NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
98941 Chiropractic manipulative treatment, 3-4 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 12.44M services ▼ 1.6% YoY · 1.35M beneficiaries (CY2024, Medicare FFS)
Medicare paid $335.5M · $26.98 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
4,920
Named-group FFS services
3,986,766
FFS of Medicare
49%
Services YoY
-1.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,929,437 services

3,986,766 observed fee-for-service (50%) · ~3,942,671 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 — 98941 (CY2024)
CA 922,471 FL 722,182 IL 659,090 PA 625,859 NJ 617,058

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

Named-group submitted charges
$258.9M
Named-group allowed amount
$151.6M
Named-group Medicare payments
$107.6M
Avg charge / svc
$65
Avg allowed / svc
$38
Avg payment / svc
$27
Average charge per group
$25 4,920 groups · avg submitted charge / service $1,190
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 98941 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SPORTSMED PT LLC GLEN ROCK NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 211 24,668 $2,802,583 $114 4.0% (201) 445-7000
2 CRAWFORD CHIROPRACTIC JAMESTOWN TN CHIROPRACTIC 9 10,658 $639,480 $60 4.1% (931) 879-8931
3 LOWER CAPE CHIROPRACTIC SERVICES INC ORLEANS MA CHIROPRACTIC 2 8,295 $572,355 $69 2.5% (508) 255-5866
4 HANSEN CHIROPRACTIC P S BELLINGHAM WA CHIROPRACTIC 18 7,260 $508,200 $70 1.8% (360) 671-1710
5 LUEDTKE-STORM-MACKEY CHIROPRACTIC CLINIC, SC MADISON WI CHIROPRACTIC 33 7,119 $800,434 $112 1.9% (608) 467-8282
6 CHARLES C GERLEMAN D C P C MILAN IL CHIROPRACTIC 6 6,954 $317,038 $46 1.1% (309) 787-4944
7 KREMER CHIROPRACTIC INC RED BLUFF CA CHIROPRACTIC 3 6,184 $273,498 $44 0.7% (530) 527-0220
8 BURT CLINIC OF CHIROPRACTIC PC WALCOTT IA CHIROPRACTIC 4 6,067 $249,308 $41 1.2% (563) 284-6927
9 FIRST CHIROPRACTIC CENTERS PC YANKTON SD CHIROPRACTIC 5 6,025 $319,325 $53 4.5% (605) 665-8073
10 HEMBREE CHIROPRACTIC PA TYLER TX CHIROPRACTIC 5 5,735 $372,775 $65 1.0% (903) 561-0086
11 DK STOVER LLC WEST POINT NE CHIROPRACTIC 2 5,461 $282,471 $52 2.4% (402) 372-3448
12 MATZ FAMILY CHIROPRACTIC PC MISSOULA MT CHIROPRACTIC 10 5,392 $242,667 $45 4.6% (406) 549-2006
13 PETER J VAPNEK DC PA DELRAY BEACH FL CHIROPRACTIC 2 5,297 $206,377 $39 0.7% (561) 274-6100
14 CARR CHIROPRACTIC CLINICS PC HURON SD CHIROPRACTIC 8 5,215 $205,386 $39 3.9% (605) 352-5264
15 CHIROFIRST, PLLC BILLINGS MT CHIROPRACTIC 8 5,151 $307,629 $60 4.4% (406) 652-6700
16 COMPTON CHIROPRACTIC CARE LLC THE VILLAGES FL CHIROPRACTIC 3 5,144 $220,914 $43 0.7% (352) 391-9467
17 ADVANCED SPINE CARE AND PHYSICAL REHABILITATION,LLC JACKSON NJ PHYSICAL MEDICINE AND REHABILITATION 16 5,086 $671,352 $132 0.8% (732) 415-1401
