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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
26040 Release of tissue of palm CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,831 services ▼ 0.1% YoY · 1,653 beneficiaries (CY2024, Medicare FFS)
Medicare paid $562K · $307.00 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
44
Named-group FFS services
983
FFS of Medicare
49%
Services YoY
-0.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,965 services

983 observed fee-for-service (50%) · ~982 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 — 26040 (CY2024)
FL 322 NJ 218 CA 198 GA 85 WI 85

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

Named-group submitted charges
$1.3M
Named-group allowed amount
$318K
Named-group Medicare payments
$239K
Avg charge / svc
$1,288
Avg allowed / svc
$323
Avg payment / svc
$244
Average charge per group
$468 44 groups · avg submitted charge / service $6,293
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 26040 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS FL ORTHOPEDIC SURGERY 1373 74 $41,440 $560 23.0% (508) 385-4212
2 CENTRAL JERSEY HAND SURGERY EATONTOWN NJ HAND SURGERY 8 61 $122,500 $2,008 28.0% (732) 542-4477
3 LAMONT J CARDON MD A PROFESSIONAL CORPORATION BERKELEY CA ORTHOPEDIC SURGERY 2 51 $35,241 $691 25.8% (510) 540-8800
4 MONTEREY SPINE AND JOINT PC MONTEREY CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 80 39 $38,002 $974 19.7% (831) 648-7200
5 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 38 $84,626 $2,227 44.7% (608) 287-2050
6 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 35 $33,828 $967 48.6% (253) 428-2200
7 MILWAUKEE HAND CENTER S C MEQUON WI OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 3 29 $34,800 $1,200 34.1% (262) 241-9224
8 MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC SHREVEPORT LA PHYSICIAN ASSISTANT 28 29 $32,703 $1,128 100.0% (318) 635-3052
9 UPPER HAND ORTHOPAEDICS PC CORVALLIS OR OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 27 $25,875 $958 40.9% (541) 207-0910
10 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 26 $54,000 $2,077 100.0% (314) 747-3000
11 LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC DARTMOUTH MA PHYSICIAN ASSISTANT 434 26 $25,922 $997 56.5% (508) 996-3991
12 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 26 $25,927 $997 37.7% (512) 324-7300
13 CENTRAL VERMONT MEDICAL CENTER INC BERLIN VT NURSE PRACTITIONER 243 25 $11,709 $468 100.0% (802) 225-1266
14 NIRSCHL ORTHOPAEDIC CENTER FOR SPORTSMEDICINE AND JOINT RECONSTRUCTION ARLINGTON VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 23 21 $33,411 $1,591 26.6% (703) 525-2200
15 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 21 $24,108 $1,148 56.8% (731) 661-9825
16 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 21 $52,118 $2,482 35.0% —
17 ST LUKES CLINIC - WOOD RIVER LLC KETCHUM HI FAMILY PRACTICE 66 21 $27,456 $1,307 100.0% (208) 622-8811
18 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 21 $21,315 $1,015 61.8% (515) 343-1000
19 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 20 $18,840 $942 31.7% (928) 773-2280
20 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 20 $18,680 $934 6.2% (904) 396-1725
21 EXCEL ORTHOPEDIC SPECIALISTS INC WOBURN MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 48 20 $21,740 $1,087 43.5% (781) 782-1300
22 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 19 $20,197 $1,063 26.4% (509) 665-6087
23 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 19 $20,122 $1,059 28.8% (541) 779-6250
24 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 18 $29,340 $1,630 5.6% (850) 877-8174
25 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 18 $18,450 $1,025 22.8% —
26 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 18 $14,774 $821 25.0% —
27 FAIR OAKS ORTHO, PLLC FAIRFAX VA PHYSICIAN ASSISTANT 2 16 $26,272 $1,642 20.3% (703) 591-0077
28 MACON ORTHOPAEDIC AND HAND CENTER, PA MACON GA NURSE PRACTITIONER 87 16 $26,449 $1,653 18.8% (478) 745-4206
29 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 16 $14,288 $893 43.2% (901) 641-3000
30 HAND SURGERY ASSOCIATES OF LI, PC Huntington NY ANESTHESIOLOGY 6 16 $100,683 $6,293 26.7% —
31 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 15 $22,755 $1,517 21.7% (210) 804-5400
32 YAVAPAI COMMUNITY HOSPITAL ASSOCIATION PRESCOTT AZ DIAGNOSTIC RADIOLOGY 20 15 $9,000 $600 23.8% (928) 771-7577
33 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 14 $13,188 $942 22.2% (602) 385-2115
34 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 14 $12,432 $888 22.2% (520) 382-8200
35 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 13 $32,628 $2,510 43.3% —
36 HAZEL HAWKINS MEMORIAL HOSPITAL HOLLISTER CA PHYSICIAN ASSISTANT 52 12 $12,000 $1,000 6.1% 83163726262601
37 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 12 $11,795 $983 100.0% (701) 234-2000
38 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 12 $15,769 $1,314 17.4% (713) 566-5000
39 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 12 $15,383 $1,282 3.7% —
40 SOUTH FLORIDA HAND AND ORTHOPAEDIC CENTER PA BOCA RATON FL HAND SURGERY 10 12 $7,997 $666 3.7% (561) 241-4758
41 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR NURSE PRACTITIONER 316 12 $9,308 $776 100.0% (479) 338-8000
42 PIEDMONT ORTHOPEDICS, LLC MARIETTA GA PHYSICIAN ASSISTANT 195 11 $11,957 $1,087 12.9% (770) 635-1812
43 EATON ORTHOPAEDICS LLC SAINT PETERSBURG FL PHYSICIAN ASSISTANT 5 11 $17,600 $1,600 3.4% (727) 573-5626
44 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 11 $19,082 $1,735 13.9% —

*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 →