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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
27235 Placement of stabilizing device for upper end of broken thigh bone CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 564 services ▼ 20.9% YoY · 564 beneficiaries (CY2024, Medicare FFS)
Medicare paid $405K · $717.49 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
25
Named-group FFS services
354
FFS of Medicare
49%
Services YoY
-20.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~718 services

354 observed fee-for-service (49%) · ~364 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 — 27235 (CY2024)

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$318K
Named-group Medicare payments
$253K
Avg charge / svc
$4,237
Avg allowed / svc
$899
Avg payment / svc
$715
Average charge per group
$855 25 groups · avg submitted charge / service $12,220
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 27235 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 27235 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 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 34 $156,264 $4,596 premium 100.0% (603) 883-0091
2 STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR EAST SETAUKET NY ORTHOPEDIC SURGERY 50 30 $366,600 $12,220 premium 55.6% (631) 444-4233
3 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 23 $72,018 $3,131 premium 100.0% (803) 744-4900
4 NEVADA ORTHOPEDIC AND SPINE CENTER LAS VEGAS NV PHYSICIAN ASSISTANT 25 18 $101,374 $5,632 premium 36.0% (702) 878-0393
5 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY MI PHYSICIAN ASSISTANT 354 15 $35,505 $2,367 premium 100.0% (623) 832-4000
6 EAST IDAHO ORTHOPAEDICS PLLC IDAHO FALLS ID ORTHOPEDIC SURGERY 6 14 $43,414 $3,101 premium 100.0% (208) 522-3355
7 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 13 $37,024 $2,848 premium 23.6% (916) 983-7476
8 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 13 $24,388 $1,876 premium 13.1% (321) 434-8878
9 EPIC ORTHOPEDICS REDDING CA ORTHOPEDIC SURGERY 6 13 $30,342 $2,334 premium 23.6% (530) 242-1266
10 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 13 $52,273 $4,021 premium 26.0% (775) 786-3040
11 HUGHSTON CLINIC SOUTHEAST PC SANFORD FL PHYSICIAN ASSISTANT 45 12 $79,644 $6,637 premium 12.1% (407) 321-4500
12 GARNET HEALTH DOCTORS PC MIDDLETOWN NY HOSPITALIST 170 12 $24,828 $2,069 premium 22.2% (845) 333-7575
13 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 12 $100,392 $8,366 premium 22.2% (516) 536-2800
14 ACUTE CARE SURGERY OF SOUTH DAKOTA PC RAPID CITY CO ORTHOPEDIC SURGERY 69 11 $46,178 $4,198 premium 100.0% (605) 755-6100
15 SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. SANTA ROSA LA ORTHOPEDIC SURGERY 8 11 $27,500 $2,500 premium 100.0% 70754619225507
16 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON NC INTERNAL MEDICINE 1689 11 $55,594 $5,054 premium 32.4% (781) 983-9088
17 BROKEN ARROW ORTHOPEDICS INC TULSA OK HAND SURGERY 3 11 $18,972 $1,725 premium 50.0% (918) 451-3000
18 ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC CINCINNATI KY PHYSICIAN ASSISTANT 163 11 $30,866 $2,806 premium 100.0% (513) 232-2663
19 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 11 $33,638 $3,058 premium 100.0% (903) 606-5560
20 SOUTHERN ORTHOPAEDIC ALLIANCE PLLC MOBILE AL PHYSICIAN ASSISTANT 105 11 $54,810 $4,983 premium 100.0% (251) 435-2663
21 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 11 $20,254 $1,841 premium 50.0% (405) 751-5555
22 PACIFIC CREST ORTHOPEDICS PC MILL VALLEY CA ORTHOPEDIC SURGERY 4 11 $29,813 $2,710 premium 20.0% (415) 388-5100
23 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 11 $19,690 $1,790 premium 100.0%
24 FRANCISCAN MEDICAL GROUP TACOMA FL PHYSICIAN ASSISTANT 1407 11 $29,133 $2,648 premium 11.1% (253) 428-2200
25 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 11 $9,404 $855 premium 100.0% (605) 322-5180

*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 →