18 ADVANCED WELLNESS MARLBORO NJ CHIROPRACTIC 16 5,052 $530,460 $105 0.8% (732) 431-2155
19 WEST TEXAS MULTICARE CLINIC INC AMARILLO TX CHIROPRACTIC 4 5,027 $351,890 $70 0.8% (806) 358-3595
20 HUDSON SPINE AND JOINT LLC CAPE GIRARDEAU MO CHIROPRACTIC 3 5,001 $225,045 $45 1.6% (573) 335-7349
21 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 4,985 $255,086 $51 2.2% (631) 543-1440
22 ELITE PHYSICAL MEDICINE AND REHABILITATION LLC LAWRENCEBURG IN CHIROPRACTIC 7 4,942 $380,534 $77 1.9% (812) 539-2900
23 THOMPSON MEDICAL AND CHIROPRACTIC LLC FORKED RIVER NJ CHIROPRACTIC 44 4,773 $649,590 $136 0.8% (609) 971-3500
24 FEEL AMAZING SPINE AND JOINT INSTITUTE INC NAPLES FL CHIROPRACTIC 5 4,712 $405,138 $86 0.7% (239) 330-1000
25 PRO HEALTH CHIROPRACTIC LLC SUN PRAIRIE WI CHIROPRACTIC 4 4,681 $351,075 $75 1.3% (608) 318-2410
26 STRAIT CHIROPRACTIC PS SEQUIM WA CHIROPRACTIC 2 4,663 $185,634 $40 1.1% (360) 681-4322
27 NORTHEAST SPORTS MEDICINE GROUP, PC POINT PLEASANT BORO NJ PHYSICAL MEDICINE AND REHABILITATION 15 4,647 $613,404 $132 0.8% 7327140070607
28 GREAT LAKES CHIROPRACTIC ORTHOPEDICS, PC COLDWATER MI CHIROPRACTIC 7 4,471 $201,195 $45 0.8% (517) 278-7246
29 PRESCOTT VALLEY CHIROPRACTIC LLC PRESCOTT VALLEY AZ CHIROPRACTIC 3 4,466 $234,560 $53 1.2% (928) 775-0522
30 HOLMBERG WELLNESS GROUP, LLC WICHITA KS CHIROPRACTIC 3 4,434 $221,690 $50 1.3% (316) 945-3200
31 TOTAL HEALTH SYSTEMS INC CLINTON TOWNSHIP MI CHIROPRACTIC 30 4,338 $259,440 $60 0.8% (586) 228-0270
32 DEFIANCE CHIROPRACTIC CENTER INC DEFIANCE OH CHIROPRACTIC 6 4,326 $216,750 $50 1.0% (419) 784-2300
33 BOECK CHIROPRACTIC CLINIC PA NEW BERN NC CHIROPRACTIC 2 4,326 $184,817 $43 1.5% (252) 634-3111
34 SOPPE CHIROPRACTIC CLINIC, INC CARROLL IA CHIROPRACTIC 2 4,319 $215,950 $50 0.8% (712) 792-6026
35 CURIS FUNCTIONAL HEALTH MANSFIELD TX CHIROPRACTIC 36 4,318 $443,271 $103 0.7% (817) 453-0430
36 BENNINGFIELD AND ASSOCIATES, LLC PEORIA IL CHIROPRACTIC 6 4,268 $277,420 $65 0.6% (309) 692-6800
37 GEORGE ELMENHURST DC PS WALLA WALLA WA CHIROPRACTIC 4 4,204 $323,708 $77 1.0% (509) 525-4160
38 CLARK CHIROPRACTIC CLINIC ODESSA TX CHIROPRACTIC 6 4,202 $172,290 $41 0.7% (432) 337-5553
39 APPLE HEALTHCARE GROUP PC KNOXVILLE TN CHIROPRACTIC 13 4,186 $313,950 $75 1.6% (865) 524-1234
40 MT. LOOKOUT CHIROPRACTIC CENTER, INC. CINCINNATI OH CHIROPRACTIC 12 4,150 $290,495 $70 1.0% (513) 321-8484
41 ALLIED HEALTH GROUP, LTD NORMAL IL CHIROPRACTIC 3 4,116 $361,179 $88 0.6% (309) 268-9000
42 S.G. RABE, D.C. AND ASSOCIATES, INC. LIMA OH CHIROPRACTIC 4 4,048 $202,400 $50 0.9% (419) 224-5678
43 BAY STATE PHYSICAL THERAPY OF RANDOLPH INC BRAINTREE MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 441 4,024 $335,050 $83 1.2% (781) 961-3370
44 PHILLIPS CHIROPRACTIC PA DODGE CITY KS CHIROPRACTIC 5 4,002 $180,090 $45 1.2% (620) 225-4139
