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Market snapshot

23405 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

23405 — Incision of shoulder tendon

Billing groups
20
Named-group FFS services
856
FFS of Medicare
49%
Services YoY
+8.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,669 services

856 observed fee-for-service (51%) · ~813 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 — 23405 (CY2024)

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

Named-group submitted charges
$1.7M
Named-group allowed amount
$167K
Named-group Medicare payments
$133K
Avg charge / svc
$2,025
Avg allowed / svc
$195
Avg payment / svc
$155
Average charge per group
$393 20 groups · avg submitted charge / service $4,000
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 23405 services, CY2024
#Physician group City St Specialty Providers 23405 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 149 $171,597 $1,152 premium 29.4% (214) 220-2468
2 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 112 $164,423 $1,468 premium 100.0% (301) 774-0500
3 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 66 $108,774 $1,648 premium 48.5% (602) 385-2115
4 MPOWER CLINICAL TX PHOENIX TX PHYSICIAN ASSISTANT 32 66 $239,676 $3,631 premium 13.0% (210) 598-4268
5 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 62 $189,132 $3,051 premium 78.5% (570) 271-6144
6 REDWOOD ORTHOPAEDIC SURGERY ASSOCIATES AMC SANTA ROSA CA ORTHOPEDIC SURGERY 11 62 $87,172 $1,406 premium 44.6% (707) 544-3400
7 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 39 $55,650 $1,427 premium 7.7% (817) 375-5200
8 CORE ORTHOPEDICS AND SPORTS MEDICINE LLC ELK GROVE VILLAGE IL PHYSICIAN ASSISTANT 14 38 $151,981 $4,000 premium 33.0% (847) 690-1776
9 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 37 $134,135 $3,625 premium 13.9% (352) 265-8990
10 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 36 $113,331 $3,148 premium 48.6% (302) 655-9494
11 ORTHOPAEDIC SPECIALISTS OF NORTHWEST INDIANA PC MUNSTER IN PHYSICIAN ASSISTANT 19 26 $73,073 $2,810 premium 100.0%
12 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 25 $9,825 $393 premium 4.9%
13 VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC SUMMERFIELD FL DIAGNOSTIC RADIOLOGY 196 24 $11,801 $492 premium 9.0% (352) 255-3615
14 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 23 $42,895 $1,865 premium 43.4% (901) 641-3000
15 MCGINLEY MEDICAL PC CASPER WY NURSE PRACTITIONER 7 20 $48,313 $2,416 premium 100.0% (866) 678-4699
16 UT REGIONAL ONE PHYSICIANS INC MEMPHIS TN NURSE PRACTITIONER 328 18 $33,570 $1,865 premium 34.0% (901) 545-8336
17 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 18 $27,598 $1,533 premium 15.7% (217) 544-6464
18 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 13 $28,093 $2,161 premium 100.0% (336) 713-9800
19 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 11 $21,868 $1,988 premium 100.0% (248) 644-3920
20 DOCTX3 PLLC IRVING TX PHYSICIAN ASSISTANT 81 11 $20,414 $1,856 premium 2.2% (469) 648-2282

*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 →