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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
25290 Incision of tendon of forearm and/or wrist, open procedure CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,214 services ▲ 16.1% YoY · 846 beneficiaries (CY2024, Medicare FFS)
Medicare paid $372K · $306.61 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
26
Named-group FFS services
501
FFS of Medicare
49%
Services YoY
+16.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,005 services

501 observed fee-for-service (50%) · ~504 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 — 25290 (CY2024)

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

Named-group submitted charges
$998K
Named-group allowed amount
$117K
Named-group Medicare payments
$93K
Avg charge / svc
$1,993
Avg allowed / svc
$234
Avg payment / svc
$186
Average charge per group
$1,145 26 groups · avg submitted charge / service $4,099
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 25290 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 25290 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 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 55 $83,600 $1,520 premium 30.4% (949) 722-7038
2 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 39 $65,637 $1,683 premium 21.5% (858) 455-9100
3 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 34 $81,634 $2,401 premium 69.4% (267) 339-3500
4 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 29 $118,871 $4,099 premium 29.3%
5 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 24 $72,000 $3,000 premium 24.2% (877) 632-6637
6 TEXAS JOINT INSTITUTE, PLLC DALLAS TX PHYSICIAN ASSISTANT 39 21 $31,269 $1,489 premium 42.0% (972) 566-5255
7 EMERGENCY AND ACUTE CARE MEDICAL CORPORATION SAN DIEGO CA INTERNAL MEDICINE 450 20 $22,900 $1,145 premium 11.0% (858) 939-3400
8 ORTHOPEDICS RHODE ISLAND INC WARWICK RI PHYSICIAN ASSISTANT 124 20 $28,540 $1,427 premium 62.5% (401) 777-7000
9 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 20 $45,000 $2,250 premium 45.5% (302) 655-9494
10 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 17 $46,138 $2,714 premium 17.2%
11 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 17 $25,459 $1,498 premium 100.0% (919) 544-7270
12 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 16 $36,480 $2,280 premium 13.4% (850) 877-8174
13 ORTHOPEDIC SURGERY AND SPORTS COEUR D ALENE ID PHYSICAL THERAPIST IN PRIVATE PRACTICE 28 16 $34,568 $2,160 premium 100.0% (208) 966-4476
14 ST VINCENT HOSPITAL SANTA FE NM PHYSICIAN ASSISTANT 313 15 $23,970 $1,598 premium 100.0%
15 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 15 $21,000 $1,400 premium 30.6% (610) 353-0800
16 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 15 $25,545 $1,703 premium 57.7% (615) 329-6600
17 SEATTLE HAND SURGERY GROUP PC SEATTLE WA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 13 15 $28,260 $1,884 premium 31.2% (206) 292-6252
18 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 15 $26,775 $1,785 premium 15.2%
19 BATON ROUGE ORTHOPAEDIC CLINIC LLC BATON ROUGE LA PHYSICIAN ASSISTANT 145 14 $34,020 $2,430 premium 100.0%
20 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 14 $22,820 $1,630 premium 100.0% (501) 500-3500
21 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 13 $18,187 $1,399 premium 10.9% (904) 396-1725
22 MENDELSON ORTHOPEDICS PC LIVONIA MI PHYSICIAN ASSISTANT 72 12 $31,200 $2,600 premium 41.4% (734) 542-0200
23 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLAND SC PHYSICIAN ASSISTANT 78 12 $20,913 $1,743 premium 100.0% (843) 380-9330
24 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 11 $23,792 $2,163 premium 22.9% (425) 313-5422
25 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 11 $13,090 $1,190 premium 6.1% (415) 600-1020
26 THE ANDERSON CLINIC INC ALEXANDRIA VA ORTHOPEDIC SURGERY 79 11 $16,689 $1,517 premium 100.0% (703) 892-6500

*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 →