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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
20245 Biopsy of deep bone CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,472 services ▲ 6.0% YoY · 1,058 beneficiaries (CY2024, Medicare FFS)
Medicare paid $291K · $197.59 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
15
Named-group FFS services
503
FFS of Medicare
49%
Services YoY
+6.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~958 services

503 observed fee-for-service (53%) · ~455 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 — 20245 (CY2024)

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

Named-group submitted charges
$729K
Named-group allowed amount
$120K
Named-group Medicare payments
$94K
Avg charge / svc
$1,449
Avg allowed / svc
$238
Avg payment / svc
$188
Average charge per group
$619 15 groups · avg submitted charge / service $4,240
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 20245 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 20245 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 TEXAS JOINT INSTITUTE, PLLC DALLAS TX PHYSICIAN ASSISTANT 39 103 $159,917 $1,553 premium 26.6% (972) 566-5255
2 PENNSYLVANIA FOOT AND ANKLE ASSOCIATES PC PHILADELPHIA NJ PODIATRY 6 101 $80,800 $800 premium 67.3% (215) 742-1225
3 HIP AND JOINT SPECIALISTS OF NORTH TEXAS PLLC FRISCO TX ORTHOPEDIC SURGERY 7 57 $103,785 $1,821 premium 14.7% (469) 310-4400
4 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD PHYSICIAN ASSISTANT 386 34 $49,500 $1,456 premium 100.0%
5 SERGE LARTCHENKO M.D., PLLC RICHARDSON TX NURSE PRACTITIONER 8 27 $16,723 $619 premium 7.0% (972) 533-1037
6 BLUE RIDGE ORAL SURGERY, INC. FISHERSVILLE VA ORAL SURGERY 3 25 $51,225 $2,049 premium 100.0% (540) 886-2956
7 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 24 $40,512 $1,688 premium 100.0% (901) 759-3100
8 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 21 $24,906 $1,186 premium 4.4% (530) 246-2467
9 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY ORTHOPEDIC SURGERY 32 20 $84,800 $4,240 premium 21.1% (212) 241-9561
10 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC PERTH AMBOY NJ PEDIATRIC MEDICINE 29 19 $20,995 $1,105 premium 12.7% (732) 897-7944
11 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 18 $30,373 $1,687 premium 100.0% (402) 559-4000
12 MINA ABADEER DPM PC HACKENSACK NJ PODIATRY 3 16 $17,906 $1,119 premium 10.7% (201) 919-1343
13 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 14 $28,517 $2,037 premium 100.0% (352) 265-8990
14 CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC ALBANY NY ORTHOPEDIC SURGERY 67 13 $11,284 $868 premium 13.7% (518) 489-2666
15 MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS PHOENIX AZ PODIATRY 3 11 $7,737 $703 premium 100.0% (480) 939-3440

*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 →