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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
26442 Release of tendon of palm and finger CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,362 services ▲ 6.0% YoY · 703 beneficiaries (CY2024, Medicare FFS)
Medicare paid $935K · $686.64 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
10
Named-group FFS services
552
FFS of Medicare
49%
Services YoY
+6.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,084 services

552 observed fee-for-service (51%) · ~532 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 — 26442 (CY2024)

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

Named-group submitted charges
$2.4M
Named-group allowed amount
$402K
Named-group Medicare payments
$318K
Avg charge / svc
$4,331
Avg allowed / svc
$728
Avg payment / svc
$576
Average charge per group
$1,700 10 groups · avg submitted charge / service $12,464
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 26442 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 26442 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 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 130 $251,582 $1,935 premium 100.0%
2 VAHEY AND GLUCK HAND SURGERY, LTD LAS VEGAS NV HAND SURGERY 5 96 $1,196,558 $12,464 premium 25.3% (702) 798-8585
3 THE GEORGIA INSTITUTE FOR PLASTIC SURGERY INC SAVANNAH GA PLASTIC AND RECONSTRUCTIVE SURGERY 8 76 $309,320 $4,070 premium 100.0% (912) 355-8000
4 THE MOORINGS INCORPORATED NAPLES FL ORTHOPEDIC SURGERY 120 60 $102,000 $1,700 premium 70.6%
5 HAND SURGICAL ASSOCIATES LTD METAIRIE LA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 55 $142,500 $2,591 premium 82.1% (504) 454-2191
6 CALVERTHEALTH MEDICAL GROUP, LLC PRINCE FREDERICK MD NURSE PRACTITIONER 49 42 $85,302 $2,031 premium 100.0% (410) 535-4488
7 BASIL R BESH MD INC FREMONT CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 39 $95,121 $2,439 premium 34.8% (510) 857-1000
8 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 21 $115,500 $5,500 premium 10.6% (267) 339-3500
9 ANDREW J BRONSTEIN MD PC LAS VEGAS NV ORTHOPEDIC SURGERY 3 17 $54,318 $3,195 premium 4.5% (702) 458-4263
10 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 16 $38,368 $2,398 premium 100.0% (704) 384-8200

*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 →