NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
26116 Removal of growth of muscle of hand or finger, less than 1.5 cm CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 767 services ▲ 8.0% YoY · 709 beneficiaries (CY2024, Medicare FFS)
Medicare paid $282K · $367.27 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
19
Named-group FFS services
388
FFS of Medicare
49%
Services YoY
+8.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~731 services

388 observed fee-for-service (53%) · ~343 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 — 26116 (CY2024)

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

Named-group submitted charges
$1.0M
Named-group allowed amount
$179K
Named-group Medicare payments
$141K
Avg charge / svc
$2,660
Avg allowed / svc
$462
Avg payment / svc
$364
Average charge per group
$1,248 19 groups · avg submitted charge / service $6,335
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 26116 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 26116 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 CENTRAL JERSEY HAND SURGERY EATONTOWN NJ HAND SURGERY 8 56 $237,440 $4,240 premium 43.4% (732) 542-4477
2 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 45 $129,780 $2,884 premium 62.5% (267) 339-3500
3 KANSAS ORTHOPAEDIC CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 26 36 $72,468 $2,013 premium 50.7% (316) 838-2020
4 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 35 $80,815 $2,309 premium 100.0%
5 BIO FAMILY CLINIC INC YUMA AZ NURSE PRACTITIONER 33 21 $31,500 $1,500 premium 100.0% (928) 342-6500
6 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 20 $51,084 $2,554 premium 12.9% (310) 443-8999
7 BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA NORTH LITTLE ROCK AR ORTHOPEDIC SURGERY 19 19 $25,748 $1,355 premium 57.6%
8 HOT SPRINGS MEDICAL SURGICAL GROUP SANTA BARBARA CA HAND SURGERY 4 16 $34,144 $2,134 premium 10.3% (805) 682-8907
9 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 15 $23,175 $1,545 premium 48.4% (253) 428-2200
10 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 14 $18,774 $1,341 premium 9.0%
11 BLACKSTONE HAND CENTER, LLC MELBOURNE FL PHYSICIAN ASSISTANT 4 13 $22,672 $1,744 premium 21.7% (321) 500-4263
12 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 13 $56,290 $4,330 premium 100.0% (516) 536-2800
13 SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. SANTA ROSA CA ORTHOPEDIC SURGERY 8 13 $16,220 $1,248 premium 8.4% 70754619225507
14 BATON ROUGE ORTHOPAEDIC CLINIC LLC BATON ROUGE LA PHYSICIAN ASSISTANT 145 13 $19,370 $1,490 premium 100.0%
15 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC VINELAND NJ ORTHOPEDIC SURGERY 38 13 $82,350 $6,335 premium 10.1% (856) 690-1616
16 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 12 $34,212 $2,851 premium 27.3% (706) 494-3434
17 TEXAS ORTHOPEDIC SPECIALISTS, PLLC BEDFORD TX ORTHOPEDIC SURGERY 14 12 $15,600 $1,300 premium 30.0% (817) 540-4477
18 HUNTERDON ORTHOPEDIC INSTITUTE PA FLEMINGTON NJ ORTHOPEDIC SURGERY 24 11 $52,833 $4,803 premium 8.5% (908) 782-0600
19 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 11 $27,500 $2,500 premium 8.5% (908) 273-4300

*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 →