45 CAPE CHIROPRACTIC GROUP LLC CENTERVILLE MA CHIROPRACTIC 2 3,978 $354,460 $89 1.2% (508) 778-5005
46 JORDAN PHYSICIAN ASSOCIATES INC PLYMOUTH MA NURSE PRACTITIONER 166 3,970 $588,158 $148 1.2% (508) 210-5920
47 GUNDERSON CLINIC OF CHIROPRACTIC INC. ROCKTON IL CHIROPRACTIC 3 3,966 $139,600 $35 0.6% (815) 624-2669
48 PAYNE CHIROPRACTIC LIFE CENTER PA DESTIN FL CHIROPRACTIC 3 3,832 $153,440 $40 0.5% (850) 654-8770
49 DENTON CHIROPRACTIC CENTER INC DENTON TX CHIROPRACTIC 5 3,733 $242,645 $65 0.6% (940) 566-3232
50 MARVIN J ARTHUR III DC PC LYNCHBURG VA CHIROPRACTIC 2 3,711 $204,105 $55 1.2% (434) 384-1631
51 ZELM CHIROPRACTIC CENTER SC MCFARLAND WI CHIROPRACTIC 6 3,660 $309,010 $84 1.0% (608) 838-7723
52 NAZEMI CHIROPRACTIC CORP. PALM DESERT CA CHIROPRACTIC 4 3,657 $255,990 $70 0.4% (760) 773-3400
53 MIDSOUTH CHIROPRACTIC PLLC SAVANNAH TN CHIROPRACTIC 3 3,631 $217,860 $60 1.4% (731) 925-1196
54 BOOHER CHIROPRACTIC CENTER INC PIQUA OH CHIROPRACTIC 3 3,628 $149,679 $41 0.8% (937) 773-5452
55 SCHOFIELD CHIROPRACTIC PC CEDAR FALLS IA CHIROPRACTIC 5 3,579 $254,109 $71 0.7% (319) 277-5616
56 BRITTAIN CHIROPRACTIC INC EMPORIA KS CHIROPRACTIC 2 3,579 $143,160 $40 1.1% 62020875506193
57 ROYAL PALM BEACH REHAB, CORP BOYNTON BEACH FL CHIROPRACTIC 58 3,565 $308,745 $87 0.5% (561) 733-5590
58 BAKKE CHIROPRACTIC CLINIC SC DEFOREST WI CHIROPRACTIC 10 3,562 $309,894 $87 1.0% (608) 846-3333
59 HULSEBUS MACHESNEY PARK CHIROPRACTIC LLC MACHESNEY PARK IL CHIROPRACTIC 4 3,527 $155,188 $44 0.5% (815) 654-1044
60 PRIESTLEY CHIROPRACTIC PC FARMINGDALE NY CHIROPRACTIC 6 3,524 $153,847 $44 1.5% (516) 752-1007
61 COLE CHIROPRACTIC CENTER CORDOVA TN CHIROPRACTIC 2 3,512 $138,460 $39 1.4% (901) 755-5515
62 ARIZONA PAIN SPECIALISTS PLLC SCOTTSDALE AZ NURSE PRACTITIONER 41 3,511 $672,364 $192 1.0% (480) 563-6400
63 SCHROCK MEDICAL CLINIC PC KEARNEY NE CHIROPRACTIC 13 3,480 $208,800 $60 1.5% (308) 236-6499
64 NAFZIGER FAMILY CHIROPRACTIC INC ARCHBOLD OH CHIROPRACTIC 2 3,479 $191,345 $55 0.8% (419) 445-1600
65 BARLEY FAMILY HEALTHCARE AND REHABILITATION PC FAIRHAVEN MA CHIROPRACTIC 4 3,476 $295,225 $85 1.0% (508) 997-9100
66 GUNDERMAN CHIROPRACTIC AND WELLNESS LLC YORKTOWN VA CHIROPRACTIC 3 3,472 $147,646 $43 1.1% 7578745666121
67 TUCK CHIROPRACTIC CORPORATION BEDFORD VA CHIROPRACTIC 11 3,461 $190,355 $55 1.1% (540) 586-1105
68 THE HEALTH ENHANCEMENT CENTERS PA MARSHALL MN CHIROPRACTIC 6 3,459 $186,786 $54 1.3% (507) 532-2655
69 RING CHIROPRACTIC, LTD CAREFREE AZ CHIROPRACTIC 2 3,459 $172,950 $50 1.0% (480) 488-1282
70 RANGE SPINE CENTER, PLLC HIBBING MN CHIROPRACTIC 2 3,436 $223,340 $65 1.3% (218) 263-8330
71 ADAMS CHIROPRACTIC OFFICES, INC SONOMA CA CHIROPRACTIC 2 3,436 $159,980 $47 0.4% (707) 996-4535
72 ADVANTAGE HEALTHCARE OF CHARLESTON LLC GOOSE CREEK SC NURSE PRACTITIONER 5 3,428 $273,692 $80 1.2% (843) 553-2211
