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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
62327 Insertion of tube and injection of substance into lower spine canal using imaging guidance CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2017
National scale 473 services ▼ 23.1% YoY · 432 beneficiaries (CY2024, Medicare FFS)
Medicare paid $96K · $203.83 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

6

Named groups billing this code
Named-group all-Medicare svcs · est.

315

Scaled from 151 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-21.2%

All-Medicare est. · observed FFS -23.1%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~315 services

151 observed fee-for-service (48%) · ~164 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 — 62327 (CY2024)
IN 136 CA 71 MN 65 PA 53 MA 37

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

Billed → allowed → paid
Named-group submitted charges
$169K
Named-group allowed amount
$15K
Named-group Medicare payments
$12K
Avg charge / svc
$1,122
Avg allowed / svc
$102
Avg payment / svc
$79
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$343 6 groups · avg submitted charge / service $2,000
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 62327 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 SHADELAND ANESTHESIA AND PAIN ASSOCIATES INC LAFAYETTE IN NURSE PRACTITIONER 40 50 $75,000 $1,500 36.8% 3177067246309
2 NURA PLLC EDINA MN PHYSICIAN ASSISTANT 36 27 $10,443 $387 41.5% (763) 537-6000
3 ROBERT G SALAZAR MD INC FRESNO CA PHYSICIAN ASSISTANT 4 21 $42,000 $2,000 29.6% (559) 432-6807
4 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 20 $6,860 $343 100.0% —
5 CHARLES R GORDON MD PA TYLER TX NURSE PRACTITIONER 25 17 $11,050 $650 100.0% (903) 592-6000
That's the top 5 of 6 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →