NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
20610 Aspiration and/or injection of fluid from large 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 4.52M services ▼ 1.3% YoY · 2.64M beneficiaries (CY2024, Medicare FFS)
Medicare paid $217.5M · $48.15 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
5,291
Named-group FFS services
2,743,508
FFS of Medicare
49%
Services YoY
-1.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,470,949 services

2,743,508 observed fee-for-service (50%) · ~2,727,441 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 — 20610 (CY2024)
FL 385,146 CA 319,963 TX 282,479 PA 257,669 NY 229,846

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

Named-group submitted charges
$784.7M
Named-group allowed amount
$177.9M
Named-group Medicare payments
$131.7M
Avg charge / svc
$286
Avg allowed / svc
$65
Avg payment / svc
$48
Average charge per group
$43 5,291 groups · avg submitted charge / service $6,325
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 20610 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 31,675 $9,732,438 $307 14.0% —
2 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 22,780 $9,122,995 $400 12.4% (732) 974-0404
3 KARAS PC ORLAND PARK IL PHYSICIAN ASSISTANT 10 18,975 $5,436,345 $287 8.4% (214) 289-8282
4 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 17,410 $4,605,965 $265 10.0% (919) 544-7270
5 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 15,951 $13,547,678 $849 6.9% (516) 536-2800
6 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 15,710 $10,801,348 $688 6.8% —
7 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 15,559 $5,421,270 $348 8.5% (908) 273-4300
8 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 14,897 $3,889,425 $261 10.7% —
9 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 14,656 $2,550,244 $174 11.1% —
10 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 13,960 $4,211,551 $302 11.4% (615) 329-6600
11 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 13,819 $3,677,265 $266 11.9% (301) 774-0500
12 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 13,397 $3,994,446 $298 4.2% (415) 600-1020
13 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 13,124 $2,922,137 $223 12.1% (602) 385-2115
14 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 12,802 $3,358,408 $262 4.5% (214) 220-2468
15 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 12,261 $3,308,393 $270 3.8% (916) 681-8852
16 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 12,181 $5,682,726 $467 6.6% (800) 321-9999
17 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 11,987 $2,279,375 $190 4.7% —
18 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 11,904 $16,920,605 $1,421 5.2% (212) 263-9700
19 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 11,400 $1,921,348 $169 8.7% (803) 749-5101
20 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 10,171 $3,915,735 $385 2.6% (850) 877-8174
21 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 9,911 $4,268,801 $431 5.8% —
22 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 9,690 $2,752,118 $284 33.1% (302) 731-2888
23 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 9,615 $3,075,420 $320 4.2% (877) 632-6637
24 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 9,448 $1,539,509 $163 7.2% (843) 491-4937
25 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 9,336 $2,508,495 $269 17.5% (612) 863-6960
26 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 9,076 $1,630,280 $180 8.4% (866) 974-2673
27 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 8,863 $2,436,912 $275 5.2% (614) 827-8700
28 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 8,642 $2,487,398 $288 2.7% (310) 423-0674
29 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 8,513 $2,231,947 $262 6.5% (843) 720-8448
30 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 8,424 $1,962,174 $233 4.8% (704) 323-2100
31 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 8,324 $2,286,639 $275 4.5% (856) 247-7260
32 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 8,140 $1,863,252 $229 15.9% (425) 313-5422
33 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 7,925 $1,653,462 $209 6.5% (901) 759-3100
34 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 7,812 $1,279,430 $164 25.5% (801) 261-8346
35 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 7,751 $2,156,700 $278 2.4% —
36 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 7,592 $3,622,620 $477 2.9% (267) 339-3500
37 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 7,465 $4,219,418 $565 3.3% (630) 469-9200
38 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 7,199 $1,468,461 $204 2.5% (254) 724-2663
39 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 6,984 $1,542,409 $221 11.2% (256) 539-2728
40 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 6,964 $2,776,683 $399 27.3% (603) 883-0091
41 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 6,955 $1,606,271 $231 4.1% (419) 291-2003
42 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 6,931 $2,232,037 $322 2.2% (858) 455-9100
43 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 6,905 $1,284,323 $186 2.2% (760) 340-3911
44 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 6,867 $2,747,172 $400 3.0% (309) 683-5050
45 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 6,842 $2,126,690 $311 5.6% (901) 641-3000
46 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 6,823 $2,784,016 $408 5.9% (603) 883-0091
47 ORTHOPEDICSNY, LLP ALBANY NY PHYSICIAN ASSISTANT 112 6,772 $942,402 $139 2.9% (518) 489-2663
