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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
62264 Removal of spinal canal scar tissue, multiple sessions in 1 day CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 4,020 services ▼ 11.7% YoY · 3,084 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.1M · $280.37 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
31
Named-group FFS services
1,690
FFS of Medicare
49%
Services YoY
-11.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,527 services

1,690 observed fee-for-service (48%) · ~1,837 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 — 62264 (CY2024)

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

Named-group submitted charges
$3.4M
Named-group allowed amount
$540K
Named-group Medicare payments
$418K
Avg charge / svc
$2,008
Avg allowed / svc
$319
Avg payment / svc
$247
Average charge per group
$406 31 groups · avg submitted charge / service $5,000
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 62264 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 62264 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 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 171 $274,086 $1,603 premium 71.5% (631) 751-3000
2 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 138 $173,880 $1,260 premium 27.4% (760) 340-3911
3 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 125 $109,478 $876 premium 13.5% (954) 772-2136
4 HEADACHE AND PAIN CENTER, A MEDICAL CORPORATION GRAY LA PHYSICIAN ASSISTANT 4 123 $615,000 $5,000 premium 42.6% (985) 580-1200
5 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 121 $185,614 $1,534 premium 17.7% (903) 606-5560
6 ILLINOIS PAIN TREATMENT INSTITUTE LTD BARRINGTON IL PHYSICIAN ASSISTANT 10 114 $310,930 $2,727 premium 31.6% (847) 852-2000
7 PAIN AND WELLNESS CENTER PEABODY MA ANESTHESIOLOGY 10 92 $290,720 $3,160 premium 41.6% (978) 826-7230
8 FLORIDA SPINE ASSOCIATES LLC BOCA RATON FL PHYSICIAN ASSISTANT 20 89 $408,065 $4,585 premium 9.6% (561) 495-9511
9 WISCONSIN MICHIGAN PHYSICIANS SC ESCANABA WI INTERVENTIONAL PAIN MANAGEMENT 3 81 $142,677 $1,761 premium 100.0% (888) 724-6377
10 CHICAGO SPINE AND JOINT, S.C. HINSDALE IL INTERVENTIONAL PAIN MANAGEMENT 7 77 $154,775 $2,010 premium 21.3% (708) 482-4500
11 MICHIGAN PAIN SPECIALISTS, PLLC ANN ARBOR MI PHYSICIAN ASSISTANT 8 77 $62,997 $818 premium 26.6% (734) 373-7246
12 CHRISTOPHER K MOCEK MD PA LITTLE ROCK AR NURSE PRACTITIONER 5 38 $53,485 $1,408 premium 100.0% (501) 224-4001
13 INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC VERO BEACH FL PHYSICIAN ASSISTANT 5 38 $82,242 $2,164 premium 4.1% (772) 360-1997
14 ORTHOPAEDIC CENTER OF S FLORIDA PLANTATION FL ORTHOPEDIC SURGERY 21 37 $53,317 $1,441 premium 4.0% 95447363443101
15 SIMON FAYNZILBERG MD PC NEWBURYPORT MA NURSE PRACTITIONER 5 37 $34,984 $946 premium 16.7% (978) 463-1000
16 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER MD ORTHOPEDIC SURGERY 2158 31 $24,539 $792 premium 100.0% (907) 694-8085
17 AUSTIN ANESTHESIOLOGY GROUP PLLC AUSTIN TX ANESTHESIOLOGY 436 30 $37,320 $1,244 premium 4.4% (512) 343-2466
18 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 26 $23,660 $910 premium 5.2% (310) 423-0674
19 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 25 $45,584 $1,823 premium 2.7% (850) 877-8174
20 360 PAIN AND SPINE PLLC PLANO TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 4 24 $32,376 $1,349 premium 3.5% (469) 589-1871
21 KONEN AND ASSOCIATES, P.A. DALLAS TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 16 23 $54,188 $2,356 premium 3.4% (972) 765-1938
22 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 23 $29,187 $1,269 premium 3.4% (254) 724-2663
23 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 22 $16,913 $769 premium 7.6% (248) 644-3920
24 MCLAREN OAKLAND PONTIAC MI CARDIOVASCULAR DISEASE (CARDIOLOGY) 45 20 $18,174 $909 premium 6.9% (248) 338-5000
25 REHABILITATION ASSOCIATES INC FAIRFIELD CT ORTHOPEDIC SURGERY 532 19 $57,000 $3,000 premium 100.0% (203) 384-8681
26 UNIVERSAL HEALTH SOLUTIONS LEAGUE CITY TX ANESTHESIOLOGY 2 19 $22,097 $1,163 premium 2.8% (281) 549-6686
27 CHICAGO PAIN MEDICINE CENTER CHICAGO IL PHYSICIAN ASSISTANT 3 18 $44,906 $2,495 premium 5.0% (773) 868-6824
28 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 14 $7,242 $517 premium 5.9% (914) 241-1050
29 NORTH COAST PROFESSIONAL COMPANY, LLC SANDUSKY OH NURSE PRACTITIONER 99 14 $5,684 $406 premium 36.8% (419) 557-6550
30 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 13 $15,704 $1,208 premium 8.2% (314) 645-6450
31 ADVANCED PAIN CARE MEDICAL, P.C. BROOKLYN NY ANESTHESIOLOGY 2 11 $6,160 $560 premium 4.6% (718) 332-2111

*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 →