NEVVI Medicare utilization intelligence
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Market snapshot

25115 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

25115 — Extensive removal of growth of soft tissue structures in palm side of wrist

Billing groups
23
Named-group FFS services
890
FFS of Medicare
49%
Services YoY
-11.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,878 services

890 observed fee-for-service (47%) · ~988 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 — 25115 (CY2024)

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

Named-group submitted charges
$3.6M
Named-group allowed amount
$660K
Named-group Medicare payments
$521K
Avg charge / svc
$4,049
Avg allowed / svc
$742
Avg payment / svc
$586
Average charge per group
$968 23 groups · avg submitted charge / service $13,594
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 25115 services, CY2024
#Physician group City St Specialty Providers 25115 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 130 $569,610 $4,382 premium 37.4% (203) 869-1145
2 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 116 $478,219 $4,123 premium 100.0% (337) 235-8007
3 BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA NORTH LITTLE ROCK AR ORTHOPEDIC SURGERY 19 72 $141,912 $1,971 premium 100.0%
4 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 57 $774,858 $13,594 premium 16.4% (212) 263-9700
5 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 51 $49,349 $968 premium 14.7% (914) 241-1050
6 MICHIGAN SURGERY SPECIALISTS PC WARREN MI ORTHOPEDIC SURGERY 27 50 $80,118 $1,602 premium 47.6% (586) 573-6880
7 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 48 $115,680 $2,410 premium 15.2% (610) 353-0800
8 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 41 $136,281 $3,324 premium 11.8% (914) 681-0600
9 VAHEY AND GLUCK HAND SURGERY, LTD LAS VEGAS NV HAND SURGERY 5 40 $384,320 $9,608 premium 55.6% (702) 798-8585
10 GREATER PITTSBURGH ORTHOPAEDIC ASSOCIATES INC PITTSBURGH PA PHYSICIAN ASSISTANT 41 37 $64,380 $1,740 premium 11.7% (412) 661-5500
11 ST CLOUD ORTHOPEDIC ASSOCIATES LTD SARTELL MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 45 30 $78,063 $2,602 premium 55.6% (320) 259-4100
12 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 27 $153,414 $5,682 premium 40.3% (978) 818-6350
13 GREGORY MONTALBANO MD,PLLC STATEN ISLAND NY ORTHOPEDIC SURGERY 8 24 $221,432 $9,226 premium 6.9% (718) 477-5479
14 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 23 $54,280 $2,360 premium 17.3%
15 LESIN BALFOUR AND ZIV A PROF MED CORP SHERMAN OAKS CA HAND SURGERY 3 22 $28,600 $1,300 premium 16.5%
16 PALI MOMI MEDICAL CENTER AIEA HI NURSE PRACTITIONER 92 21 $36,995 $1,762 premium 100.0% (808) 486-6000
17 CRYSTAL CLINIC, INC. CUYAHOGA FALLS OH PHYSICIAN ASSISTANT 45 18 $33,678 $1,871 premium 100.0% (330) 929-9136
18 BRUECK, GOLOSOW, KIM AND ASSOCIATES FORT MYERS FL PLASTIC AND RECONSTRUCTIVE SURGERY 3 18 $21,664 $1,204 premium 15.9% (239) 939-5233
19 THE MOORINGS INCORPORATED NAPLES MO ORTHOPEDIC SURGERY 120 15 $37,500 $2,500 premium 100.0%
20 CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC CHATTANOOGA TN ORTHOPEDIC SURGERY 25 13 $31,537 $2,426 premium 100.0% (423) 493-5220
21 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 13 $58,964 $4,536 premium 100.0% (864) 582-6396
22 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 12 $31,992 $2,666 premium 9.0% (925) 939-8585
23 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 12 $20,364 $1,697 premium 17.9%

*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 →