NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
25447 Removal of bone joints between wrist and fingers CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 19,191 services ▲ 1.6% YoY · 18,466 beneficiaries (CY2024, Medicare FFS)
Medicare paid $11.9M · $621.78 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
281
Named-group FFS services
8,474
FFS of Medicare
49%
Services YoY
+1.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~16,572 services

8,474 observed fee-for-service (51%) · ~8,098 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 — 25447 (CY2024)
FL 1,823 CA 1,136 AZ 1,097 VA 997 TX 976

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

Named-group submitted charges
$23.6M
Named-group allowed amount
$5.3M
Named-group Medicare payments
$4.2M
Avg charge / svc
$2,780
Avg allowed / svc
$624
Avg payment / svc
$492
Average charge per group
$349 281 groups · avg submitted charge / service $10,884
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 25447 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 190 $403,491 $2,124 17.3% (602) 385-2115
2 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 181 $502,478 $2,776 18.2% —
3 ORTHOPAEDIC AND SPINE CENTER OF THE ROCKIES PC FORT COLLINS CO PHYSICIAN ASSISTANT 144 146 $400,355 $2,742 18.6% (970) 493-0567
4 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 135 $205,428 $1,522 12.3% (866) 974-2673
5 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 134 $319,396 $2,384 35.7% (541) 706-7715
6 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 108 $152,575 $1,413 9.8% (520) 382-8200
7 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 102 $359,448 $3,524 9.0% (916) 681-8852
8 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 101 $216,669 $2,145 10.3% (214) 220-2468
9 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 97 $213,055 $2,196 5.3% (904) 396-1725
10 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 96 $353,758 $3,685 37.1% (402) 219-7700
11 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA CO PHYSICIAN ASSISTANT 323 86 $179,884 $2,092 11.0% (303) 695-6060
12 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 79 $151,127 $1,913 12.5% (843) 491-4937
13 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 77 $201,971 $2,623 12.2% (843) 720-8448
14 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 77 $125,920 $1,635 10.1% —
15 SCIURIDAE BOYZ PLLC TWIN FALLS ID PHYSICIAN ASSISTANT 17 74 $215,191 $2,908 24.3% (208) 735-3600
16 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 74 $126,725 $1,713 31.4% (515) 343-1000
17 ALFRED J WROBLEWSKI MD PC PETOSKEY MI HAND SURGERY 4 71 $202,938 $2,858 58.2% —
18 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 71 $118,770 $1,673 18.6% (801) 261-8346
19 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 70 $151,421 $2,163 34.8% —
20 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 70 $245,818 $3,512 39.5% —
21 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 67 $272,087 $4,061 6.9% (210) 804-5400
22 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 64 $112,768 $1,762 8.4% (509) 946-4611
23 GRAND VALLEY ORTHOPEDICS GRAND JUNCTION CO PHYSICIAN ASSISTANT 29 64 $79,516 $1,242 8.2% —
24 ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC EAST SETAUKET NY PHYSICIAN ASSISTANT 30 63 $324,800 $5,156 16.5% (631) 689-6698
25 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 63 $277,292 $4,401 13.0% (603) 883-0091
26 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 63 $213,852 $3,394 11.5% (765) 284-7738
27 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 63 $135,159 $2,145 5.5% (760) 340-3911
28 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 63 $344,641 $5,470 12.3% (877) 632-6637
