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Market snapshot

72081 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

72081 — X-ray of entire middle and lower spine, 1 view

Billing groups
21
Named-group FFS services
1,305
FFS of Medicare
49%
Services YoY
+10.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,733 services

1,305 observed fee-for-service (48%) · ~1,428 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 — 72081 (CY2024)

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

Named-group submitted charges
$129K
Named-group allowed amount
$39K
Named-group Medicare payments
$28K
Avg charge / svc
$99
Avg allowed / svc
$30
Avg payment / svc
$22
Average charge per group
$28 21 groups · avg submitted charge / service $179
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 72081 services, CY2024
#Physician group City St Specialty Providers 72081 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 356 $25,237 $71 premium 94.2% (772) 257-3608
2 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 274 $42,744 $156 premium 60.2% (214) 633-5555
3 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 129 $4,773 $37 premium 66.5% (602) 406-6017
4 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 89 $14,596 $164 premium 88.1% (719) 776-4780
5 VMD PRIMARY PROVIDERS SOUTH HILL COUNTRY TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 29 68 $6,800 $100 premium 14.9% (210) 436-8400
6 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 42 $7,518 $179 premium 21.9%
7 ORTHOCONNECTICUT PLLC NEW MILFORD NY PHYSICIAN ASSISTANT 54 37 $5,550 $150 premium 34.3% (860) 355-8000
8 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 34 $952 $28 premium 14.5% (530) 332-4470
9 EVANSVILLE RADIOLOGY PC EVANSVILLE OK DIAGNOSTIC RADIOLOGY 29 33 $1,221 $37 premium 28.4% (812) 422-3254
10 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 27 $2,349 $87 premium 71.1% (828) 213-1740
11 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 27 $3,612 $134 premium 11.5% (650) 723-4000
12 TRA-MINW P S TACOMA OK DIAGNOSTIC RADIOLOGY 153 23 $851 $37 premium 19.8% (253) 841-4353
13 RAMON G. REYES, MD PA BOERNE TX NURSE PRACTITIONER 5 23 $2,300 $100 premium 5.1% (830) 307-1200
14 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 21 $777 $37 premium 100.0%
15 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 21 $1,596 $76 premium 9.0% (877) 827-7463
16 MCDAVID M MAHAFFEY MD PA CLEBURNE TX FAMILY PRACTICE 4 20 $1,580 $79 premium 4.4% (817) 202-3976
17 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 19 $1,968 $104 premium 100.0% (978) 818-6350
18 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 18 $648 $36 premium 15.5% (405) 608-3800
19 CUSTOM PHYSICAL THERAPY LIMITED PARTNERSHIP RENO NV ORTHOPEDIC SURGERY 68 18 $1,620 $90 premium 39.1% (775) 360-3000
20 CONCORD RADIOLOGY PLLC WICHITA OK DIAGNOSTIC RADIOLOGY 183 15 $555 $37 premium 12.9% (855) 687-7237
21 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 11 $1,386 $126 premium 22.0% (757) 827-2480

*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 →