NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
98940 Chiropractic manipulative treatment, 1-2 spinal regions CPT · Spinal Manipulation treatment
Classification Treatment › Spinal Manipulation › Chiropractic (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3.37M services ▼ 9.1% YoY · 467,330 beneficiaries (CY2024, Medicare FFS)
Medicare paid $62.8M · $18.64 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
2,466
Named-group FFS services
973,193
FFS of Medicare
49%
Services YoY
-9.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,956,376 services

973,193 observed fee-for-service (50%) · ~983,183 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 — 98940 (CY2024)
NY 576,281 CA 254,312 IL 167,894 FL 165,902 WI 143,449

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

Named-group submitted charges
$52.4M
Named-group allowed amount
$25.8M
Named-group Medicare payments
$17.9M
Avg charge / svc
$54
Avg allowed / svc
$26
Avg payment / svc
$18
Average charge per group
$20 2,466 groups · avg submitted charge / service $18,818
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 98940 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 LUEDTKE-STORM-MACKEY CHIROPRACTIC CLINIC, SC MADISON WI CHIROPRACTIC 33 13,802 $1,110,977 $80 9.6% (608) 467-8282
2 FURSHMAN AND DAVIS CHIROPRACTIC CENTERS INC HALLANDALE FL CHIROPRACTIC 2 6,423 $449,610 $70 3.9% (954) 241-0145
3 MICHAELIS CHIROPRACTIC PC MC COOK NE CHIROPRACTIC 2 5,272 $263,600 $50 9.1% (308) 345-2000
4 SPORTSMED PT LLC GLEN ROCK NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 211 3,490 $318,988 $91 4.2% (201) 445-7000
5 DIXON FAMILY CHIROPRACTIC PC SPIRIT LAKE IA CHIROPRACTIC 4 3,296 $164,755 $50 2.8% —
6 SCHROEDER AND SCHROEDER CHIROPRACTIC INC AGOURA HILLS CA CHIROPRACTIC 2 3,244 $275,740 $85 1.3% (818) 889-5572
7 ARSENAULT CHIROPRACTIC PA THE VILLAGES FL CHIROPRACTIC 2 3,230 $145,395 $45 1.9% (352) 430-3355
8 STEPHEN L. HUTTI AND MARK E. HUTTI PTR CHARLESTON IL CHIROPRACTIC 3 3,115 $79,557 $26 1.9% (217) 348-1450
9 MOUNTAIN VIEW PAIN CENTER DENVER CO CHIROPRACTIC 55 3,096 $207,432 $67 7.8% (303) 209-4485
10 BURLINGTON FAMILY CHIROPRACTIC LLC BURLINGTON WI CHIROPRACTIC 3 3,004 $86,962 $29 2.1% (262) 763-3700
11 MOSS BLUFF CHIROPRACTIC CLINIC LAKE CHARLES LA CHIROPRACTIC 2 2,975 $95,200 $32 10.4% (337) 855-6306
12 MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA FAYETTEVILLE AR FAMILY PRACTICE 106 2,942 $176,520 $60 8.6% (479) 521-0200
13 ANTHONY V. LICATESE , DC, P.C. OSWEGO NY CHIROPRACTIC 2 2,840 $113,600 $40 0.5% (315) 342-6300
14 J J LAWLOR LLC ELDRIDGE IA CHIROPRACTIC 2 2,820 $126,900 $45 2.4% (563) 285-8230
15 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 2,755 $129,637 $47 0.5% (631) 543-1440
16 CHERRY HEALTH CENTER, LLC SPRINGFIELD MO FAMILY PRACTICE 101 2,713 $109,730 $40 4.2% (417) 869-2000
