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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
62380 Release of lower spinal cord and/or nerve root using endoscope CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal Laminotomy or Laminectomy - Lumbar (CMS RBCS)
First observed 2017
National scale 158 services ▲ 12.9% YoY · 130 beneficiaries (CY2024, Medicare FFS)
Medicare paid $173K · $1093.36 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
4
Named-group FFS services
67
FFS of Medicare
49%
Services YoY
+12.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~118 services

67 observed fee-for-service (57%) · ~51 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 — 62380 (CY2024)

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

Named-group submitted charges
$529K
Named-group allowed amount
$65K
Named-group Medicare payments
$51K
Avg charge / svc
$7,899
Avg allowed / svc
$964
Avg payment / svc
$761
Average charge per group
$700 4 groups · avg submitted charge / service $17,345
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 62380 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 62380 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 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 21 $153,300 $7,300 premium 63.6% (603) 883-0091
2 NITIN MARIWALLA MD PLLC WEST ISLIP NY NEUROSURGERY 12 18 $90,000 $5,000 premium 100.0% (631) 500-9400
3 EXCEL SPINE CENTER A CALIFORNIA MEDICAL CORPORATION SAN DIEGO CA PHYSICIAN ASSISTANT 2 16 $277,515 $17,345 premium 100.0% (619) 344-6918
4 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 12 $8,400 $700 premium 50.0% (301) 774-0500

*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 →