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Market snapshot

23412 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

23412 — Repair of chronic torn shoulder rotator cuff

Billing groups
55
Named-group FFS services
1,299
FFS of Medicare
49%
Services YoY
-28.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,520 services

1,299 observed fee-for-service (52%) · ~1,221 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 — 23412 (CY2024)
FL 541 NC 135 TX 134 OR 130 AK 129

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

Named-group submitted charges
$3.2M
Named-group allowed amount
$670K
Named-group Medicare payments
$532K
Avg charge / svc
$2,449
Avg allowed / svc
$516
Avg payment / svc
$409
Average charge per group
$472 55 groups · avg submitted charge / service $7,919
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 23412 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 81 $196,932 $2,431 62.3% (541) 706-7715
2 NATURE COAST ORTHOPAEDICS AND SPORTS MEDICINE CLINIC, PA BEVERLY HILLS FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 72 $120,879 $1,679 13.3% (352) 746-5707
3 BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC VANCLEAVE MS ORTHOPEDIC SURGERY 42 48 $133,948 $2,791 59.3% (228) 230-2663
4 ORTHOPAEDICS NORTHEAST PC FORT WAYNE IN PHYSICIAN ASSISTANT 80 45 $108,970 $2,422 39.8% (260) 484-8551
5 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 43 $83,427 $1,940 7.9% (352) 336-6000
6 ALEGENT CREIGHTON CLINIC OMAHA NE PHYSICIAN ASSISTANT 942 39 $90,909 $2,331 43.8% —
7 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 37 $64,252 $1,737 48.7% (701) 234-2000
8 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 37 $47,603 $1,287 63.8% (801) 261-8346
9 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 33 $86,215 $2,613 24.6% (512) 816-8611
10 PRATT REGIONAL MEDICAL CENTER CORPORATION PRATT KS NURSE PRACTITIONER 33 33 $81,873 $2,481 70.2% (620) 672-7415
11 ORTHOPEDIC ASSOCIATES OF NORTHERN CALIFORNIA A MEDICAL GROUP CHICO CA ANESTHESIOLOGY 31 32 $113,326 $3,541 29.4% 5308974500128
12 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 30 $90,705 $3,024 36.1% (302) 731-2888
13 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 29 $75,516 $2,604 54.7% (720) 497-6616
14 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 28 $11,666 $417 41.2% (720) 497-6616
15 STRAUB CLINIC AND HOSPITAL HONOLULU HI NURSE PRACTITIONER 431 28 $29,420 $1,051 100.0% (808) 522-4000
16 WHITE RIVER HEALTH SYSTEM, INC. BATESVILLE AR NURSE PRACTITIONER 180 28 $32,141 $1,148 100.0% (870) 793-7519
17 ORTHOPAEDIC ASSOCIATES INC NEWBURGH IN ORTHOPEDIC SURGERY 25 27 $63,910 $2,367 23.9% (812) 424-9291
18 AVERA ST MARYS PIERRE SD NURSE PRACTITIONER 96 27 $12,739 $472 71.1% (605) 224-5901
19 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 26 $46,982 $1,807 66.7% —
20 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 25 $39,248 $1,570 100.0% (304) 598-4865
21 BRIDGER ORTHOPEDICS AND SPORTS MEDICINE PC BOZEMAN MT PHYSICIAN ASSISTANT 66 24 $56,760 $2,365 22.4% (406) 587-0122
22 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 24 $70,067 $2,919 17.8% (919) 544-7270
23 MISSOULA BONE AND JOINT LLC MISSOULA MT PHYSICIAN ASSISTANT 55 23 $35,950 $1,563 21.5% (406) 721-4436
24 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 20 $47,960 $2,398 14.9% (210) 614-7414
25 ROCKHILL ORTHOPAEDIC SPECIALISTS INC LEES SUMMIT MO PHYSICIAN ASSISTANT 27 20 $64,132 $3,207 33.3% (816) 246-4302
