Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

11012 Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone CPT · Skin procedure

Classification Procedure › Skin › Debridement (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 722 services ▼ 0.4% YoY · 492 beneficiaries (CY2024, Medicare FFS)

Medicare paid $190K · $262.66 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

160

FFS of Medicare

49%

Services YoY

-0.4%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~310 services

160 observed fee-for-service (52%) · ~150 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 — 11012 (CY2024)

CA 410 TX 69 FL 66 WA 37 NM 33

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

Named-group submitted charges

$325K

Named-group allowed amount

$40K

Named-group Medicare payments

$31K

Avg charge / svc

$2,029

Avg allowed / svc

$247

Avg payment / svc

$196

Average charge per group

$1,167–1,407

$1,407–1,647

$1,647–1,887

$1,887–2,127

$2,127–2,367

$2,367–2,608

$2,608–2,848

$2,848+

$1,167 10 groups · avg submitted charge / service $3,250

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 11012 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	11012 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	MISSISSIPPI BURN HAND AND RECONSTRUCTION CENTERS PC	JACKSON	MS	NURSE PRACTITIONER	13	30	$71,250	$2,375	premium	100.0%	(833) 672-8767
2	ACTION THERAPY CENTERS LIMITED	HOUSTON	TX	ORTHOPEDIC SURGERY	72	23	$26,832	$1,167	premium	33.3%	—
3	FORT PIERCE ORTHOPAEDICS LLC	FORT PIERCE	FL	PHYSICIAN ASSISTANT	19	15	$23,490	$1,566	premium	22.7%	(772) 465-4651
4	ORTHOMIDWEST, PLLC	CHICAGO	IL	PHYSICIAN ASSISTANT	542	15	$43,345	$2,890	premium	100.0%	(877) 632-6637
5	TEXAS JOINT INSTITUTE, PLLC	DALLAS	TX	PHYSICIAN ASSISTANT	39	14	$21,222	$1,516	premium	20.3%	(972) 566-5255
6	GARABEDIAN AND KOTIKIAN DENTAL CORPORATION	GLENDALE	CA	ORAL SURGERY	2	14	$45,500	$3,250	premium	3.4%	(818) 484-8939
7	BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC	BOSTON	MA	PHYSICIAN ASSISTANT	2942	13	$25,086	$1,930	premium	100.0%	(617) 732-5500
8	ARIZONA CENTER FOR HAND SURGERY PC	PHOENIX	AZ	PHYSICIAN ASSISTANT	32	12	$18,698	$1,558	premium	100.0%	(602) 258-4788
9	ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A.	FORT MYERS	FL	PHYSICIAN ASSISTANT	46	12	$27,205	$2,267	premium	18.2%	(239) 334-7000
10	ADVANCED ORTHOPAEDIC ASSOCIATES, P.A.	WELLINGTON	KS	ORTHOPEDIC SURGERY	48	12	$21,965	$1,830	premium	100.0%	(316) 631-1600

*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 →