17 OLD BRIDGE SPINE AND WELLNESS CENTER,PA MATAWAN NJ CHIROPRACTIC 24 2,701 $245,665 $91 3.2% —
18 DR NANCY A BROWN INC DOVER OH CHIROPRACTIC 2 2,649 $75,699 $29 2.1% (330) 343-1948
19 TACKETT CHIROPRACTIC, P.C. QUEENSBURY NY CHIROPRACTIC 2 2,594 $90,939 $35 0.5% (518) 798-4322
20 CLARK CHIROPRACTIC CLINIC ODESSA TX CHIROPRACTIC 6 2,575 $74,681 $29 3.2% (432) 337-5553
21 KAYAL ORTHOPAEDIC, PLLC STONY POINT NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 15 2,492 $251,740 $101 0.4% (845) 942-4355
22 KIRKLAND FAMILY CHIROPRACTIC CENTER LTD ROCK FALLS IL CHIROPRACTIC 3 2,463 $167,484 $68 1.5% (815) 380-2180
23 MANHATTAN BACK AND NECK INC MANHATTAN MT CHIROPRACTIC 2 2,455 $147,240 $60 10.3% (406) 284-3246
24 TIMOTHY R KAMERMAN DC PA SEARCY AR CHIROPRACTIC 2 2,455 $110,475 $45 7.2% (501) 268-2273
25 CODY ELLEDGE D.C. PLLC. OKLAHOMA CITY OK CHIROPRACTIC 2 2,396 $179,700 $75 3.6% (405) 858-2225
26 FLUENT CHIROPRACTIC CLINIC PC SIOUX CITY IA CHIROPRACTIC 2 2,388 $105,072 $44 2.0% (712) 274-7246
27 REDWOOD CHIROPRACTIC PSC REDWOOD FALLS MN CHIROPRACTIC 4 2,359 $108,200 $46 2.8% (507) 637-2574
28 HUFFER CHIROPRACTIC, INC. JACKSON CENTER OH CHIROPRACTIC 5 2,354 $91,058 $39 1.8% (937) 596-6000
29 SOUTHRIDGE CHIROPRACTIC PC BISMARCK ND CHIROPRACTIC 7 2,351 $164,570 $70 4.4% (701) 258-8388
30 BALKMAN CHIROPRACTIC CLINIC FORT SMITH AR CHIROPRACTIC 3 2,340 $147,414 $63 6.8% —
31 FOOTHILL CHIROPRACTIC CORP SONORA CA CHIROPRACTIC 3 2,320 $64,977 $28 0.9% (209) 532-3700
32 LANG CHIROPRACTIC CLINIC PA BRAINERD MN CHIROPRACTIC 3 2,309 $98,132 $42 2.7% (218) 828-4418
33 OLEARY CHIROPRACTIC PLLC QUEENSBURY NY CHIROPRACTIC 3 2,292 $62,336 $27 0.4% (518) 793-1205
34 WELCARE FAMILY AND SPORTS CHIROPRACTIC PLLC PLATTSBURGH NY CHIROPRACTIC 3 2,287 $91,480 $40 0.4% (518) 324-2700
35 HAYES CHIROPRACTIC INC STOCKTON CA CHIROPRACTIC 3 2,233 $97,559 $44 0.9% (209) 952-6639
36 SCOTCHTOWN CHIROPRACTIC PLLC MIDDLETOWN NY CHIROPRACTIC 3 2,230 $110,490 $50 0.4% (845) 692-3224
37 HOLLAND CHIROPRACTIC INC. LA HABRA CA CHIROPRACTIC 3 2,157 $134,812 $62 0.8% (562) 694-8347
38 WAYNE R MILLER CHIROPRACTIC CORPORATION SANTA MARIA CA CHIROPRACTIC 2 2,132 $67,650 $32 0.8% (805) 934-5703
39 DUININCK CHIROPRACTIC, PA WILLMAR MN CHIROPRACTIC 4 2,128 $85,120 $40 2.5% (320) 235-6320
40 JOHN C THEECK D.C., P.A. THE VILLAGES FL CHIROPRACTIC 5 2,107 $157,975 $75 1.3% (352) 259-0024
41 LINK MEDICAL SERVICES PLLC RIVERHEAD NY CHIROPRACTIC 13 2,066 $91,168 $44 0.4% (631) 727-7200
42 NORTHEAST COLLEGE OF HEALTH SCIENCES SENECA FALLS NY CHIROPRACTIC 9 2,054 $67,492 $33 0.4% (315) 568-3000
43 CHIROPRACTIC HEALTH CENTER OF SMITHTOWN SMITHTOWN NY CHIROPRACTIC 2 2,050 $77,140 $38 0.4% (631) 979-8508
44 HERRING SPINE AND REHAB INC OPELIKA AL CHIROPRACTIC 3 1,992 $69,720 $35 8.3% (334) 745-5321
