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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0101T High energy shock wave therapy of musculoskeletal system HCPCS · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2015
National scale 13,798 services ▲ 50.2% YoY · 2,314 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.0M · $218.38 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
25
Named-group FFS services
6,261
FFS of Medicare
49%
Services YoY
+50.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~14,127 services

6,261 observed fee-for-service (44%) · ~7,866 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 — 0101T (CY2024)

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

Named-group submitted charges
$3.1M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.3M
Avg charge / svc
$498
Avg allowed / svc
$265
Avg payment / svc
$209
Average charge per group
$30 25 groups · avg submitted charge / service $1,250
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 0101T 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 0101T 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 MCHUGH HEALTH AND WELLNESS INC JACKSONVILLE FL ANESTHESIOLOGY 3 997 $498,500 $500 premium 35.8% (904) 880-1399
2 BRAD RODGERS MD FAMILY PRACTICE AND SPORTS MEDICINE KEARNEY NE GENERAL PRACTICE 2 718 $282,215 $393 premium 35.1% (308) 237-2273
3 LEGACY HEALTHCARE SERVICES INC DURHAM FL INTERNAL MEDICINE 3859 714 $311,700 $437 premium 25.6% (919) 419-9600
4 COMPLETE HEALTH MEDICAL CENTER PLLC WAXAHACHIE TX CHIROPRACTIC 4 513 $359,100 $700 premium 16.7% (972) 937-0086
5 FADI DELLY, MD PC SOUTHGATE MI ANESTHESIOLOGY 4 469 $200,132 $427 premium 100.0% (734) 357-0505
6 PALM TREE INTERVENTIONAL PAIN MANAGEMENT PLLC SAINT CLOUD FL INTERVENTIONAL PAIN MANAGEMENT 2 447 $558,750 $1,250 premium 16.1% (407) 906-1328
7 ADVANCED INFUSION SERVICES LLC AMARILLO TX FAMILY PRACTICE 2 380 $176,700 $465 premium 12.4% (806) 242-2272
8 THE SPORTS MEDICINE AND REGENERATIVE THERAPEUTICS INSTITUTE HINSDALE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 331 $49,650 $150 premium 100.0% (630) 922-5071
9 HEBRON PHYSICAL MEDICINE PC CARROLLTON TX CHIROPRACTIC 2 262 $131,000 $500 premium 8.5% (972) 478-5538
10 IDEAL FOOT CARE PC ASTORIA NY PODIATRY 3 229 $91,900 $401 premium 18.7% (718) 626-3338
11 PRSPI, PSC SAN JUAN PR PHYSICAL MEDICINE AND REHABILITATION 3 191 $59,546 $312 premium 100.0% (787) 957-5553
12 AHAVA MEDICAL AND REHABILITATION CENTER, LLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 141 180 $106,100 $589 premium 14.7% 71895188002102
13 VERNON B CHAVEZ MD PLLC YUMA AZ INTERNAL MEDICINE 2 141 $28,200 $200 premium 100.0% (928) 317-9100
14 NEW HORIZONS PHYSICAL THERAPY LIMITED PARTNERSHIP NEW ALBANY IN ORTHOPEDIC SURGERY 86 107 $45,060 $421 premium 84.9%
15 OPTIMUM PHYSICIANS HEALTHCARE PLLC PEARLAND TX CHIROPRACTIC 6 99 $33,555 $339 premium 3.2% (281) 993-4109
16 DANIEL J HUFF PODIATRY DPM PC PROVIDENCE UT PODIATRY 5 73 $2,190 $30 premium 100.0% (435) 787-1023
17 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 60 $9,300 $155 premium 100.0% (507) 284-2511
18 EASTPOINTE MEDICAL LLC ATLANTIC HIGHLANDS NJ FAMILY PRACTICE 8 59 $25,075 $425 premium 2.8% (848) 488-2200
19 MODERN ORTHOPAEDICS OF NEW JERSEY WAYNE NJ ORTHOPEDIC SURGERY 7 57 $51,150 $897 premium 2.7% (201) 572-7982
20 LARCHMONT FAMILY MEDICINE, PLLC LARCHMONT NY FAMILY PRACTICE 2 47 $7,100 $151 premium 3.8% (914) 834-9606
21 GARDNER ORTHOPEDICS LLC FORT MYERS FL PHYSICIAN ASSISTANT 22 42 $26,964 $642 premium 1.5% (239) 277-7070
22 CONNECTICUT ORTHOPAEDIC SPECIALISTS PC HAMDEN CT PHYSICIAN ASSISTANT 181 41 $24,600 $600 premium 100.0%
23 MEADVILLE MEDICAL CENTER MEADVILLE PA NURSE PRACTITIONER 141 40 $11,520 $288 premium 20.2%
24 BRYAN HOSPITAL KEARNEY KEARNEY NE PHYSICIAN ASSISTANT 112 35 $10,910 $312 premium 1.7% (308) 865-2263
25 814 UNDERCLIFF MEDICAL PC EDGEWATER NY NURSE PRACTITIONER 3 29 $17,400 $600 premium 2.4% (718) 682-3686

*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 →