NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
23600 Closed treatment of broken top of upper arm bone CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,309 services ▼ 9.5% YoY · 2,304 beneficiaries (CY2024, Medicare FFS)
Medicare paid $603K · $260.97 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
81
Named-group FFS services
1,430
FFS of Medicare
49%
Services YoY
-9.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,790 services

1,430 observed fee-for-service (51%) · ~1,360 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 — 23600 (CY2024)
FL 353 NY 301 PA 166 MA 155 NJ 135

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

Named-group submitted charges
$2.1M
Named-group allowed amount
$487K
Named-group Medicare payments
$379K
Avg charge / svc
$1,437
Avg allowed / svc
$341
Avg payment / svc
$265
Average charge per group
$400 81 groups · avg submitted charge / service $5,071
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 23600 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 51 $144,840 $2,840 16.9% (516) 536-2800
2 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 49 $80,948 $1,652 16.3% (203) 869-1145
3 JACKSONVILLE ORTHOPAEDIC INSTITUTE INC JACKSONVILLE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 61 43 $29,904 $695 12.2% (904) 858-7045
4 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 40 $74,120 $1,853 29.6% (800) 321-9999
5 MAIMONIDES MEDICAL CENTER ORTHOPAEDIC FPP BROOKLYN LA ORTHOPEDIC SURGERY 25 35 $52,710 $1,506 56.5% (718) 283-7400
6 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 34 $31,620 $930 31.8% (949) 722-7038
7 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 32 $38,770 $1,212 20.6% (508) 334-1000
8 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 29 $44,791 $1,545 18.7% (617) 732-5500
9 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 29 $29,174 $1,006 18.7% (978) 818-6350
10 YUMA REGIONAL MEDICAL CENTER YUMA AZ PHYSICIAN ASSISTANT 388 28 $13,020 $465 38.9% (928) 336-1815
11 ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC TUPELO MS ORTHOPEDIC SURGERY 11 27 $48,720 $1,804 52.9% (662) 377-2663
12 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 27 $16,038 $594 23.9% —
13 MARY WASHINGTON HEALTHCARE PHYSICIANS FREDERICKSBURG VA PHYSICIAN ASSISTANT 307 27 $20,223 $749 23.9% (540) 741-1100
14 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 27 $33,750 $1,250 100.0% 50572443003208
15 MAIMONIDES MEDICAL CENTER ORTHOPAEDIC FPP BROOKLYN NY ORTHOPEDIC SURGERY 25 25 $37,650 $1,506 8.3% (718) 283-7400
16 ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. FORT MYERS FL PHYSICIAN ASSISTANT 46 24 $21,970 $915 6.8% (239) 334-7000
17 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 23 $14,808 $644 17.0% (856) 247-7260
18 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 21 $19,824 $944 5.9% (352) 336-6000
19 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 21 $21,000 $1,000 26.9% (803) 744-4900
20 SYRACUSE ORTHOPEDIC SPECIALISTS, PLLC SYRACUSE NY PHYSICIAN ASSISTANT 115 20 $17,000 $850 6.6% (315) 448-5111
21 ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC CINCINNATI KY PHYSICIAN ASSISTANT 163 20 $21,740 $1,087 58.8% (513) 232-2663
22 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 18 $16,704 $928 16.8% (714) 634-4567
23 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 18 $88,452 $4,914 6.0% (212) 263-9700
24 STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR EAST SETAUKET NY ORTHOPEDIC SURGERY 50 17 $46,350 $2,726 5.6% (631) 444-4233
25 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 17 $10,257 $603 56.7% (314) 645-6450
26 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 17 $17,425 $1,025 21.8% (843) 720-8448
27 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORD MA ORTHOPEDIC SURGERY 43 17 $38,250 $2,250 11.0% (978) 454-0706
28 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 16 $14,775 $923 9.6% —
29 ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC RED BANK NJ ORTHOPEDIC SURGERY 19 15 $59,100 $3,940 11.1% 7327412313167
30 NEW YORK QUEENS MEDICINE AND SURGERY, P.C. FLUSHING NY PHYSICIAN ASSISTANT 408 15 $23,130 $1,542 5.0% (718) 670-2468
31 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 174 15 $58,200 $3,880 5.0% (516) 240-2700
32 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 14 $16,492 $1,178 100.0% (401) 457-1500
33 DESERT ORTHOPEDICS CENTER PLLC SCOTTSDALE AZ PHYSICIAN ASSISTANT 10 14 $70,999 $5,071 19.4% (877) 821-4657
34 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 14 $11,900 $850 8.4% (215) 662-2777
35 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 14 $19,110 $1,365 10.9% —