48 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 6,639 $1,741,851 $262 1.7% —
49 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 6,603 $6,545,727 $991 2.9% (866) 633-8255
50 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 6,602 $1,426,343 $216 1.7% (904) 396-1725
51 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 6,468 $2,330,791 $360 2.3% (713) 566-5000
52 RESURGENS, LLC ATLANTA GA ORTHOPEDIC SURGERY 172 6,462 $2,968,588 $459 4.1% (404) 847-9999
53 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 6,447 $1,822,730 $283 2.8% (845) 703-6999
54 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 6,139 $1,425,053 $232 2.7% (914) 241-1050
55 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 6,059 $1,453,413 $240 3.5% (513) 354-3700
56 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 6,054 $831,614 $137 5.2% (443) 481-1000
57 TRI-COUNTY ORTHOPAEDIC AND SPORTS MEDICINE PA CEDAR KNOLLS NJ ORTHOPEDIC SURGERY 42 6,018 $1,783,545 $296 3.3% (973) 538-2334
58 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 6,007 $1,797,856 $299 2.1% —
59 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 5,913 $1,425,401 $241 6.2% (502) 928-1050
60 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 5,858 $1,130,928 $193 5.4% (520) 382-8200
61 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 5,852 $1,660,139 $284 1.8% (925) 939-8585
62 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 5,835 $1,471,987 $252 2.3% (484) 526-2400
63 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 5,726 $1,458,236 $255 9.8% (601) 354-4488
64 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 5,697 $779,001 $137 4.3% —
65 MACON ORTHOPAEDIC AND HAND CENTER, PA MACON GA NURSE PRACTITIONER 87 5,686 $1,798,938 $316 3.6% (478) 745-4206
66 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 5,561 $1,443,181 $260 10.7% (515) 343-1000
67 ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA PORT CHARLOTTE FL PHYSICIAN ASSISTANT 36 5,508 $1,039,098 $189 1.4% (941) 629-6262
68 CHATTANOOGA ORTHOPAEDIC GROUP, PC CHATTANOOGA TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 72 5,468 $1,414,164 $259 4.5% (423) 624-2696
69 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 5,364 $1,278,189 $238 4.1% (803) 744-4900
70 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 5,345 $1,660,159 $311 24.4% 50572443003208
71 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 5,308 $2,076,141 $391 14.3% (402) 219-7700
72 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 5,231 $1,270,700 $243 1.6% —
73 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 5,214 $1,253,591 $240 9.0% (504) 842-3000
74 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 5,140 $1,531,812 $298 3.0% —
75 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 5,140 $1,158,496 $225 1.8% (903) 606-5560
76 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 5,135 $1,225,167 $239 2.0% (610) 353-0800
77 ORTHOPAEDIC INSTITUTE OF OHIO, INC LIMA OH PHYSICIAN ASSISTANT 75 5,042 $1,028,278 $204 2.9% (419) 222-6622
78 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 5,039 $1,323,575 $263 2.2% —
79 MEDICAL OFFICES OF NEW JERSEY SHORE LLC WALL TOWNSHIP NJ NURSE PRACTITIONER 10 5,006 $950,210 $190 2.7% (732) 655-6111
80 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 4,961 $1,240,509 $250 3.5% (301) 530-1010
81 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS IN ORTHOPEDIC SURGERY 348 4,916 $1,481,315 $301 4.8% (317) 802-2000
82 COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA BRADENTON FL PHYSICIAN ASSISTANT 62 4,861 $608,169 $125 1.3% (941) 792-1404
83 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 4,849 $1,616,390 $333 2.8% (704) 384-8200
84 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 4,838 $944,876 $195 8.2% (405) 604-6000
85 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 4,813 $1,357,639 $282 2.1% (618) 236-8000
86 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 4,793 $998,839 $208 2.8% —
87 S.B.J.S. PC DOTHAN AL PHYSICIAN ASSISTANT 39 4,727 $629,435 $133 7.6% (334) 793-2663
88 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 4,725 $1,211,070 $256 3.9% (731) 661-9825
89 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 4,618 $2,124,432 $460 2.0% —
90 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 4,611 $1,481,896 $321 4.0% (978) 818-6350
91 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD KS ORTHOPEDIC SURGERY 67 4,512 $1,822,324 $404 7.8% (913) 319-7600
92 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 4,499 $1,401,015 $311 4.4% (765) 284-7738
93 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 4,483 $934,855 $209 1.2% (352) 336-6000
94 MIDWEST ORTHOPAEDIC CENTER S C PEORIA IL PHYSICIAN ASSISTANT 46 4,456 $1,569,752 $352 2.0% (309) 691-1400
95 MARY WASHINGTON HEALTHCARE PHYSICIANS FREDERICKSBURG VA PHYSICIAN ASSISTANT 307 4,450 $896,616 $201 3.2% (540) 741-1100
96 ORTHOUNITED, INC. CANTON OH PHYSICIAN ASSISTANT 85 4,412 $880,698 $200 2.6% (330) 492-9200
97 PINNACLE ORTHOPAEDICS AND SPORTS MEDICINE SPECIALISTS LLC MARIETTA GA PHYSICIAN ASSISTANT 49 4,405 $1,226,326 $278 2.8% (770) 579-8558
98 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 4,399 $934,655 $212 8.5% (501) 500-3500
99 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 4,381 $937,796 $214 7.6% (785) 354-9591
100 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 4,380 $1,087,178 $248 1.7% —

Showing the top 100 of 5,291 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 →