NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
62305 X-ray of multiple regions of spinal canal with review by radiologist CPT · Standard X-ray imaging
Classification Imaging Standard X-ray (CMS RBCS)
First observed 2015
National scale 886 services ▲ 1.6% YoY · 832 beneficiaries (CY2024, Medicare FFS)
Medicare paid $104K · $117.54 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
14
Named-group FFS services
467
FFS of Medicare
49%
Services YoY
+1.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~934 services

467 observed fee-for-service (50%) · ~467 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 — 62305 (CY2024)

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

Named-group submitted charges
$353K
Named-group allowed amount
$55K
Named-group Medicare payments
$43K
Avg charge / svc
$756
Avg allowed / svc
$117
Avg payment / svc
$92
Average charge per group
$296 14 groups · avg submitted charge / service $1,667
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 62305 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 62305 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 OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 110 $81,070 $737 premium 89.4% (434) 924-5959
2 RADIOLOGY ASSOCIATES OF NORTH TEXAS PA FORT WORTH TX DIAGNOSTIC RADIOLOGY 340 101 $51,106 $506 premium 36.7% (817) 321-0470
3 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 34 $38,080 $1,120 premium 100.0% 22576922002164
4 SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE SPRINGFIELD MO NEUROSURGERY 15 31 $18,451 $595 premium 70.5% (417) 885-3888
5 HOUSTON RADIOLOGY ASSOCIATED HOUSTON TX DIAGNOSTIC RADIOLOGY 103 29 $30,388 $1,048 premium 10.5% (281) 206-9020
6 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 24 $7,094 $296 premium 100.0% (913) 588-1227
7 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 21 $35,007 $1,667 premium 100.0% (507) 284-2511
8 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 16 $16,560 $1,035 premium 5.8% (214) 633-5555
9 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS CA PHYSICIAN ASSISTANT 3200 16 $16,560 $1,035 premium 10.3% (214) 633-5555
10 BLUE RIDGE RADIOLOGY PC LYNCHBURG TN DIAGNOSTIC RADIOLOGY 76 15 $4,665 $311 premium 22.1% (423) 968-1144
11 RADIOLOGY ASSOCIATES OF MACON PC MACON GA DIAGNOSTIC RADIOLOGY 65 15 $6,225 $415 premium 55.6% (478) 633-1235
12 BORG AND IDE IMAGING PC ROCHESTER NY DIAGNOSTIC RADIOLOGY 14 14 $11,298 $807 premium 35.0% (585) 241-6600
13 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK IN DIAGNOSTIC RADIOLOGY 81 14 $15,922 $1,137 premium 100.0% (952) 541-1840
14 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 14 $10,710 $765 premium 100.0% (859) 257-1412
15 WEST COUNTY RADIOLOGICAL GROUP INC SAINT LOUIS MO DIAGNOSTIC RADIOLOGY 104 13 $10,019 $771 premium 29.5% (314) 941-5600

*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 →