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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
11981 Insertion of drug delivery implant into tissue CPT · Skin procedure
Classification Procedure › Skin (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,616 services ▲ 2.5% YoY · 2,395 beneficiaries (CY2024, Medicare FFS)
Medicare paid $65K · $24.97 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
28
Named-group FFS services
1,549
FFS of Medicare
49%
Services YoY
+2.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,137 services

1,549 observed fee-for-service (49%) · ~1,588 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 — 11981 (CY2024)
TX 846 CA 484 SC 187 AZ 133 MD 120

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

Named-group submitted charges
$574K
Named-group allowed amount
$47K
Named-group Medicare payments
$37K
Avg charge / svc
$371
Avg allowed / svc
$30
Avg payment / svc
$24
Average charge per group
$123 28 groups · avg submitted charge / service $857
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 11981 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS JOINT INSTITUTE, PLLC DALLAS TX PHYSICIAN ASSISTANT 39 488 $139,580 $286 57.7% (972) 566-5255
2 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 187 $67,133 $359 100.0% (803) 744-4900
3 EMERGENCY AND ACUTE CARE MEDICAL CORPORATION SAN DIEGO CA INTERNAL MEDICINE 450 136 $55,015 $405 28.1% (858) 939-3400
4 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA ORTHOPEDIC SURGERY 67 128 $109,712 $857 26.4% (310) 319-1234
5 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG VA PHYSICIAN ASSISTANT 60 91 $46,228 $508 79.1% (864) 582-6396
6 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 82 $20,488 $250 61.7% (520) 694-0111
7 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 51 $8,015 $157 38.3% (520) 382-8200
8 ARIA HEALTH ORTHOPAEDICS LANGHORNE AL PHYSICIAN ASSISTANT 15 45 $25,920 $576 73.8% (215) 409-9300
9 HAYS MEDICAL CENTER INC HAYS KS PHYSICIAN ASSISTANT 182 39 $9,729 $249 100.0% (785) 623-5774
10 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 32 $5,446 $170 100.0% (208) 381-4210
11 SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. SANTA ROSA LA ORTHOPEDIC SURGERY 8 23 $6,670 $290 100.0% 70754619225507
12 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 21 $6,426 $306 100.0% (720) 497-6616
13 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 20 $13,800 $690 100.0% (203) 688-4242
14 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 18 $6,984 $388 100.0% (901) 759-3100
15 MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC LORAIN OH NURSE PRACTITIONER 139 17 $4,862 $286 100.0% (440) 988-1009
16 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 16 $4,528 $283 26.2% (256) 539-2728
17 SPARROW EATON HOSPITAL CHARLOTTE MI NURSE PRACTITIONER 47 15 $1,847 $123 34.9% —
18 WITHAM MEMORIAL HOSPITAL LEBANON IN NURSE PRACTITIONER 104 14 $3,626 $259 15.7% —
19 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 14 $3,046 $218 2.9% (760) 340-3911
20 REGIONAL WEST PHYSICIANS CLINIC SCOTTSBLUFF NE NURSE PRACTITIONER 135 14 $3,229 $231 100.0% (308) 632-2215
21 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 13 $3,055 $235 1.5% (210) 614-7414
22 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 13 $6,480 $498 2.7% (800) 926-8273
23 ORTHOPAEDIC ASSOCIATES OF WISCONSIN SC PEWAUKEE WI PHYSICIAN ASSISTANT 100 13 $4,680 $360 100.0% (262) 303-5055
24 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 13 $4,757 $366 100.0% (202) 429-2401
25 MANASSAS FOOT CLINIC PLLC MANASSAS VA PODIATRY 4 12 $2,400 $200 10.4% (703) 361-3132
26 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 12 $4,320 $360 30.8% (704) 323-2100
27 SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 20 11 $3,190 $290 100.0% —
28 CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC ALBANY NY ORTHOPEDIC SURGERY 67 11 $2,838 $258 19.3% (518) 489-2666

*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 →