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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
22899 Other procedure on 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 218 services ▲ 4.8% YoY · 212 beneficiaries (CY2024, Medicare FFS)
Medicare paid $177K · $810.34 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
4
Named-group FFS services
190
FFS of Medicare
49%
Services YoY
+4.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~360 services

190 observed fee-for-service (53%) · ~170 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 — 22899 (CY2024)

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

Named-group submitted charges
$2.4M
Named-group allowed amount
$197K
Named-group Medicare payments
$157K
Avg charge / svc
$12,583
Avg allowed / svc
$1,038
Avg payment / svc
$826
Average charge per group
$2,425 4 groups · avg submitted charge / service $30,000
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 22899 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 22899 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 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 98 $237,658 $2,425 premium 100.0% (843) 720-8448
2 DENNIS J ROBISON MD PLLC PLANO NM GENERAL SURGERY 2 65 $1,950,000 $30,000 premium 100.0% (972) 403-0801
3 FRISCO SPINE, PA FRISCO TX NEUROSURGERY 2 15 $171,000 $11,400 premium 100.0% (972) 377-9200
4 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 12 $32,040 $2,670 premium 100.0% (703) 971-4604

*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 →