45 KAPSNER CHIROPRACTIC CENTERS PA AUSTIN TX CHIROPRACTIC 11 1,985 $129,025 $65 2.4% (512) 441-1240
46 GULER AND GULER CHIROPRACTIC LLC MINERAL POINT WI CHIROPRACTIC 2 1,946 $57,335 $29 1.4% (608) 987-2012
47 STRAIT CHIROPRACTIC PS SEQUIM WA CHIROPRACTIC 2 1,934 $53,088 $27 3.0% (360) 681-4322
48 SAXON CHIROPRACTIC AND ADULT HEALTH NP, PLLC EAST ISLIP NY CHIROPRACTIC 3 1,927 $142,234 $74 0.3% (631) 968-8300
49 MOSSER CHIROPRACTIC, PC MINOT ND CHIROPRACTIC 2 1,897 $108,094 $57 3.5% (701) 838-5000
50 STUCKY CHIROPRACTIC CENTER SC EAU CLAIRE WI CHIROPRACTIC 6 1,894 $81,442 $43 1.3% (715) 835-9514
51 WALSH CHIROPRACTIC CENTER P.C WILLIAMSBURG VA CHIROPRACTIC 2 1,884 $59,495 $32 2.6% (757) 220-4917
52 PRECISION SPINAL CARE PLLC PRESCOTT AZ CHIROPRACTIC 4 1,882 $95,670 $51 2.2% (928) 442-0202
53 CURIS FUNCTIONAL HEALTH MANSFIELD TX CHIROPRACTIC 36 1,867 $109,813 $59 2.3% (817) 453-0430
54 MINSTER CHIROPRACTIC CENTER LLC MINSTER OH CHIROPRACTIC 4 1,866 $67,176 $36 1.5% (419) 628-3004
55 BARREN RIVER CHIROPRACTIC, PLLC GLASGOW KY CHIROPRACTIC 2 1,793 $89,650 $50 2.6% (270) 834-8922
56 PANTALONE CHIROPRACTIC LLC HUMMELSTOWN PA CHIROPRACTIC 2 1,787 $58,971 $33 1.5% (717) 566-2567
57 IVEY OSULLIVAN HEALTHCARE SERVICES, PA SPARTANBURG SC CHIROPRACTIC 3 1,779 $97,818 $55 3.5% (864) 583-3967
58 CUNNINGHAM CHIROPRACTIC PC EAST SYRACUSE NY CHIROPRACTIC 2 1,777 $53,328 $30 0.3% (315) 445-9941
59 LAKE HEALTH CARE CENTER INC EUSTIS FL CHIROPRACTIC 3 1,768 $88,400 $50 1.1% (352) 357-8615
60 BRIDGE INTEGRATIVE MEDICINE LLC GLADSTONE MO CHIROPRACTIC 2 1,767 $97,185 $55 2.7% (816) 454-5433
61 ROSHAU CHIROPRACTIC AND SPORTS INJURY CENTER, PC BISMARCK ND CHIROPRACTIC 3 1,762 $47,900 $27 3.3% (701) 221-2600
62 SHANE D. BASHLINE, INC. FLUSHING OH CHIROPRACTIC 2 1,762 $79,290 $45 1.4% (740) 968-3610
63 PRECISION CHIROPRACTIC HEALTH, P.C. HUNTINGTON STATION NY CHIROPRACTIC 2 1,757 $114,205 $65 0.3% (631) 423-1969
64 FAMILY CHIROPRACTIC CARE PC WATERTOWN NY CHIROPRACTIC 2 1,752 $87,615 $50 0.3% (315) 785-9588
65 BETTIOL CHIROPRACTIC AND ALTERNATIVE THERAPIES, LLP ONEONTA NY CHIROPRACTIC 2 1,728 $103,720 $60 0.3% (607) 433-1150
66 EDGE FAMILY CHIROPRACTIC PA PENSACOLA FL CHIROPRACTIC 2 1,722 $103,320 $60 1.0% (850) 476-7117
67 NICOLAI CHIROPRACTIC CENTER PC NEW ROCKFORD ND CHIROPRACTIC 2 1,712 $94,160 $55 3.2% (701) 947-2121
68 ELLYSON CHIROPRACTIC CORPORATION MARYSVILLE CA CHIROPRACTIC 2 1,695 $53,238 $31 0.7% (530) 743-2093
69 ALEXANDER HEALTH ASSOCIATES, INC SOLOMONS MD CHIROPRACTIC 3 1,693 $95,700 $57 4.0% (410) 394-1000
70 KAUFER CHIROPRACTIC OFFICE PC SUFFERN NY CHIROPRACTIC 2 1,685 $52,646 $31 0.3% (845) 357-0364
71 ADVANCED SPINAL REHABILITATION PC LAYTON UT NURSE PRACTITIONER 3 1,675 $108,875 $65 16.7% (801) 444-1230
72 DAVID N BLOCK INC CHESAPEAKE VA CHIROPRACTIC 4 1,668 $91,740 $55 2.3% (757) 436-5428
