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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
63688 Removal or revision of spinal neurostimulator generator or receiver CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal Neurostimulator - Back (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 960 services ▲ 28.3% YoY · 938 beneficiaries (CY2024, Medicare FFS)
Medicare paid $837K · $871.49 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
17
Named-group FFS services
282
FFS of Medicare
49%
Services YoY
+28.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~552 services

282 observed fee-for-service (51%) · ~270 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 — 63688 (CY2024)

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

Named-group submitted charges
$521K
Named-group allowed amount
$47K
Named-group Medicare payments
$37K
Avg charge / svc
$1,849
Avg allowed / svc
$166
Avg payment / svc
$132
Average charge per group
$839 17 groups · avg submitted charge / service $6,757
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 63688 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 63688 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 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 34 $36,014 $1,059 premium 19.8% (210) 575-8289
2 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 33 $126,035 $3,819 premium 32.0% (864) 582-6396
3 SOUTH CAROLINA SPORTS MEDICINE AND ORTHOPAEDIC CENTER NORTH CHARLESTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 43 22 $19,734 $897 premium 21.4% (843) 300-8585
4 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 22 $18,964 $862 premium 21.4% (843) 491-4937
5 INTERVENTIONAL PAIN SOLUTIONS PC CHICO CA ANESTHESIOLOGY 8 20 $19,705 $985 premium 13.5% (530) 343-4757
6 LIVE OAK NEUROSURGICAL ASSOCIATES, PLLC PENSACOLA FL NEUROSURGERY 5 17 $22,335 $1,314 premium 38.6% (850) 512-3482
7 OZARK ORTHOPAEDICS, P.A. FAYETTEVILLE AR PHYSICIAN ASSISTANT 57 15 $15,900 $1,060 premium 37.5% (479) 521-2752
8 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 14 $21,350 $1,525 premium 53.8% (602) 406-3181
9 GARBER KAPLAN DOUDS PLLC LAS VEGAS NV NEUROSURGERY 7 13 $52,000 $4,000 premium 100.0% (702) 835-0088
10 INTERVENTIONAL PAIN INSTITUTE, LLC FESTUS MO INTERVENTIONAL PAIN MANAGEMENT 9 13 $13,733 $1,056 premium 24.5% (636) 933-2243
11 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 12 $29,580 $2,465 premium 8.1% (310) 443-8999
12 HUNTSMAN WEST SPINE LLC ST GEORGE UT NURSE PRACTITIONER 7 12 $11,484 $957 premium 26.7% (435) 652-6024
13 INTEGRATED PAIN ASSOCIATES PLLC KILLEEN TX NURSE PRACTITIONER 32 11 $9,227 $839 premium 6.4% (254) 245-9175
14 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN WY PHYSICIAN ASSISTANT 61 11 $13,167 $1,197 premium 100.0% (512) 816-8611
15 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 11 $22,440 $2,040 premium 7.4% (415) 476-1000
16 REDDING PAIN MEDICINE REDDING CA NURSE PRACTITIONER 2 11 $15,446 $1,404 premium 7.4% (530) 247-3733
17 NEW YORK UNIVERSITY NEW YORK NJ DIAGNOSTIC RADIOLOGY 5704 11 $74,327 $6,757 premium 35.5% (212) 263-9700

*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 →