NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal › Joint Injection (CMS RBCS)
First observed 2015
National scale 39,755 services ▲ 17.4% YoY · 25,121 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.3M · $57.32 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
386
Named-group FFS services
26,931
FFS of Medicare
49%
Services YoY
+17.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~54,193 services

26,931 observed fee-for-service (50%) · ~27,262 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 — 20604 (CY2024)
FL 7,931 CA 4,414 NY 2,010 TX 1,897 AZ 1,729

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

Named-group submitted charges
$8.3M
Named-group allowed amount
$2.0M
Named-group Medicare payments
$1.5M
Avg charge / svc
$307
Avg allowed / svc
$76
Avg payment / svc
$58
Average charge per group
$55 386 groups · avg submitted charge / service $2,308
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 20604 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 1,027 $132,483 $129 12.9% (239) 312-7878
2 ASSOCIATES IN MEDICINE AND SURGERY LLC FORT MYERS FL PODIATRY 17 773 $84,887 $110 9.7% (239) 481-7000
3 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 713 $305,421 $428 16.2% (310) 443-8999
4 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 650 $172,766 $266 46.6% (843) 491-4937
5 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 596 $163,495 $274 7.5% (904) 634-0640
6 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 554 $170,137 $307 64.8% (662) 767-4200
7 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 515 $106,518 $207 6.5% (772) 257-3608
8 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 432 $86,022 $199 22.8% (210) 804-5400
9 SOUTH FLORIDA HAND AND ORTHOPAEDIC CENTER PA BOCA RATON FL HAND SURGERY 10 363 $98,843 $272 4.6% (561) 241-4758
10 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 357 $85,536 $240 20.6% (602) 385-2115
11 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 304 $180,625 $594 34.1% (507) 284-2511
12 SLOCUM ORTHOPEDICS PC EUGENE OR PHYSICIAN ASSISTANT 67 287 $118,416 $413 48.2% (541) 485-8111
13 MICHIGAN SURGERY SPECIALISTS PC WARREN MI ORTHOPEDIC SURGERY 27 280 $48,280 $172 38.5% (586) 573-6880
14 THE ANDERSON CLINIC INC ALEXANDRIA VA ORTHOPEDIC SURGERY 79 272 $81,599 $300 20.4% (703) 892-6500
15 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 272 $252,000 $926 24.0% (978) 818-6350
16 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 259 $66,360 $256 76.4% (302) 731-2888
17 SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA PORTSMOUTH NH PHYSICIAN ASSISTANT 28 257 $67,612 $263 67.5% (603) 431-1121
18 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 249 $81,055 $326 17.8% —
19 BRIDGER ORTHOPEDICS AND SPORTS MEDICINE PC BOZEMAN MT PHYSICIAN ASSISTANT 66 249 $76,120 $306 65.5% (406) 587-0122
20 MARC J HIRSH MD PA DELRAY BEACH FL RHEUMATOLOGY 9 214 $59,305 $277 2.7% (561) 819-3100
21 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 212 $77,800 $367 4.8% (310) 423-0674
22 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 209 $43,228 $207 32.9% (731) 661-9825
23 ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC EAST SETAUKET NY PHYSICIAN ASSISTANT 30 208 $91,800 $441 10.3% (631) 689-6698
24 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 200 $36,134 $181 15.0% (757) 595-9880
25 DAVID B. HAMMER TEMPLETON CA FAMILY PRACTICE 112 199 $58,500 $294 4.5% —
26 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 183 $46,638 $255 10.6% (520) 382-8200
27 CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A. WELLINGTON FL PHYSICIAN ASSISTANT 27 180 $45,979 $255 2.3% (561) 803-8616
28 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 171 $65,103 $381 19.8% (877) 632-6637
29 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 165 $35,020 $212 9.5% (928) 773-2280
