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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
21089 Other prosthetic procedure for upper jaw and face CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 467 services · est. ▼ 13.2% YoY · 216 FFS beneficiaries (CY2024, all-Medicare estimate) — 233 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview

Nationally, 2 billing groups and 6 clinicians bill 21089 — ~467 all-Medicare services · est. (233 observed FFS), and volume is down 13.2% year over year.

Market Brief 21089
The whole of 21089, written up and sourced.

The Brief is a national document for 21089. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for 21089 ran ~467 all-Medicare services (estimated), 233 observed fee-for-service in CY2024. The market is down 13.2% year over year. 2 billing groups and 6 clinicians bill it.
  2. 2Payment. Half the field lists between $1,541 and $2,000 per service; the median group lists $1,771. Submitted charges are provider-set list amounts, not payments.
Estimated all-Medicare volume estimate
FFS + estimated MA

~467 services

233 observed fee-for-service (50%) · ~234 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Average charge

$2,175

per service, submitted list amounts — not payments · observed FFS basis
Charge-to-payment ratio

3.1×

average list $2,175 vs average Medicare payment $703 per service · basis-independent
Billing groups

2

2 at the ≥11-service disclosure floor
What they charge

Half the field lists between $1,541 and $2,000

Submitted charges are provider-set list amounts, not payments · median $1,771 (named groups)
Every group, one dot2 billing groups · median $1,771

Each dot is one billing group — 2 of them list this code

$0$1,250$2,500average submitted charge per service, per billing groupmedian $1,771
One dot per billing group, 21089 nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
MEVTNHWAIDMTNDMNWIILMINYMARIORNVWYSDIAINOHPANJCTCAUTCONEMOKYWVVAMDDEAZNMKSARTNNCSC: 14SCDCOKLAMSALGAHIAKTX: 219TXFL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighbouring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.

Open a state market: TX · SC — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

The whole field, one canvas2 groups · bubble = services
100One billing groupOne billing group$500$1,250$2,500$3,750$5,000+Average submitted charge per service — list amounts, not paymentsServices per group — 21089, CY2024
One mark per physician group, 21089 nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.