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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22869 Placement of stabilizing device to lower spine level CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal Arthrodesis - Spine (CMS RBCS)
First observed 2017
National scale 618 services ▼ 53.0% YoY · 598 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.9M · $4658.40 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
8
Named-group FFS services
138
FFS of Medicare
49%
Services YoY
-53.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~268 services

138 observed fee-for-service (51%) · ~130 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 — 22869 (CY2024)

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

Named-group submitted charges
$234K
Named-group allowed amount
$51K
Named-group Medicare payments
$41K
Avg charge / svc
$1,694
Avg allowed / svc
$373
Avg payment / svc
$294
Average charge per group
$716 8 groups · avg submitted charge / service $3,100
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 22869 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 22869 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 SAN JUAN REGIONAL MEDICAL CENTER, INC. FARMINGTON NM INTERNAL MEDICINE 221 33 $55,902 $1,694 premium 100.0%
2 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 22 $50,875 $2,313 premium 27.2% (415) 476-1000
3 EAST CAROLINA HEALTH AHOSKIE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 11 16 $20,960 $1,310 premium 100.0% (252) 209-3610
4 ALIGN INTERVENTIONAL PAIN PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 5 16 $23,186 $1,449 premium 18.2% (405) 906-4020
5 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER OK ORTHOPEDIC SURGERY 2158 14 $17,752 $1,268 premium 15.9% (907) 694-8085
6 ENID PAIN AND SPINE LLC ENID OK CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 3 14 $43,400 $3,100 premium 15.9%
7 MARTE A MARTINEZ MD PLLC LAREDO TX PHYSICIAN ASSISTANT 3 12 $8,592 $716 premium 50.0% (956) 795-8393
8 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 11 $13,161 $1,196 premium 47.8% (435) 635-0174

*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 →