NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
23430 Anchoring of biceps tendon CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal › Shoulder Repair or Replacement - Open (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 21,035 services ▲ 19.9% YoY · 20,747 beneficiaries (CY2024, Medicare FFS)
Medicare paid $14.3M · $678.70 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
281
Named-group FFS services
10,998
FFS of Medicare
49%
Services YoY
+19.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~21,886 services

10,998 observed fee-for-service (50%) · ~10,888 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 — 23430 (CY2024)
FL 1,822 TX 1,735 CA 1,681 NY 928 SC 840

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

Named-group submitted charges
$28.6M
Named-group allowed amount
$2.8M
Named-group Medicare payments
$2.3M
Avg charge / svc
$2,597
Avg allowed / svc
$257
Avg payment / svc
$205
Average charge per group
$207 281 groups · avg submitted charge / service $11,025
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 23430 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 249 $1,333,020 $5,353 26.8% (516) 536-2800
2 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 174 242 $2,415,000 $9,979 26.1% (516) 240-2700
3 HSS-FLORIDA PHYSICIANS LLC WEST PALM BEACH FL DIAGNOSTIC RADIOLOGY 60 230 $685,584 $2,981 12.6% (561) 657-4600
4 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 196 $385,966 $1,969 83.1% (302) 731-2888
5 CLEVELAND ORTHOPEDIC AND SPINE INSTITUTE, LLC MAYFIELD HEIGHTS OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 16 195 $315,985 $1,620 25.0% (844) 746-8537
6 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 190 $323,810 $1,704 25.4% (602) 385-2115
7 THE SHOULDER CLINIC OF IDAHO PLLC BOISE ID ORTHOPEDIC SURGERY 6 168 $400,836 $2,386 32.6% (208) 323-4747
8 AMARILLO BONE AND JOINT CLINIC PLLC AMARILLO TX ORTHOPEDIC SURGERY 17 165 $252,450 $1,530 9.5% (806) 468-9700
9 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 155 $352,732 $2,276 26.9% (425) 313-5422
10 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 155 $269,612 $1,739 8.5% (904) 396-1725
11 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 130 $270,183 $2,078 49.4% (662) 767-4200
12 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 122 $224,900 $1,843 19.3% (732) 362-3663
13 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 122 $306,342 $2,511 7.3% —
14 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 117 $435,708 $3,724 6.7% (713) 566-5000
15 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 113 $590,519 $5,226 13.5% (843) 792-1414
16 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 112 $190,446 $1,700 21.9% (901) 759-3100
17 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 104 $1,056,107 $10,155 16.4% (732) 974-0404
18 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 102 $126,000 $1,235 13.1% —
19 ORTHOPEDIC AFFILIATES INC CONCORD MA PHYSICIAN ASSISTANT 19 90 $114,000 $1,267 18.6% (978) 369-5391
20 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 90 $88,385 $982 4.9% (850) 877-8174
21 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 88 $308,000 $3,500 56.1% (401) 457-1500
22 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 87 $154,686 $1,778 25.1% (913) 588-1227
23 NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAIN NEW YORK NY ORTHOPEDIC SURGERY 13 87 $257,651 $2,962 9.4% (646) 797-8973
24 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 87 $70,458 $810 5.2% (760) 340-3911
25 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 86 $271,244 $3,154 5.1% (916) 681-8852
26 ORTHOPAEDIC ASSOCIATES OF WISCONSIN SC PEWAUKEE WI PHYSICIAN ASSISTANT 100 85 $309,060 $3,636 44.3% (262) 303-5055
27 HEALTHONE CLINIC SERVICES ORTHOPEDIC SPECIALISTS LLC ENGLEWOOD CO PHYSICIAN ASSISTANT 78 84 $160,909 $1,916 11.7% (303) 209-2503
