NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
63056 Release of lower spinal cord and/or nerves, single segment CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,037 services ▼ 10.3% YoY · 1,991 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.5M · $757.08 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
39
Named-group FFS services
1,102
FFS of Medicare
49%
Services YoY
-10.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,211 services

1,102 observed fee-for-service (50%) · ~1,109 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 — 63056 (CY2024)

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

Named-group submitted charges
$5.4M
Named-group allowed amount
$804K
Named-group Medicare payments
$643K
Avg charge / svc
$4,895
Avg allowed / svc
$730
Avg payment / svc
$583
Average charge per group
$560 39 groups · avg submitted charge / service $31,426
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 63056 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 63056 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 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 130 $292,988 $2,254 premium 65.0% (904) 388-6518
2 JAMES J LYNCH MD LTD CARSON CITY NV PHYSICIAN ASSISTANT 84 103 $1,203,378 $11,683 premium 69.6% (775) 783-6190
3 ERIK C SPAYDE MD INC THOUSAND OAKS CA PHYSICIAN ASSISTANT 4 91 $427,478 $4,698 premium 11.6% 8053792322119
4 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 82 $120,466 $1,469 premium 10.5%
5 MERITUS MEDICAL CENTER INC HAGERSTOWN MD NURSE PRACTITIONER 725 45 $179,910 $3,998 premium 21.0%
6 FARZAD MASSOUDI MD INCORPORATED LAGUNA HILLS CA NEUROSURGERY 2 39 $136,500 $3,500 premium 5.0% (949) 588-5800
7 GRAND STRAND SPECIALTY ASSOCIATES, LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 32 37 $155,636 $4,206 premium 75.5% (843) 692-1000
8 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 36 $212,653 $5,907 premium 4.6% (858) 455-9100
9 HUTCHINSON REGIONAL MEDICAL CENTER INC HUTCHINSON KS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 149 36 $23,400 $650 premium 100.0% (620) 665-2000
10 ATRIUM HEALTH NEUROSPINE NETWORK LLC CHARLOTTE CA PHYSICIAN ASSISTANT 98 35 $19,600 $560 premium 4.5% (704) 376-1605
11 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 32 $64,960 $2,030 premium 4.1% (714) 634-4567
12 NAPA VALLEY ORTHOPAEDIC MEDICAL GROUP INC NAPA CA PHYSICIAN ASSISTANT 17 26 $47,248 $1,817 premium 3.3% (707) 254-7117
13 FARHAN SIDDIQI MD PA BROOKSVILLE FL ORTHOPEDIC SURGERY 16 26 $300,800 $11,569 premium 13.0% (352) 597-0907
14 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS CT INTERNAL MEDICINE 409 25 $129,950 $5,198 premium 100.0% (914) 682-0700
15 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 24 $177,912 $7,413 premium 36.4% (713) 266-9955
16 CHRIST HOSPITAL ORTHOPEDIC ASSOCIATES LLC CINCINNATI OH PHYSICIAN ASSISTANT 26 24 $90,888 $3,787 premium 100.0% (513) 792-7445
17 EXCEL SPINE AND ORTHOPEDIC INSTITUTE LLC HONOLULU WA NURSE PRACTITIONER 9 23 $64,689 $2,813 premium 100.0% (808) 358-6200
18 MEMORIAL ORTHOPAEDIC SURGICAL GROUP LONG BEACH CA ORTHOPEDIC SURGERY 13 17 $70,159 $4,127 premium 2.2% (562) 424-6666
19 REJUV MEDICAL PA WAITE PARK MN NURSE PRACTITIONER 16 17 $16,800 $988 premium 15.0% (320) 217-8480
20 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 16 $74,864 $4,679 premium 24.2% (512) 816-8611
21 NEUROSURGICAL ASSOCIATES CASSIDY AND GUERIN, MD, PA VENICE FL NEUROSURGERY 2 16 $11,849 $741 premium 8.0% (941) 484-3404
22 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 15 $49,365 $3,291 premium 22.7% (817) 878-5333
23 PAIN MANAGEMENT ASSOCIATES, LLC GREENBELT MD CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 4 15 $87,000 $5,800 premium 7.0% (301) 220-2333
24 RIVERVIEW HEALTHCARE ASSOCIATION CROOKSTON MN NURSE PRACTITIONER 44 13 $15,925 $1,225 premium 11.5% (218) 281-9200
25 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 13 $408,535 $31,426 premium 100.0% (212) 241-4812
26 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 13 $133,466 $10,267 premium 36.1% (480) 573-0130
27 NORTH IDAHO DAY SURGERY LLC POST FALLS ID PHYSICIAN ASSISTANT 87 13 $45,757 $3,520 premium 100.0%
28 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 12 $51,540 $4,295 premium 33.3% (520) 324-4230
29 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 12 $72,955 $6,080 premium 1.5% (949) 722-7038
30 BADR MEDICAL CORPORATION GLENDALE CA NURSE PRACTITIONER 5 12 $47,940 $3,995 premium 1.5% (818) 827-3898
31 ADVANCED PAIN MEDICINE INSTITUTE PC GREENBELT MD CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 12 $96,495 $8,041 premium 5.6% (301) 220-1333
32 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 12 $88,887 $7,407 premium 24.5% (864) 587-3000
33 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 12 $118,380 $9,865 premium 20.3%
34 VIRGINIA SPINE SPECIALISTS PLLC MANASSAS VA PHYSICIAN ASSISTANT 4 12 $54,384 $4,532 premium 100.0% (571) 921-4877
35 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 12 $78,300 $6,525 premium 21.1% (202) 429-2401
36 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 11 $93,247 $8,477 premium 1.4% (650) 723-4000
37 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 11 $89,100 $8,100 premium 5.5% (850) 877-8174
38 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 11 $6,591 $599 premium 7.4% (775) 786-3040
39 HOLYOKE MEDICAL CENTER INC HOLYOKE MA DIAGNOSTIC RADIOLOGY 201 11 $34,078 $3,098 premium 100.0% (413) 534-2546

*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 →