2.5% (925) 939-8585
59 PREMIER BRAIN AND SPINE LLC UNION NJ PHYSICIAN ASSISTANT 127 109 $458,365 $4,205 13.0% (732) 906-9600
60 UNIVERSITY OF UTAH SURGICAL SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 45 109 $418,226 $3,837 16.8% (801) 585-7575
61 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 108 $229,170 $2,122 6.7% (602) 385-2115
62 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 108 $171,478 $1,588 11.9% (515) 343-1000
63 SPINE SURGERY ASSOCIATES PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 5 107 $121,920 $1,139 8.3% (405) 242-4345
64 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 106 $565,828 $5,338 4.5% —
65 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 105 $825,590 $7,863 2.4% (916) 983-7476
66 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 104 $182,312 $1,753 7.6% (913) 588-1227
67 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 104 $195,835 $1,883 6.4% (866) 974-2673
68 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 103 $1,001,675 $9,725 15.0% (507) 284-2511
69 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 103 $196,214 $1,905 5.9% (615) 329-6600
70 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 103 $228,792 $2,221 2.5% (904) 396-1725
71 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 103 $643,567 $6,248 12.4% (256) 539-2728
72 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 103 $241,562 $2,345 4.6% (202) 429-2401
73 AP OF NASHVILLE, LLC NASHVILLE TN PHYSICIAN ASSISTANT 18 102 $99,786 $978 5.8% (615) 222-2111
74 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 101 $661,861 $6,553 5.1% (215) 662-2777
75 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 100 $154,462 $1,545 6.5% —
76 NORTHERN ARIZONA HEALTHCARE CORPORATION FLAGSTAFF AZ PHYSICIAN ASSISTANT 395 100 $158,309 $1,583 6.2% (928) 773-2249
77 ST. MARY'S MEDICAL GROUP, INC. ATHENS GA NURSE PRACTITIONER 128 99 $88,018 $889 6.4% (706) 389-3440
78 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 99 $229,478 $2,318 2.3% (415) 600-1020
79 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 98 $401,030 $4,092 10.8% —
80 NEUROSURGICAL ASSOCIATES PC KNOXVILLE TN PHYSICIAN ASSISTANT 44 98 $283,481 $2,893 5.6% (865) 524-1869
81 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 96 $368,378 $3,837 18.1% (302) 655-9494
82 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 96 $201,696 $2,101 14.0% (612) 863-4000
83 IDAHO PHYSICIAN SERVICES INC IDAHO FALLS ID PHYSICIAN ASSISTANT 18 95 $219,875 $2,314 22.3% (208) 528-1000
84 HUNTSMAN WEST SPINE LLC ST GEORGE UT NURSE PRACTITIONER 7 95 $97,622 $1,028 14.6% (435) 652-6024
85 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 94 $658,000 $7,000 55.3% (401) 457-1500
86 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 94 $246,036 $2,617 2.1% (916) 681-8852
87 ORTHOPAEDIC CENTER OF IL SPRINGFIELD IL ORTHOPEDIC SURGERY 30 94 $658,758 $7,008 5.1% (217) 547-9100
88 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 93 $285,833 $3,073 2.3% —
89 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 93 $154,473 $1,661 2.3% (817) 878-5333
90 KENNEDY WHITE AND RIGGS ORTHOPEDIC ASSOCIATES SARASOTA FL PHYSICIAN ASSISTANT 40 93 $94,077 $1,012 2.2% (941) 365-0655
91 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 92 $185,049 $2,011 9.8% (425) 313-5422
92 VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA PHYSICIAN ASSISTANT 229 91 $130,082 $1,429 4.9% (540) 536-8000
93 MIDWEST ORTHOPAEDIC CENTER S C PEORIA IL PHYSICIAN ASSISTANT 46 91 $173,139 $1,903 5.0% (309) 691-1400
94 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 91 $143,774 $1,580 5.6% (520) 382-8200
95 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 91 $278,222 $3,057 2.1% (800) 872-2273
96 TYLER NEUROSURGICAL ASSOCIATES, P.A. TYLER TX NEUROSURGERY 7 90 $230,164 $2,557 2.2% (903) 595-2441
97 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 89 $110,717 $1,244 6.9% —
98 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 89 $292,198 $3,283 4.9% (847) 459-1160
99 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 89 $155,483 $1,747 3.8% (419) 291-2003
100 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 88 $501,492 $5,699 5.4% (800) 603-0558

Showing the top 100 of 701 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 →