26 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 20 $87,102 $4,355 24.1% (302) 655-9494
27 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 19 $29,640 $1,560 14.7% —
28 SOUTHERN ORTHOPEDIC SPECIALISTS PA PANAMA CITY FL ORTHOPEDIC SURGERY 20 18 $39,844 $2,214 3.3% (850) 785-4344
29 MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC SHREVEPORT LA PHYSICIAN ASSISTANT 28 18 $70,250 $3,903 100.0% (318) 635-3052
30 JAMES J LYNCH MD LTD CARSON CITY NV PHYSICIAN ASSISTANT 84 17 $98,345 $5,785 26.2% (775) 783-6190
31 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 16 $114,816 $7,176 100.0% (507) 284-2511
32 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 16 $53,360 $3,335 16.5% (615) 329-6600
33 ORTHOPEDICS AND SPORTS MEDICINE LTD LAS VEGAS NV ORTHOPEDIC SURGERY 4 16 $68,000 $4,250 24.6% (702) 933-9393
34 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 15 $38,190 $2,546 19.5% —
35 ORTHOPEDIC ASSOCIATES OF FLOWER MOUND PLLC FLOWER MOUND TX ORTHOPEDIC SURGERY 19 15 $63,135 $4,209 11.2% (972) 420-1776
36 AUGUSTA ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS, PC AUGUSTA GA ORTHOPEDIC SURGERY 57 14 $7,944 $567 34.1% (706) 863-9797
37 CONNECTICUT ORTHOPAEDIC SPECIALISTS PC HAMDEN CT PHYSICIAN ASSISTANT 181 14 $49,700 $3,550 35.9% —
38 SOUTHEAST KANSAS ORTHOPEDIC CLINIC PARSONS PA PHYSICIAN ASSISTANT 5 14 $6,735 $481 16.1% (620) 421-0881
39 SOUTHEAST KANSAS ORTHOPEDIC CLINIC PARSONS KS PHYSICIAN ASSISTANT 5 14 $26,320 $1,880 29.8% (620) 421-0881
40 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 14 $36,918 $2,637 31.8% —
41 ARCIS HEALTHCARE LLC NORTH CHARLESTON SC PHYSICIAN ASSISTANT 33 14 $10,906 $779 35.0% (843) 797-5050
42 ORTHOPEDIC ASSOC OF LANCASTER LTD LANCASTER PA ORTHOPEDIC SURGERY 80 13 $32,825 $2,525 14.9% (717) 299-4871
43 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 13 $9,329 $718 9.6% (919) 684-8111
44 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 13 $44,592 $3,430 12.1% (406) 657-4000
45 ALABAMA ORTHOPEDIC SPINE AND SPORTS MEDICINE ASSOCIATES P C BIRMINGHAM AL ORTHOPEDIC SURGERY 44 13 $14,285 $1,099 50.0% (205) 838-3900
46 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 12 $34,136 $2,845 27.3% (425) 313-5422
47 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 12 $35,532 $2,961 12.4% (731) 661-9825
48 ORTHOPEDIC AND SPORTSMEDICINE CLINIC OF FAIRBANKS LLC FAIRBANKS AK ORTHOPEDIC SURGERY 4 11 $87,111 $7,919 8.5% (907) 479-2663
49 OXFORD ORTHOPAEDICS AND SPORTS MEDICINE PLLC OXFORD MS ORTHOPEDIC SURGERY 12 11 $33,550 $3,050 13.6% —
50 PRAIRIE LAKES HEALTH CARE SYSTEM INC WATERTOWN SD PHYSICIAN ASSISTANT 126 11 $43,527 $3,957 28.9% (605) 882-4743
51 GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT CLINTON MO NURSE PRACTITIONER 142 11 $24,130 $2,194 18.3% (660) 890-8023
52 ELITE ORTHOPAEDICS OF IRVING PLLC DENTON TX PHYSICIAN ASSISTANT 55 11 $45,340 $4,122 8.2% (940) 384-3535
53 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 11 $55,242 $5,022 12.4% (402) 219-7700
54 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 11 $45,012 $4,092 50.0% 50572443003208
55 ORTHOPEDIC ASSOCIATES OF DAYTON INC DAYTON OH PHYSICIAN ASSISTANT 8 11 $30,635 $2,785 100.0% (937) 280-4988
56 BRONSON BATTLE CREEK HOSPITAL BATTLE CREEK MI PHYSICIAN ASSISTANT 187 11 $33,638 $3,058 100.0% —
57 GREATER PITTSBURGH ORTHOPAEDIC ASSOCIATES INC PITTSBURGH PA PHYSICIAN ASSISTANT 41 11 $5,995 $545 12.6% (412) 661-5500

*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 →