NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
63102 Removal of lower spine bone with release of spinal cord and/or nerves, lateral extra cavitary 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 82 services ▼ 2.4% YoY · 77 beneficiaries (CY2024, Medicare FFS)
Medicare paid $108K · $1313.01 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

4

Named groups billing this code
Named-group FFS services

82

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-2.4%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~166 services

82 observed fee-for-service (49%) · ~84 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 — 63102 (CY2024)

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

Billed → allowed → paid
Named-group submitted charges
$340K
Named-group allowed amount
$135K
Named-group Medicare payments
$108K
Avg charge / svc
$4,147
Avg allowed / svc
$1,652
Avg payment / svc
$1,313
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$800 4 groups · avg submitted charge / service $8,269
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 63102 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 63102 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 FARZAD MASSOUDI MD INCORPORATED LAGUNA HILLS CA NEUROSURGERY 2 29 $145,000 $5,000 premium 35.4% (949) 588-5800
2 ATRIUM HEALTH NEUROSPINE NETWORK LLC CHARLOTTE CA PHYSICIAN ASSISTANT 98 27 $21,600 $800 premium 32.9% (704) 376-1605
3 SPINE AND SPORTS SPECIALITIES MEDICAL GROUP ORANGE CA ORTHOPEDIC SURGERY 15 15 $82,500 $5,500 premium 18.3% (714) 598-1745
4 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 11 $90,955 $8,269 premium 13.4% (858) 455-9100

*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 →