73 CHURCH POINT CHIROPRACTIC PC VIRGINIA BEACH VA CHIROPRACTIC 4 3,393 $185,748 $55 1.1% (757) 745-8400
74 MASON CITY CHIROPRACTIC INC MASON CITY IA CHIROPRACTIC 2 3,383 $169,150 $50 0.7% (641) 424-0992
75 MINSTER CHIROPRACTIC CENTER LLC MINSTER OH CHIROPRACTIC 4 3,374 $161,952 $48 0.8% (419) 628-3004
76 SNL MANAGEMENT GROUP LLC PAHRUMP NV CHIROPRACTIC 2 3,369 $276,258 $82 4.2% (702) 530-2225
77 DCG HOLDINGS PLLC BRIGHTON MI CHIROPRACTIC 5 3,365 $156,888 $47 0.6% (810) 225-2288
78 PERFORMANCE PLUS REHABILITATION CENTER LLC SAINT JOSEPH MO CHIROPRACTIC 8 3,341 $164,210 $49 1.1% (816) 232-5113
79 CHESTER FAMILY CHIROPRACTIC CENTER P C CHESTER VA CHIROPRACTIC 6 3,335 $186,610 $56 1.1% (804) 796-3221
80 RODY CHIROPRACTIC CLINIC INC PUYALLUP WA CHIROPRACTIC 6 3,329 $301,046 $90 0.8% (253) 535-6006
81 MIDWAY CHIROPRACTIC, LLC REHOBOTH BEACH DE CHIROPRACTIC 4 3,328 $316,160 $95 3.8% (302) 645-6681
82 TRUE HEALTH CHIROPRACTIC, P.C. NORTH MYRTLE BEACH SC CHIROPRACTIC 2 3,292 $148,140 $45 1.1% (843) 663-3377
83 BACK SPECIALISTS LLC SIOUX FALLS SD CHIROPRACTIC 2 3,288 $118,170 $36 2.5% (605) 361-1700
84 BALANCED CHIROPRACTIC PC HELENA MT CHIROPRACTIC 9 3,288 $246,475 $75 2.8% (406) 449-2501
85 KEARNY CHIROPRACTIC LTD SURPRISE AZ CHIROPRACTIC 2 3,271 $179,905 $55 0.9% (623) 556-2335
86 WALTON CHIROPRACTIC CLINIC PC HILLSDALE MI CHIROPRACTIC 3 3,241 $162,175 $50 0.6% (517) 437-0900
87 FAIR CHIROPRACTIC LLC NEWTON KS CHIROPRACTIC 2 3,229 $177,595 $55 1.0% (316) 804-7095
88 SOUTHERN CHIROPRACTIC AND WELLNESS CENTER, PLLC CAMDEN TN CHIROPRACTIC 4 3,228 $193,680 $60 1.3% (731) 535-3205
89 KLINEDINST CHIROPRACTIC, LLC CANTON IL CHIROPRACTIC 2 3,217 $176,935 $55 0.5% (309) 647-8030
90 COPPES CHIROPRACTIC PC BURLINGTON IA CHIROPRACTIC 4 3,207 $176,385 $55 0.6% (319) 752-1460
91 OSBORNE CHIROPRACTIC CENTER LLC OSBORNE KS CHIROPRACTIC 2 3,174 $142,830 $45 0.9% —
92 ALPINE CHIROPRACTIC AND DECOMPRESSION LLC WENATCHEE WA CHIROPRACTIC 3 3,156 $220,930 $70 0.8% (509) 663-5244
93 CARAOTTA CHIROPRACTIC PC ROCKFORD IL CHIROPRACTIC 4 3,149 $188,940 $60 0.5% (815) 398-4004
94 LATCH AND SO CHIROPRACTIC SAN FRANCISCO CA CHIROPRACTIC 4 3,132 $146,659 $47 0.3% (415) 775-4204
95 ATLANTIC WELLNESS CENTER NEW SMYRNA BEACH FL CHIROPRACTIC 4 3,121 $269,379 $86 0.4% (386) 424-9977
96 WES STAMPS DC PA NEW BRAUNFELS TX CHIROPRACTIC 3 3,121 $168,237 $54 0.5% (830) 625-6011
97 CHIROPRACTIC ASSOCIATES OF GAINESVILLE INC GAINESVILLE FL CHIROPRACTIC 4 3,118 $264,360 $85 0.4% (352) 372-4110
98 CHEYNE FAMILY CHIROPRACTIC CENTRE FORT PIERCE FL CHIROPRACTIC 2 3,111 $183,940 $59 0.4% (772) 468-8891
99 THE REHAB CENTRE, INC. NORTH APOLLO PA CHIROPRACTIC 7 3,097 $139,380 $45 0.5% (724) 478-1501
100 PEORIA MEDICAL LLC TULSA OK CHIROPRACTIC 4 3,060 $183,600 $60 1.4% —

Showing the top 100 of 4,920 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 →