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Market snapshot

27350 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

27350 — Removal of kneecap

Billing groups
3
Named-group FFS services
197
FFS of Medicare
49%
Services YoY
-17.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~436 services

197 observed fee-for-service (45%) · ~239 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 — 27350 (CY2024)

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

Named-group submitted charges
$310K
Named-group allowed amount
$47K
Named-group Medicare payments
$38K
Avg charge / svc
$1,575
Avg allowed / svc
$240
Avg payment / svc
$192
Average charge per group
$1,537 3 groups · avg submitted charge / service $2,045
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 27350 services, CY2024
#Physician group City St Specialty Providers 27350 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 144 $221,778 $1,540 premium 75.8% (904) 396-1725
2 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 39 $59,938 $1,537 premium 40.6% (916) 681-8852
3 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 14 $28,630 $2,045 premium 14.6% (916) 983-7476

*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 →