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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
63081 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single 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 846 services ▲ 0.7% YoY · 840 beneficiaries (CY2024, Medicare FFS)
Medicare paid $820K · $968.74 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
28
Named-group FFS services
644
FFS of Medicare
49%
Services YoY
+0.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,354 services

644 observed fee-for-service (48%) · ~710 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 — 63081 (CY2024)

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

Named-group submitted charges
$4.9M
Named-group allowed amount
$791K
Named-group Medicare payments
$630K
Avg charge / svc
$7,681
Avg allowed / svc
$1,228
Avg payment / svc
$978
Average charge per group
$789 28 groups · avg submitted charge / service $26,777
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 63081 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 63081 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 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 84 $425,040 $5,060 premium 87.5% (843) 720-8448
2 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 54 $227,286 $4,209 premium 28.9% (714) 634-4567
3 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 42 $163,380 $3,890 premium 60.0% (817) 878-5333
4 DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA COVINGTON LA PHYSICIAN ASSISTANT 10 39 $365,053 $9,360 premium 34.8%
5 SPINE CENTER LLC BATON ROUGE LA PHYSICIAN ASSISTANT 17 38 $343,390 $9,037 premium 33.9% (833) 774-6327
6 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 35 $366,841 $10,481 premium 31.2% (337) 235-8007
7 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 30 $278,700 $9,290 premium 48.4% (706) 494-3434
8 ERIK C SPAYDE MD INC THOUSAND OAKS CA PHYSICIAN ASSISTANT 4 28 $218,400 $7,800 premium 15.0% 8053792322119
9 FLORIDA SPINE ASSOCIATES LLC BOCA RATON FL PHYSICIAN ASSISTANT 20 24 $485,088 $20,212 premium 17.5% (561) 495-9511
10 PALM BEACH NEUROSURGERY LLC LAKE WORTH FL NEUROSURGERY 7 24 $372,648 $15,527 premium 17.5% (561) 433-4444
11 THE GREATER HOUSTON NEUROSURGERY CENTER, P.A. THE WOODLANDS AL ORTHOPEDIC SURGERY 7 23 $83,994 $3,652 premium 100.0% (281) 364-9509
12 ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA PORT CHARLOTTE FL PHYSICIAN ASSISTANT 36 18 $56,242 $3,125 premium 13.1% (941) 629-6262
13 SAINT FRANCIS PHYSICIAN NETWORK, LLC MEMPHIS TN PHYSICIAN ASSISTANT 75 17 $84,966 $4,998 premium 60.7% (901) 680-9205
14 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 16 $136,800 $8,550 premium 53.3% (847) 459-1160
15 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 16 $12,622 $789 premium 8.6% (626) 256-4673
16 THE LONGSTREET CLINIC, PC GAINESVILLE GA NURSE PRACTITIONER 144 16 $133,760 $8,360 premium 25.8% (770) 533-6511
17 SPINE AND SPORTS SPECIALITIES MEDICAL GROUP ORANGE CA ORTHOPEDIC SURGERY 15 15 $41,250 $2,750 premium 8.0% (714) 598-1745
18 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 12 $108,222 $9,018 premium 12.5% (803) 395-3400
19 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 12 $34,026 $2,836 premium 8.8% (850) 877-8174
20 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 12 $68,112 $5,676 premium 8.8% (904) 396-1725
21 TENET FLORIDA PHYSICIAN SERVICES II, LLC MANGONIA PARK FL PHYSICIAN ASSISTANT 101 12 $219,496 $18,291 premium 8.8% (561) 844-6300
22 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 11 $70,539 $6,413 premium 5.9% (858) 455-9100
23 JAMES J LYNCH MD LTD CARSON CITY NV PHYSICIAN ASSISTANT 84 11 $294,547 $26,777 premium 47.8% (775) 783-6190
24 FRANK P. CAMMISA, JR, MD, PC NEW YORK NY PHYSICIAN ASSISTANT 3 11 $21,874 $1,989 premium 50.0% (212) 606-1946
25 MERITUS MEDICAL CENTER INC HAGERSTOWN MD NURSE PRACTITIONER 725 11 $51,986 $4,726 premium 50.0%
26 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 11 $170,797 $15,527 premium 8.0% (786) 662-0600
27 NEUROSCIENCE ASSOCIATES PA NORTH LITTLE ROCK AR NEUROSURGERY 5 11 $34,134 $3,103 premium 47.8% (501) 225-0880
28 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 11 $77,550 $7,050 premium 100.0%

*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 →