Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

27334 Incision of knee joint with removal of cartilage of front or back of knee CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 770 services · est. ▲ 35.3% YoY · 369 FFS beneficiaries (CY2024, all-Medicare estimate) — 384 observed fee-for-service services

Medicare paid $159K · est. · $206.99 avg / service, national — $79K observed FFS

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named groups billing this code

Named-group all-Medicare svcs · est.

311

Scaled from 155 observed FFS services.

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+35.3%

All-Medicare est. · observed FFS +30.6%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~311 services

155 observed fee-for-service (50%) · ~156 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 27334 (CY2024)

WA 454 PR 239 TX 225 NJ 18

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid

Named-group submitted charges

$170K

Named-group allowed amount

$25K

Named-group Medicare payments

$39K · est.

— $20K observed FFS

Avg charge / svc

$1,099

Avg allowed / svc

$159

Avg payment / svc

$127

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$386–625

$625–865

$865–1,104

$1,104–1,344

$1,344–1,583

$1,583–1,823

$1,823–2,062

$2,062+

$386 4 groups · avg submitted charge / service $2,355

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 27334 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	27334 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share of state* locked column	Phone
1	OPA ORTHO PLLC	SEATTLE	WA	PHYSICIAN ASSISTANT	43	82	$31,647	$386	premium	35.2%	(206) 622-2600
2	TEXAS JOINT INSTITUTE, PLLC	DALLAS	TX	PHYSICIAN ASSISTANT	39	50	$100,022	$2,000	premium	47.6%	(972) 566-5255
3	SUMMIT MEMORIAL MEDICAL GROUP LLC	CASPER	TX	PHYSICIAN ASSISTANT	39	12	$12,706	$1,059	premium	11.4%	(307) 358-2122
4	MEDICAL ASSOCIATES OF ENGLEWOOD PC	ENGLEWOOD	NJ	INTERNAL MEDICINE	550	11	$25,905	$2,355	premium	100.0%	(201) 894-3158

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →