Medicare procedure market data by CPT code & state

+ Build a code basket

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

20670 Removal of surface implant from bone CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 726 services ▼ 0.3% YoY · 591 beneficiaries (CY2024, Medicare FFS)

Medicare paid $182K · $251.23 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

439

FFS of Medicare

49%

Services YoY

-0.3%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~892 services

439 observed fee-for-service (49%) · ~453 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 — 20670 (CY2024)

CA 218 TX 155 AR 66 LA 57 WA 34

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

Named-group submitted charges

$425K

Named-group allowed amount

$122K

Named-group Medicare payments

$95K

Avg charge / svc

$967

Avg allowed / svc

$278

Avg payment / svc

$217

Average charge per group

$600–742

$742–884

$884–1,026

$1,026–1,168

$1,168–1,311

$1,311–1,453

$1,453–1,595

$1,595+

$600 17 groups · avg submitted charge / service $2,105

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 20670 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	20670 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	BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA	NORTH LITTLE ROCK	AR	ORTHOPEDIC SURGERY	19	66	$48,809	$740	premium	100.0%	—
2	ARK LA TEX FOOT AND ANKLE SPECIALISTS LLC	SHREVEPORT	LA	PODIATRY	5	57	$34,200	$600	premium	100.0%	(318) 687-8447
3	JERRY W. PATTERSON DPM PA	SAN ANTONIO	TX	PODIATRY	2	52	$37,700	$725	premium	33.5%	(210) 614-9610
4	TRI-CITY ORTHOPAEDIC CLINIC P S C	KENNEWICK	WA	ORTHOPEDIC SURGERY	19	34	$40,325	$1,186	premium	100.0%	(509) 460-5588
5	JEREMIAH GRAFF DPM P A	PLANO	TX	PODIATRY	7	27	$20,250	$750	premium	17.4%	(972) 403-7733
6	OTERO COUNTY HOSPITAL ASSOCIATION	ALAMOGORDO	NM	DIAGNOSTIC RADIOLOGY	236	24	$19,080	$795	premium	100.0%	(505) 439-6100
7	GAREY ORTHOPEDIC MEDICAL GROUP	POMONA	CA	PHYSICIAN ASSISTANT	7	24	$26,864	$1,119	premium	11.0%	—
8	UNIFIED WOMENS HEALTHCARE OF TEXAS PLLC	MCKINNEY	TX	OBSTETRICS/GYNECOLOGY	184	21	$24,373	$1,161	premium	13.5%	(972) 542-8884
9	ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC	MARLTON	NJ	PHYSICIAN ASSISTANT	176	19	$39,995	$2,105	premium	100.0%	(800) 321-9999
10	PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD	BROOMALL	PA	ORTHOPEDIC SURGERY	216	17	$19,941	$1,173	premium	100.0%	(610) 353-0800
11	VHS OUTPATIENT CLINICS INC	PHOENIX	AZ	PHYSICIAN ASSISTANT	180	17	$18,071	$1,063	premium	100.0%	(602) 274-6506
12	NORTH FLORIDA SURGEONS PA	JACKSONVILLE	FL	PHYSICIAN ASSISTANT	331	16	$18,320	$1,145	premium	57.1%	(904) 396-1725
13	ORTHOCONNECTICUT PLLC	NEW MILFORD	CT	PHYSICIAN ASSISTANT	54	15	$16,065	$1,071	premium	100.0%	(860) 355-8000
14	RICHARD S COHEN DPM PA	GREENBELT	NY	PODIATRY	3	14	$12,810	$915	premium	100.0%	(301) 345-4087
15	DAVID B. HAMMER	TEMPLETON	CA	FAMILY PRACTICE	112	13	$14,599	$1,123	premium	6.0%	—
16	SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA	PORTSMOUTH	NH	PHYSICIAN ASSISTANT	28	12	$15,216	$1,268	premium	48.0%	(603) 431-1121
17	SPRINGFIELD CLINIC, LLP	SPRINGFIELD	IL	NURSE PRACTITIONER	686	11	$18,095	$1,645	premium	100.0%	(217) 544-6464

*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 →