NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22845 Placement of stabilizing device to front, 2-3 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 16,970 services ▼ 6.3% YoY · 16,790 beneficiaries (CY2024, Medicare FFS)
Medicare paid $6.7M · $396.92 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
316
Named-group FFS services
11,286
FFS of Medicare
49%
Services YoY
-6.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~22,734 services

11,286 observed fee-for-service (50%) · ~11,448 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 — 22845 (CY2024)
TX 1,657 FL 1,512 CA 1,421 AL 996 VA 987

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

Named-group submitted charges
$35.2M
Named-group allowed amount
$5.3M
Named-group Medicare payments
$4.3M
Avg charge / svc
$3,119
Avg allowed / svc
$473
Avg payment / svc
$377
Average charge per group
$232 316 groups · avg submitted charge / service $18,935
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 22845 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 234 $578,462 $2,472 23.5% (256) 539-2728
2 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 209 $497,639 $2,381 12.6% (972) 596-6800
3 TOWN CENTER ORTHOPAEDIC ASSOCIATES P C RESTON VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 190 $371,000 $1,953 19.3% (703) 435-6604
4 DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA COVINGTON LA PHYSICIAN ASSISTANT 10 167 $657,250 $3,936 32.6% —
5 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 138 $330,087 $2,392 14.0% —
6 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 137 $216,597 $1,581 8.3% (817) 878-5333
7 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 136 $238,450 $1,753 13.7% —
8 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 133 $194,153 $1,460 8.0% (214) 220-2468
9 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 128 $127,797 $998 8.5% (904) 388-6518
10 HUNTSMAN WEST SPINE LLC ST GEORGE UT NURSE PRACTITIONER 7 126 $133,006 $1,056 63.0% (435) 652-6024
11 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 124 $238,954 $1,927 8.7% (858) 455-9100
12 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 120 $483,673 $4,031 12.2% (301) 530-1010
13 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 118 $181,366 $1,537 30.1% —
14 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 111 $303,119 $2,731 44.8% (302) 366-7671
15 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 110 $136,790 $1,244 19.1% (803) 256-4107
16 SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO NURSE PRACTITIONER 160 106 $183,175 $1,728 22.0% (573) 681-3249
17 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 105 $439,446 $4,185 22.5% (602) 944-2900
18 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 102 $373,266 $3,659 13.4% (706) 494-3434
19 JAMES J LYNCH MD LTD CARSON CITY NV PHYSICIAN ASSISTANT 84 98 $731,960 $7,469 33.2% (775) 783-6190
20 NEUROSCIENCE SPECIALISTS PC OKLAHOMA CITY OK NEUROSURGERY 16 96 $483,750 $5,039 24.5% (405) 748-3300
21 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 93 $204,633 $2,200 30.3% (509) 946-4611
22 NEWSOUTH NEUROSPINE, LLC FLOWOOD MS NEUROSURGERY 22 91 $332,000 $3,648 28.0% (601) 983-2859
23 NEUROSURGICAL ASSOCIATES, P. C. BIRMINGHAM AL NEUROSURGERY 10 90 $165,240 $1,836 9.0% 20593389811810
24 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 89 $215,688 $2,423 19.1% (602) 406-3181
25 SPINE CENTER LLC BATON ROUGE LA PHYSICIAN ASSISTANT 17 89 $475,210 $5,339 17.4% (833) 774-6327
26 ABAY NEUROSCIENCE CENTER LLC WICHITA KS NURSE PRACTITIONER 16 88 $231,525 $2,631 47.8% (316) 609-2600
27 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 86 $97,480 $1,133 5.7% (321) 434-8878
28 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 84 $194,628 $2,317 14.6% (843) 720-8448
29 SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. SANTA ROSA CA ORTHOPEDIC SURGERY 8 84 $147,645 $1,758 5.9% 70754619225507
30 HEINRICH-JOSEY ORTHOPAEDICS AUSTIN TX PHYSICIAN ASSISTANT 22 82 $377,200 $4,600 4.9% (512) 476-2830
31 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 79 $178,888 $2,264 12.8% (615) 612-2146
32 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 74 $460,149 $6,218 5.2% (916) 983-7476
33 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 74 $175,960 $2,378 22.8% (601) 354-4488
34 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 74 $110,681 $1,496 9.7% —
35 SPINE DFW PA IRVING TX ORTHOPEDIC SURGERY 5 74 $129,393 $1,749 4.5% (972) 987-0969
36 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 71 $85,000 $1,197 7.2% —
37 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 70 $171,800 $2,454 4.9% —
38 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 70 $124,156 $1,774 35.2% —
39 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 70 $90,462 $1,292 12.1% —
40 ARCH HEALTH PARTNERS INC POWAY CA PHYSICIAN ASSISTANT 161 69 $126,560 $1,834 4.9% (858) 485-0050
41 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 69 $169,200 $2,452 4.9% (714) 634-4567
42 ATLANTIC BRAIN AND SPINE, P.A. WILMINGTON NC PHYSICIAN ASSISTANT 20 69 $271,063 $3,928 11.4% (910) 763-3333
43 VIRGINIA SPINE SPECIALISTS PLLC MANASSAS VA PHYSICIAN ASSISTANT 4 67 $123,365 $1,841 6.8% (571) 921-4877
44 STRENGE SPINE CENTER PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 66 $223,209 $3,382 43.7% (270) 228-3973
45 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 62 $101,990 $1,645 10.1% (615) 269-4545
46 HOUMA ORTHOPEDIC CLINIC AMC HOUMA LA PHYSICAL THERAPIST IN PRIVATE PRACTICE 24 60 $294,200 $4,903 11.7% (985) 868-1540
47 ALLEGIANT INSTITUTE INC. LAS VEGAS NV ORTHOPEDIC SURGERY 19 59 $616,688 $10,452 20.0% (702) 320-8111
48 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 59 $109,782 $1,861 3.9% (850) 416-2400
49 ORTHOPAEDIC CENTER OF IL SPRINGFIELD IL ORTHOPEDIC SURGERY 30 59 $388,574 $6,586 11.2% (217) 547-9100
50 ORTHOPAEDICS NORTHEAST PC FORT WAYNE IN PHYSICIAN ASSISTANT 80 58 $126,286 $2,177 12.7% (260) 484-8551
51 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 58 $70,621 $1,218 9.6% (919) 684-8111
52 NEUROLOGICAL SURGERY SPECIALIST OF NORTH TEXAS PLLC WICHITA FALLS TX PHYSICIAN ASSISTANT 7 58 $126,788 $2,186 3.5% (940) 764-7000
53 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 58 $87,480 $1,508 30.5% (614) 827-8700
54 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 57 $288,933 $5,069 11.8% (573) 443-2402
55 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 57 $95,417 $1,674 19.7% (501) 202-2093
56 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 56 $90,888 $1,623 3.7% (904) 308-6900
57 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 55 $382,026 $6,946 10.4% (847) 459-1160
58 GEORGIA NEUROSURGICAL INSTITUTE, P.C MACON GA NEUROSURGERY 22 55 $300,323 $5,460 7.2% (478) 743-7092
59 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 55 $86,297 $1,569 17.9% —
60 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 52 $108,526 $2,087 3.1% (254) 724-2663
61 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 52 $458,016 $8,808 3.4% (239) 312-7878
62 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 52 $97,133 $1,868 3.1% (903) 606-5560
63 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 51 $54,310 $1,065 3.4% —
64 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 51 $241,800 $4,741 9.7% (630) 469-9200
65 SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. SANTA ROSA LA ORTHOPEDIC SURGERY 8 51 $13,386 $262 10.0% 70754619225507
66 MOUNTAIN ORTHOPAEDICS LLC BOUNTIFUL UT PHYSICIAN ASSISTANT 27 50 $56,124 $1,122 25.0% (801) 295-7200
67 FOX VALLEY ORTHOPAEDIC ASSOCIATES PLLC GENEVA IL PHYSICIAN ASSISTANT 72 50 $222,990 $4,460 9.5% (847) 468-1400
68 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 48 $106,608 $2,221 10.3% (602) 385-2115
69 STEADMAN CLINIC PROFESSIONAL LLC VAIL CO PHYSICIAN ASSISTANT 77 47 $257,832 $5,486 15.9% (970) 476-1100
70 SPINE AND SPORTS SPECIALITIES MEDICAL GROUP ORANGE CA ORTHOPEDIC SURGERY 15 45 $132,300 $2,940 3.2% (714) 598-1745
71 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 45 $276,615 $6,147 9.9% (317) 228-7000
72 TYLER NEUROSURGICAL ASSOCIATES, P.A. TYLER TX NEUROSURGERY 7 44 $87,348 $1,985 2.7% (903) 595-2441
73 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 44 $73,504 $1,671 7.6% (803) 744-4900
74 PENINSULA ORTHOPAEDIC ASSOC PA SALISBURY MD PHYSICIAN ASSISTANT 57 43 $146,544 $3,408 7.3% (410) 749-4154
75 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 42 $185,388 $4,414 3.0% (650) 723-4000
76 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 42 $76,546 $1,823 6.8% (615) 329-6600
77 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 42 $135,885 $3,235 2.8% (561) 955-7100
78 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 42 $75,474 $1,797 9.0% (866) 974-2673
79 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE AR NURSE PRACTITIONER 241 41 $94,554 $2,306 14.1% (479) 571-4338
80 NEUROSURGICAL ASSOCIATES PC HENRICO VA NEUROSURGERY 16 41 $225,500 $5,500 4.2% (804) 288-8204
81 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 40 $89,160 $2,229 13.0% —
82 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 40 $103,935 $2,598 2.8% (800) 926-8273
83 DAVID BARNETT, MD PA ADDISON TX PHYSICIAN ASSISTANT 2 40 $184,678 $4,617 2.4% (913) 387-0511
84 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 39 $150,358 $3,855 2.6% —
85 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 39 $53,476 $1,371 6.6% (410) 761-1222
86 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 39 $58,843 $1,509 2.7% (760) 340-3911
87 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 39 $58,032 $1,488 20.5% (513) 354-3700
88 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 38 $49,330 $1,298 33.9% (515) 247-8400
89 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 38 $95,981 $2,526 2.5% (850) 877-8174
90 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 37 $102,565 $2,772 12.8% (501) 500-3500
91 HUNTSVILLE HOSPITAL SPINE AND NEURO CENTER HUNTSVILLE AL PHYSICIAN ASSISTANT 32 36 $52,034 $1,445 3.6% (256) 533-1600
92 TEXAS SPINE CONSULTANTS, LLP ADDISON TX ORTHOPEDIC SURGERY 13 36 $135,256 $3,757 2.2% (214) 370-3535
93 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 36 $306,000 $8,500 6.8% —
94 FRONT RANGE SPINE AND NEUROSURGERY LONE TREE CO PHYSICIAN ASSISTANT 12 35 $98,000 $2,800 11.9% (303) 790-1800
95 THE NEUROLOGICAL INSTITUTE OF SAVANNAH AND CENTER FOR SPINE P C SAVANNAH GA NEUROSURGERY 28 35 $99,943 $2,856 4.6% (912) 355-1010
96 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 35 $76,147 $2,176 6.1% (803) 749-5101
97 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 35 $103,250 $2,950 10.8% (662) 328-1012
98 SCOTT LEARY MD INC SAN DIEGO CA NEUROSURGERY 2 35 $173,500 $4,957 2.5% (858) 223-2100
99 SPINE SURGERY ASSOCIATES PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 5 35 $60,000 $1,714 8.9% (405) 242-4345
100 FERNANDO DELASOTTA MD PA LINWOOD NJ NEUROSURGERY 2 35 $185,574 $5,302 23.0% (609) 927-1000

Showing the top 100 of 316 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 →