NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
63044 Partial removal of spine bone with re-exploration, release of upper or lower spinal cord or nerves and/or removal of disc, each additional interspace CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal Laminotomy or Laminectomy - Lumbar (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 435 services ▼ 26.5% YoY · 241 beneficiaries (CY2024, Medicare FFS)
Medicare paid $99K · $228.50 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
4
Named-group FFS services
139
FFS of Medicare
49%
Services YoY
-26.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~296 services

139 observed fee-for-service (47%) · ~157 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 — 63044 (CY2024)

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

Named-group submitted charges
$217K
Named-group allowed amount
$20K
Named-group Medicare payments
$16K
Avg charge / svc
$1,560
Avg allowed / svc
$144
Avg payment / svc
$115
Average charge per group
$325 4 groups · avg submitted charge / service $3,116
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 63044 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 63044 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 MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC ROCHESTER HILLS MI PHYSICIAN ASSISTANT 16 50 $29,900 $598 premium 48.1% (248) 215-8080
2 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 43 $134,000 $3,116 premium 100.0% (662) 328-1012
3 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 26 $46,386 $1,784 premium 100.0% (425) 313-5422
4 VIVEK A MEHTA MD INC IRVINE CA CLINICAL PSYCHOLOGIST 7 20 $6,500 $325 premium 21.7% (949) 344-3468

*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 →