NEVVI Medicare utilization intelligence
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Market snapshot

27447 nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

27447 — Replacement of knee joint, both sides of knee

Billing groups
1,832
Named-group FFS services
300,624
FFS of Medicare
49%
Services YoY
+1.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~573,638 services

300,624 observed fee-for-service (52%) · ~273,014 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — 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
$1.4B
Named-group allowed amount
$228.3M
Named-group Medicare payments
$181.3M
Avg charge / svc
$4,781
Avg allowed / svc
$759
Avg payment / svc
$603
Average charge per group
$158 1,832 groups · avg submitted charge / service $70,955
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Specialty market — Orthopedic Surgery: 51,943 services across 359 groups; top group 6%. See Orthopedic Surgery across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 27447 services, CY2023
#Physician group City St Specialty Providers 27447 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 3,304 $26,463,305 $8,009 premium 78.5% 14.4%
2 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 1,617 $5,169,221 $3,197 premium 72.9% 12.2% (602) 385-2115
3 ADVANCED ORTHOPAEDIC ASSOCIATES, P.A. WELLINGTON KS ORTHOPEDIC SURGERY 48 1,203 $2,608,070 $2,168 premium 11.6% (316) 631-1600
4 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 1,197 $5,687,903 $4,752 premium 7.9% (765) 284-7738
5 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 1,136 $5,937,855 $5,227 premium 26.9%
6 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS IN ORTHOPEDIC SURGERY 348 1,056 $7,000,463 $6,629 premium 6.9% (317) 802-2000
7 TRI-COUNTY ORTHOPAEDIC AND SPORTS MEDICINE PA CEDAR KNOLLS NJ ORTHOPEDIC SURGERY 42 1,022 $7,912,344 $7,742 premium 49.5% 7.7% (973) 538-2334
8 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 1,019 $2,876,391 $2,823 premium 20.4% 2.8% (925) 939-8585
9 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 924 $3,233,419 $3,499 premium 22.1% (775) 786-3040
10 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD KS ORTHOPEDIC SURGERY 67 864 $5,968,024 $6,907 premium 8.3% (913) 319-7600
11 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 841 $4,061,120 $4,829 premium 12.6% (601) 354-4488
12 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 785 $3,304,430 $4,209 premium 11.7% (662) 767-4200
13 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 773 $6,787,233 $8,780 premium 15.5% 2.1% (310) 443-8999
14 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 727 $4,484,625 $6,169 premium 50.2% 4.9% (706) 494-3434
15 ORTHOPAEDIC ASSOCIATES INC NEWBURGH IN ORTHOPEDIC SURGERY 25 614 $1,816,920 $2,959 premium 4.0% (812) 424-9291
16 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 604 $1,793,125 $2,969 premium 5.6% (573) 443-2402
17 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 558 $2,114,863 $3,790 premium 4.3% (901) 641-3000
18 THE ORTHOPAEDIC GROUP PC MOBILE AL ORTHOPEDIC SURGERY 69 530 $2,393,387 $4,516 premium 26.8% 7.6% (251) 476-5050
19 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA ORTHOPEDIC SURGERY 67 520 $3,436,209 $6,608 premium 10.4% 1.4% (310) 319-1234
20 HAMPTON ROADS ORTHOPAEDIC AND SPORTS MEDICINE LLC NEWPORT NEWS VA ORTHOPEDIC SURGERY 26 445 $2,204,656 $4,954 premium 2.5% (757) 873-1554
