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Market snapshot

23472 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

23472 — Prosthetic repair of shoulder joint, total shoulder

Billing groups
916
Named-group FFS services
62,374
FFS of Medicare
49%
Services YoY
+19.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~123,841 services

62,374 observed fee-for-service (50%) · ~61,467 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 — 23472 (CY2024)
FL 9,732 CA 6,690 TX 6,059 OH 4,972 PA 4,063

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

Named-group submitted charges
$310.7M
Named-group allowed amount
$55.5M
Named-group Medicare payments
$44.1M
Avg charge / svc
$4,981
Avg allowed / svc
$890
Avg payment / svc
$707
Average charge per group
$285 916 groups · avg submitted charge / service $45,000
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 23472 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 765 $8,741,033 $11,426 27.0% (603) 883-0091
2 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 537 $2,304,365 $4,291 17.6% (425) 313-5422
3 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 528 $5,347,196 $10,127 14.0% —
4 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 511 $1,951,697 $3,819 13.1% (919) 544-7270
5 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 509 $1,382,897 $2,717 8.4% (214) 220-2468
6 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 509 $2,245,071 $4,411 13.0% —
7 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 485 $3,245,748 $6,692 30.8% (402) 219-7700
8 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 463 $1,403,814 $3,032 6.9% (760) 340-3911
9 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 452 $8,811,619 $19,495 21.7% (732) 974-0404
10 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 409 $1,128,421 $2,759 8.2% (614) 827-8700
11 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 409 $1,027,538 $2,512 25.8% (801) 261-8346
12 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 404 $1,196,959 $2,963 10.4% (520) 382-8200
13 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 398 $838,615 $2,107 10.3% (866) 974-2673
14 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 396 $856,548 $2,163 8.0% (513) 354-3700
15 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 353 $1,222,084 $3,462 9.1% (602) 385-2115
16 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 333 $1,407,540 $4,227 10.5% (615) 329-6600
17 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 330 $1,726,813 $5,233 32.0% —
18 ORTHOWEST, LLC OMAHA NE PHYSICIAN ASSISTANT 110 309 $848,232 $2,745 19.6% (402) 609-3000
19 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 304 $1,176,364 $3,870 4.5% (916) 681-8852
20 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 300 $983,818 $3,279 18.8% (515) 343-1000
21 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 296 $1,337,822 $4,520 3.0% (850) 877-8174
22 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 295 $962,201 $3,262 4.4% (415) 600-1020
23 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA CO PHYSICIAN ASSISTANT 323 288 $1,602,372 $5,564 8.9% (303) 695-6060
24 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 283 $970,868 $3,431 18.4% (612) 863-6960
25 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 282 $1,162,544 $4,122 8.9% (901) 759-3100
26 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 282 $971,099 $3,444 10.0% —
27 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 278 $3,402,851 $12,240 18.1% (507) 284-2511
28 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 174 278 $5,008,875 $18,018 8.2% (516) 240-2700
29 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 275 $1,133,095 $4,120 15.5% (541) 706-7715
30 ADVANCED ORTHOPAEDIC ASSOCIATES, P.A. WELLINGTON KS ORTHOPEDIC SURGERY 48 273 $627,698 $2,299 12.1% (316) 631-1600
31 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 269 $932,980 $3,468 4.0% (949) 722-7038
32 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 269 $1,166,302 $4,336 15.2% (541) 779-6250
33 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 268 $1,133,786 $4,231 8.8% (253) 428-2200
34 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 261 $2,284,100 $8,751 6.7% (800) 603-0558
35 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 257 $2,774,403 $10,795 7.6% (516) 536-2800
36 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 257 $1,149,909 $4,474 9.1% (843) 720-8448
37 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 254 $941,662 $3,707 2.6% (904) 396-1725
38 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 245 $1,317,911 $5,379 4.0% —
39 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 240 $2,700,513 $11,252 6.4% (877) 632-6637
40 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 237 $716,519 $3,023 9.1% (573) 443-2402
41 HEALTHONE CLINIC SERVICES ORTHOPEDIC SPECIALISTS LLC ENGLEWOOD CO PHYSICIAN ASSISTANT 78 234 $704,985 $3,013 7.2% (303) 209-2503
42 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 234 $1,059,956 $4,530 3.5% (310) 423-0674
43 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 232 $519,695 $2,240 53.7% (207) 885-9905
44 COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA BRADENTON FL PHYSICIAN ASSISTANT 62 231 $711,480 $3,080 2.4% (941) 792-1404
45 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 230 $1,775,066 $7,718 5.7% —
46 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 225 $718,385 $3,193 18.6% (501) 500-3500
47 OPA ORTHO PLLC SEATTLE WA PHYSICIAN ASSISTANT 43 223 $463,270 $2,077 7.3% (206) 622-2600
48 ORTHO MONTANA, PSC BILLINGS MT PHYSICIAN ASSISTANT 39 222 $690,257 $3,109 19.5% (406) 237-5050
