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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
27305 Incision of connective tissue between thigh and knee CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 440 services ▲ 90.5% YoY · 428 beneficiaries (CY2024, Medicare FFS)
Medicare paid $81K · $183.95 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
6
Named-group FFS services
270
FFS of Medicare
49%
Services YoY
+90.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~601 services

270 observed fee-for-service (45%) · ~331 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 — 27305 (CY2024)

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

Named-group submitted charges
$231K
Named-group allowed amount
$49K
Named-group Medicare payments
$39K
Avg charge / svc
$855
Avg allowed / svc
$181
Avg payment / svc
$145
Average charge per group
$587 6 groups · avg submitted charge / service $2,622
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 27305 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 27305 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 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 167 $98,010 $587 premium 84.3% (772) 257-3608
2 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 34 $23,063 $678 premium 100.0% (720) 497-6616
3 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 25 $32,500 $1,300 premium 64.1% (919) 684-8111
4 NORTHERN CALIFORNIA ORTHOPEDIC CENTERS MEDICAL GROUP CARMICHAEL CA PHYSICIAN ASSISTANT 5 17 $26,121 $1,537 premium 58.6% (916) 965-4000
5 CAROLINA PHYSICAL THERAPY ASSOCIATES LLC LOUISBURG NC ORTHOPEDIC SURGERY 502 14 $17,160 $1,226 premium 35.9% (919) 497-8414
6 TEXAS PRACTITIONERS LLC ARLINGTON TX PHYSICIAN ASSISTANT 4 13 $34,080 $2,622 premium 11.6% (615) 657-4800

*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 →