NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 26,338 services ▲ 1.8% YoY · 26,157 beneficiaries (CY2024, Medicare FFS)
Medicare paid $20.6M · $781.52 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
495
Named-group FFS services
16,823
FFS of Medicare
49%
Services YoY
+1.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~33,725 services

16,823 observed fee-for-service (50%) · ~16,902 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 — 27236 (CY2024)
FL 3,622 CA 2,346 TX 2,147 NY 1,091 AZ 1,088

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

Named-group submitted charges
$74.6M
Named-group allowed amount
$16.2M
Named-group Medicare payments
$12.9M
Avg charge / svc
$4,436
Avg allowed / svc
$964
Avg payment / svc
$766
Average charge per group
$260 495 groups · avg submitted charge / service $45,493
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 27236 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 234 $685,147 $2,928 10.9% (214) 220-2468
2 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 206 $402,590 $1,954 18.9% (623) 832-4000
3 SONORAN ORTHOPAEDIC TRAUMA SURGEONS SCOTTSDALE AZ PHYSICIAN ASSISTANT 30 185 $1,095,430 $5,921 17.0% (480) 874-2040
4 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 175 $1,076,620 $6,152 4.8% (407) 200-2700
5 ADVANCED ORTHOPAEDIC ASSOCIATES, P.A. WELLINGTON KS ORTHOPEDIC SURGERY 48 171 $500,048 $2,924 43.5% (316) 631-1600
6 HUGHSTON CLINIC SOUTHEAST PC SANFORD FL PHYSICIAN ASSISTANT 45 162 $1,122,375 $6,928 4.5% (407) 321-4500
7 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 153 $634,388 $4,146 4.2% (850) 877-8174
8 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 144 $297,175 $2,064 24.4% (501) 202-2093
9 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 142 $2,564,094 $18,057 13.0% (212) 263-9700
10 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 139 $677,710 $4,876 14.8% —
11 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 130 $420,945 $3,238 6.1% (903) 606-5560
12 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 121 $428,824 $3,544 17.5% (731) 661-9825
13 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 120 $558,280 $4,652 16.6% —
14 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 118 $1,612,448 $13,665 17.4% (732) 974-0404
15 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 116 $244,296 $2,106 100.0% (801) 261-8346
16 TEXAS JOINT INSTITUTE, PLLC DALLAS TX PHYSICIAN ASSISTANT 39 114 $388,984 $3,412 5.3% (972) 566-5255
17 ORTHOPAEDICS NORTHEAST PC FORT WAYNE IN PHYSICIAN ASSISTANT 80 111 $405,183 $3,650 21.4% (260) 484-8551
18 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 108 $422,706 $3,914 4.6% (310) 423-0674
19 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 106 $919,020 $8,670 9.7% —
20 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 102 $277,083 $2,716 14.6% (405) 751-5555
21 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 99 $381,271 $3,851 33.0% (775) 786-3040
22 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 97 $234,740 $2,420 8.9% (602) 385-2115
23 COVENANT MEDICAL GROUP LUBBOCK TX NURSE PRACTITIONER 227 96 $405,324 $4,222 4.5% (806) 725-5844
24 ORTHOPEDIC TRAUMA SURGEONS OF NORTHERN CALIFORNIA CARMICHAEL CA ORTHOPEDIC SURGERY 17 96 $314,266 $3,274 4.1% 91653694556
25 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 95 $258,999 $2,726 24.1% (515) 247-8400
26 ALTRU HEALTH SYSTEM GRAND FORKS ND NURSE PRACTITIONER 653 95 $510,910 $5,378 43.6% (701) 780-5000
27 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 93 $160,757 $1,729 9.9% —
28 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 91 $221,839 $2,438 14.5% (919) 544-7270
29 EPIC ORTHOPEDICS REDDING CA ORTHOPEDIC SURGERY 6 90 $206,950 $2,299 3.8% (530) 242-1266
30 ORTHOPEDIC AND TRAUMA SERVICE OF OKLAHOMA, PC TULSA OK ORTHOPEDIC SURGERY 5 86 $286,717 $3,334 12.3% (918) 392-4547
31 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 85 $354,705 $4,173 12.0% —
32 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 85 $309,710 $3,644 14.9% (770) 422-2004
33 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 82 $496,167 $6,051 40.8% (302) 655-9494
34 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 81 $285,751 $3,528 11.7% (901) 641-3000
35 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 80 $235,431 $2,943 11.1% (570) 271-6144
36 THE CENTRAL ORTHOPEDIC GROUP L L P PLAINVIEW NY ORTHOPEDIC SURGERY 24 80 $269,230 $3,365 7.3% (516) 681-8822
37 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 78 $252,493 $3,237 23.9% (612) 863-6960
38 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 77 $288,827 $3,751 3.6% (817) 281-2977
39 WESTERN WASHINGTON MEDICAL GROUP INC PS EVERETT WA PHYSICIAN ASSISTANT 94 75 $207,150 $2,762 16.1% —
40 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 74 $262,686 $3,550 10.9% (856) 247-7260
41 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 74 $400,995 $5,419 18.2% (662) 328-1012
42 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 74 $59,622 $806 28.4% (605) 322-5180
43 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 73 $439,352 $6,019 3.4% (713) 566-5000
44 BURLINGTON COUNTY ORTHOPAEDIC SPECIALISTS PA MOUNT LAUREL NJ ORTHOPEDIC SURGERY 5 73 $131,200 $1,797 10.8% (856) 235-7080
45 PENINSULA ORTHOPAEDIC ASSOC PA SALISBURY MD PHYSICIAN ASSISTANT 57 72 $389,664 $5,412 12.5% (410) 749-4154
46 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 71 $409,528 $5,768 9.7% —
47 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 70 $160,477 $2,293 3.0% (949) 722-7038
48 CENTRAL CALIFORNIA FACULTY MEDICAL GROUP INC FRESNO CA EMERGENCY MEDICINE 252 67 $181,574 $2,710 2.9% (559) 459-6000
49 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 67 $296,909 $4,431 3.1% —
50 SALINA REGIONAL HEALTH CENTER INC SALINA KS NURSE PRACTITIONER 160 67 $125,584 $1,874 17.0% —
51 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 65 $200,062 $3,078 16.5% (515) 343-1000
52 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 64 $110,182 $1,722 2.7% (530) 332-4470
53 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 64 $348,984 $5,453 14.4% (508) 334-1000
54 SPECIALTY ASSOCIATES OF WEST HOUSTON PLLC HOUSTON TX PHYSICIAN ASSISTANT 125 63 $238,764 $3,790 2.9% (281) 461-6830
55 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 63 $209,286 $3,322 8.9% (614) 827-8700
56 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 63 $170,413 $2,705 1.7% (352) 336-6000
57 MVHS INC UTICA NY NURSE PRACTITIONER 322 62 $139,128 $2,244 5.7% (315) 625-6000
58 ELITE ORTHOPAEDICS OF IRVING PLLC DENTON TX PHYSICIAN ASSISTANT 55 61 $229,708 $3,766 2.8% (940) 384-3535
59 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 60 $280,920 $4,682 8.7% (615) 329-6600
60 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 60 $235,592 $3,927 1.7% (850) 416-2400
61 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 60 $319,320 $5,322 22.2% (256) 539-2728
62 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 58 $119,280 $2,057 8.3% —
63 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 58 $199,970 $3,448 8.2% (803) 749-5101
64 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 58 $149,936 $2,585 5.3% (520) 382-8200
65 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 58 $605,061 $10,432 8.0% (217) 544-6464
66 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 57 $188,971 $3,315 51.4% (541) 706-7715
67 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 57 $219,865 $3,857 8.1% (803) 744-4900
68 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 56 $128,716 $2,298 51.9% (207) 885-9905
69 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 56 $237,951 $4,249 7.7% (309) 683-5050
70 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 56 $145,376 $2,596 7.9% (864) 255-1901
71 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 55 $155,353 $2,825 23.9% —
72 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 55 $231,273 $4,205 7.8% —
73 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 55 $240,289 $4,369 7.5% (847) 459-1160
74 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 55 $321,292 $5,842 5.0% (203) 869-1145
75 CNOS PC SIOUX CITY SD PHYSICIAN ASSISTANT 99 55 $140,358 $2,552 21.1% (712) 279-3500
76 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 55 $225,949 $4,108 1.5% (904) 396-1725
77 ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC CINCINNATI KY PHYSICIAN ASSISTANT 163 54 $120,896 $2,239 19.2% (513) 232-2663
78 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 53 $177,680 $3,352 2.3% (925) 939-8585
79 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 52 $151,075 $2,905 1.4% (386) 231-6000
80 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 52 $214,392 $4,123 16.0% (612) 863-4000
81 NEVADA ORTHOPEDIC AND SPINE CENTER LAS VEGAS NV PHYSICIAN ASSISTANT 25 52 $299,064 $5,751 17.3% (702) 878-0393
82 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 52 $280,187 $5,388 7.4% (864) 587-3000
83 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 52 $105,323 $2,025 1.4% (904) 634-0640
84 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 51 $178,500 $3,500 7.2% —
85 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 50 $89,405 $1,788 7.1% (937) 395-8646
86 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 50 $259,114 $5,182 1.4% (772) 223-5665
87 BEAUMONT BONE AND JOINT INSTITUTE PA BEAUMONT TX ORTHOPEDIC SURGERY 19 50 $148,250 $2,965 2.3% (409) 838-0346
88 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 49 $387,809 $7,914 15.0% (507) 284-2511
89 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 48 $169,176 $3,525 7.3% —
90 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 48 $512,160 $10,670 4.4% (516) 536-2800
91 ORTHOWEST LTD CLEVELAND OH ORTHOPEDIC SURGERY 5 48 $124,583 $2,595 6.8% (440) 816-5380
92 THOMAS A BRADY SPORTS MEDICINE CENTER, PC CARMEL IN PHYSICIAN ASSISTANT 95 48 $148,800 $3,100 9.2% (317) 817-1200
93 TRONG B NGUYEN MD INC FOUNTAIN VALLEY CA ORTHOPEDIC SURGERY 4 48 $366,680 $7,639 2.0% (714) 861-4888
94 DOUGLAS E PETERSON LLC DANVERS MA ORTHOPEDIC SURGERY 3 48 $220,563 $4,595 10.8% (978) 774-3400
95 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 48 $160,128 $3,336 5.1% —
96 FORT PIERCE ORTHOPAEDICS LLC FORT PIERCE FL PHYSICIAN ASSISTANT 19 48 $208,824 $4,351 1.3% (772) 465-4651
97 THE CENTER FOR BONE AND JOINT DISEASE, PA. HUDSON FL PHYSICIAN ASSISTANT 34 48 $321,390 $6,696 1.3% (727) 697-2200
98 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 47 $179,624 $3,822 10.1% —
99 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 47 $164,970 $3,510 2.0% (800) 954-8000
100 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 47 $110,935 $2,360 6.7% (405) 254-9690

Showing the top 100 of 495 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →