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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
20974 Placement of electrical stimulation device for bone healing CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 361 services ▼ 7.2% YoY · 335 beneficiaries (CY2024, Medicare FFS)
Medicare paid $23K · $63.21 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
9
Named-group FFS services
183
FFS of Medicare
49%
Services YoY
-7.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~404 services

183 observed fee-for-service (45%) · ~221 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 — 20974 (CY2024)

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

Named-group submitted charges
$77K
Named-group allowed amount
$15K
Named-group Medicare payments
$12K
Avg charge / svc
$422
Avg allowed / svc
$81
Avg payment / svc
$64
Average charge per group
$96 9 groups · avg submitted charge / service $1,478
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 20974 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 20974 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 ERIK C SPAYDE MD INC THOUSAND OAKS CA PHYSICIAN ASSISTANT 4 34 $7,922 $233 premium 55.7% 8053792322119
2 MEHLING ORTHOPEDICS LLC HACKENSACK NY ORTHOPEDIC SURGERY 3 34 $3,249 $96 premium 46.6% (201) 342-7662
3 JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC WEST BRANCH MI PHYSICIAN ASSISTANT 11 32 $17,600 $550 premium 52.5% (989) 343-3178
4 ROCHESTER BRAIN AND SPINE GROUP PLLC ROCHESTER NY PHYSICIAN ASSISTANT 7 16 $3,600 $225 premium 21.9% (585) 334-5560
5 TRAVIS LOIDOLT DO INC FOLSOM CA PHYSICIAN ASSISTANT 4 16 $5,114 $320 premium 26.2% (916) 800-4685
6 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 16 $23,655 $1,478 premium 26.2% (248) 477-0552
7 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 12 $9,984 $832 premium 16.4% (516) 536-2800
8 PRECISION ORTHOPEDICS AND SPORTS MEDICINE LAUREL PA ORTHOPEDIC SURGERY 41 12 $2,017 $168 premium 100.0% (301) 498-0383
9 SPINE AND SPORTS SPECIALITIES MEDICAL GROUP ORANGE CA ORTHOPEDIC SURGERY 15 11 $4,037 $367 premium 18.0% (714) 598-1745

*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 →