NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
27280 Fusion of sacroiliac joint between spine and pelvis with bone graft, open procedure CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,528 services ▲ 62.7% YoY · 1,501 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.6M · $1052.32 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
39
Named-group FFS services
832
FFS of Medicare
49%
Services YoY
+62.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,696 services

832 observed fee-for-service (49%) · ~864 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 — 27280 (CY2024)

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

Named-group submitted charges
$5.7M
Named-group allowed amount
$997K
Named-group Medicare payments
$795K
Avg charge / svc
$6,903
Avg allowed / svc
$1,198
Avg payment / svc
$955
Average charge per group
$551 39 groups · avg submitted charge / service $37,704
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 27280 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 27280 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 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 64 $687,167 $10,737 premium 33.7% (720) 777-1234
2 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 46 $806,875 $17,541 premium 19.2% (800) 926-8273
3 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 43 $290,487 $6,756 premium 18.0% (858) 455-9100
4 ABAY NEUROSCIENCE CENTER LLC WICHITA KS NURSE PRACTITIONER 16 42 $181,845 $4,330 premium 100.0% (316) 609-2600
5 SPINE AND SPORTS SPECIALITIES MEDICAL GROUP ORANGE CA ORTHOPEDIC SURGERY 15 38 $119,680 $3,149 premium 15.9% (714) 598-1745
6 SHAWN CLARK, MD, PC MOBILE AL NEUROSURGERY 3 36 $119,610 $3,322 premium 100.0% (251) 287-2176
7 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON FL DIAGNOSTIC RADIOLOGY 3532 33 $376,790 $11,418 premium 24.8% (617) 724-0287
8 ST. JOHN PHYSICIANS, INC. TULSA OK NURSE PRACTITIONER 263 32 $74,816 $2,338 premium 100.0%
9 NORTH IDAHO DAY SURGERY LLC POST FALLS ID PHYSICIAN ASSISTANT 87 30 $126,234 $4,208 premium 73.2%
10 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 29 $120,507 $4,155 premium 20.7% (740) 568-2214
11 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 28 $112,785 $4,028 premium 20.0%
12 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 23 $168,038 $7,306 premium 32.4% (434) 924-5959
13 PEACEHEALTH MEDICAL GROUP EUGENE OR NURSE PRACTITIONER 259 22 $61,086 $2,777 premium 100.0% (541) 222-8700
14 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 21 $205,920 $9,806 premium 42.9% (314) 747-3000
15 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 19 $130,900 $6,889 premium 100.0% (401) 457-1500
16 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 19 $20,333 $1,070 premium 10.0% (719) 776-4780
17 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 18 $9,996 $555 premium 9.5% (720) 497-6616
18 RICHARD R. M. FRANCIS MD. PA. HOUSTON TX ANESTHESIOLOGY 3 18 $255,744 $14,208 premium 14.8% (713) 383-7100
19 NEUROLOGICAL AND SPINAL SURGERY LLC LINCOLN NE PHYSICIAN ASSISTANT 13 17 $130,200 $7,659 premium 53.1% (402) 488-3002
20 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 16 $86,260 $5,391 premium 22.5%
21 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 15 $8,259 $551 premium 30.6% (573) 443-2402
22 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 15 $104,401 $6,960 premium 11.3% (305) 689-5437
23 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND MA NURSE PRACTITIONER 2232 14 $110,124 $7,866 premium 38.9%
24 SPINE COLORADO PC DURANGO CO PHYSICIAN ASSISTANT 8 14 $127,310 $9,094 premium 7.4% (970) 382-9500
25 W. A. FOOTE MEMORIAL HOSPITAL, INC. JACKSON MI NURSE PRACTITIONER 475 14 $120,380 $8,599 premium 100.0% (517) 205-1594
26 ORTHOPEDIC HEALTH OF KANSAS CITY PC LENEXA MO PHYSICIAN ASSISTANT 47 13 $91,000 $7,000 premium 26.5% (816) 561-3003
27 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 13 $32,500 $2,500 premium 46.4%
28 BSISA PLLC LIVE OAK TX NURSE PRACTITIONER 7 13 $31,972 $2,459 premium 10.7% (210) 625-4733
29 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 13 $63,310 $4,870 premium 5.4% (800) 872-2273
30 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 12 $124,509 $10,376 premium 5.0% (650) 723-4000
31 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 12 $41,568 $3,464 premium 9.8% (817) 281-2977
32 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 12 $79,404 $6,617 premium 9.0% (786) 662-0600
33 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 12 $6,607 $551 premium 100.0% (775) 786-3040
34 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 11 $414,744 $37,704 premium 8.3% (239) 312-7878
35 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 11 $152,020 $13,820 premium 36.7% (302) 655-9494
36 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 11 $49,084 $4,462 premium 30.6% (617) 732-5500
37 ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. FORT MYERS FL PHYSICIAN ASSISTANT 46 11 $30,885 $2,808 premium 8.3% (239) 334-7000
38 IDAHO PHYSICIAN SERVICES INC IDAHO FALLS ID PHYSICIAN ASSISTANT 18 11 $37,447 $3,404 premium 26.8% (208) 528-1000
39 HILLCREST PHYSICIAN SERVICES WACO TX NURSE PRACTITIONER 113 11 $32,175 $2,925 premium 9.0% (254) 202-7950

*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 →