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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
27335 Incision of knee joint with removal of cartilage of front and 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 2,028 services ▲ 14.7% YoY · 1,914 beneficiaries (CY2024, Medicare FFS)
Medicare paid $431K · $212.61 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
765
FFS of Medicare
49%
Services YoY
+14.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,561 services

765 observed fee-for-service (49%) · ~796 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 — 27335 (CY2024)

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

Named-group submitted charges
$709K
Named-group allowed amount
$78K
Named-group Medicare payments
$62K
Avg charge / svc
$927
Avg allowed / svc
$102
Avg payment / svc
$81
Average charge per group
$760 7 groups · avg submitted charge / service $1,405
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 27335 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 27335 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 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 372 $282,720 $760 premium 25.1%
2 RAMIN GANJIANPOUR MD INC MISSION HILLS CA PHYSICIAN ASSISTANT 4 153 $138,874 $908 premium 10.3% (818) 361-0136
3 SAINT AGNES MEDICAL FOUNDATION FRESNO CA INTERNAL MEDICINE 155 91 $103,278 $1,135 premium 6.1% (559) 450-5777
4 TEXAS JOINT INSTITUTE, PLLC DALLAS TX PHYSICIAN ASSISTANT 39 67 $94,139 $1,405 premium 31.0% (972) 566-5255
5 OPA ORTHO PLLC SEATTLE WA PHYSICIAN ASSISTANT 43 45 $44,925 $998 premium 75.0% (206) 622-2600
6 SUMMIT MEMORIAL MEDICAL GROUP LLC CASPER TX PHYSICIAN ASSISTANT 39 19 $23,179 $1,220 premium 8.8% (307) 358-2122
7 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 18 $21,809 $1,212 premium 8.3% (214) 220-2468

*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 →