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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
25118 Removal of lining of tendon covering 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 240 services ▼ 9.8% YoY · 201 beneficiaries (CY2024, Medicare FFS)
Medicare paid $61K · $253.79 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
137
FFS of Medicare
49%
Services YoY
-9.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~267 services

137 observed fee-for-service (51%) · ~130 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 — 25118 (CY2024)

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

Named-group submitted charges
$219K
Named-group allowed amount
$29K
Named-group Medicare payments
$23K
Avg charge / svc
$1,600
Avg allowed / svc
$212
Avg payment / svc
$165
Average charge per group
$356 7 groups · avg submitted charge / service $2,624
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 25118 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 25118 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 WESTERN ARKANSAS PLASTIC AND RECONSTRUCTIVE SURGERY CENTER FORT SMITH AR NURSE PRACTITIONER 2 38 $13,527 $356 premium 100.0% (479) 709-8300
2 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 23 $47,759 $2,076 premium 100.0% (337) 235-8007
3 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 19 $49,856 $2,624 premium 100.0% (302) 731-2888
4 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 17 $43,520 $2,560 premium 58.6% (310) 443-8999
5 CRYSTAL CLINIC, INC. CUYAHOGA FALLS OH PHYSICIAN ASSISTANT 45 16 $26,288 $1,643 premium 43.2% (330) 929-9136
6 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 13 $27,352 $2,104 premium 100.0% (267) 339-3500
7 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLAND SC PHYSICIAN ASSISTANT 78 11 $10,960 $996 premium 50.0% (843) 380-9330

*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 →