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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
25111 Removal of first cyst of wrist CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 323 services ▲ 50.2% YoY · 321 beneficiaries (CY2024, Medicare FFS)
Medicare paid $128K · $395.40 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
5
Named-group FFS services
75
FFS of Medicare
49%
Services YoY
+50.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~143 services

75 observed fee-for-service (52%) · ~68 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 — 25111 (CY2024)

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

Named-group submitted charges
$140K
Named-group allowed amount
$16K
Named-group Medicare payments
$12K
Avg charge / svc
$1,861
Avg allowed / svc
$212
Avg payment / svc
$162
Average charge per group
$736 5 groups · avg submitted charge / service $4,097
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 25111 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 25111 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC VINELAND NJ ORTHOPEDIC SURGERY 38 19 $77,845 $4,097 premium 100.0% (856) 690-1616
2 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 17 $30,022 $1,766 premium 23.0% (904) 634-0640
3 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 14 $11,956 $854 premium 100.0% (530) 246-2467
4 MARY WASHINGTON HEALTHCARE PHYSICIANS FREDERICKSBURG VA PHYSICIAN ASSISTANT 307 13 $9,568 $736 premium 26.5% (540) 741-1100
5 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 12 $10,188 $849 premium 37.5%

*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 →