28 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 83 $103,584 $1,248 9.9% (843) 652-8450
29 NEW WEST SPORTS MEDICINE AND ORTHOPAEDIC SURGERY PC KEARNEY NE PHYSICIAN ASSISTANT 12 81 $125,834 $1,554 24.0% (308) 865-2570
30 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 75 $87,590 $1,168 4.5% (415) 600-1020
31 JEFFREY M REAGAN MD PLLC LAKESIDE AZ PHYSICIAN ASSISTANT 2 72 $111,744 $1,552 9.6% (928) 537-8777
32 ORTHOPAEDIC CENTER OF VERO BEACH P A VERO BEACH FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 71 $204,835 $2,885 3.9% (772) 778-2009
33 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 71 $139,296 $1,962 3.9% (954) 772-2136
34 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 69 $157,320 $2,280 4.0% (512) 324-7300
35 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 69 $218,426 $3,166 14.3% (978) 818-6350
36 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 67 $87,849 $1,311 3.9% (817) 920-0484
37 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 64 $214,378 $3,350 19.0% (402) 219-7700
38 ORTHOPAEDIC INSTITUTE OF HENDERSON LLP HENDERSON NV PHYSICAL THERAPIST IN PRIVATE PRACTICE 17 64 $143,596 $2,244 14.4% (702) 565-6565
39 ROSEVILLE ORTHOPEDIC GROUP A MEDICAL CORP ROSEVILLE CA ORTHOPEDIC SURGERY 4 63 $60,523 $961 3.7% (916) 782-1217
40 BATON ROUGE ORTHOPAEDIC CLINIC LLC BATON ROUGE LA PHYSICIAN ASSISTANT 145 61 $97,177 $1,593 31.8% —
41 DICKSON ORTHOPEDICS PA JONESBORO AR ORTHOPEDIC SURGERY 14 60 $98,700 $1,645 17.5% (870) 932-1820
42 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 60 $122,636 $2,044 11.1% (301) 774-0500
43 ARCH HEALTH PARTNERS INC POWAY CA PHYSICIAN ASSISTANT 161 59 $66,102 $1,120 3.5% (858) 485-0050
44 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 59 $125,606 $2,129 7.2% (919) 544-7270
45 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 57 $121,750 $2,136 26.9% (541) 706-7715
46 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 57 $125,855 $2,208 3.4% (800) 926-8273
47 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD KS ORTHOPEDIC SURGERY 67 56 $203,000 $3,625 16.2% (913) 319-7600
48 ORTHOPAEDICS OF JACKSON HOLE PC JACKSON WY ORTHOPEDIC SURGERY 14 54 $159,267 $2,949 74.0% (307) 733-3900
49 CONNECTICUT ORTHOPAEDIC SPECIALISTS PC HAMDEN CT PHYSICIAN ASSISTANT 181 54 $153,900 $2,850 16.4% —
50 VALLEY VIEW HOSPITAL ASSOCIATION GLENWOOD SPGS CO PHYSICIAN ASSISTANT 206 54 $269,298 $4,987 7.6% (970) 384-7290
51 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 53 $82,203 $1,551 2.9% (850) 474-8000
52 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 53 $201,983 $3,811 12.4% —
53 STV SPORTS MEDICINE AND ORTHOPEDICS LLC BIRMINGHAM AL ORTHOPEDIC SURGERY 55 53 $72,511 $1,368 21.2% (205) 939-3699
54 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 52 $106,600 $2,050 10.8% (804) 764-6000
55 ALEGENT CREIGHTON CLINIC OMAHA NE PHYSICIAN ASSISTANT 942 51 $104,244 $2,044 15.1% —
56 HEINRICH-JOSEY ORTHOPAEDICS AUSTIN TX PHYSICIAN ASSISTANT 22 51 $203,852 $3,997 2.9% (512) 476-2830
57 ORTHOPEDICS RHODE ISLAND INC WARWICK RI PHYSICIAN ASSISTANT 124 50 $121,900 $2,438 31.8% (401) 777-7000
58 SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA PORTSMOUTH NH PHYSICIAN ASSISTANT 28 50 $111,756 $2,235 32.5% (603) 431-1121
59 PALMETTO BONE AND JOINT CLINTON SC ORTHOPEDIC SURGERY 12 50 $249,937 $4,999 6.0% (864) 833-3046
60 ORTHOCONNECTICUT PLLC NEW MILFORD CT PHYSICIAN ASSISTANT 54 50 $117,369 $2,347 15.2% (860) 355-8000
61 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 50 $63,588 $1,272 9.7% —
62 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 50 $24,000 $480 3.0% —
63 ANIMAS ORTHOPEDIC ASSOCIATES AND SPORTS MEDICINE PC DURANGO CO PHYSICIAN ASSISTANT 10 49 $41,609 $849 6.9% —
64 TULSA BONE AND JOINT ASSOCIATES PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 92 48 $70,512 $1,469 17.0% (918) 392-1513
65 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 48 $370,080 $7,710 5.2% (212) 305-8559
