NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
26480 Transfer of tendon to back of hand CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 9,966 services ▲ 0.9% YoY · 9,240 beneficiaries (CY2024, Medicare FFS)
Medicare paid $6.2M · $624.71 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
136
Named-group FFS services
3,833
FFS of Medicare
49%
Services YoY
+0.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,454 services

3,833 observed fee-for-service (51%) · ~3,621 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 — 26480 (CY2024)
FL 1,163 VA 656 AZ 624 TX 550 CA 442

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

Named-group submitted charges
$10.2M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$1.1M
Avg charge / svc
$2,656
Avg allowed / svc
$365
Avg payment / svc
$291
Average charge per group
$666 136 groups · avg submitted charge / service $9,573
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 26480 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 131 $336,375 $2,568 20.0% —
2 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 121 $185,653 $1,534 19.4% (866) 974-2673
3 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 116 $393,979 $3,396 52.7% (402) 219-7700
4 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 102 $168,530 $1,652 45.7% (515) 343-1000
5 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 89 $171,952 $1,932 7.7% (904) 396-1725
6 ORTHOPAEDIC AND SPINE CENTER OF THE ROCKIES PC FORT COLLINS CO PHYSICIAN ASSISTANT 144 87 $125,715 $1,445 23.8% (970) 493-0567
7 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 67 $235,572 $3,516 15.2% (916) 681-8852
8 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 67 $240,798 $3,594 12.2% (210) 804-5400
9 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 66 $159,060 $2,410 12.0% (214) 220-2468
10 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 66 $103,686 $1,571 16.0% (509) 946-4611
11 SOUTHWEST SHOULDER ELBOW AND HAND CENTER PC TUCSON AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 66 $118,300 $1,792 10.6% (520) 783-3344
12 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 61 $125,660 $2,060 39.4% (501) 500-3500
13 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 53 $124,338 $2,346 8.1% (757) 827-2480
14 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 49 $108,976 $2,224 7.9% (602) 385-2115
15 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 49 $469,077 $9,573 4.2% (239) 312-7878
16 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 48 $88,080 $1,835 15.0% (843) 491-4937
17 FORT HEALTHCARE INC FORT ATKINSON WI OBSTETRICS/GYNECOLOGY 161 48 $274,547 $5,720 28.4% (920) 563-5500
18 BLACKSTONE HAND CENTER, LLC MELBOURNE FL PHYSICIAN ASSISTANT 4 47 $116,800 $2,485 4.0% (321) 500-4263
19 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 42 $121,674 $2,897 16.2% (704) 323-2100
20 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 40 $45,529 $1,138 54.8% (405) 692-9300
21 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 40 $190,600 $4,765 44.9% —
22 ALFRED J WROBLEWSKI MD PC PETOSKEY MI HAND SURGERY 4 39 $109,820 $2,816 60.0% —
23 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 39 $168,870 $4,330 22.9% (603) 883-0091
24 SIGNATURE MEDICAL GROUP OF KC PA OVERLAND PARK KS PHYSICIAN ASSISTANT 25 38 $157,434 $4,143 28.6% (913) 498-6000
25 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 37 $88,911 $2,403 30.8% (801) 261-8346
26 BONE AND JOINT CENTER PC BISMARCK ND PHYSICIAN ASSISTANT 39 36 $88,335 $2,454 36.7% (701) 946-7500
27 SOUTHWEST SHOULDER ELBOW AND HAND CENTER PC TUCSON PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 35 $63,000 $1,800 9.5% (520) 783-3344
28 ORTHOPAEDICS NORTHEAST PC FORT WAYNE IN PHYSICIAN ASSISTANT 80 34 $78,909 $2,321 10.2% (260) 484-8551
