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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
20240 Biopsy of surface bone CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 966 services ▼ 0.3% YoY · 667 beneficiaries (CY2024, Medicare FFS)
Medicare paid $62K · $64.65 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
636
FFS of Medicare
49%
Services YoY
-0.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,288 services

636 observed fee-for-service (49%) · ~652 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 — 20240 (CY2024)

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

Named-group submitted charges
$426K
Named-group allowed amount
$49K
Named-group Medicare payments
$39K
Avg charge / svc
$670
Avg allowed / svc
$77
Avg payment / svc
$61
Average charge per group
$167 21 groups · avg submitted charge / service $2,195
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 20240 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 20240 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 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 123 $48,093 $391 premium 100.0% (918) 502-4720
2 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 57 $25,992 $456 premium 80.3% (512) 324-7300
3 ANKLE AND FOOT CENTERS OF GEORGIA, LLC PEACHTREE CITY GA PODIATRY 52 53 $34,351 $648 premium 60.9%
4 PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC MOUNT VERNON IL NURSE PRACTITIONER 125 52 $15,007 $289 premium 50.0% (618) 899-3278
5 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 52 $114,140 $2,195 premium 73.2% (215) 662-2777
6 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 42 $29,400 $700 premium 53.8%
7 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 40 $17,080 $427 premium 29.9% (386) 231-6000
8 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 21 $3,505 $167 premium 30.0% (760) 340-3911
9 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 19 $12,673 $667 premium 100.0% (720) 497-6616
10 INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC PHILADELPHIA PA PODIATRY 25 19 $14,250 $750 premium 26.8% (215) 923-2455
11 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 18 $7,578 $421 premium 50.0%
12 LUIS G RAMIREZ MD PA MIAMI FL ORTHOPEDIC SURGERY 2 16 $29,084 $1,818 premium 11.9% (305) 830-0051
13 SURESTEP FOOT AND ANKLE MEDICAL CENTER LLC CINCINNATI OH PODIATRY 5 16 $3,005 $188 premium 57.1% (513) 489-2400
14 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 15 $15,000 $1,000 premium 17.2% (770) 219-7777
15 UNIVERSITY OF CONNECTICUT HEALTH CENTER FARMINGTON CT NURSE PRACTITIONER 630 15 $9,000 $600 premium 19.2% (860) 679-3692
16 ADVANCED FOOT SPECIALISTS PLLC ROCKWALL TX PODIATRY 4 14 $3,150 $225 premium 19.7% (214) 771-3668
17 JAMAICA HOSPITAL JAMAICA NY DIAGNOSTIC RADIOLOGY 250 14 $6,175 $441 premium 53.8% (718) 206-6000
18 SAS SURGICAL LTD MOKENA IL GENERAL SURGERY 2 13 $9,750 $750 premium 12.5% (708) 476-8205
19 NORTH SHORE-LIJ MEDICAL PC MANHASSET NJ PHYSICIAN ASSISTANT 6294 13 $15,470 $1,190 premium 100.0%
20 PRESTIGE FOOT AND ANKLE CENTER LLC MEDINA OH PODIATRY 9 12 $3,960 $330 premium 42.9% (330) 591-9635
21 CENTEROCK PODIATRY ASSOCIATES, PC WEST NYACK NY PODIATRY 5 12 $9,600 $800 premium 46.2% (845) 358-2844

*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 →