36 MARTHA JEFFERSON MEDICAL GROUP LLC CHARLOTTESVILLE VA PHYSICIAN ASSISTANT 192 14 $9,398 $671 12.4% (434) 817-1020
37 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 14 $12,595 $900 25.5% (515) 247-8400
38 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 14 $11,762 $840 8.4% (570) 271-6144
39 NEVADA ORTHOPEDIC AND SPINE CENTER LAS VEGAS NV PHYSICIAN ASSISTANT 25 14 $28,560 $2,040 100.0% (702) 878-0393
40 PALM BEACH ORTHOPAEDIC INSTITUTE PA PALM BEACH GARDENS FL ORTHOPEDIC SURGERY 38 14 $27,153 $1,940 4.0% (561) 694-7776
41 MCALESTER MEDICAL SERVICES LLC MCALESTER OK UROLOGY 21 13 $15,561 $1,197 27.7% (918) 421-3807
42 BAPTIST HEALTH MEDICAL GROUP ORTHOPEDICS, LLC CORAL GABLES FL PHYSICIAN ASSISTANT 68 13 $19,617 $1,509 3.7% (786) 268-6200
43 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 13 $21,125 $1,625 4.3% (631) 628-5000
44 LONGVIEW ORTHOPAEDIC CENTER, LLC LEOMINSTER MA ORTHOPEDIC SURGERY 6 13 $9,100 $700 8.4% (978) 534-6333
45 WEST VIRGINIA ORTHOPEDIC TRAUMA INC BECKLEY WV ORTHOPEDIC SURGERY 3 13 $7,995 $615 100.0% (304) 410-0061
46 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 13 $13,312 $1,024 43.3% (248) 644-3920
47 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 13 $11,271 $867 100.0% (731) 661-9825
48 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 13 $24,089 $1,853 7.8% (267) 339-3500
49 AUBURN MEMORIAL MEDICAL SERVICES PC AUBURN NY PHYSICIAN ASSISTANT 120 13 $8,424 $648 4.3% —
50 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 13 $8,385 $645 25.5% (662) 328-1012
51 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 13 $20,730 $1,595 3.7% (850) 877-8174
52 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 13 $26,390 $2,030 4.3% (866) 633-8255
53 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 13 $30,004 $2,308 4.3% —
54 ORTHOPEDIC HEALTH OF KANSAS CITY PC LENEXA MO PHYSICIAN ASSISTANT 47 13 $19,500 $1,500 43.3% (816) 561-3003
55 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 13 $12,675 $975 14.3% —
56 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 13 $10,791 $830 18.1% (866) 974-2673
57 ARCIS HEALTHCARE LLC NORTH CHARLESTON SC PHYSICIAN ASSISTANT 33 13 $17,225 $1,325 16.7% (843) 797-5050
58 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 12 $13,224 $1,102 35.3% (301) 774-0500
59 MIDWEST ORTHOPAEDIC CENTER S C PEORIA IL PHYSICIAN ASSISTANT 46 12 $11,520 $960 9.4% (309) 691-1400
60 SEAVIEW ORTHOPAEDICS AND MEDICAL ASSOCIATES LLP OCEAN NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 96 12 $47,307 $3,942 8.9% 732660620011702
61 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 12 $13,560 $1,130 4.0% (845) 703-6999
62 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 12 $34,527 $2,877 11.2% (650) 723-4000
63 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 12 $40,410 $3,368 9.4% (309) 683-5050
64 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 12 $8,340 $695 25.5% (405) 751-5555
65 THE ANDERSON CLINIC INC ALEXANDRIA VA ORTHOPEDIC SURGERY 79 12 $14,366 $1,197 10.6% (703) 892-6500
66 FORT PIERCE ORTHOPAEDICS LLC FORT PIERCE FL PHYSICIAN ASSISTANT 19 12 $12,987 $1,082 3.4% (772) 465-4651
67 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 12 $11,328 $944 3.4% (352) 693-3378
68 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 12 $10,003 $834 9.4% (217) 544-6464
69 BAPTIST MEDICAL GROUP LLC PENSACOLA LA PHYSICIAN ASSISTANT 248 11 $4,400 $400 17.7% —
70 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 11 $6,974 $634 9.7% —
71 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 11 $11,011 $1,001 8.6% (847) 459-1160
72 PINELAKE PHYSICIAN PRACTICE LLC MAYFIELD IN NURSE PRACTITIONER 46 11 $8,296 $754 100.0% (270) 251-4100
73 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 11 $42,372 $3,852 8.1% (732) 974-0404
74 BURLINGTON COUNTY ORTHOPAEDIC SPECIALISTS PA MOUNT LAUREL NJ ORTHOPEDIC SURGERY 5 11 $6,600 $600 8.1% (856) 235-7080
75 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 11 $19,046 $1,731 28.2% (302) 655-9494
76 UNION GENERAL AFFILIATED SERVICES, LLC BLAIRSVILLE GA PHYSICIAN ASSISTANT 19 11 $8,250 $750 100.0% (706) 745-3333
77 NAPA VALLEY ORTHOPAEDIC MEDICAL GROUP INC NAPA CA PHYSICIAN ASSISTANT 17 11 $7,954 $723 10.3% (707) 254-7117
78 SUMMA PHYSICIANS LLC AKRON OH NURSE PRACTITIONER 677 11 $7,227 $657 12.1% —
79 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 11 $15,417 $1,402 7.1% —
80 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 11 $11,340 $1,031 20.0% (319) 247-3010
81 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 11 $11,354 $1,032 100.0% (541) 779-6250
82 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 11 $8,129 $739 22.0% (704) 384-8200

*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 →