66 TRI-CITY ORTHOPAEDIC CLINIC P S C KENNEWICK WA ORTHOPEDIC SURGERY 19 48 $122,926 $2,561 8.3% (509) 460-5588
67 BRIAN F GRUBER MD LTD SCOTTSDALE AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 48 $274,956 $5,728 6.4% (602) 734-1834
68 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 46 $69,650 $1,514 26.9% (801) 773-4840
69 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 46 $69,052 $1,501 29.9% (603) 929-1195
70 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO PHYSICIAN ASSISTANT 251 45 $103,704 $2,305 12.3% (417) 875-3000
71 ORTHOWEST LTD CLEVELAND OH ORTHOPEDIC SURGERY 5 45 $66,690 $1,482 5.8% (440) 816-5380
72 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA ORTHOPEDIC SURGERY 47 45 $150,300 $3,340 2.7% (714) 456-7004
73 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 44 $95,964 $2,181 2.5% (254) 724-2663
74 STEADMAN CLINIC PROFESSIONAL LLC VAIL CO PHYSICIAN ASSISTANT 77 44 $158,648 $3,606 6.2% (970) 476-1100
75 ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLP MANHATTAN KS PHYSICAL THERAPIST IN PRIVATE PRACTICE 23 44 $81,048 $1,842 12.7% (785) 537-4200
76 BOULDERCENTRE FOR ORTHOPEDICS PC BOULDER CO PHYSICIAN ASSISTANT 55 44 $51,220 $1,164 6.2% (303) 449-2730
77 MPOWER CLINICAL TX PHOENIX TX PHYSICIAN ASSISTANT 32 43 $318,136 $7,398 2.5% (210) 598-4268
78 RALEIGH ORTHOPAEDIC CLINIC PA RALEIGH NC PHYSICIAN ASSISTANT 127 42 $67,509 $1,607 5.1% (919) 781-5600
79 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 42 $14,805 $352 14.8% (405) 692-9300
80 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 42 $89,670 $2,135 8.7% —
81 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 41 $80,852 $1,972 5.7% (720) 497-6616
82 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 41 $93,764 $2,287 9.3% (702) 731-1616
83 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 40 $12,621 $316 5.3% (720) 497-6616
84 NORTHERN ROCKIES ORTHOPAEDICS, PLLP MISSOULA MT PHYSICAL THERAPIST IN PRIVATE PRACTICE 24 40 $44,660 $1,116 13.6% (406) 728-6101
85 ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC EAST SETAUKET NY PHYSICIAN ASSISTANT 30 40 $289,600 $7,240 4.3% (631) 689-6698
86 THE SHOULDER CLINIC OF IDAHO PLLC BOISE MI ORTHOPEDIC SURGERY 6 40 $32,485 $812 13.4% (208) 323-4747
87 ALL BE HEALTHY LLC BLOOMFIELD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 97 40 $409,160 $10,229 6.3% (732) 784-3578
88 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 39 $88,846 $2,278 2.2% (512) 816-8611
89 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 39 $18,691 $479 5.2% (928) 773-2280
90 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 39 $76,880 $1,971 6.8% —
91 ORTHOPEDIC ASSOCIATES OF HARTFORD,PC HARTFORD CT PHYSICIAN ASSISTANT 95 39 $117,744 $3,019 11.9% (860) 549-3210
92 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 39 $62,830 $1,611 11.4% (501) 500-3500
93 TOWN CENTER ORTHOPAEDIC ASSOCIATES P C RESTON VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 38 $22,800 $600 7.9% (703) 435-6604
94 ADVANCED ORTHOPAEDIC ASSOCIATES, P.A. WELLINGTON KS ORTHOPEDIC SURGERY 48 38 $48,939 $1,288 11.0% (316) 631-1600
95 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 37 $59,962 $1,621 4.4% —
96 ALTA ORTHOPAEDIC MEDICAL GROUP INC SANTA BARBARA CA PHYSICIAN ASSISTANT 22 37 $114,700 $3,100 2.2% (805) 963-9377
97 ORTHOPAEDIC ASSOCIATES LLP WICHITA FALLS TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 11 37 $130,166 $3,518 2.1% (940) 689-9664
98 UNION GENERAL AFFILIATED SERVICES, LLC BLAIRSVILLE GA PHYSICIAN ASSISTANT 19 37 $61,827 $1,671 6.5% (706) 745-3333
99 NASHVILLE KNEE AND SHOULDER CENTER, PLLC NASHVILLE TN ORTHOPEDIC SURGERY 4 37 $64,861 $1,753 7.2% (615) 329-2520
100 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 37 $53,952 $1,458 4.4% (803) 744-4900

Showing the top 100 of 281 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →