Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

26600 Closed treatment of broken hand bone CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 399 services ▲ 1.3% YoY · 381 beneficiaries (CY2024, Medicare FFS)

Medicare paid $97K · $243.68 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

246

FFS of Medicare

49%

Services YoY

+1.3%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~489 services

246 observed fee-for-service (50%) · ~243 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 — 26600 (CY2024)

NY 108 FL 66 MA 40 NJ 28 PA 25

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

Named-group submitted charges

$421K

Named-group allowed amount

$79K

Named-group Medicare payments

$62K

Avg charge / svc

$1,711

Avg allowed / svc

$321

Avg payment / svc

$253

Average charge per group

$475–872

$872–1,268

$1,268–1,665

$1,665–2,062

$2,062–2,459

$2,459–2,855

$2,855–3,252

$3,252+

$475 14 groups · avg submitted charge / service $4,071

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 26600 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	26600 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	TRUE NORTH MEDICAL GROUP PC	ROCKVILLE CENTRE	NY	PHYSICIAN ASSISTANT	182	46	$144,670	$3,145	premium	42.6%	(516) 536-2800
2	MAIMONIDES MEDICAL CENTER ORTHOPAEDIC FPP	BROOKLYN	NY	ORTHOPEDIC SURGERY	25	31	$42,067	$1,357	premium	28.7%	(718) 283-7400
3	ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC	GREENWICH	NY	PHYSICIAN ASSISTANT	259	20	$28,340	$1,417	premium	18.5%	(203) 869-1145
4	THE ORTHOPAEDIC INSTITUTE, PA	GAINESVILLE	FL	PHYSICIAN ASSISTANT	115	15	$12,705	$847	premium	22.7%	(352) 336-6000
5	SOUTH SHORE ORTHOPEDICS LLC	HINGHAM	MA	PHYSICIAN ASSISTANT	40	14	$17,920	$1,280	premium	35.0%	(781) 337-5555
6	SEAVIEW ORTHOPAEDICS AND MEDICAL ASSOCIATES LLP	OCEAN	NJ	PHYSICAL THERAPIST IN PRIVATE PRACTICE	96	13	$44,475	$3,421	premium	46.4%	732660620011702
7	SOUTH SHORE ORTHOPEDICS LLC	HINGHAM	DC	PHYSICIAN ASSISTANT	40	13	$16,640	$1,280	premium	100.0%	(781) 337-5555
8	NEW MEXICO ORTHOPAEDIC ASSOCIATES PC	ALBUQUERQUE	NM	PHYSICIAN ASSISTANT	77	13	$7,852	$604	premium	100.0%	50572443003208
9	MEMORIAL HEALTH PARTNERS FOUNDATION, INC	CHATTANOOGA	SC	NURSE PRACTITIONER	459	12	$5,700	$475	premium	100.0%	(423) 495-2620
10	ORTHOPEDIC HEALTH OF KANSAS CITY PC	LENEXA	MO	PHYSICIAN ASSISTANT	47	12	$15,600	$1,300	premium	52.2%	(816) 561-3003
11	NORTH FLORIDA SURGEONS PA	JACKSONVILLE	FL	PHYSICIAN ASSISTANT	331	12	$10,428	$869	premium	18.2%	(904) 396-1725
12	THE ANDERSON CLINIC INC	ALEXANDRIA	VA	ORTHOPEDIC SURGERY	79	12	$13,092	$1,091	premium	100.0%	(703) 892-6500
13	LAMONT J CARDON MD A PROFESSIONAL CORPORATION	BERKELEY	CA	ORTHOPEDIC SURGERY	2	11	$7,018	$638	premium	50.0%	(510) 540-8800
14	NEW YORK HAND SURGERY PC	BROOKLYN	NY	HAND SURGERY	2	11	$44,781	$4,071	premium	10.2%	(718) 369-4263
15	SIGNATURE MEDICAL GROUP INC	SAINT LOUIS	MO	NURSE PRACTITIONER	41	11	$9,559	$869	premium	47.8%	31484903112384

*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 →