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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22852 Removal of segmental stabilizing device from back of spine 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 721 services ▲ 22.0% YoY · 701 beneficiaries (CY2024, Medicare FFS)
Medicare paid $152K · $210.50 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
15
Named-group FFS services
346
FFS of Medicare
49%
Services YoY
+22.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~673 services

346 observed fee-for-service (51%) · ~327 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 — 22852 (CY2024)

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

Named-group submitted charges
$800K
Named-group allowed amount
$95K
Named-group Medicare payments
$75K
Avg charge / svc
$2,312
Avg allowed / svc
$274
Avg payment / svc
$217
Average charge per group
$294 15 groups · avg submitted charge / service $7,776
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 22852 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 22852 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 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 61 $88,267 $1,447 premium 64.2%
2 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 51 $134,705 $2,641 premium 19.0% (858) 455-9100
3 ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 89 34 $42,688 $1,256 premium 35.8% (918) 494-2665
4 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 26 $27,497 $1,058 premium 39.4% (904) 388-6518
5 ERIK C SPAYDE MD INC THOUSAND OAKS CA PHYSICIAN ASSISTANT 4 25 $75,000 $3,000 premium 9.3% 8053792322119
6 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 18 $64,980 $3,610 premium 38.3% (302) 655-9494
7 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 18 $10,080 $560 premium 6.7%
8 DUKE FORAGE ANSON NEUROSURGICAL LLP HENDERSON NV NEUROSURGERY 10 16 $24,338 $1,521 premium 34.8% (702) 896-0940
9 BSISA PLLC LIVE OAK TX NURSE PRACTITIONER 7 15 $77,706 $5,180 premium 100.0% (210) 625-4733
10 PHELPS MEMORIAL HEALTH CENTER HOLDREGE CO CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 36 13 $31,758 $2,443 premium 100.0% (308) 995-2211
11 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 12 $52,692 $4,391 premium 100.0% (602) 944-2900
12 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 12 $93,312 $7,776 premium 32.4% (706) 494-3434
13 STRENGE SPINE CENTER PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 12 $39,647 $3,304 premium 100.0% (270) 228-3973
14 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 11 $3,230 $294 premium 100.0% (573) 443-2402
15 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 11 $16,973 $1,543 premium 100.0% (801) 773-4840
16 TANNER MEMORIAL CLINIC LAYTON NV PHYSICIAN ASSISTANT 249 11 $16,973 $1,543 premium 23.9% (801) 773-4840

*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 →