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Market snapshot

27197 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

27197 — Closed treatment of broken and/or dislocated pelvis and/or sacrum

Billing groups
30
Named-group FFS services
511
FFS of Medicare
49%
Services YoY
+22.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,002 services

511 observed fee-for-service (51%) · ~491 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 — 27197 (CY2024)
FL 153 NY 134 MA 96 CA 73 PA 68

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

Named-group submitted charges
$351K
Named-group allowed amount
$64K
Named-group Medicare payments
$51K
Avg charge / svc
$687
Avg allowed / svc
$126
Avg payment / svc
$99
Average charge per group
$115 30 groups · avg submitted charge / service $4,035
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 27197 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 48 $26,544 $553 50.0% (508) 334-1000
2 FORT PIERCE ORTHOPAEDICS LLC FORT PIERCE FL PHYSICIAN ASSISTANT 19 36 $15,108 $420 23.5% (772) 465-4651
3 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 34 $12,784 $376 57.6% —
4 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 26 $7,814 $301 17.0% (850) 416-2400
5 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 19 $11,260 $593 19.8% (617) 732-5500
6 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 18 $9,159 $509 18.8% —
7 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE GA PHYSICIAN ASSISTANT 593 17 $6,800 $400 100.0% (828) 213-1740
8 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 17 $15,861 $933 12.7% —
9 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 16 $2,576 $161 23.5% (215) 662-2777
10 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 16 $9,088 $568 50.0% —
11 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 15 $17,235 $1,149 11.2% (516) 536-2800
12 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 15 $1,723 $115 100.0% (605) 322-5180
13 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 14 $7,765 $555 19.2% (916) 983-7476
14 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 14 $35,147 $2,510 20.6% (570) 271-6144
15 ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. FORT MYERS FL PHYSICIAN ASSISTANT 46 14 $19,488 $1,392 9.2% (239) 334-7000
16 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 13 $5,954 $458 17.8% (714) 871-3006
17 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 13 $5,330 $410 41.9% (301) 774-0500
18 ORTHOPEDIC TRAUMA SURGEONS OF NORTHERN CALIFORNIA CARMICHAEL CA ORTHOPEDIC SURGERY 17 13 $6,539 $503 17.8% 91653694556
19 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 13 $10,504 $808 52.0% (734) 763-5459
20 MODERN ORTHOPAEDICS OF NEW JERSEY WAYNE NJ ORTHOPEDIC SURGERY 7 13 $52,458 $4,035 52.0% (201) 572-7982
21 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 13 $3,107 $239 36.1% (419) 291-2003
22 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 12 $4,800 $400 22.2% (828) 213-1740
23 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 12 $3,600 $300 25.5% (817) 281-2977
24 MICHIGAN ORTHOPEDIC SPECIALISTS, PC FARMINGTON HILLS MI ORTHOPEDIC SURGERY 6 12 $3,275 $273 48.0% (313) 277-6700
25 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC VINELAND NJ ORTHOPEDIC SURGERY 38 12 $17,406 $1,450 48.0% (856) 690-1616
26 TEXAS JOINT INSTITUTE, PLLC DALLAS TX PHYSICIAN ASSISTANT 39 11 $4,135 $376 23.4% (972) 566-5255
27 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 11 $3,344 $304 30.6% —
28 VHS OUTPATIENT CLINICS INC PHOENIX AZ PHYSICIAN ASSISTANT 180 11 $5,847 $532 100.0% (602) 274-6506
29 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 11 $6,501 $591 11.5% (617) 724-0287
30 THE CENTER FOR BONE AND JOINT DISEASE, PA. HUDSON FL PHYSICIAN ASSISTANT 34 11 $14,630 $1,330 7.2% (727) 697-2200
31 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 11 $5,204 $473 15.1% (310) 423-3277

*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 →