Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

22859 Placement of mesh or cage device into spine disc space CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal › Arthrodesis - Spine (CMS RBCS)

First observed 2017

National scale 402 services ▲ 25.2% YoY · 289 beneficiaries (CY2024, Medicare FFS)

Medicare paid $66K · $163.17 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named groups billing this code

Named-group FFS services

146

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+25.2%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~260 services

146 observed fee-for-service (56%) · ~114 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 — 22859 (CY2024)

MD 171 AL 147 CA 64 MI 20

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

Billed → allowed → paid

Named-group submitted charges

$146K

Named-group allowed amount

$31K

Named-group Medicare payments

$25K

Avg charge / svc

$1,002

Avg allowed / svc

$210

Avg payment / svc

$168

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$463–585

$585–707

$707–830

$830–952

$952–1,075

$1,075–1,197

$1,197–1,319

$1,319+

$463 4 groups · avg submitted charge / service $1,442

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 22859 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	22859 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	MEDSTAR MEDICAL GROUP II LLC	WASHINGTON	MD	PHYSICIAN ASSISTANT	3707	50	$55,911	$1,118	premium	29.2%	(202) 429-2401
2	ALABAMA NEUROLOGICAL SURGERY AND SPINE PC	BIRMINGHAM	AL	NEUROSURGERY	5	49	$22,675	$463	premium	33.3%	(205) 250-6805
3	MERITUS MEDICAL CENTER INC	HAGERSTOWN	MD	NURSE PRACTITIONER	725	30	$43,254	$1,442	premium	17.5%	—
4	BEACH ORTHOPAEDIC SPECIALTY INSTITUTE INC	LOS ALAMITOS	CA	ORTHOPEDIC SURGERY	6	17	$24,500	$1,441	premium	26.6%	(562) 206-0177

*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 →