NEVVI Medicare utilization intelligence
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Market snapshot

27447 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

27447 — Replacement of knee joint, both sides of knee

Billing groups
1,730
Named-group FFS services
302,637
FFS of Medicare
49%
Services YoY
+1.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~599,667 services

302,637 observed fee-for-service (50%) · ~297,030 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 — 27447 (CY2024)

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

Named-group submitted charges
$1.5B
Named-group allowed amount
$227.2M
Named-group Medicare payments
$180.1M
Avg charge / svc
$4,926
Avg allowed / svc
$751
Avg payment / svc
$595
Average charge per group
$272 1,730 groups · avg submitted charge / service $76,094
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 27447 services, CY2024
#Physician group City St Specialty Providers 27447 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 3,335 $28,444,819 $8,529 premium 14.9%
2 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 2,864 $7,024,538 $2,453 premium 8.7% (214) 220-2468
3 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 2,377 $42,966,056 $18,076 premium 17.4% (732) 974-0404
4 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 2,154 $6,328,929 $2,938 premium 11.6% (919) 544-7270
5 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 2,095 $8,632,510 $4,121 premium 11.4%
6 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 1,994 $4,929,896 $2,472 premium 9.0% (513) 354-3700
7 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 1,909 $9,349,458 $4,898 premium 15.7% (425) 313-5422
8 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 1,684 $3,842,772 $2,282 premium 27.4% (801) 261-8346
9 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 1,645 $5,716,302 $3,475 premium 21.5% (612) 863-6960
10 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 1,642 $6,200,444 $3,776 premium 4.3% (916) 681-8852
11 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 1,592 $4,562,583 $2,866 premium 7.2% (614) 827-8700
12 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 1,554 $13,177,561 $8,480 premium 6.3%
13 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 1,525 $4,508,389 $2,956 premium 10.8% (602) 385-2115
14 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 1,471 $5,936,458 $4,036 premium 10.5% (615) 329-6600
15 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 1,467 $10,275,568 $7,004 premium 22.6% (402) 219-7700
16 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 1,418 $6,346,516 $4,476 premium 3.7% (310) 423-0674
17 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 1,353 $4,778,702 $3,532 premium 10.4%
18 ORTHOWEST, LLC OMAHA NE PHYSICIAN ASSISTANT 110 1,340 $3,257,343 $2,431 premium 20.7% (402) 609-3000
19 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 1,337 $12,800,051 $9,574 premium 6.7%
20 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 1,312 $3,686,990 $2,810 premium 16.0% (515) 343-1000
21 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 1,246 $4,294,963 $3,447 premium 3.2% (850) 877-8174
22 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 1,186 $6,591,685 $5,558 premium 7.9% (765) 284-7738
23 ADVANCED ORTHOPAEDIC ASSOCIATES, P.A. WELLINGTON KS ORTHOPEDIC SURGERY 48 1,169 $2,565,101 $2,194 premium 11.9% (316) 631-1600
24 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 1,166 $5,552,492 $4,762 premium 9.0% (843) 720-8448
25 TRI-COUNTY ORTHOPAEDIC AND SPORTS MEDICINE PA CEDAR KNOLLS NJ ORTHOPEDIC SURGERY 42 1,159 $7,912,184 $6,827 premium 8.5% (973) 538-2334
26 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 1,148 $9,873,043 $8,600 premium 9.0% (603) 883-0091
27 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 1,142 $6,176,032 $5,408 premium 29.2%
28 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,136 $5,269,079 $4,638 premium 3.0% (415) 600-1020
29 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 1,134 $3,266,368 $2,880 premium 3.0% (760) 340-3911
30 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 1,100 $3,757,614 $3,416 premium 7.8%
31 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 1,089 $13,162,563 $12,087 premium 5.5% (516) 536-2800
32 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 1,078 $7,740,799 $7,181 premium 15.7% (256) 539-2728
33 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 174 1,074 $28,045,880 $26,113 premium 5.4% (516) 240-2700
34 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 1,056 $3,207,928 $3,038 premium 7.5% (520) 382-8200
35 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 1,053 $6,036,313 $5,732 premium 2.8% (800) 872-2273
36 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 1,048 $2,233,975 $2,132 premium 4.7% (419) 291-2003
37 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 1,048 $2,688,519 $2,565 premium 5.6% (704) 323-2100
38 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 1,045 $13,345,632 $12,771 premium 4.7% (877) 632-6637
39 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 1,044 $5,781,195 $5,538 premium 4.7%
40 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 1,029 $5,484,528 $5,330 premium 27.8% (302) 731-2888
41 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD KS ORTHOPEDIC SURGERY 67 1,010 $7,222,214 $7,151 premium 10.3% (913) 319-7600
42 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 1,005 $3,940,778 $3,921 premium 2.6% (904) 396-1725
43 ORTHOPAEDIC INSTITUTE OF OHIO, INC LIMA OH PHYSICIAN ASSISTANT 75 994 $2,341,615 $2,356 premium 4.5% (419) 222-6622
44 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 991 $8,543,678 $8,621 premium 4.4%
45 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 983 $7,475,918 $7,605 premium 23.9% (603) 883-0091
46 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS IN ORTHOPEDIC SURGERY 348 971 $6,772,415 $6,975 premium 6.5% (317) 802-2000
47 SAH ORTHOPAEDIC ASSOCIATES FREMONT CA PHYSICIAN ASSISTANT 8 952 $5,459,400 $5,735 premium 2.5% (510) 818-7200
48 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 948 $18,354,824 $19,362 premium 4.8% (212) 263-9700
49 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 929 $2,107,612 $2,269 premium 7.2% (843) 491-4937
50 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 919 $3,268,380 $3,556 premium 23.3% (775) 786-3040
51 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 902 $3,957,030 $4,387 premium 6.6% (856) 247-7260
52 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 895 $4,273,920 $4,775 premium 13.1% (601) 354-4488
53 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 887 $5,181,917 $5,842 premium 4.8% (301) 530-1010
54 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 884 $3,750,352 $4,242 premium 6.8% (301) 774-0500
55 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 884 $8,059,853 $9,117 premium 2.3% (310) 443-8999
56 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 882 $2,968,129 $3,365 premium 2.3% (714) 634-4567
57 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 866 $1,323,397 $1,528 premium 6.7% (443) 481-1000
58 ORTHOPEDICSNY, LLP ALBANY NY PHYSICIAN ASSISTANT 112 853 $2,080,213 $2,439 premium 4.3% (518) 489-2663
59 MD WEST ONE, PC OMAHA NE PHYSICIAN ASSISTANT 84 812 $3,553,730 $4,377 premium 12.5% (402) 399-1900
60 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 807 $3,120,828 $3,867 premium 2.5% (210) 804-5400
61 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 802 $3,541,307 $4,416 premium 11.7% (662) 767-4200
62 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 796 $2,538,044 $3,188 premium 6.7% (573) 443-2402
63 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 790 $2,524,760 $3,196 premium 2.1% (925) 939-8585
64 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 786 $1,821,938 $2,318 premium 12.8%
65 SLOCUM ORTHOPEDICS PC EUGENE OR PHYSICIAN ASSISTANT 67 784 $4,851,588 $6,188 premium 11.2% (541) 485-8111
66 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 767 $6,720,430 $8,762 premium 2.0% (650) 723-4000
67 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 761 $3,862,697 $5,076 premium 3.4% (630) 469-9200
68 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 760 $4,637,308 $6,102 premium 5.9%
69 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 760 $2,502,830 $3,293 premium 9.2% (405) 604-6000
70 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 754 $4,902,785 $6,502 premium 20.4% (302) 655-9494
71 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 753 $2,478,368 $3,291 premium 9.1%
72 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 753 $1,394,345 $1,852 premium 5.3% (866) 974-2673
73 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 738 $2,202,231 $2,984 premium 8.9% (405) 692-9300
74 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 738 $2,681,166 $3,633 premium 2.2% (903) 606-5560
75 AZ ORTHOPEDICS LLC SCOTTSDALE AZ PHYSICIAN ASSISTANT 12 729 $2,246,145 $3,081 premium 5.2% (480) 697-4824
76 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 710 $2,654,973 $3,739 premium 10.1% (541) 706-7715
77 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 708 $6,687,060 $9,445 premium 3.6% (203) 869-1145
78 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 700 $6,328,779 $9,041 premium 4.8% (706) 494-3434
79 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 691 $3,205,305 $4,639 premium 1.8% (858) 455-9100
80 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 690 $2,660,386 $3,856 premium 9.8% (541) 779-6250
81 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 688 $1,595,362 $2,319 premium 35.6% (207) 885-9905
82 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 687 $3,027,651 $4,407 premium 26.5% 50572443003208
83 NORTHWEST ORTHOPAEDIC SPECIALISTS PS SPOKANE WA PHYSICIAN ASSISTANT 80 681 $1,385,708 $2,035 premium 5.6% (509) 465-1300
84 SOUTHERN BONE AND JOINT SPECIALISTS, PA HATTIESBURG MS PHYSICIAN ASSISTANT 53 681 $3,076,380 $4,517 premium 10.0% (601) 554-7400
85 SAUK PRAIRIE HEALTHCARE INC PRAIRIE DU SAC WI PHYSICIAN ASSISTANT 121 680 $6,107,672 $8,982 premium 6.8% (608) 644-3000
86 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 678 $2,805,458 $4,138 premium 2.1% (512) 324-7300
87 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 673 $2,249,005 $3,342 premium 4.9% (732) 362-3663
88 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 669 $2,163,582 $3,234 premium 5.5%
89 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 668 $2,551,861 $3,820 premium 5.5% (253) 428-2200
90 MISSOULA BONE AND JOINT LLC MISSOULA MT PHYSICIAN ASSISTANT 55 666 $1,742,495 $2,616 premium 17.0% (406) 721-4436
91 SOUTHERN SURGICAL ASSISTANTS, LLC BRASELTON GA NURSE PRACTITIONER 2 666 $2,214,450 $3,325 premium 4.6% (678) 591-8344
92 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 665 $3,239,008 $4,871 premium 1.7% (916) 983-7476
93 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 660 $6,280,370 $9,516 premium 4.8% (908) 273-4300
94 MIDWEST ORTHOPAEDIC CENTER S C PEORIA IL PHYSICIAN ASSISTANT 46 653 $2,933,744 $4,493 premium 2.9% (309) 691-1400
95 COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA BRADENTON FL PHYSICIAN ASSISTANT 62 652 $1,871,240 $2,870 premium 1.7% (941) 792-1404
96 MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC SHREVEPORT LA PHYSICIAN ASSISTANT 28 650 $2,236,490 $3,441 premium 10.6% (318) 635-3052
97 ORTHO MONTANA, PSC BILLINGS MT PHYSICIAN ASSISTANT 39 634 $1,682,508 $2,654 premium 16.2% (406) 237-5050
98 ORTHOPAEDIC CENTER PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 19 633 $1,394,879 $2,204 premium 7.6% (918) 582-6800
99 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 630 $4,407,705 $6,996 premium 5.0% (978) 818-6350
100 VHS OUTPATIENT CLINICS INC PHOENIX AZ PHYSICIAN ASSISTANT 180 626 $1,633,372 $2,609 premium 4.4% (602) 274-6506

Showing the top 100 of 1,730 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →