Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

25280 Lengthening or shortening of tendon of forearm and/or wrist CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 443 services ▲ 49.2% YoY · 423 beneficiaries (CY2024, Medicare FFS)

Medicare paid $118K · $267.25 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

320

FFS of Medicare

49%

Services YoY

+49.2%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~619 services

320 observed fee-for-service (52%) · ~299 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 — 25280 (CY2024)

CA 112 FL 71 NY 56 TX 50 NE 38

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

Named-group submitted charges

$818K

Named-group allowed amount

$93K

Named-group Medicare payments

$74K

Avg charge / svc

$2,555

Avg allowed / svc

$291

Avg payment / svc

$232

Average charge per group

$711–1,112

$1,112–1,514

$1,514–1,916

$1,916–2,317

$2,317–2,719

$2,719–3,121

$3,121–3,523

$3,523+

$711 15 groups · avg submitted charge / service $4,296

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 25280 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	25280 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	REGENTS OF THE UNIVERSITY OF CALIFORNIA	LOS ANGELES	CA	ORTHOPEDIC SURGERY	136	71	$267,315	$3,765	premium	63.4%	(310) 443-8999
2	NEW WEST SPORTS MEDICINE AND ORTHOPAEDIC SURGERY PC	KEARNEY	NE	PHYSICIAN ASSISTANT	12	38	$56,970	$1,499	premium	100.0%	(308) 865-2570
3	BOSTON HAND TO SHOULDER PC	NEWTON	MA	PHYSICIAN ASSISTANT	11	30	$108,000	$3,600	premium	100.0%	(617) 965-4263
4	TEXAS JOINT INSTITUTE, PLLC	DALLAS	TX	PHYSICIAN ASSISTANT	39	22	$41,174	$1,872	premium	44.0%	(972) 566-5255
5	MAIMONIDES MEDICAL CENTER ORTHOPAEDIC FPP	BROOKLYN	NY	ORTHOPEDIC SURGERY	25	19	$50,901	$2,679	premium	33.9%	(718) 283-7400
6	ENDEAVOR HEALTH MEDICAL GROUP	EVANSTON	IL	NURSE PRACTITIONER	3380	17	$43,775	$2,575	premium	53.1%	—
7	SUTTER BAY MEDICAL FOUNDATION	PALO ALTO	CA	INTERNAL MEDICINE	3716	16	$26,514	$1,657	premium	14.3%	(415) 600-1020
8	EMERGEORTHO PA	DURHAM	NC	PHYSICIAN ASSISTANT	725	16	$31,115	$1,945	premium	100.0%	(919) 544-7270
9	SETON FAMILY OF DOCTORS	AUSTIN	TX	PHYSICIAN ASSISTANT	804	15	$25,965	$1,731	premium	30.0%	(512) 324-7300
10	ORTHOLONESTAR PLLC	DALLAS	TX	PHYSICIAN ASSISTANT	407	13	$23,270	$1,790	premium	26.0%	(214) 220-2468
11	BLACKSTONE HAND CENTER, LLC	MELBOURNE	FL	PHYSICIAN ASSISTANT	4	13	$24,430	$1,879	premium	18.3%	(321) 500-4263
12	GOLDEN STATE ORTHOPEDICS AND SPINE	WALNUT CREEK	CA	ORTHOPEDIC SURGERY	190	13	$26,169	$2,013	premium	11.6%	(925) 939-8585
13	ORTHOVIRGINIA INC	NORTH CHESTERFIELD	VA	PHYSICIAN ASSISTANT	567	13	$32,071	$2,467	premium	100.0%	—
14	SVMHS CLINICS	SALINAS	CA	PHYSICIAN ASSISTANT	245	12	$8,526	$711	premium	10.7%	(831) 422-3636
15	HAND SURGERY ASSOCIATES OF LI, PC	Huntington	NY	ANESTHESIOLOGY	6	12	$51,551	$4,296	premium	21.4%	—

*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 →