29 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 61 $197,945 $3,245 10.6% (615) 329-6600
30 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 58 $188,110 $3,243 8.4% (919) 544-7270
31 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 57 $146,205 $2,565 8.3% (704) 323-2100
32 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 56 $213,640 $3,815 42.7% (302) 731-2888
33 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 55 $378,714 $6,886 5.0% (800) 603-0558
34 NEW LEXINGTON CLINIC PSC LEXINGTON KY PHYSICIAN ASSISTANT 322 52 $79,025 $1,520 26.9% (859) 258-4568
35 BONE AND JOINT CENTER PC BISMARCK ND PHYSICIAN ASSISTANT 39 52 $135,132 $2,599 32.5% (701) 946-7500
36 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 52 $127,166 $2,445 6.8% (253) 428-2200
37 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 52 $82,592 $1,588 6.8% —
38 BOSTON HAND TO SHOULDER PC NEWTON MA PHYSICIAN ASSISTANT 11 51 $191,250 $3,750 10.5% (617) 965-4263
39 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 51 $127,058 $2,491 5.1% (757) 827-2480
40 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 49 $52,064 $1,063 27.8% (405) 604-6000
41 BLACK HILLS ORTHOPEDIC AND SPINE CENTER INC RAPID CITY SD PHYSICIAN ASSISTANT 76 48 $79,875 $1,664 27.1% (605) 737-9151
42 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 47 $108,300 $2,304 18.6% (501) 500-3500
43 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 46 $102,000 $2,217 4.0% —
44 CRYSTAL CLINIC, INC. CUYAHOGA FALLS OH PHYSICIAN ASSISTANT 45 45 $100,801 $2,240 8.0% (330) 929-9136
45 YAKIMA VALLEY MEMORIAL PHYSICIANS YAKIMA WA DIAGNOSTIC RADIOLOGY 405 45 $127,035 $2,823 5.9% (509) 575-8000
46 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLAND SC PHYSICIAN ASSISTANT 78 45 $70,534 $1,567 7.1% (843) 380-9330
47 RALEIGH ORTHOPAEDIC CLINIC PA RALEIGH NC PHYSICIAN ASSISTANT 127 44 $80,661 $1,833 6.4% (919) 781-5600
48 MARY WASHINGTON HEALTHCARE PHYSICIANS FREDERICKSBURG VA PHYSICIAN ASSISTANT 307 43 $81,915 $1,905 4.3% (540) 741-1100
49 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 42 $327,852 $7,806 22.1% —
50 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 42 $106,904 $2,545 2.3% (904) 634-0640
51 ORTHOPAEDICS NORTHEAST PC FORT WAYNE IN PHYSICIAN ASSISTANT 80 41 $103,701 $2,529 7.5% (260) 484-8551
52 ORTHOWEST, LLC OMAHA NE PHYSICIAN ASSISTANT 110 40 $72,292 $1,807 15.4% (402) 609-3000
53 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 40 $89,000 $2,225 7.1% (513) 354-3700
54 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 39 $86,346 $2,214 22.2% (405) 692-9300
55 SIGNATURE MEDICAL GROUP OF KC PA OVERLAND PARK KS PHYSICIAN ASSISTANT 25 38 $182,020 $4,790 24.7% (913) 498-6000
56 SOUTHWEST SHOULDER ELBOW AND HAND CENTER PC TUCSON AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 38 $75,430 $1,985 3.5% (520) 783-3344
57 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 38 $54,562 $1,436 6.7% (614) 827-8700
58 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 37 $42,300 $1,143 5.8% (803) 256-4107
59 BRIDGER ORTHOPEDICS AND SPORTS MEDICINE PC BOZEMAN MT PHYSICIAN ASSISTANT 66 37 $70,929 $1,917 12.3% (406) 587-0122
60 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 36 $64,264 $1,785 19.3% (732) 362-3663
61 MACON ORTHOPAEDIC AND HAND CENTER, PA MACON GA NURSE PRACTITIONER 87 36 $148,446 $4,124 9.4% (478) 745-4206
62 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 36 $85,605 $2,378 3.3% —
63 MISSOULA BONE AND JOINT LLC MISSOULA MT PHYSICIAN ASSISTANT 55 36 $60,923 $1,692 11.9% (406) 721-4436
64 ORTHOSPORTS ASSOCIATES LLC BIRMINGHAM AL ORTHOPEDIC SURGERY 35 36 $80,965 $2,249 11.8% (205) 838-3090
65 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 36 $89,848 $2,496 3.7% (512) 324-7300
66 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 35 $68,137 $1,947 6.9% (301) 774-0500
67 PALMETTO BONE AND JOINT CLINTON SC ORTHOPEDIC SURGERY 12 35 $161,000 $4,600 5.5% (864) 833-3046
68 THE ORTHOPEDIC CLINIC LC SALT LAKE CITY UT PHYSICIAN ASSISTANT 16 34 $21,250 $625 8.9% (801) 314-4188
69 CAROLINA HAND AND SPORTS MEDICINE, P.A. ASHEVILLE NC ORTHOPEDIC SURGERY 8 34 $88,060 $2,590 4.9% 8282537521342
70 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 34 $73,610 $2,165 3.0% (530) 246-2467
71 WATAUGA ORTHOPAEDICS PLC JOHNSON CITY TN PHYSICIAN ASSISTANT 81 34 $51,439 $1,513 5.9% (423) 282-9011
72 ORTHOPAEDIC CENTER PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 19 33 $62,106 $1,882 18.8% (918) 582-6800
73 FORT HEALTHCARE INC FORT ATKINSON WI OBSTETRICS/GYNECOLOGY 161 33 $230,882 $6,996 15.3% (920) 563-5500
74 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 32 $301,792 $9,431 14.8% —
75 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 32 $220,599 $6,894 4.7% (570) 271-6144
76 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 32 $55,020 $1,719 4.2% (509) 665-6087
77 BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA NORTH LITTLE ROCK AR ORTHOPEDIC SURGERY 19 32 $61,043 $1,908 12.6% —
78 ADVANCED ORTHOPAEDIC ASSOCIATES, P.A. WELLINGTON KS ORTHOPEDIC SURGERY 48 32 $46,129 $1,442 20.8% (316) 631-1600
79 HILLCREST PHYSICIAN SERVICES WACO TX NURSE PRACTITIONER 113 32 $94,464 $2,952 3.3% (254) 202-7950
80 SLOCUM ORTHOPEDICS PC EUGENE OR PHYSICIAN ASSISTANT 67 32 $112,300 $3,509 8.5% (541) 485-8111
81 ARCH HEALTH PARTNERS INC POWAY CA PHYSICIAN ASSISTANT 161 31 $73,894 $2,384 2.7% (858) 485-0050
82 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 31 $141,019 $4,549 4.5% (267) 339-3500
83 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 31 $156,398 $5,045 2.7% (650) 723-4000
84 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 31 $84,637 $2,730 10.3% (406) 657-4000
85 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 31 $151,651 $4,892 6.1% —
86 ORTHO MONTANA, PSC BILLINGS MT PHYSICIAN ASSISTANT 39 31 $70,308 $2,268 10.3% (406) 237-5050
87 ORTHOPEDIC SURGERY AND SPORTS COEUR D ALENE ID PHYSICAL THERAPIST IN PRIVATE PRACTICE 28 31 $77,764 $2,509 10.2% (208) 966-4476
88 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 31 $41,034 $1,324 2.8% (928) 773-2280
89 ORTHOPAEDIC INSTITUTE OF OHIO, INC LIMA OH PHYSICIAN ASSISTANT 75 31 $48,675 $1,570 5.5% (419) 222-6622
90 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 31 $106,646 $3,440 15.3% (337) 235-8007
91 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 31 $112,251 $3,621 5.5% —
92 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 31 $101,204 $3,265 10.2% (256) 539-2728
93 MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC SHREVEPORT LA PHYSICIAN ASSISTANT 28 31 $100,936 $3,256 15.3% (318) 635-3052
94 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 30 $74,884 $2,496 3.9% (425) 313-5422
95 SOUTH CAROLINA SPORTS MEDICINE AND ORTHOPAEDIC CENTER NORTH CHARLESTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 43 30 $71,490 $2,383 4.7% (843) 300-8585
96 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 30 $56,940 $1,898 9.8% —
97 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 30 $214,273 $7,142 13.9% (608) 287-2050
98 SIMEDHEALTH LLC GAINESVILLE FL NURSE PRACTITIONER 91 30 $34,500 $1,150 1.6% (352) 416-1082
99 ORA ORTHOPEDICS PC MOLINE IA PHYSICIAN ASSISTANT 117 30 $70,468 $2,349 12.7% (309) 762-3621
100 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 30 $51,876 $1,729 7.9% (801) 773-4840

Showing the top 100 of 281 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →