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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
63267 Removal of growth of lower spine bone outside spine membrane 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 1,309 services ▲ 1.2% YoY · 1,223 beneficiaries (CY2024, Medicare FFS)
Medicare paid $852K · $650.52 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
29
Named-group FFS services
724
FFS of Medicare
49%
Services YoY
+1.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,486 services

724 observed fee-for-service (49%) · ~762 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 — 63267 (CY2024)

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

Named-group submitted charges
$3.7M
Named-group allowed amount
$547K
Named-group Medicare payments
$437K
Avg charge / svc
$5,158
Avg allowed / svc
$755
Avg payment / svc
$603
Average charge per group
$461 29 groups · avg submitted charge / service $40,058
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 63267 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 63267 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 96 $199,664 $2,080 premium 89.7% (904) 388-6518
2 THE GREATER HOUSTON NEUROSURGERY CENTER, P.A. THE WOODLANDS AL ORTHOPEDIC SURGERY 7 75 $195,732 $2,610 premium 100.0% (281) 364-9509
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 59 $567,431 $9,617 premium 100.0%
4 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 49 $134,764 $2,750 premium 24.5% (949) 791-3370
5 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 48 $309,236 $6,442 premium 24.0% (650) 723-4000
6 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANT SC PHYSICIAN ASSISTANT 29 44 $83,359 $1,895 premium 65.7%
7 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 35 $71,819 $2,052 premium 20.2% (214) 220-2468
8 SCOTT LEARY MD INC SAN DIEGO CA NEUROSURGERY 2 24 $184,300 $7,679 premium 12.0% (858) 223-2100
9 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 22 $140,250 $6,375 premium 100.0% (847) 459-1160
10 TRAVIS LOIDOLT DO INC FOLSOM CA PHYSICIAN ASSISTANT 4 20 $97,885 $4,894 premium 10.0% (916) 800-4685
11 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 18 $50,220 $2,790 premium 62.1% (740) 568-2214
12 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS CT INTERNAL MEDICINE 409 16 $77,488 $4,843 premium 19.0% (914) 682-0700
13 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 16 $168,608 $10,538 premium 100.0% (603) 883-0091
14 RICHARD LOCHHEAD MD PLLC BOISE ID NEUROSURGERY 2 13 $520,752 $40,058 premium 50.0% (208) 327-5600
15 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 13 $278,376 $21,414 premium 50.0% (208) 381-4210
16 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 13 $50,415 $3,878 premium 32.5% (303) 778-5797
17 TITUS COUNTY HOSPITAL DISTRICT MOUNT PLEASANT TX INTERNAL MEDICINE 109 13 $58,812 $4,524 premium 7.5% (903) 577-6000
18 SCRIPPS HEALTH LA JOLLA ND PHYSICIAN ASSISTANT 1431 12 $60,370 $5,031 premium 100.0% (858) 455-9100
19 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 12 $12,074 $1,006 premium 6.0% (858) 455-9100
20 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 12 $37,512 $3,126 premium 17.9% (843) 491-4937
21 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 12 $35,686 $2,974 premium 15.4%
22 NEUROLOGICAL SURGERY SPECIALIST OF NORTH TEXAS PLLC WICHITA FALLS TX PHYSICIAN ASSISTANT 7 12 $48,840 $4,070 premium 6.9% (940) 764-7000
23 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD KS ORTHOPEDIC SURGERY 67 12 $69,168 $5,764 premium 52.2% (913) 319-7600
24 ARIZONA ADVANCED SURGERY LLC PHOENIX AZ GENERAL SURGERY 89 12 $16,800 $1,400 premium 50.0% (602) 340-0201
25 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 11 $43,384 $3,944 premium 16.4% (803) 256-4107
26 NEW ENGLAND MEDICAL CENTER GROUP PRACTICE INC BOSTON MA PHYSICIAN ASSISTANT 29 11 $89,221 $8,111 premium 14.1% (617) 636-7399
27 SUMMA PHYSICIANS LLC AKRON OH NURSE PRACTITIONER 677 11 $30,536 $2,776 premium 37.9%
28 LAWRENCE PHYSICIANS LLC LAWRENCE KS PHYSICIAN ASSISTANT 219 11 $48,697 $4,427 premium 47.8%
29 VIRGINIA SPINE INSTITUTE PLC RESTON VA PHYSICIAN ASSISTANT 15 11 $5,075 $461 premium 100.0% (703) 709-1114
30 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 11 $48,143 $4,377 premium 50.0% (919) 544-7270

*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 →