49 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 216 $636,849 $2,948 6.7% (720) 777-1234
50 MIDWEST ORTHOPAEDIC CENTER S C PEORIA IL PHYSICIAN ASSISTANT 46 212 $856,254 $4,039 5.6% (309) 691-1400
51 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 211 $1,045,297 $4,954 3.5% (210) 804-5400
52 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 211 $1,598,426 $7,575 10.1% (800) 321-9999
53 ORTHOPEDICSNY, LLP ALBANY NY PHYSICIAN ASSISTANT 112 209 $573,705 $2,745 6.1% (518) 489-2663
54 ORTHOPAEDIC INSTITUTE OF OHIO, INC LIMA OH PHYSICIAN ASSISTANT 75 209 $484,406 $2,318 4.2% (419) 222-6622
55 MOUNTAIN ORTHOPAEDICS LLC BOUNTIFUL UT PHYSICIAN ASSISTANT 27 208 $443,027 $2,130 13.1% (801) 295-7200
56 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 205 $909,948 $4,439 3.1% (858) 455-9100
57 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 205 $764,406 $3,729 9.9% (301) 774-0500
58 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 205 $730,977 $3,566 36.3% (302) 731-2888
59 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 205 $1,274,794 $6,219 18.4% (256) 539-2728
60 SLOCUM ORTHOPEDICS PC EUGENE OR PHYSICIAN ASSISTANT 67 205 $1,282,386 $6,256 11.6% (541) 485-8111
61 TULSA BONE AND JOINT ASSOCIATES PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 92 203 $436,724 $2,151 12.1% (918) 392-1513
62 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 203 $1,557,894 $7,674 5.2% (301) 774-0500
63 ROSENBERG COOLEY METCALF LC PARK CITY UT PHYSICIAN ASSISTANT 34 201 $690,844 $3,437 12.7% (435) 655-6600
64 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 197 $483,909 $2,456 12.3% (515) 247-8400
65 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 195 $426,665 $2,188 6.0% (720) 497-6616
66 HSS-FLORIDA PHYSICIANS LLC WEST PALM BEACH FL DIAGNOSTIC RADIOLOGY 60 195 $1,563,580 $8,018 2.0% (561) 657-4600
67 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 188 $459,566 $2,445 4.8% (704) 323-2100
68 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 187 $713,051 $3,813 6.1% (765) 284-7738
69 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 187 $1,749,330 $9,355 3.8% —
70 ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC CINCINNATI KY PHYSICIAN ASSISTANT 163 184 $618,056 $3,359 9.3% (513) 232-2663
71 THE SHOULDER CLINIC OF IDAHO PLLC BOISE ID ORTHOPEDIC SURGERY 6 177 $910,183 $5,142 15.2% (208) 323-4747
72 CNOS PC SIOUX CITY SD PHYSICIAN ASSISTANT 99 174 $512,901 $2,948 16.9% (712) 279-3500
73 ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA PORT CHARLOTTE FL PHYSICIAN ASSISTANT 36 174 $640,829 $3,683 1.8% (941) 629-6262
74 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 172 $716,570 $4,166 6.6% —
75 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 171 $488,807 $2,859 2.6% (714) 871-3006
76 CLEVELAND ORTHOPEDIC AND SPINE INSTITUTE, LLC MAYFIELD HEIGHTS OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 16 171 $541,345 $3,166 3.4% (844) 746-8537
77 MD WEST ONE, PC OMAHA NE PHYSICIAN ASSISTANT 84 169 $882,156 $5,220 10.7% (402) 399-1900
78 MARY WASHINGTON HEALTHCARE PHYSICIANS FREDERICKSBURG VA PHYSICIAN ASSISTANT 307 168 $467,464 $2,783 4.3% (540) 741-1100
79 CRYSTAL CLINIC, INC. CUYAHOGA FALLS OH PHYSICIAN ASSISTANT 45 167 $844,176 $5,055 3.4% (330) 929-9136
80 ORTHOPEDIC HEALTH OF KANSAS CITY PC LENEXA MO PHYSICIAN ASSISTANT 47 164 $1,282,736 $7,822 6.3% (816) 561-3003
81 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 163 $565,816 $3,471 7.8% (732) 362-3663
82 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 163 $447,477 $2,745 5.8% (803) 749-5101
83 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 163 $1,230,718 $7,550 5.7% (617) 724-0287
84 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 162 $2,055,477 $12,688 9.1% (608) 287-2050
85 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 162 $333,344 $2,058 3.3% —
86 BRIDGER ORTHOPEDICS AND SPORTS MEDICINE PC BOZEMAN MT PHYSICIAN ASSISTANT 66 161 $588,537 $3,656 14.1% (406) 587-0122
87 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 160 $583,012 $3,644 5.6% (803) 744-4900
88 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 158 $3,469,206 $21,957 4.6% (212) 263-9700
89 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 158 $1,271,830 $8,050 5.6% (978) 818-6350
90 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 151 $1,188,061 $7,868 2.3% (650) 723-4000
91 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 151 $680,373 $4,506 9.8% (612) 863-4000
92 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD KS ORTHOPEDIC SURGERY 67 150 $1,069,500 $7,130 6.7% (913) 319-7600
93 NORTHERN ROCKIES ORTHOPAEDICS, PLLP MISSOULA MT PHYSICAL THERAPIST IN PRIVATE PRACTICE 24 149 $318,557 $2,138 13.1% (406) 728-6101
94 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 148 $96,940 $655 5.3% (248) 644-3920
95 ASSISTANCE SOLUTION CORP. BOCA RATON FL PHYSICIAN ASSISTANT 3 147 $761,350 $5,179 1.5% (786) 206-1325
96 CAPITAL ORTHOPAEDIC CLINIC, PLLC FLOWOOD MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 46 147 $494,883 $3,367 14.2% (601) 987-8200
97 CASPER ORTHOPAEDIC ASSOCIATES PC CASPER WY ORTHOPEDIC SURGERY 28 146 $158,250 $1,084 25.4% (307) 265-7205
98 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 146 $812,630 $5,566 3.9% (630) 469-9200
99 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 146 $728,076 $4,987 2.9% (614) 293-8000
100 ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC SAINT JOSEPH MO ORTHOPEDIC SURGERY 21 146 $1,094,490 $7,497 5.6% (816) 233-9888

Showing the top 100 of 916 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 →