NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
63048 Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 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 102,362 services ▼ 6.2% YoY · 57,646 beneficiaries (CY2024, Medicare FFS)
Medicare paid $12.1M · $117.92 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
715
Named-group FFS services
64,015
FFS of Medicare
49%
Services YoY
-6.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~127,170 services

64,015 observed fee-for-service (50%) · ~63,155 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 — 63048 (CY2024)
TX 9,580 CA 8,895 FL 8,793 OH 5,085 NY 4,752

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

Named-group submitted charges
$87.4M
Named-group allowed amount
$9.0M
Named-group Medicare payments
$7.1M
Avg charge / svc
$1,366
Avg allowed / svc
$140
Avg payment / svc
$112
Average charge per group
$70 715 groups · avg submitted charge / service $18,683
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 63048 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ABAY NEUROSCIENCE CENTER LLC WICHITA KS NURSE PRACTITIONER 16 1,068 $523,845 $490 46.8% (316) 609-2600
2 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 858 $351,534 $410 9.0% (214) 220-2468
3 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 744 $353,400 $475 29.7% (615) 269-4545
4 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 566 $238,245 $421 11.1% —
5 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 561 $630,844 $1,124 15.3% —
6 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 517 $206,766 $400 5.8% (714) 634-4567
7 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 496 $565,601 $1,140 5.6% (415) 476-1000
8 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 484 $1,048,434 $2,166 18.7% (617) 732-5500
9 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 482 $330,372 $685 5.0% (972) 596-6800
10 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 452 $265,994 $588 4.7% (254) 724-2663
11 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 446 $304,514 $683 5.0% (415) 600-1020
12 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 439 $171,293 $390 9.8% (443) 481-1000
13 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 423 $2,157,225 $5,100 9.1% —
14 TEXAS SPINE CONSULTANTS, LLP ADDISON TX ORTHOPEDIC SURGERY 13 409 $442,190 $1,081 4.3% (214) 370-3535
15 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 407 $208,384 $512 4.2% (214) 599-8624
16 DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA COVINGTON LA PHYSICIAN ASSISTANT 10 403 $1,596,000 $3,960 36.5% —
17 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 396 $223,651 $565 22.9% (303) 778-5797
18 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 386 $237,049 $614 16.2% (425) 313-5422
19 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 384 $197,490 $514 7.6% (513) 354-3700
20 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 372 $532,490 $1,431 30.2% (302) 366-7671
21 HUNTSMAN WEST SPINE LLC ST GEORGE UT NURSE PRACTITIONER 7 370 $117,040 $316 41.9% (435) 652-6024
22 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 369 $2,198,900 $5,959 14.8% (732) 974-0404
23 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 365 $248,565 $681 3.8% (817) 281-2977
24 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 361 $1,305,965 $3,618 7.6% (212) 263-9700
25 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 354 $180,562 $510 12.9% (919) 544-7270
26 SOUTH TEXAS SPINAL CLINIC, P.A. SAN ANTONIO TX ORTHOPEDIC SURGERY 24 351 $439,274 $1,251 3.7% (210) 614-6432
27 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 348 $252,219 $725 15.2% (602) 406-3181
28 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 345 $157,464 $456 3.9% (904) 308-6900
29 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 331 $612,079 $1,849 13.4% (317) 228-7000
30 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 313 $191,919 $613 3.3% (210) 575-8289
31 NEUROSURGICAL ASSOCIATES PC HENRICO VA NEUROSURGERY 16 311 $466,500 $1,500 8.5% (804) 288-8204
32 JAMES J LYNCH MD LTD CARSON CITY NV PHYSICIAN ASSISTANT 84 296 $1,382,667 $4,671 16.5% (775) 783-6190
33 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 292 $232,657 $797 12.2% (803) 749-5101
34 KENNEDY WHITE AND RIGGS ORTHOPEDIC ASSOCIATES SARASOTA FL PHYSICIAN ASSISTANT 40 292 $79,781 $273 3.3% (941) 365-0655
35 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 291 $978,155 $3,361 10.2% —
36 DESERT INSTITUTE FOR SPINE CARE PC PHOENIX AZ PHYSICIAN ASSISTANT 12 284 $412,317 $1,452 12.4% (602) 944-2900
37 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 277 $219,345 $792 3.1% (310) 423-0674
38 NORTH IDAHO DAY SURGERY LLC POST FALLS ID PHYSICIAN ASSISTANT 87 276 $145,960 $529 33.9% —
39 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 267 $108,668 $407 5.3% (419) 291-2003
40 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 263 $74,880 $285 3.0% (321) 434-8878
41 VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA PHYSICIAN ASSISTANT 229 262 $97,686 $373 7.2% (540) 536-8000
42 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 262 $957,730 $3,655 9.2% —
43 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 261 $84,455 $324 52.0% (701) 323-8300
44 CRYSTAL CLINIC, INC. CUYAHOGA FALLS OH PHYSICIAN ASSISTANT 45 260 $438,507 $1,687 5.1% (330) 929-9136
45 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 260 $140,894 $542 2.7% (903) 606-5560
46 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 258 $116,546 $452 5.8% (202) 429-2401
47 ERIK C SPAYDE MD INC THOUSAND OAKS CA PHYSICIAN ASSISTANT 4 256 $710,086 $2,774 2.9% 8053792322119
48 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 254 $336,015 $1,323 10.6% (864) 587-3000
49 TYLER NEUROSURGICAL ASSOCIATES, P.A. TYLER TX NEUROSURGERY 7 250 $276,635 $1,107 2.6% (903) 595-2441
50 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 249 $900,419 $3,616 8.8% (847) 459-1160
51 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 246 $139,361 $567 10.3% —
52 ORTHOPAEDIC INSTITUTE OF OHIO, INC LIMA OH PHYSICIAN ASSISTANT 75 244 $148,066 $607 4.8% (419) 222-6622
53 SALINA REGIONAL HEALTH CENTER INC SALINA KS NURSE PRACTITIONER 160 242 $95,296 $394 10.6% —
54 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 241 $167,569 $695 2.7% (858) 455-9100
55 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 241 $493,619 $2,048 9.3% (617) 724-0287
56 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 235 $456,370 $1,942 2.6% (650) 723-4000
57 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 232 $130,411 $562 9.7% —
58 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 230 $244,934 $1,065 17.2% (256) 539-2728
59 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 228 $597,477 $2,621 2.6% —
60 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 227 $242,733 $1,069 4.8% —
61 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 222 $143,978 $649 21.7% (612) 863-4000
62 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 221 $1,052,402 $4,762 21.6% (507) 284-2511
63 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 219 $164,197 $750 2.5% (916) 681-8852
64 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 218 $92,488 $424 15.0% (515) 247-8400
65 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 215 $98,817 $460 9.0% (803) 744-4900
66 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 214 $78,244 $366 14.7% (515) 239-4400
67 MICHAEL H SONG MD LTD RENO NV PHYSICIAN ASSISTANT 13 212 $1,096,474 $5,172 11.8% (775) 323-6100
68 UNIVERSITY OF UTAH SURGICAL SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 45 209 $242,177 $1,159 23.6% (801) 585-7575
69 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 209 $362,681 $1,735 5.7% (301) 530-1010
70 GARBER KAPLAN DOUDS PLLC LAS VEGAS NV NEUROSURGERY 7 206 $1,030,000 $5,000 11.5% (702) 835-0088
71 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 205 $62,380 $304 2.3% (904) 388-6518
72 MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC ROCHESTER HILLS MI PHYSICIAN ASSISTANT 16 205 $67,284 $328 9.3% (248) 215-8080
73 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 204 $120,293 $590 18.1% (541) 706-7715
74 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 201 $91,457 $455 4.0% (614) 827-8700
75 PIEDMONT ATHENS SPECIALTY CARE LLC ATHENS GA PHYSICIAN ASSISTANT 115 199 $125,447 $630 8.1% (706) 475-7000
76 THE ORTHOPAEDIC GROUP PC MOBILE AL ORTHOPEDIC SURGERY 69 199 $164,560 $827 14.8% (251) 476-5050
77 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 197 $523,579 $2,658 4.1% (516) 536-2800
78 TOWN CENTER ORTHOPAEDIC ASSOCIATES P C RESTON VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 191 $102,725 $538 5.2% (703) 435-6604
79 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 191 $87,669 $459 2.0% (817) 878-5333
80 SUMMA PHYSICIANS LLC AKRON OH NURSE PRACTITIONER 677 189 $81,270 $430 3.7% —
81 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 187 $129,760 $694 11.7% (573) 443-2402
82 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 186 $203,382 $1,093 7.5% (404) 778-7525
83 KEIPERSPINE PC EUGENE OR NEUROSURGERY 6 186 $103,416 $556 16.5% (541) 485-2357
84 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 184 $146,096 $794 2.1% (877) 827-7463
85 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 182 $274,582 $1,509 3.8% —
86 GULFCOAST SPINE INSTITUTE, LLC TAMPA FL ORTHOPEDIC SURGERY 9 182 $1,078,295 $5,925 2.1% (813) 443-2108
87 FAIRBANKS PARTNERS LLC CELEBRATION FL NEUROSURGERY 36 180 $56,850 $316 2.0% (407) 975-0200
88 PREMIER BRAIN AND SPINE LLC UNION NJ PHYSICIAN ASSISTANT 127 177 $390,204 $2,205 7.1% (732) 906-9600
89 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 176 $101,842 $579 2.0% (916) 983-7476
90 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 176 $259,600 $1,475 3.5% —
91 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 175 $156,188 $892 19.5% (402) 559-4000
92 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 171 $76,095 $445 14.0% —
93 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 169 $179,662 $1,063 13.7% (302) 655-9494
94 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 168 $69,195 $412 7.0% (843) 491-4937
95 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 167 $410,699 $2,459 6.7% (908) 273-4300
96 SIERRA NEUROSURGERY GROUP RENO NV NURSE PRACTITIONER 24 166 $334,736 $2,016 9.3% (775) 323-2080
97 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 165 $138,024 $837 3.2% —
98 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 165 $89,054 $540 1.7% (512) 324-7300
99 DUKE FORAGE ANSON NEUROSURGICAL LLP HENDERSON NV NEUROSURGERY 10 163 $191,637 $1,176 9.1% (702) 896-0940
100 MD WEST ONE, PC OMAHA NE PHYSICIAN ASSISTANT 84 163 $167,330 $1,027 18.1% (402) 399-1900

Showing the top 100 of 715 groups — 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 →