Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

63082 Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, 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 990 services ▲ 21.9% YoY · 428 beneficiaries (CY2024, Medicare FFS)

Medicare paid $138K · $139.54 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

769

FFS of Medicare

49%

Services YoY

+21.9%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,652 services

769 observed fee-for-service (47%) · ~883 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 — 63082 (CY2024)

CA 241 FL 219 LA 119 TX 111 AL 90

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

Named-group submitted charges

$1.1M

Named-group allowed amount

$130K

Named-group Medicare payments

$103K

Avg charge / svc

$1,488

Avg allowed / svc

$168

Avg payment / svc

$134

Average charge per group

$322–937

$937–1,552

$1,552–2,166

$2,166–2,781

$2,781–3,396

$3,396–4,011

$4,011–4,626

$4,626+

$322 17 groups · avg submitted charge / service $7,004

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 63082 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	63082 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	ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY	ORANGE	CA	PHYSICIAN ASSISTANT	58	121	$92,657	$766	premium	50.2%	(714) 634-4567
2	DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA	COVINGTON	LA	PHYSICIAN ASSISTANT	10	105	$150,913	$1,437	premium	88.2%	—
3	THE GREATER HOUSTON NEUROSURGERY CENTER, P.A.	THE WOODLANDS	AL	ORTHOPEDIC SURGERY	7	90	$49,203	$547	premium	100.0%	(281) 364-9509
4	ROPER SAINT FRANCIS PHYSICIANS NETWORK	CHARLESTON	SC	PHYSICIAN ASSISTANT	539	89	$75,561	$849	premium	100.0%	(843) 720-8448
5	FLORIDA SPINE ASSOCIATES LLC	BOCA RATON	FL	PHYSICIAN ASSISTANT	20	58	$176,819	$3,049	premium	26.5%	(561) 495-9511
6	TALLAHASSEE ORTHOPEDIC CLINIC III PL	TALLAHASSEE	FL	PHYSICIAN ASSISTANT	542	36	$15,696	$436	premium	16.4%	(850) 877-8174
7	NORTH FLORIDA SURGEONS PA	JACKSONVILLE	FL	PHYSICIAN ASSISTANT	331	36	$31,392	$872	premium	16.4%	(904) 396-1725
8	ADVOCATE HEALTH AND HOSPITALS CORPORATION	BUFFALO GROVE	IL	NURSE PRACTITIONER	3045	33	$93,555	$2,835	premium	100.0%	(847) 459-1160
9	CITY OF HOPE MEDICAL FOUNDATION	DUARTE	CA	NURSE PRACTITIONER	942	33	$10,623	$322	premium	13.7%	(626) 256-4673
10	SPINE AND SPORTS SPECIALITIES MEDICAL GROUP	ORANGE	CA	ORTHOPEDIC SURGERY	15	32	$34,336	$1,073	premium	13.3%	(714) 598-1745
11	PALM BEACH NEUROSURGERY LLC	LAKE WORTH	FL	NEUROSURGERY	7	28	$66,864	$2,388	premium	12.8%	(561) 433-4444
12	BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC	SOUTH MIAMI	FL	PHYSICIAN ASSISTANT	653	25	$59,700	$2,388	premium	11.4%	(786) 662-0600
13	SAINT FRANCIS PHYSICIAN NETWORK, LLC	MEMPHIS	TN	PHYSICIAN ASSISTANT	75	19	$14,497	$763	premium	100.0%	(901) 680-9205
14	JAMES J LYNCH MD LTD	CARSON CITY	NV	PHYSICIAN ASSISTANT	84	18	$126,072	$7,004	premium	45.0%	(775) 783-6190
15	TENET FLORIDA PHYSICIAN SERVICES II, LLC	MANGONIA PARK	FL	PHYSICIAN ASSISTANT	101	18	$50,667	$2,815	premium	8.2%	(561) 844-6300
16	ERIK C SPAYDE MD INC	THOUSAND OAKS	CA	PHYSICIAN ASSISTANT	4	14	$67,200	$4,800	premium	5.8%	8053792322119
17	LOUISIANA ORTHOPAEDIC SPECIALISTS LLC	LAFAYETTE	LA	PHYSICIAN ASSISTANT	68	14	$28,860	$2,061	premium	11.8%	(337) 235-8007

*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 →