NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
25609 Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 7,916 services ▲ 8.2% YoY · 7,849 beneficiaries (CY2024, Medicare FFS)
Medicare paid $15.4M · $1946.49 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
135
Named-group FFS services
3,328
FFS of Medicare
49%
Services YoY
+8.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,529 services

3,328 observed fee-for-service (51%) · ~3,201 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 — 25609 (CY2024)
CA 1,223 FL 1,047 IL 470 NY 410 PA 361

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

Named-group submitted charges
$13.3M
Named-group allowed amount
$2.9M
Named-group Medicare payments
$2.3M
Avg charge / svc
$3,982
Avg allowed / svc
$876
Avg payment / svc
$695
Average charge per group
$462 135 groups · avg submitted charge / service $26,000
Market analyticsPlatform
a taste of the twelve-year trend layer

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

View the live example →

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.

Notify me at launch →
Refine: group size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 25609 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 94 $413,081 $4,394 20.0% —
2 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 89 $316,503 $3,556 35.9% —
3 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 88 $512,195 $5,820 24.4% (267) 339-3500
4 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 86 $194,811 $2,265 7.0% (760) 340-3911
5 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 77 $226,056 $2,936 6.3% (858) 455-9100
6 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 65 $315,386 $4,852 47.1% (402) 219-7700
7 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 63 $178,206 $2,829 30.4% (615) 329-6600
8 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 60 $181,578 $3,026 4.9% (310) 423-0674
9 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 53 $373,430 $7,046 4.3% (310) 443-8999
10 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 52 $237,775 $4,573 5.0% (850) 877-8174
11 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 49 $147,377 $3,008 42.6% (541) 706-7715
12 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 46 $169,280 $3,680 3.8% (925) 939-8585
13 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 46 $158,457 $3,445 4.4% —
14 BOSTON HAND TO SHOULDER PC NEWTON MA PHYSICIAN ASSISTANT 11 46 $223,500 $4,859 14.2% (617) 965-4263
15 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 43 $107,599 $2,502 20.4% (602) 385-2115
16 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 43 $221,837 $5,159 10.5% (203) 869-1145
17 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 41 $208,523 $5,086 3.9% (904) 634-0640
18 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 40 $108,008 $2,700 28.4% —
19 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 38 $133,304 $3,508 13.4% (301) 774-0500
20 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 38 $92,421 $2,432 8.1% (630) 933-4800
21 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 38 $83,123 $2,187 3.6% (352) 336-6000
22 EMERGENCY AND ACUTE CARE MEDICAL CORPORATION SAN DIEGO CA INTERNAL MEDICINE 450 35 $130,859 $3,739 2.9% (858) 939-3400
23 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 34 $301,376 $8,864 7.2% (877) 632-6637
24 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 33 $122,327 $3,707 9.7% (919) 544-7270
25 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 32 $138,291 $4,322 24.1% (337) 235-8007
26 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 31 $131,378 $4,238 2.5% (916) 681-8852
27 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 31 $79,106 $2,552 22.0% (662) 767-4200
28 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 30 $96,660 $3,222 10.2% (210) 804-5400
29 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO CA PHYSICIAN ASSISTANT 16 30 $62,400 $2,080 2.5% (949) 348-4000
30 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 29 $62,411 $2,152 14.4% (732) 362-3663
31 WK BOSSIER ORTHOPEDIC AND SPORTS BOSSIER CITY LA ORTHOPEDIC SURGERY 12 29 $68,469 $2,361 21.8% (318) 212-7841
32 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 29 $71,514 $2,466 8.5% (704) 323-2100
33 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 29 $86,000 $2,966 100.0% (256) 539-2728
34 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 28 $169,319 $6,047 13.9% (908) 273-4300
35 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 174 28 $421,960 $15,070 6.8% (516) 240-2700
36 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 28 $56,868 $2,031 9.9% (443) 481-1000
37 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA ORTHOPEDIC SURGERY 67 28 $202,420 $7,229 2.3% (310) 319-1234
38 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 28 $57,306 $2,047 29.5% —
39 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 27 $137,700 $5,100 27.0% (302) 731-2888
40 COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA BRADENTON FL PHYSICIAN ASSISTANT 62 27 $59,238 $2,194 2.6% (941) 792-1404
41 HILLCREST PHYSICIAN SERVICES WACO TX NURSE PRACTITIONER 113 27 $79,488 $2,944 9.2% (254) 202-7950
42 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 26 $12,012 $462 13.9% (248) 644-3920
43 ALTA ORTHOPAEDIC MEDICAL GROUP INC SANTA BARBARA CA PHYSICIAN ASSISTANT 22 26 $87,776 $3,376 2.1% (805) 963-9377
44 ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC CINCINNATI KY PHYSICIAN ASSISTANT 163 26 $120,198 $4,623 43.3% (513) 232-2663
45 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 26 $43,875 $1,688 12.9% (614) 827-8700
46 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 26 $87,102 $3,350 18.4% (803) 744-4900
47 FORT PIERCE ORTHOPAEDICS LLC FORT PIERCE FL PHYSICIAN ASSISTANT 19 26 $97,039 $3,732 2.5% (772) 465-4651
48 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 25 $173,242 $6,930 6.1% (516) 536-2800
49 SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA PORTSMOUTH NH PHYSICIAN ASSISTANT 28 25 $65,928 $2,637 46.3% (603) 431-1121
50 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA CO PHYSICIAN ASSISTANT 323 25 $76,049 $3,042 21.4% (303) 695-6060
51 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 24 $33,520 $1,397 26.1% —
52 VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 67 24 $96,405 $4,017 9.7% (757) 321-3300
53 HAND AND MICROSURGERY ASSOCIATES, INC. COLUMBUS OH HAND SURGERY 6 24 $75,096 $3,129 11.9% (614) 262-4263
54 BATON ROUGE ORTHOPAEDIC CLINIC LLC BATON ROUGE LA PHYSICIAN ASSISTANT 145 24 $38,448 $1,602 18.0% —
55 KENNEDY WHITE AND RIGGS ORTHOPEDIC ASSOCIATES SARASOTA FL PHYSICIAN ASSISTANT 40 24 $31,075 $1,295 2.3% (941) 365-0655
56 ORTHOPAEDIC CENTER PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 19 23 $54,717 $2,379 25.0% (918) 582-6800
57 SOUTH FLORIDA HAND AND ORTHOPAEDIC CENTER PA BOCA RATON FL HAND SURGERY 10 23 $83,385 $3,625 2.2% (561) 241-4758
58 APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC DIAGNOSTIC RADIOLOGY 154 23 $70,528 $3,066 6.7% (828) 262-4100
59 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 22 $264,198 $12,009 10.9% (732) 974-0404
60 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 22 $50,479 $2,294 29.7% (765) 284-7738
61 CNOS PC SIOUX CITY SD PHYSICIAN ASSISTANT 99 22 $63,580 $2,890 100.0% (712) 279-3500
62 NORTHERN ARIZONA HEALTHCARE CORPORATION FLAGSTAFF AZ PHYSICIAN ASSISTANT 395 22 $63,888 $2,904 10.4% (928) 773-2249
63 TEXAS JOINT INSTITUTE, PLLC DALLAS TX PHYSICIAN ASSISTANT 39 21 $70,042 $3,335 7.1% (972) 566-5255
64 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 20 $60,800 $3,040 1.6% (949) 722-7038
65 FAITH REGIONAL PHYSICIAN SERVICES LLC NORFOLK NE NURSE PRACTITIONER 185 19 $57,019 $3,001 13.8% (402) 371-4880
66 JACKSONVILLE ORTHOPAEDIC INSTITUTE INC JACKSONVILLE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 61 18 $67,500 $3,750 1.7% (904) 858-7045
67 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC VINELAND NJ ORTHOPEDIC SURGERY 38 18 $162,672 $9,037 8.9% (856) 690-1616
68 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 18 $100,602 $5,589 3.8% (217) 544-6464
69 ORTHOPEDICS RHODE ISLAND INC WARWICK RI PHYSICIAN ASSISTANT 124 17 $58,242 $3,426 28.3% (401) 777-7000
70 JOHN KADZIELSKI MD PLLC QUINCY MA ORTHOPEDIC SURGERY 3 17 $81,056 $4,768 5.3% (617) 773-2200
71 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 17 $11,787 $693 1.6% (239) 291-6970
72 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 17 $73,695 $4,335 5.3% (508) 334-1000
73 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 17 $30,906 $1,818 8.4% (513) 751-4222
74 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 17 $125,922 $7,407 4.1% (212) 241-4812
75 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE VA NURSE PRACTITIONER 288 17 $38,165 $2,245 6.9% (864) 255-1901
76 MIDWEST ORTHOPAEDIC CENTER S C PEORIA IL PHYSICIAN ASSISTANT 46 16 $48,560 $3,035 3.4% (309) 691-1400
77 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 16 $46,912 $2,932 7.6% (520) 382-8200
78 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 16 $28,144 $1,759 11.3% (843) 652-8450
79 EXCELSIOR ORTHOPAEDICS LLP AMHERST NY PHYSICIAN ASSISTANT 147 16 $27,128 $1,696 3.9% (716) 250-9999
80 ALEGENT CREIGHTON CLINIC OMAHA CA PHYSICIAN ASSISTANT 942 16 $46,192 $2,887 1.3% —
81 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 16 $88,536 $5,534 5.0% (978) 818-6350
82 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 15 $50,295 $3,353 4.2% (610) 353-0800
83 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 15 $80,550 $5,370 15.0% (302) 655-9494
84 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 15 $80,760 $5,384 3.2% —
85 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 14 $54,838 $3,917 23.3% (401) 457-1500
86 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 14 $48,370 $3,455 6.9% (856) 247-7260
87 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 14 $33,838 $2,417 9.9% (843) 491-4937
88 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 14 $80,570 $5,755 6.9% (800) 321-9999
89 PENINSULA ORTHOPAEDIC ASSOC PA SALISBURY MD PHYSICIAN ASSISTANT 57 14 $55,566 $3,969 4.9% (410) 749-4154
90 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 14 $39,200 $2,800 9.9% (601) 354-4488
91 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 14 $81,116 $5,794 3.0% (309) 683-5050
92 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 14 $36,534 $2,610 6.6% (866) 974-2673
93 STEADMAN CLINIC PROFESSIONAL LLC VAIL CO PHYSICIAN ASSISTANT 77 13 $99,538 $7,657 11.1% (970) 476-1100
94 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 13 $92,202 $7,092 1.2% (904) 953-2000
95 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 13 $39,403 $3,031 1.1% (714) 634-4567
96 ARIZONA CENTER FOR HAND SURGERY PC PHOENIX AZ PHYSICIAN ASSISTANT 32 13 $46,185 $3,553 6.2% (602) 258-4788
97 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 13 $38,480 $2,960 6.3% (901) 641-3000
98 NORTHERN ARIZONA HEALTHCARE CORPORATION FLAGSTAFF CA PHYSICIAN ASSISTANT 395 13 $18,876 $1,452 1.1% (928) 773-2249
99 THE CENTRAL ORTHOPEDIC GROUP L L P PLAINVIEW NY ORTHOPEDIC SURGERY 24 13 $63,744 $4,903 3.2% (516) 681-8822
100 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 13 $30,212 $2,324 3.8% (919) 350-7270

Showing the top 100 of 135 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 →