NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
27299 Other procedure on pelvis or hip joint CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 668 services ▲ 6.4% YoY · 653 beneficiaries (CY2024, Medicare FFS)
Medicare paid $281K · $421.10 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
16
Named-group FFS services
312
FFS of Medicare
49%
Services YoY
+6.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~649 services

312 observed fee-for-service (48%) · ~337 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 — 27299 (CY2024)

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

Named-group submitted charges
$906K
Named-group allowed amount
$156K
Named-group Medicare payments
$125K
Avg charge / svc
$2,904
Avg allowed / svc
$501
Avg payment / svc
$399
Average charge per group
$700 16 groups · avg submitted charge / service $6,421
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 27299 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 27299 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 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 58 $155,957 $2,689 premium 32.0% (904) 396-1725
2 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 36 $81,900 $2,275 premium 73.5% (720) 497-6616
3 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 28 $31,148 $1,112 premium 100.0% (866) 974-2673
4 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 27 $162,000 $6,000 premium 100.0% (401) 457-1500
5 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 19 $19,000 $1,000 premium 27.5% (214) 220-2468
6 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 19 $63,600 $3,347 premium 10.5%
7 NORTH CENTRAL OHIO FAMILY CARE CENTER INC ONTARIO OH NURSE PRACTITIONER 190 16 $45,082 $2,818 premium 43.2% (419) 468-0505
8 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 14 $21,773 $1,555 premium 7.7% (904) 953-2000
9 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 14 $53,414 $3,815 premium 100.0% (206) 364-0500
10 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON MS ORTHOPEDIC SURGERY 60 13 $39,381 $3,029 premium 100.0% (731) 661-9825
11 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 12 $18,018 $1,502 premium 14.0% (410) 663-8100
12 TEXAS ORTHOPEDIC SPECIALISTS, PLLC BEDFORD TX ORTHOPEDIC SURGERY 14 12 $21,600 $1,800 premium 17.4% (817) 540-4477
13 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 11 $60,773 $5,525 premium 100.0% (507) 284-2511
14 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 11 $70,629 $6,421 premium 100.0% (617) 732-5500
15 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 11 $53,998 $4,909 premium 100.0% (402) 219-7700
16 UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC TOWSON MD ORTHOPEDIC SURGERY 36 11 $7,700 $700 premium 12.8%

*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 →