30 ORTHO CENTRAL NORMAN OK PHYSICIAN ASSISTANT 32 153 $17,719 $116 37.2% —
31 COASTAL ORTHOPAEDICS AND SPORTS MEDICINE CENTER PORT SAINT LUCIE FL ORTHOPEDIC SURGERY 15 150 $38,052 $254 1.9% 77233553002015
32 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 149 $27,778 $186 23.4% (801) 261-8346
33 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 147 $21,337 $145 15.5% —
34 EAST PATCHOGUE PODIATRY PC EAST PATCHOGUE NY PODIATRY 5 145 $15,991 $110 7.2% (631) 654-5566
35 TRABECULAR MEDICAL GROUP, LLC VOORHEES NJ RHEUMATOLOGY 19 142 $20,355 $143 12.1% (856) 424-5005
36 ARTHRITIS AND OSTEOPOROSIS CLINIC OF BRAZOS VALLEY COLLEGE STATION TX PHYSICIAN ASSISTANT 3 141 $36,443 $258 7.4% (979) 696-8000
37 LARRY K. BROADWELL, M.D., A MEDICAL CORPORATION SHREVEPORT LA RHEUMATOLOGY 10 139 $30,272 $218 72.0% (318) 221-0399
38 ORTHOPEDIC CENTER OF PALM BEACH COUNTY, LLC ATLANTIS FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 30 126 $47,376 $376 1.6% (561) 967-6500
39 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 126 $31,182 $247 19.7% (435) 635-0174
40 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 126 $23,680 $188 2.9% (818) 996-4077
41 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 125 $22,020 $176 19.6% —
42 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 125 $23,549 $188 1.6% (352) 693-3378
43 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 124 $62,730 $506 1.6% (850) 877-8174
44 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 121 $29,801 $246 1.5% (352) 336-6000
45 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 119 $53,181 $447 10.1% (908) 273-4300
46 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA CO PHYSICIAN ASSISTANT 323 118 $44,160 $374 24.5% (303) 695-6060
47 CNOS PC SIOUX CITY SD PHYSICIAN ASSISTANT 99 117 $34,000 $291 30.5% (712) 279-3500
48 SAN ANTONIO PODIATRY ASSOCIATES PLLC SAN ANTONIO TX PODIATRY 10 116 $13,625 $117 6.1% (210) 899-1026
49 ANSERT FOOT AND ANKLE CENTER P.S.C. LOUISVILLE IN PODIATRY 4 116 $34,800 $300 19.3% (812) 949-1002
50 NEW YORK HAND SURGERY PC BROOKLYN NY HAND SURGERY 2 115 $102,282 $889 5.7% (718) 369-4263
51 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 114 $19,106 $168 2.6% (310) 659-7878
52 FOOT AND ANKLE SPECIALISTS OF ARIZONA PLLC GLENDALE AZ PODIATRY 14 113 $15,287 $135 6.5% (623) 544-9090
53 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO CA PHYSICIAN ASSISTANT 16 113 $61,500 $544 2.6% (949) 348-4000
54 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 112 $22,177 $198 13.0% —
55 CAMPBELL CLINIC, PC GERMANTOWN MS ORTHOPEDIC SURGERY 225 111 $23,088 $208 13.0% (901) 759-3100
56 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 111 $16,095 $145 6.4% (480) 443-8400
57 PRATT ORTHOPAEDIC ASSOCIATES INC BOSTON MA PHYSICIAN ASSISTANT 29 110 $31,804 $289 9.7% (617) 636-5000
58 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 109 $9,934 $91 1.4% (239) 291-6970
59 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 109 $56,337 $517 12.2% (612) 863-4000
60 KAYAL MEDICAL GROUP, LLC UNION CITY NJ PHYSICIAN ASSISTANT 77 107 $247,000 $2,308 9.1% (844) 777-0910
61 ALLEGRA ARTHRITIS ASSOCIATES PC RED BANK NJ PHYSICIAN ASSISTANT 7 106 $21,200 $200 9.0% (732) 842-3600
62 ORTHOPEDICS RHODE ISLAND INC WARWICK RI PHYSICIAN ASSISTANT 124 105 $29,388 $280 38.5% (401) 777-7000
63 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 104 $44,738 $430 9.2% (617) 724-0287
64 MONTEREY SPINE AND JOINT PC MONTEREY CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 80 103 $25,107 $244 2.3% (831) 648-7200
65 DENTON HAND AND ORTHOPEDICS DENTON TX PHYSICIAN ASSISTANT 4 102 $22,804 $224 5.4% (940) 299-4263
66 ORTHOPEDIC AND SPORTS MEDICINE CENTER OF OREGON LLC LAKE OSWEGO OR PHYSICIAN ASSISTANT 16 101 $30,524 $302 17.0% (503) 224-8399
67 AVORS MEDICAL GROUP LANCASTER CA ORTHOPEDIC SURGERY 19 99 $24,057 $243 2.2% (661) 726-5005
68 PROFESSIONAL ORTHOPAEDIC ASSOC PA TINTON FALLS NJ ORTHOPEDIC SURGERY 22 99 $8,910 $90 8.4% 7325304949240
69 JEREMIAH GRAFF DPM P A PLANO TX PODIATRY 7 98 $20,900 $213 5.2% (972) 403-7733
70 THE PHYSIATRY MEDICAL GROUP INC REDWOOD CITY CA PHYSICAL MEDICINE AND REHABILITATION 6 98 $18,200 $186 2.2% —
71 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 96 $42,420 $442 25.0% —
72 LIVINGSTON FOOT CARE SPECIALISTS, P.C. NORTH BELLMORE NY PODIATRY 8 94 $16,859 $179 4.7% (516) 826-0103
73 ATHENS ORTHOPEDIC CLINIC, PA ATHENS GA PHYSICIAN ASSISTANT 68 93 $38,440 $413 18.0% (706) 549-1663
74 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 93 $37,600 $404 6.7% (803) 749-5101
75 EXCELA HEALTH PHYSICIAN PRACTICES, INC GREENSBURG PA PHYSICIAN ASSISTANT 470 90 $15,680 $174 5.3% (724) 261-5610
76 RHEUMATOLOGY SPECIALISTS OF PADUCAH PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 89 $14,952 $168 60.5% (270) 408-6100
77 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT MD RHEUMATOLOGY 17 88 $17,286 $196 9.3% (301) 345-5600
78 BLACK HILLS ORTHOPEDIC AND SPINE CENTER INC RAPID CITY SD PHYSICIAN ASSISTANT 76 87 $30,572 $351 22.7% (605) 737-9151
79 STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR EAST SETAUKET NY ORTHOPEDIC SURGERY 50 85 $132,405 $1,558 4.2% (631) 444-4233
80 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 85 $69,174 $814 4.9% (800) 603-0558
81 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 85 $106,773 $1,256 4.2% (212) 263-9700
82 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 84 $23,210 $276 18.0% (573) 331-3000
83 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 84 $39,104 $466 17.4% (720) 777-1234
84 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 83 $96,679 $1,165 4.4% (254) 724-2663
85 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES LLC NAPLES FL RHEUMATOLOGY 75 83 $15,482 $187 1.0% (239) 596-5220
86 ORA ORTHOPEDICS PC MOLINE IA PHYSICIAN ASSISTANT 117 82 $46,314 $565 19.1% (309) 762-3621
87 FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC GERMANTOWN WI NURSE PRACTITIONER 1260 82 $49,296 $601 13.1% (262) 253-5060
88 SEAVIEW ORTHOPAEDICS AND MEDICAL ASSOCIATES LLP OCEAN NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 96 80 $47,278 $591 6.8% 732660620011702
89 NY SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED PARAMUS NY DIAGNOSTIC RADIOLOGY 29 80 $36,993 $462 4.0% (201) 599-8000
90 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC LA CROSSE WI FAMILY PRACTICE 547 80 $35,135 $439 12.8% (608) 785-0940
91 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 79 $13,706 $173 35.6% (501) 500-3500
92 ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC GREEN BAY WI ORTHOPEDIC SURGERY 50 78 $32,240 $413 12.5% —
93 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 78 $33,654 $431 3.9% (203) 869-1145
94 ST CLOUD ORTHOPEDIC ASSOCIATES LTD SARTELL MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 45 77 $20,490 $266 8.6% (320) 259-4100
95 SPECIALTY ORTHOPAEDICS PC GAINESVILLE GA PHYSICIAN ASSISTANT 18 76 $40,886 $538 14.7% (770) 534-7200
96 LAKESHORE BONE AND JOINT INSTITUTE, PC CHESTERTON IN PHYSICIAN ASSISTANT 85 75 $30,005 $400 12.5% (219) 921-1444
97 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 75 $29,856 $398 4.0% (214) 633-5555
98 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 74 $34,322 $464 1.7% (650) 723-4000
99 TULSA BONE AND JOINT ASSOCIATES PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 92 73 $10,989 $151 17.8% (918) 392-1513
100 AFFINITY PHYSICIANS LLC. WARWICK RI PHYSICIAN ASSISTANT 719 72 $15,680 $218 26.4% —

Showing the top 100 of 386 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 →