29 GRAND VALLEY ORTHOPEDICS GRAND JUNCTION CO PHYSICIAN ASSISTANT 29 34 $55,998 $1,647 9.3% —
30 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 34 $35,190 $1,035 10.7% (803) 256-4107
31 WATAUGA ORTHOPAEDICS PLC JOHNSON CITY TN PHYSICIAN ASSISTANT 81 34 $49,038 $1,442 10.6% (423) 282-9011
32 ORTHOPAEDIC CENTER PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 19 33 $55,308 $1,676 45.2% (918) 582-6800
33 ADVANCED ORTHOPAEDIC ASSOCIATES, P.A. WELLINGTON KS ORTHOPEDIC SURGERY 48 32 $43,323 $1,354 24.1% (316) 631-1600
34 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 31 $40,118 $1,294 27.2% —
35 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 31 $81,685 $2,635 7.5% —
36 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLAND SC PHYSICIAN ASSISTANT 78 31 $63,003 $2,032 9.7% (843) 380-9330
37 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 31 $78,554 $2,534 7.0% —
38 SOUTH CAROLINA SPORTS MEDICINE AND ORTHOPAEDIC CENTER NORTH CHARLESTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 43 30 $57,990 $1,933 9.4% (843) 300-8585
39 STEADMAN CLINIC PROFESSIONAL LLC VAIL CO PHYSICIAN ASSISTANT 77 30 $164,750 $5,492 8.2% (970) 476-1100
40 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 30 $38,910 $1,297 4.8% (520) 382-8200
41 BOSTON HAND TO SHOULDER PC NEWTON MA PHYSICIAN ASSISTANT 11 30 $120,000 $4,000 17.6% (617) 965-4263
42 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS FL ORTHOPEDIC SURGERY 1373 29 $25,000 $862 2.5% (508) 385-4212
43 FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS FLAGSTAFF AZ PHYSICIAN ASSISTANT 27 29 $38,076 $1,313 4.6% (928) 773-2280
44 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 29 $132,008 $4,552 16.5% —
45 SOUTHERN ORTHOPAEDIC ALLIANCE PLLC MOBILE AL PHYSICIAN ASSISTANT 105 28 $122,416 $4,372 13.8% (251) 435-2663
46 VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 67 27 $81,108 $3,004 4.1% (757) 321-3300
47 ORTHOWEST, LLC OMAHA NE PHYSICIAN ASSISTANT 110 27 $56,187 $2,081 12.3% (402) 609-3000
48 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 27 $84,897 $3,144 2.3% —
49 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 27 $116,184 $4,303 7.3% (570) 271-6144
50 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 27 $66,420 $2,460 6.5% —
51 MISSOULA BONE AND JOINT LLC MISSOULA MT PHYSICIAN ASSISTANT 55 26 $44,694 $1,719 18.1% (406) 721-4436
52 LONGVIEW ORTHOPEDIC ASSOCIATES PLLC LONGVIEW WA ORTHOPEDIC SURGERY 12 25 $50,925 $2,037 6.1% (360) 501-3400
53 ALTA ORTHOPAEDIC MEDICAL GROUP INC SANTA BARBARA CA PHYSICIAN ASSISTANT 22 25 $63,350 $2,534 5.7% (805) 963-9377
54 SIMEDHEALTH LLC GAINESVILLE FL NURSE PRACTITIONER 91 25 $29,125 $1,165 2.1% (352) 416-1082
55 HUGHSTON CLINIC PC COLUMBUS AL ORTHOPEDIC SURGERY 118 25 $107,275 $4,291 12.3% (706) 494-3434
56 BLACK HILLS ORTHOPEDIC AND SPINE CENTER INC RAPID CITY SD PHYSICIAN ASSISTANT 76 25 $51,984 $2,079 28.1% (605) 737-9151
57 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 24 $40,440 $1,685 7.5% (803) 749-5101
58 NEW LEXINGTON CLINIC PSC LEXINGTON KY PHYSICIAN ASSISTANT 322 24 $55,320 $2,305 24.2% (859) 258-4568
59 TUCSON PHYSICIAN GROUP HOLDINGS LLC TUCSON AZ INTERNAL MEDICINE 200 24 $70,390 $2,933 3.8% (520) 396-1360
60 MCLAREN CENTRAL MICHIGAN PETOSKEY SC NURSE PRACTITIONER 171 23 $89,148 $3,876 7.2% (231) 487-7200
61 MARTHA JEFFERSON MEDICAL GROUP LLC CHARLOTTESVILLE VA PHYSICIAN ASSISTANT 192 23 $35,466 $1,542 3.5% (434) 817-1020
62 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 23 $69,598 $3,026 6.9% (765) 284-7738
63 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 23 $65,780 $2,860 8.8% (252) 635-6777
64 CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC CHATTANOOGA TN ORTHOPEDIC SURGERY 25 22 $50,804 $2,309 6.9% (423) 493-5220
