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Market snapshot

22853 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

22853 — Insertion of cage or mesh device to spine bone and disc space during spine fusion

Billing groups
934
Named-group FFS services
112,414
FFS of Medicare
49%
Services YoY
+1.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~226,914 services

112,414 observed fee-for-service (50%) · ~114,500 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 — 22853 (CY2024)
FL 16,006 TX 15,863 CA 14,541 NC 6,686 AZ 6,359

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

Named-group submitted charges
$133.4M
Named-group allowed amount
$18.5M
Named-group Medicare payments
$14.7M
Avg charge / svc
$1,187
Avg allowed / svc
$164
Avg payment / svc
$131
Average charge per group
$56 934 groups · avg submitted charge / service $49,114
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 22853 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 1,868 $942,015 $504 11.8% (214) 220-2468
2 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 926 $1,017,825 $1,099 14.6% (602) 406-3181
3 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 915 $1,379,995 $1,508 17.5% 22576922002164
4 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 913 $2,000,961 $2,192 14.4% (602) 944-2900
5 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 894 $754,602 $844 5.6% (972) 596-6800
6 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 806 $295,962 $367 5.0% (904) 388-6518
7 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 799 $1,511,690 $1,892 12.9% —
8 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 760 $464,507 $611 13.1% (303) 778-5797
9 NEBRASKA SPINE CENTER, LLP OMAHA NE PHYSICIAN ASSISTANT 35 756 $488,787 $647 36.2% (402) 496-5517
10 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 696 $360,399 $518 4.8% (714) 634-4567
11 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 689 $656,849 $953 12.1% —
12 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 668 $882,177 $1,321 4.6% (415) 476-1000
13 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 626 $411,642 $658 13.8% (843) 491-4937
14 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 622 $580,040 $933 13.7% —
15 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 614 $366,426 $597 3.8% (904) 308-6900
16 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 599 $194,526 $325 3.7% (321) 434-8878
17 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 588 $606,247 $1,031 4.0% (650) 723-4000
18 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 582 $1,647,085 $2,830 3.6% (239) 312-7878
19 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 576 $418,182 $726 15.6% (256) 539-2728
20 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 546 $1,842,720 $3,375 8.8% (301) 530-1010
21 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 542 $401,932 $742 3.7% (858) 455-9100
22 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 541 $243,943 $451 8.5% (866) 974-2673
23 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 529 $704,122 $1,331 8.4% (706) 494-3434
24 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 524 $281,157 $537 9.1% —
25 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 522 $334,296 $640 16.2% —
26 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 502 $391,560 $780 11.8% —
27 FAIRBANKS PARTNERS LLC CELEBRATION FL NEUROSURGERY 36 498 $207,378 $416 3.1% (407) 975-0200
28 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 490 $240,975 $492 10.8% (410) 761-1222
29 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 487 $823,128 $1,690 11.6% (317) 228-7000
30 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 474 $290,964 $614 9.5% (615) 269-4545
31 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 464 $349,258 $753 7.3% (602) 385-2115
32 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 458 $167,815 $366 2.9% —
33 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 454 $239,905 $528 7.2% —
34 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 450 $216,111 $480 7.3% —
35 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 448 $314,794 $703 3.1% (916) 681-8852
36 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 448 $465,590 $1,039 8.9% (901) 641-3000
37 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 443 $336,237 $759 12.6% —
38 SPINE INSTITUTE OF LOUISIANA LLC SHREVEPORT LA NURSE PRACTITIONER 13 435 $483,390 $1,111 8.3% (318) 629-5560
39 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 425 $196,644 $463 21.2% (801) 261-8346
40 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 423 $443,895 $1,049 2.7% —
41 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 421 $576,718 $1,370 34.2% (406) 657-4000
42 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 421 $1,824,159 $4,333 9.3% (212) 263-9700
43 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 420 $933,544 $2,223 7.4% —
44 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 409 $281,970 $689 2.8% (415) 600-1020
45 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 409 $263,346 $644 11.6% (405) 604-6000
46 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 400 $1,196,492 $2,991 7.0% (877) 632-6637
47 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 397 $273,126 $688 7.0% (630) 469-9200
48 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 396 $325,751 $823 2.7% (310) 423-0674
49 NORTH IDAHO DAY SURGERY LLC POST FALLS ID PHYSICIAN ASSISTANT 87 396 $248,346 $627 23.8% —
50 DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA COVINGTON LA PHYSICIAN ASSISTANT 10 387 $1,048,125 $2,708 7.4% —
51 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 386 $437,229 $1,133 2.4% (254) 724-2663
52 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 383 $314,209 $820 2.4% (210) 575-8289
53 ABAY NEUROSCIENCE CENTER LLC WICHITA KS NURSE PRACTITIONER 16 376 $248,200 $660 16.2% (316) 609-2600
54 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 374 $206,442 $552 5.6% (919) 544-7270
55 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 369 $211,040 $572 5.8% (520) 382-8200
56 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 365 $308,276 $845 2.3% (512) 816-8611
57 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 359 $257,842 $718 13.0% (612) 863-4000
58 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 358 $200,838 $561 2.3% (817) 878-5333
59 TOWN CENTER ORTHOPAEDIC ASSOCIATES P C RESTON VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 357 $260,150 $729 5.8% (703) 435-6604
60 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 355 $393,265 $1,108 2.2% (850) 877-8174
61 NEUROSCIENCE SPECIALISTS PC OKLAHOMA CITY OK NEUROSURGERY 16 349 $352,300 $1,009 9.9% (405) 748-3300
62 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 348 $565,056 $1,624 5.5% (800) 603-0558
63 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 348 $281,600 $809 23.3% (601) 354-4488
64 MAYFIELD CLINIC INC CINCINNATI OH PHYSICIAN ASSISTANT 77 346 $255,744 $739 6.0% (513) 221-1100
65 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 338 $230,535 $682 2.3% (925) 939-8585
66 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 335 $129,562 $387 5.8% (719) 776-4780
67 TEXAS SPINE CONSULTANTS, LLP ADDISON TX ORTHOPEDIC SURGERY 13 335 $698,910 $2,086 2.1% (214) 370-3535
68 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 331 $240,363 $726 2.3% (916) 983-7476
69 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 328 $144,720 $441 5.7% (513) 354-3700
70 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 327 $496,217 $1,517 2.0% —
71 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 325 $516,200 $1,588 5.7% —
72 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 323 $350,778 $1,086 5.2% (434) 924-5959
73 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 316 $150,092 $475 4.7% (919) 684-8111
74 HEINRICH-JOSEY ORTHOPAEDICS AUSTIN TX PHYSICIAN ASSISTANT 22 315 $1,420,800 $4,510 2.0% (512) 476-2830
75 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 313 $151,547 $484 6.9% (803) 256-4107
76 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 309 $231,467 $749 1.9% (903) 606-5560
77 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 308 $270,395 $878 10.3% (617) 732-5500
78 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 306 $219,625 $718 8.3% —
79 MHS PHYSICIANS OF TEXAS HUMBLE TX NEUROLOGY 114 306 $157,294 $514 1.9% (281) 319-8530
80 INDIANAPOLIS NEUROSURGICAL GROUP PC CARMEL IN NEUROSURGERY 50 304 $236,602 $778 7.2% (317) 396-1451
81 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 301 $203,556 $676 6.0% (615) 329-6600
82 NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C. RIDGEWOOD NJ NEUROSURGERY 44 301 $2,375,815 $7,893 12.5% (201) 327-8600
83 IDAHO PHYSICIAN SERVICES INC IDAHO FALLS ID PHYSICIAN ASSISTANT 18 297 $229,113 $771 17.8% (208) 528-1000
84 KEIPERSPINE PC EUGENE OR NEUROSURGERY 6 297 $201,960 $680 14.3% (541) 485-2357
85 NEUROSURGICAL ASSOCIATES PC KNOXVILLE TN PHYSICIAN ASSISTANT 44 296 $284,094 $960 5.9% (865) 524-1869
86 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 296 $278,022 $939 4.4% (704) 323-2100
87 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 294 $483,658 $1,645 5.6% (337) 235-8007
88 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 293 $114,589 $391 32.2% (701) 323-8300
89 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 292 $231,100 $791 19.5% (662) 328-1012
90 NEUROLOGICAL AND SPINAL SURGERY LLC LINCOLN NE PHYSICIAN ASSISTANT 13 289 $269,080 $931 13.9% (402) 488-3002
91 FLORIDA SPINE ASSOCIATES LLC BOCA RATON FL PHYSICIAN ASSISTANT 20 288 $853,517 $2,964 1.8% (561) 495-9511
92 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 287 $149,345 $520 15.9% (501) 500-3500
93 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 285 $215,112 $755 1.8% (904) 396-1725
94 NEWSOUTH NEUROSPINE, LLC FLOWOOD MS NEUROSURGERY 22 285 $672,000 $2,358 19.1% (601) 983-2859
95 THE NEUROLOGICAL INSTITUTE OF SAVANNAH AND CENTER FOR SPINE P C SAVANNAH GA NEUROSURGERY 28 284 $172,624 $608 4.5% (912) 355-1010
96 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 282 $205,443 $729 4.5% —
97 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 281 $156,185 $556 7.8% (573) 443-2402
98 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 279 $169,247 $607 5.3% (504) 842-3000
99 SPINE CENTER LLC BATON ROUGE LA PHYSICIAN ASSISTANT 17 279 $726,480 $2,604 5.3% (833) 774-6327
100 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 277 $226,264 $817 1.9% (800) 872-2273

Showing the top 100 of 934 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 →