NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
20600 Aspiration and/or injection of fluid from small joint CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal › Joint Injection (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 314,381 services ▲ 5.9% YoY · 202,893 beneficiaries (CY2024, Medicare FFS)
Medicare paid $11.1M · $35.16 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,776
Named-group FFS services
205,873
FFS of Medicare
49%
Services YoY
+5.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~413,751 services

205,873 observed fee-for-service (50%) · ~207,878 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; 1 state without payer-mix data excluded. How we scale

Top states — 20600 (CY2024)
FL 36,970 CA 25,469 NY 21,750 TX 18,672 PA 15,525

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

Named-group submitted charges
$38.5M
Named-group allowed amount
$9.9M
Named-group Medicare payments
$7.3M
Avg charge / svc
$187
Avg allowed / svc
$48
Avg payment / svc
$35
Average charge per group
$41 1,776 groups · avg submitted charge / service $1,295
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 20600 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 LIVINGSTON FOOT CARE SPECIALISTS, P.C. NORTH BELLMORE NY PODIATRY 8 1,992 $271,797 $136 9.2% (516) 826-0103
2 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 1,982 $470,183 $237 18.8% —
3 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 1,587 $258,570 $163 13.8% (602) 385-2115
4 SOUTHERN CALIFORNIA FOOT AND ANKLE MEDICAL CENTER LA PALMA CA PODIATRY 2 1,401 $208,350 $149 5.5% (714) 735-8588
5 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 1,331 $292,576 $220 7.1% (817) 920-0484
6 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,279 $299,505 $234 5.0% (858) 455-9100
7 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,133 $226,029 $199 4.4% (415) 600-1020
8 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 1,116 $260,496 $233 46.2% (302) 731-2888
9 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 1,104 $252,872 $229 16.7% (615) 329-6600
10 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 1,076 $333,659 $310 11.0% (732) 974-0404
11 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,032 $1,110,670 $1,076 4.7% (212) 263-9700
12 SIGNATURE MEDICAL GROUP OF KC PA OVERLAND PARK KS PHYSICIAN ASSISTANT 25 997 $303,802 $305 27.3% (913) 498-6000
13 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 989 $134,594 $136 10.8% —
14 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 973 $125,305 $129 10.7% (843) 491-4937
15 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 972 $158,670 $163 8.4% (520) 382-8200
16 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 970 $198,463 $205 2.6% —
17 KENTUCKYONE HEALTH MEDICAL GROUP INC LEXINGTON KY PHYSICIAN ASSISTANT 245 957 $162,361 $170 16.2% (859) 276-4429
18 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 941 $196,434 $209 29.4% (612) 863-6960
19 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 915 $182,068 $199 16.4% (301) 774-0500
20 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 911 $177,817 $195 9.3% (908) 273-4300
21 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 909 $190,516 $210 8.5% (919) 544-7270
22 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 904 $371,290 $411 4.2% —
23 MACON ORTHOPAEDIC AND HAND CENTER, PA MACON GA NURSE PRACTITIONER 87 903 $196,305 $217 9.1% (478) 745-4206
24 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 851 $248,284 $292 2.3% (850) 877-8174
25 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 849 $118,821 $140 7.4% (866) 974-2673
26 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA CO PHYSICIAN ASSISTANT 323 837 $211,390 $253 15.1% (303) 695-6060
27 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 830 $163,378 $197 4.4% (214) 220-2468
28 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 825 $154,160 $187 5.3% (610) 353-0800
29 CENTEROCK PODIATRY ASSOCIATES, PC WEST NYACK NY PODIATRY 5 825 $152,400 $185 3.8% (845) 358-2844
30 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 809 $170,493 $211 7.5% (704) 323-2100
31 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 802 $133,947 $167 2.2% (904) 634-0640
32 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 799 $160,215 $201 20.4% (515) 343-1000
33 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 796 $120,630 $152 3.7% (914) 241-1050
34 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 778 $145,330 $187 8.5% (843) 720-8448
35 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 776 $147,160 $190 3.0% (916) 681-8852
36 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 773 $120,730 $156 11.2% —
37 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 755 $225,107 $298 43.9% (603) 883-0091
38 BLACKSTONE HAND CENTER, LLC MELBOURNE FL PHYSICIAN ASSISTANT 4 753 $156,680 $208 2.0% (321) 500-4263
39 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 720 $117,571 $163 6.9% (513) 354-3700
40 TUCSON PHYSICIAN GROUP HOLDINGS LLC TUCSON AZ INTERNAL MEDICINE 200 719 $108,729 $151 6.2% (520) 396-1360
41 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 712 $67,757 $95 7.5% —
42 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 684 $115,168 $168 7.2% —
43 PALM BEACH ORTHOPAEDIC INSTITUTE PA PALM BEACH GARDENS FL ORTHOPEDIC SURGERY 38 683 $210,195 $308 1.8% (561) 694-7776
44 COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA BRADENTON FL PHYSICIAN ASSISTANT 62 682 $67,518 $99 1.8% (941) 792-1404
45 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 676 $107,730 $159 7.1% (434) 924-5959