65 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 22 $36,388 $1,654 6.0% (720) 497-6616
66 ORTHO MONTANA, PSC BILLINGS MT PHYSICIAN ASSISTANT 39 21 $44,478 $2,118 14.6% (406) 237-5050
67 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 21 $41,433 $1,973 6.7% (614) 827-8700
68 ORTHOPEDIC ASSOCIATES OF DULUTH PA DULUTH MN ORTHOPEDIC SURGERY 38 21 $60,228 $2,868 15.4% (218) 722-5513
69 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 20 $128,140 $6,407 11.8% (608) 287-2050
70 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 20 $44,000 $2,200 30.3% (601) 354-4488
71 NEW CASTLE CLINIC INC NEW CASTLE IN PHYSICIAN ASSISTANT 33 20 $64,188 $3,209 6.0% —
72 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS IN ORTHOPEDIC SURGERY 348 19 $36,860 $1,940 5.7% (317) 802-2000
73 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 19 $37,297 $1,963 3.5% (817) 920-0484
74 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 19 $25,644 $1,350 54.3% (302) 744-4700
75 UPSTATE ORTHOPEDICS, LLP CAMILLUS NY ORTHOPEDIC SURGERY 34 19 $44,840 $2,360 17.9% (315) 551-6000
76 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 19 $42,066 $2,214 9.4% (256) 539-2728
77 ST AGNES HEALTHCARE INC BALTIMORE MD PHYSICIAN ASSISTANT 277 18 $45,324 $2,518 6.0% (667) 234-6000
78 NEW WEST SPORTS MEDICINE AND ORTHOPAEDIC SURGERY PC KEARNEY NE PHYSICIAN ASSISTANT 12 18 $50,171 $2,787 8.2% (308) 865-2570
79 BRIDGER ORTHOPEDICS AND SPORTS MEDICINE PC BOZEMAN MT PHYSICIAN ASSISTANT 66 18 $56,110 $3,117 12.5% (406) 587-0122
80 ORTHOSPORTS ASSOCIATES LLC BIRMINGHAM AL ORTHOPEDIC SURGERY 35 18 $40,266 $2,237 8.9% (205) 838-3090
81 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 18 $69,408 $3,856 9.5% (877) 632-6637
82 BALDWIN BONE AND JOINT P C DAPHNE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 31 18 $33,714 $1,873 8.9% (251) 625-2663
83 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 17 $32,813 $1,930 12.8% (913) 588-1227
84 ALLIED ORTHOPAEDICS LLC BOISE ID PHYSICIAN ASSISTANT 14 17 $61,200 $3,600 11.3% —
85 CENTRAL JERSEY HAND SURGERY EATONTOWN NJ HAND SURGERY 8 17 $76,500 $4,500 26.6% (732) 542-4477
86 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 17 $22,440 $1,320 8.4% —
87 NORWICH ORTHOPEDIC GROUP PC NORTH FRANKLIN CT ORTHOPEDIC SURGERY 48 17 $34,068 $2,004 22.1% (860) 889-7345
88 WENTWORTH DOUGLASS PHYSICIAN CORPORATION DOVER NH PHYSICIAN ASSISTANT 429 17 $43,456 $2,556 21.0% —
89 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 17 $37,009 $2,177 11.0% (501) 686-8000
90 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 17 $39,117 $2,301 3.1% (512) 324-7300
91 ST CLOUD ORTHOPEDIC ASSOCIATES LTD SARTELL MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 45 17 $53,151 $3,127 12.5% (320) 259-4100
92 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 16 $56,070 $3,504 3.6% (650) 723-4000
93 IDAHO REGIONAL HAND AND UPPER EXTREMITY CENTER PLLC POCATELLO ID ORTHOPEDIC SURGERY 4 16 $35,285 $2,205 10.6% (208) 235-4263
94 ORA ORTHOPEDICS PC MOLINE IA PHYSICIAN ASSISTANT 117 16 $50,240 $3,140 7.2% (309) 762-3621
95 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 16 $58,400 $3,650 45.7% (302) 731-2888
96 ORTHOPAEDIC CENTERS OF WISCONSIN S C WAUSAU WI PHYSICAL THERAPIST IN PRIVATE PRACTICE 56 16 $108,976 $6,811 9.5% (715) 907-0900
97 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 16 $57,204 $3,575 9.4% (617) 732-5500
98 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 16 $63,008 $3,938 34.8% 50572443003208
99 UNIVERSITY OF TOLEDO PHYSICIANS LLC TOLEDO OH PHYSICIAN ASSISTANT 405 15 $45,500 $3,033 4.8% (419) 383-5550
100 CAYUGA MEDICAL ASSOCIATES PC ITHACA NY PHYSICIAN ASSISTANT 292 15 $42,188 $2,813 14.2% (607) 269-0100

Showing the top 100 of 136 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 →