21 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 444 $2,893,648 $6,517 premium 3.4% (901) 759-3100
22 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 439 $2,865,124 $6,526 premium 25.9% (401) 457-1500
23 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 419 $1,953,308 $4,662 premium 11.8% 1.3% (817) 375-5200
24 MARTIN KNEE AND SPORTS MEDICINE CENTER, PA LITTLE ROCK AR ORTHOPEDIC SURGERY 9 399 $393,140 $985 premium 6.8% (501) 975-5633
25 DICKSON ORTHOPEDICS PA JONESBORO AR ORTHOPEDIC SURGERY 14 397 $1,153,000 $2,904 premium 6.7% (870) 932-1820
26 TRI-CITY ORTHOPAEDIC CLINIC P S C KENNEWICK WA ORTHOPEDIC SURGERY 19 397 $1,451,928 $3,657 premium 3.2% (509) 460-5588
27 NORTH ALABAMA BONE AND JOINT CLINIC P C FLORENCE AL ORTHOPEDIC SURGERY 18 387 $1,374,940 $3,553 premium 19.6% 5.5% (256) 718-3200
28 SOMERS ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP PLLC CARMEL NY ORTHOPEDIC SURGERY 28 379 $1,452,938 $3,834 premium 21.1% 2.0% (845) 278-8400
29 MICHIGAN ORTHOPEDIC CENTER P C LANSING MI ORTHOPEDIC SURGERY 29 378 $932,627 $2,467 premium 29.6% 3.1% (517) 267-0200
30 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 366 $1,828,600 $4,996 premium 2.8% (731) 661-9825
31 PALMETTO BONE AND JOINT CLINTON SC ORTHOPEDIC SURGERY 12 350 $2,975,120 $8,500 premium 2.8% (864) 833-3046
32 OXFORD ORTHOPAEDICS AND SPORTS MEDICINE PLLC OXFORD MS ORTHOPEDIC SURGERY 12 347 $1,164,124 $3,355 premium 5.2%
33 THE ANDERSON CLINIC INC ALEXANDRIA VA ORTHOPEDIC SURGERY 79 343 $765,395 $2,231 premium 2.0% (703) 892-6500
34 ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC SAINT JOSEPH MO ORTHOPEDIC SURGERY 21 326 $1,989,240 $6,102 premium 3.0% (816) 233-9888
35 TEXAS ORTHOPEDIC SPECIALISTS, PLLC BEDFORD TX ORTHOPEDIC SURGERY 14 326 $745,823 $2,288 premium 9.2% 1.0% (817) 540-4477
36 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORD MA ORTHOPEDIC SURGERY 43 321 $2,188,939 $6,819 premium 28.5% 2.6% (978) 454-0706
37 ORTHOPAEDIC CLINIC OF SALINA SALINA KS ORTHOPEDIC SURGERY 17 319 $775,485 $2,431 premium 3.1%
38 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 318 $1,724,658 $5,423 premium 1.4% (610) 353-0800
39 STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR EAST SETAUKET NY ORTHOPEDIC SURGERY 50 311 $4,551,357 $14,635 premium 17.3% 1.6% (631) 444-4233
40 ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC GREEN BAY WI ORTHOPEDIC SURGERY 50 310 $2,737,786 $8,832 premium 3.3%
41 BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA NORTH LITTLE ROCK AR ORTHOPEDIC SURGERY 19 297 $469,613 $1,581 premium 5.0%
42 BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC VANCLEAVE MS ORTHOPEDIC SURGERY 42 293 $1,435,319 $4,899 premium 4.4% (228) 230-2663
43 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA ORTHOPEDIC SURGERY 47 284 $674,462 $2,375 premium 5.7% 0.8% (714) 456-7004
44 ORTHOPEDIC ASSOC OF LANCASTER LTD LANCASTER PA ORTHOPEDIC SURGERY 80 278 $884,449 $3,181 premium 1.2% (717) 299-4871
45 REDWOOD ORTHOPAEDIC SURGERY ASSOCIATES AMC SANTA ROSA CA ORTHOPEDIC SURGERY 11 263 $493,703 $1,877 premium 5.3% 0.7% (707) 544-3400
46 THE KNEE HIP AND SHOULDER CENTER PORTSMOUTH NH ORTHOPEDIC SURGERY 5 253 $1,370,425 $5,417 premium 6.3% (603) 431-5858