73 GODFREY CHIROPRACTIC CLINIC INC ALEXANDRIA MN CHIROPRACTIC 3 1,641 $90,255 $55 1.9% (320) 762-8185
74 TINIUS CHIROPRACTIC CENTER, PLLC OWENSBORO KY CHIROPRACTIC 2 1,630 $45,890 $28 2.4% (270) 926-8042
75 HEALTH SOLUTIONS OF MORTON LLC MORTON IL CHIROPRACTIC 2 1,616 $40,400 $25 1.0% (309) 284-0707
76 HALLMARK CHIROPRACTIC RIVERHEAD NY CHIROPRACTIC 2 1,595 $126,155 $79 0.3% (631) 727-3795
77 DRAGT CHIROPRACTIC LLC MARSHFIELD WI CHIROPRACTIC 2 1,585 $95,892 $60 1.1% (715) 384-9050
78 LI CHIROPRACTIC AND PHYSICAL THERAPY PLLC SMITHTOWN NY CHIROPRACTIC 4 1,574 $63,679 $40 0.3% 6315430004103
79 WEST FARGO CHIROPRACTIC CENTER PC WEST FARGO ND CHIROPRACTIC 3 1,544 $77,200 $50 2.9% (701) 282-2919
80 GENE ORLOWSKY D.C.INC A CHIROPRACTIC CORPORATION SAN MARINO CA CHIROPRACTIC 2 1,514 $102,949 $68 0.6% (626) 441-2264
81 BELVILLE AND ASSOCIATES CHIROPRACTIC CLINIC SC OSHKOSH WI CHIROPRACTIC 3 1,512 $80,136 $53 1.1% (920) 230-2525
82 GASKELL CHIROPRACTIC SERVICES PC SIOUX CITY IA CHIROPRACTIC 2 1,512 $65,772 $44 1.3% (712) 255-7037
83 KOCA CHIROPRACTIC CLINIC OMAHA NE CHIROPRACTIC 2 1,510 $74,610 $49 2.6% (402) 496-4570
84 CHARLES C DWYER DC PC CLARKSTON WA CHIROPRACTIC 4 1,509 $45,089 $30 2.3% 5097589214113
85 HAAS CHIROPRACTIC CENTER LLC SALEM VA CHIROPRACTIC 2 1,507 $67,815 $45 2.1% (540) 389-7466
86 PHYSICIANS HEALTH AND INJURY CLINIC SUMTER SC CHIROPRACTIC 3 1,506 $60,240 $40 3.0% (803) 773-3421
87 SENTARA HOSPITALS VIRGINIA BEACH VA CHIROPRACTIC 5 1,501 $81,480 $54 2.0% (757) 395-8844
88 ALL BE HEALTHY LLC BLOOMFIELD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 97 1,496 $193,300 $129 1.8% (732) 784-3578
89 TUCK CHIROPRACTIC CORPORATION BEDFORD VA CHIROPRACTIC 11 1,489 $81,895 $55 2.0% (540) 586-1105
90 RED ROCK CHIROPRACTIC CENTER LLC LAMBERTON MN CHIROPRACTIC 2 1,474 $54,556 $37 1.7% (507) 752-7650
91 CROMPOND CHIROPRACTIC P C CORTLANDT MANOR NY CHIROPRACTIC 2 1,461 $43,100 $30 0.3% (914) 739-0176
92 NULL CHIROPRACTIC LLC INDEPENDENCE KS CHIROPRACTIC 2 1,454 $94,375 $65 2.1% (620) 331-1520
93 CARAOTTA CHIROPRACTIC PC ROCKFORD IL CHIROPRACTIC 4 1,444 $77,750 $54 0.9% (815) 398-4004
94 BLUE RIDGE CHIROPRACTIC CLINIC P.C. WYTHEVILLE VA CHIROPRACTIC 2 1,442 $64,882 $45 2.0% (276) 227-0414
95 GOEHNER CHIROPRACTIC PLLC JAMESTOWN ND CHIROPRACTIC 2 1,432 $78,760 $55 2.7% (701) 252-4700
96 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 1,426 $279,496 $196 1.1% —
97 GARY J ALVES DC PC NEW BEDFORD MA CHIROPRACTIC 3 1,421 $85,330 $60 2.2% (508) 998-3001
98 GRAFTON CHIROPRACTIC CLINIC PC PARK RIVER ND CHIROPRACTIC 4 1,420 $77,266 $54 2.6% (701) 352-0400
99 COASTAL CHIROPRACTIC AND WELLNESS INC MADISON CT CHIROPRACTIC 3 1,420 $92,300 $65 2.1% (203) 245-8217
100 TEAM LOPEZ CHIROPRACTIC INC WINTER GARDEN FL CHIROPRACTIC 2 1,413 $70,650 $50 0.9% (407) 654-9888

Showing the top 100 of 2,466 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →