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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22849 Reinsertion of spinal fixation device 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 571 services ▲ 19.5% YoY · 551 beneficiaries (CY2024, Medicare FFS)
Medicare paid $256K · $448.34 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
18
Named-group FFS services
358
FFS of Medicare
49%
Services YoY
+19.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~724 services

358 observed fee-for-service (49%) · ~366 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 — 22849 (CY2024)

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

Named-group submitted charges
$1.8M
Named-group allowed amount
$192K
Named-group Medicare payments
$153K
Avg charge / svc
$5,104
Avg allowed / svc
$537
Avg payment / svc
$428
Average charge per group
$529 18 groups · avg submitted charge / service $17,860
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 22849 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 22849 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 78 $363,478 $4,660 premium 46.2% (858) 455-9100
2 ALLEGIANT INSTITUTE INC. LAS VEGAS NV ORTHOPEDIC SURGERY 19 41 $273,575 $6,673 premium 75.9% (702) 320-8111
3 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 28 $115,965 $4,142 premium 66.7% (757) 827-2480
4 RASOULISPINE ASSOCIATES INC BEVERLY HILLS CA PHYSICIAN ASSISTANT 3 25 $446,500 $17,860 premium 14.8% (310) 421-0066
5 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 18 $75,600 $4,200 premium 48.6%
6 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 17 $8,990 $529 premium 100.0% (573) 443-2402
7 PHELPS MEMORIAL HEALTH CENTER HOLDREGE CO CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 36 14 $57,554 $4,111 premium 31.1% (308) 995-2211
8 SPORT MEDICINE AND ORTHOPAEDIC CENTER INC SUFFOLK VA PHYSICIAN ASSISTANT 26 14 $78,120 $5,580 premium 33.3% 75754751453502
9 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 14 $28,864 $2,062 premium 31.1% (719) 776-4780
10 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 14 $54,643 $3,903 premium 100.0%
11 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 13 $6,875 $529 premium 24.1% (775) 786-3040
12 SOUTHWEST NEUROSCIENCE AND SPINE CENTER PA AMARILLO TX NURSE PRACTITIONER 11 13 $16,396 $1,261 premium 52.0% (806) 353-6400
13 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 12 $75,960 $6,330 premium 100.0% (401) 457-1500
14 TEXAS SPINE CONSULTANTS, LLP ADDISON TX ORTHOPEDIC SURGERY 13 12 $77,455 $6,455 premium 48.0% (214) 370-3535
15 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 12 $68,402 $5,700 premium 28.6% (305) 689-5437
16 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 11 $39,213 $3,565 premium 100.0% (402) 559-4000
17 SPINE SURGERY ASSOCIATES PLLC OKLAHOMA CITY OK NURSE PRACTITIONER 5 11 $21,737 $1,976 premium 33.3% (405) 242-4345
18 KENNEDY WHITE AND RIGGS ORTHOPEDIC ASSOCIATES SARASOTA FL PHYSICIAN ASSISTANT 40 11 $17,901 $1,627 premium 26.2% (941) 365-0655

*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 →