47 ORTHOPAEDIC CENTER OF IL SPRINGFIELD IL ORTHOPEDIC SURGERY 30 250 $2,332,500 $9,330 premium 5.9% 1.1% (217) 547-9100
48 IDAHO CLINIC BOISE ID ORTHOPEDIC SURGERY 6 246 $517,580 $2,104 premium 6.1% 2082879420123
49 THE ORTHOPAEDIC CLINIC, P.C. OPELIKA AL ORTHOPEDIC SURGERY 14 242 $837,384 $3,460 premium 12.2% 3.4% (334) 749-8303
50 CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC ALBANY NY ORTHOPEDIC SURGERY 67 237 $1,032,118 $4,355 premium 13.2% 1.2% (518) 489-2666
51 ORTHOPEDIC ASSOCIATES PA FARMINGTON NM ORTHOPEDIC SURGERY 19 237 $803,222 $3,389 premium 8.8% (505) 327-1400
52 FLORIDA JOINT AND SPINE INSTITUTE PA SEBRING FL ORTHOPEDIC SURGERY 14 230 $986,452 $4,289 premium 14.4% 0.6% (863) 385-2222
53 PARIS ORTHOPEDIC CLINIC PA PARIS TX ORTHOPEDIC SURGERY 8 229 $1,076,460 $4,701 premium 6.5% 0.7% (903) 737-0017
54 SELECT PHYSICAL THERAPY OF WEST DENVER LIMITED PARTNERSHIP LOVELAND CO ORTHOPEDIC SURGERY 443 224 $2,244,704 $10,021 premium 2.0% (970) 667-7755
55 THE CENTRAL ORTHOPEDIC GROUP L L P PLAINVIEW NY ORTHOPEDIC SURGERY 24 221 $3,111,000 $14,077 premium 12.3% 1.2% (516) 681-8822
56 PROFESSIONAL ORTHOPAEDIC ASSOC PA TINTON FALLS NJ ORTHOPEDIC SURGERY 22 220 $370,127 $1,682 premium 10.7% 1.7% 7325304949240
57 MICHAEL H BOOTHBY, MD, PA FORT WORTH TX ORTHOPEDIC SURGERY 12 219 $735,836 $3,360 premium 6.2% 0.7% 81752919002010
58 ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC RED BANK NJ ORTHOPEDIC SURGERY 19 215 $5,555,755 $25,841 premium 10.4% 1.6% 7327412313167
59 ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC SAINT JOSEPH VA ORTHOPEDIC SURGERY 21 210 $1,339,800 $6,380 premium 1.2% (816) 233-9888
60 UNIVERSITY ORTHOPAEDIC CLINIC P C TUSCALOOSA AL ORTHOPEDIC SURGERY 21 209 $1,227,917 $5,875 premium 10.6% 3.0% (205) 345-0192
61 ORTHOWEST LTD CLEVELAND OH ORTHOPEDIC SURGERY 5 208 $598,831 $2,879 premium 0.9% (440) 816-5380
62 PARKVIEW ORTHOPAEDIC GROUP S C PALOS HEIGHTS IL ORTHOPEDIC SURGERY 30 206 $2,290,002 $11,117 premium 4.9% 0.9%
63 ORTHOPAEDICS OF JACKSON HOLE PC JACKSON WY ORTHOPEDIC SURGERY 14 202 $1,371,002 $6,787 premium 12.6% (307) 733-3900
64 POOLE JOINT REPLACEMENT SPECIALISTS MERIDIAN ID ORTHOPEDIC SURGERY 2 199 $479,200 $2,408 premium 4.9% (208) 391-5811
65 HUNTERDON ORTHOPEDIC INSTITUTE PA FLEMINGTON NJ ORTHOPEDIC SURGERY 24 199 $3,045,946 $15,306 premium 9.6% 1.5% (908) 782-0600
66 ORTHO FLORIDA LLC BOCA RATON FL ORTHOPEDIC SURGERY 112 197 $659,233 $3,346 premium 12.3% 0.5% (954) 964-6114
67 STV SPORTS MEDICINE AND ORTHOPEDICS LLC BIRMINGHAM AL ORTHOPEDIC SURGERY 55 197 $337,977 $1,716 premium 10.0% 2.8% (205) 939-3699
68 CASPER ORTHOPAEDIC ASSOCIATES PC CASPER WY ORTHOPEDIC SURGERY 28 196 $202,011 $1,031 premium 12.3% (307) 265-7205
69 WK ORTHOPEDIC CLINIC SHREVEPORT LA ORTHOPEDIC SURGERY 20 194 $746,172 $3,846 premium 3.0% (318) 212-3610
70 CENTRAL COAST ORTHOPEDIC MEDICAL GROUP SAN LUIS OBISPO CA ORTHOPEDIC SURGERY 17 192 $509,413 $2,653 premium 3.8% 0.5% (805) 541-4600
71 INOV8 ORTHOPEDICS HOUSTON TX ORTHOPEDIC SURGERY 11 188 $883,957 $4,702 premium 5.3% 0.6% (346) 571-7500
72 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC VINELAND NJ ORTHOPEDIC SURGERY 38 185 $4,221,635 $22,820 premium 9.0% 1.4% (856) 690-1616
73 NEW BRAUNFELS BONE AND JOINT CLINIC PA NEW BRAUNFELS TX ORTHOPEDIC SURGERY 8 178 $1,465,268 $8,232 premium 5.0% 0.6% 8306253481116
74 CHRISTOPHER C NINH MD, INC IRVINE CA ORTHOPEDIC SURGERY 4 170 $385,270 $2,266 premium 3.4% 0.5% (714) 432-9990
75 AMARILLO BONE AND JOINT CLINIC PLLC AMARILLO TX ORTHOPEDIC SURGERY 17 165 $358,348 $2,172 premium 4.7% 0.5% (806) 468-9700
76 WISCONSIN BONE AND JOINT S C WAUWATOSA WI ORTHOPEDIC SURGERY 23 163 $1,708,735 $10,483 premium 1.7% (414) 257-2525
77 EPIC ORTHOPEDICS REDDING CA ORTHOPEDIC SURGERY 6 163 $667,026 $4,092 premium 3.3% 0.5% (530) 242-1266
78 BEAUMONT BONE AND JOINT INSTITUTE PA BEAUMONT TX ORTHOPEDIC SURGERY 19 161 $847,291 $5,263 premium 4.5% 0.5% (409) 838-0346
79 COASTAL ORTHOPAEDICS AND SPORTS MEDICINE CENTER PORT SAINT LUCIE FL ORTHOPEDIC SURGERY 15 157 $647,022 $4,121 premium 9.8% 0.4% 77233553002015
80 PREFERRED ORTHOPEDICS OF THE PALM BEACHES P.A. BOYNTON BEACH FL ORTHOPEDIC SURGERY 11 157 $956,300 $6,091 premium 9.8% 0.4% (561) 733-5888
81 GEM CITY BONE AND JOINT PC LARAMIE WY ORTHOPEDIC SURGERY 21 150 $1,210,389 $8,069 premium 9.4% (307) 745-8851
82 MIDWEST ORTHOPEDIC SPECIALISTS INC HANNIBAL MO ORTHOPEDIC SURGERY 6 149 $2,215,889 $14,872 premium 1.4% 5732481010404
83 NEWTON WELLESLEY ORTHOPEDIC ASSOCIATES INC NEWTON MA ORTHOPEDIC SURGERY 27 149 $605,955 $4,067 premium 13.2% 1.2% (617) 964-0024
84 BLUE RIDGE ORTHOPAEDIC ASSOCIATES PC WARRENTON VA ORTHOPEDIC SURGERY 38 145 $1,314,000 $9,062 premium 0.8% (540) 347-9220
85 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS MA ORTHOPEDIC SURGERY 1373 145 $2,046,095 $14,111 premium 12.9% 1.2% (508) 385-4212
86 ORTHOPEDIC ASSOCIATES OF PORT HURON PC PORT HURON MI ORTHOPEDIC SURGERY 22 145 $497,640 $3,432 premium 11.3% 1.2% (810) 985-4900
87 RESURGENS, LLC ATLANTA GA ORTHOPEDIC SURGERY 172 141 $953,087 $6,759 premium 9.7% 1.0% (404) 847-9999
88 CSK MEDICAL PARTNERS LUBBOCK TX ORTHOPEDIC SURGERY 20 139 $321,816 $2,315 premium 3.9% 0.4% (809) 792-4329
89 COQUILLE VALLEY HEALTH COOS BAY OR ORTHOPEDIC SURGERY 20 134 $558,524 $4,168 premium 2.1% (541) 266-3600
90 DALLCO ORTHOPAEDICS AND SPORTS MEDICINE IDAHO FALLS ID ORTHOPEDIC SURGERY 2 133 $450,205 $3,385 premium 3.3% (208) 522-6662
91 CAMPBELL CLINIC, PC GERMANTOWN MS ORTHOPEDIC SURGERY 225 132 $856,416 $6,488 premium 2.0% (901) 759-3100
92 ORTHOPAEDIC SPECIALISTS PC DAVENPORT IA ORTHOPEDIC SURGERY 15 131 $796,747 $6,082 premium 1.5% (563) 344-6645
93 UPSTATE ORTHOPEDICS, LLP CAMILLUS NY ORTHOPEDIC SURGERY 34 130 $525,414 $4,042 premium 7.2% 0.7% (315) 551-6000
94 ST. CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC SAINT CLAIR SHORES MI ORTHOPEDIC SURGERY 26 129 $422,820 $3,278 premium 10.1% 1.1% (586) 773-1300
95 GEOFFREY WESTRICH MD PC NEW YORK NY ORTHOPEDIC SURGERY 2 128 $197,616 $1,544 premium 7.1% 0.7% (212) 606-1510
96 MOUNTAINSTATE ORTHOPEDIC ASSOCIATES INC MORGANTOWN WV ORTHOPEDIC SURGERY 9 126 $189,000 $1,500 premium 5.0% (304) 599-0720
97 ORTHOPAEDIC SURGERY ASSOCIATES PA BOYNTON BEACH FL ORTHOPEDIC SURGERY 20 124 $223,932 $1,806 premium 7.8% 0.3%
98 RIVER VALLEY ORTHOPAEDICS AND SPORTS MEDICINE INC LANCASTER OH ORTHOPEDIC SURGERY 6 124 $268,744 $2,167 premium 0.6% (740) 687-3346
99 THE ORTHOPAEDIC AND JOINT PRESERVATION CENTER OF ARKANSAS, P.A. FAYETTEVILLE AR ORTHOPEDIC SURGERY 12 124 $66,385 $535 premium 2.1% (479) 966-4187
100 ORTHOTX PLLC ARLINGTON MS ORTHOPEDIC SURGERY 81 122 $147,576 $1,210 premium 1.8% (817) 375-5200

Showing the top 100 of 1,832 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →