NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
24301 Relocation of muscle or tendon of upper arm or elbow CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,449 services ▲ 39.7% YoY · 1,433 beneficiaries (CY2024, Medicare FFS)
Medicare paid $518K · $357.73 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

11

Named groups billing this code
Named-group FFS services

486

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+39.7%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~965 services

486 observed fee-for-service (50%) · ~479 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 — 24301 (CY2024)
FL 556 VA 276 MD 255 MI 126 OR 82

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

Billed → allowed → paid
Named-group submitted charges
$675K
Named-group allowed amount
$61K
Named-group Medicare payments
$49K
Avg charge / svc
$1,388
Avg allowed / svc
$126
Avg payment / svc
$100
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$146 11 groups · avg submitted charge / service $2,561
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 24301 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 132 $297,330 $2,252 47.8% —
2 COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA BRADENTON FL PHYSICIAN ASSISTANT 62 90 $141,750 $1,575 16.2% (941) 792-1404
3 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 54 $17,928 $332 42.9% (248) 644-3920
4 ORTHOPAEDIC CENTER OF SOUTHWEST FLORIDA, PLLC SARASOTA FL PHYSICIAN ASSISTANT 10 46 $16,411 $357 8.3% (941) 378-5100
5 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 34 $4,964 $146 13.3% (443) 481-1000
That's the top 5 of 11 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. 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 →