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Market snapshot

26860 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

26860 — Fusion of finger joint, initial joint

Billing groups
14
Named-group FFS services
219
FFS of Medicare
49%
Services YoY
+26.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~441 services

219 observed fee-for-service (50%) · ~222 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 — 26860 (CY2024)

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

Named-group submitted charges
$346K
Named-group allowed amount
$114K
Named-group Medicare payments
$90K
Avg charge / svc
$1,581
Avg allowed / svc
$520
Avg payment / svc
$411
Average charge per group
$569 14 groups · avg submitted charge / service $2,963
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 26860 services, CY2024
#Physician group City St Specialty Providers 26860 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 CAROLINA HAND AND SPORTS MEDICINE, P.A. ASHEVILLE NC ORTHOPEDIC SURGERY 8 29 $52,635 $1,815 premium 48.3% 8282537521342
2 WESTERN ARKANSAS PLASTIC AND RECONSTRUCTIVE SURGERY CENTER FORT SMITH AR NURSE PRACTITIONER 2 18 $10,236 $569 premium 100.0% (479) 709-8300
3 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS FL ORTHOPEDIC SURGERY 1373 18 $16,760 $931 premium 17.0% (508) 385-4212
4 TIDEWATER ORTHOPAEDIC ASSOCIATES INC. HAMPTON VA PHYSICIAN ASSISTANT 27 17 $27,880 $1,640 premium 28.3% (757) 827-2480
5 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 16 $33,259 $2,079 premium 53.3% (760) 340-3911
6 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 15 $26,411 $1,761 premium 16.0%
7 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 15 $18,945 $1,263 premium 53.6% (803) 749-5101
8 BATON ROUGE ORTHOPAEDIC CLINIC LLC BATON ROUGE LA PHYSICIAN ASSISTANT 145 15 $20,700 $1,380 premium 55.6%
9 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 14 $23,240 $1,660 premium 46.7% (530) 246-2467
10 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 13 $21,736 $1,672 premium 13.8% (602) 385-2115
11 SIGNATURE MEDICAL GROUP OF KC PA OVERLAND PARK KS PHYSICIAN ASSISTANT 25 13 $38,519 $2,963 premium 100.0% (913) 498-6000
12 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 13 $29,211 $2,247 premium 25.0% (615) 329-6600
13 SOUTHWEST SHOULDER ELBOW AND HAND CENTER PC TUCSON AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 12 $16,560 $1,380 premium 12.8% (520) 783-3344
14 SIMEDHEALTH LLC GAINESVILLE FL NURSE PRACTITIONER 91 11 $10,065 $915 premium 10.4% (352) 416-1082

*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 →