Medicare procedure market data by CPT code & state

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Market snapshot

27025 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

27025 — Incision of connective tissue of hip or thigh

Billing groups

Named-group FFS services

120

FFS of Medicare

49%

Services YoY

-15.2%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~242 services

120 observed fee-for-service (50%) · ~122 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 — 27025 (CY2024)

CA 66 TX 57 OK 16

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

Named-group submitted charges

$305K

Named-group allowed amount

$45K

Named-group Medicare payments

$36K

Avg charge / svc

$2,545

Avg allowed / svc

$371

Avg payment / svc

$296

Average charge per group

$582–886

$886–1,190

$1,190–1,494

$1,494–1,798

$1,798–2,102

$2,102–2,406

$2,406–2,710

$2,710+

$582 4 groups · avg submitted charge / service $3,059

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 exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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 27025 services, CY2024
#	Physician group	City	St	Specialty	Providers	27025 svcs	Submitted charges	Avg charge	Medicare $ locked column	Share*	Phone
1	EMANATE HEALTH MEDICAL CARE FOUNDATION	WEST COVINA	CA	FAMILY PRACTICE	81	66	$201,894	$3,059	premium	100.0%	(626) 732-8391
2	THE SAN ANTONIO ORTHOPAEDIC GROUP LLP	SAN ANTONIO	TX	PHYSICAL THERAPIST IN PRIVATE PRACTICE	138	25	$69,043	$2,762	premium	43.9%	(210) 804-5400
3	TULSA BONE AND JOINT ASSOCIATES PC	TULSA	OK	PHYSICAL THERAPIST IN PRIVATE PRACTICE	92	16	$26,848	$1,678	premium	100.0%	(918) 392-1513
4	ORTHOLONESTAR PLLC	DALLAS	TX	PHYSICIAN ASSISTANT	407	13	$7,563	$582	premium	22.8%	(214) 220-2468

*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 →