46 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 675 $160,784 $238 7.6% (603) 883-0091
47 YOUNGSTOWN ORTHOPAEDIC ASSOCIATES LTD CANFIELD OH PHYSICIAN ASSISTANT 36 661 $70,191 $106 6.3% (330) 758-0577
48 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 644 $115,784 $180 18.9% (501) 500-3500
49 SIMEDHEALTH LLC GAINESVILLE FL NURSE PRACTITIONER 91 632 $57,060 $90 1.7% (352) 416-1082
50 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 624 $106,055 $170 5.9% —
51 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 619 $216,089 $349 5.9% —
52 ORTHOPAEDIC SURGERY ASSOCIATES PA BOYNTON BEACH FL ORTHOPEDIC SURGERY 20 618 $157,248 $254 1.7% —
53 ORTHOPEDICSNY, LLP ALBANY NY PHYSICIAN ASSISTANT 112 590 $65,995 $112 2.7% (518) 489-2663
54 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 589 $98,655 $167 3.8% —
55 SOUTHWEST SHOULDER ELBOW AND HAND CENTER PC TUCSON AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 578 $83,295 $144 5.0% (520) 783-3344
56 SEQUOIA INSTITUTE FOR SURGICAL SERVICES INC VISALIA CA NURSE PRACTITIONER 4 566 $305,513 $540 2.2% (559) 731-2009
57 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 553 $87,903 $159 10.5% (425) 313-5422
58 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 548 $113,984 $208 8.3% (901) 759-3100
59 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 548 $83,444 $152 2.9% (254) 724-2663
60 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 541 $131,335 $243 2.1% (310) 423-0674
61 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 533 $130,046 $244 5.1% (877) 632-6637
62 NORTHSTATE FOOT AND ANKLE SPECIALIST INC CHICO CA PODIATRY 7 524 $57,145 $109 2.1% (530) 891-3338
63 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 520 $99,520 $191 5.3% (856) 247-7260
64 HAND SURGERY OF NORTHERN MICHIGAN PLC TRAVERSE CITY MI OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 9 520 $72,800 $140 5.6% (231) 935-0800
65 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 507 $73,167 $144 2.0% (760) 340-3911
66 SYRACUSE ORTHOPEDIC SPECIALISTS, PLLC SYRACUSE NY PHYSICIAN ASSISTANT 115 504 $53,292 $106 2.3% (315) 448-5111
67 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 504 $88,970 $177 5.3% (757) 827-2480
68 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 503 $93,632 $186 8.5% (502) 937-2209
69 SEATTLE HAND SURGERY GROUP PC SEATTLE WA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 13 503 $83,160 $165 9.6% (206) 292-6252
70 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 502 $90,985 $181 4.8% (630) 469-9200
71 SOUTHWEST SHOULDER ELBOW AND HAND CENTER PC TUCSON PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 501 $67,750 $135 3.2% (520) 783-3344
72 CHATTANOOGA ORTHOPAEDIC GROUP, PC CHATTANOOGA TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 72 501 $78,156 $156 7.6% (423) 624-2696
73 UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER ROCHESTER NY PHYSICIAN ASSISTANT 151 497 $123,908 $249 2.3% (585) 275-5321
74 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 496 $139,384 $281 20.2% (402) 219-7700
75 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 495 $102,598 $207 17.8% (541) 779-6250
76 FOOT HEALTHCARE ASSOCIATES, PC NOVI MI PODIATRY 8 487 $71,240 $146 5.3% (248) 258-0001
77 ST VINCENT HOSPITAL SANTA FE NM PHYSICIAN ASSISTANT 313 485 $51,662 $107 30.6% —
78 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 484 $80,741 $167 4.2% —
79 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 484 $56,800 $117 4.6% —
80 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 479 $96,314 $201 5.2% (864) 582-6396
81 VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 67 478 $105,600 $221 5.0% (757) 321-3300
82 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 477 $76,442 $160 1.9% —
83 JEFFERSON CITY MEDICAL GROUP PC JEFFERSON CITY MO NURSE PRACTITIONER 115 475 $66,240 $139 6.9% (573) 556-5771
84 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 471 $82,082 $174 3.0% (484) 526-2400
85 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 464 $114,290 $246 2.5% —
86 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 461 $69,639 $151 6.7% (573) 331-3000
87 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 460 $111,992 $243 9.9% (765) 284-7738
88 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 459 $120,825 $263 4.4% (614) 827-8700
89 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 454 $71,786 $158 5.1% (617) 421-1000
90 RALEIGH ORTHOPAEDIC CLINIC PA RALEIGH NC PHYSICIAN ASSISTANT 127 453 $62,186 $137 4.2% (919) 781-5600
91 GRANITE ORTHOPAEDICS PLLC PRESCOTT AZ PHYSICIAN ASSISTANT 12 448 $49,756 $111 3.9% (928) 777-9950
92 ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OF PALM BEACH INC BOYNTON BEACH FL RHEUMATOLOGY 7 448 $37,184 $83 1.2% (561) 439-1800
93 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 441 $76,589 $174 4.2% (419) 291-2003
94 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 435 $117,692 $271 2.3% (713) 566-5000
95 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 431 $136,942 $318 2.0% (203) 869-1145
96 GLENDALE FOOT AND ANKLE PODIATRY CENTER, INC. GLENDALE CA PODIATRY 2 420 $52,500 $125 1.6% (818) 242-4426
97 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS IN ORTHOPEDIC SURGERY 348 413 $89,625 $217 8.8% (317) 802-2000
98 HAND AND MICROSURGERY ASSOCIATES, INC. COLUMBUS OH HAND SURGERY 6 412 $58,092 $141 3.9% (614) 262-4263
99 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 411 $45,007 $110 4.5% —
100 ORTHOCONNECTICUT PLLC NEW MILFORD CT PHYSICIAN ASSISTANT 54 411 $80,216 $195 14.4% (860) 355-8000

Showing the top 100 of 1,776 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →