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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
27486 Revision of component of total knee joint prosthesis CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal Arthroplasty - Knee (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,027 services ▲ 14.5% YoY · 988 beneficiaries (CY2024, Medicare FFS)
Medicare paid $840K · $817.62 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
28
Named-group FFS services
507
FFS of Medicare
49%
Services YoY
+14.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,007 services

507 observed fee-for-service (50%) · ~500 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 — 27486 (CY2024)

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

Named-group submitted charges
$2.5M
Named-group allowed amount
$493K
Named-group Medicare payments
$393K
Avg charge / svc
$4,979
Avg allowed / svc
$972
Avg payment / svc
$774
Average charge per group
$1,232 28 groups · avg submitted charge / service $10,400
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 27486 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 27486 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 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLAND SC PHYSICIAN ASSISTANT 78 54 $176,855 $3,275 premium 100.0% (843) 380-9330
2 TEXAS ORTHOPEDIC SPECIALISTS, PLLC BEDFORD TX ORTHOPEDIC SURGERY 14 34 $68,976 $2,029 premium 44.2% (817) 540-4477
3 ORTHOPAEDIC CENTER PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 19 32 $68,322 $2,135 premium 71.1% (918) 582-6800
4 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 32 $89,733 $2,804 premium 28.6% (919) 544-7270
5 ARIA HEALTH ORTHOPAEDICS LANGHORNE AL PHYSICIAN ASSISTANT 15 31 $191,642 $6,182 premium 100.0% (215) 409-9300
6 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 25 $69,016 $2,761 premium 100.0%
7 DEARBORN AND ASSOCIATES INSTITUTE FOR JOINT RESTORATION FREMONT CA PHYSICIAN ASSISTANT 8 19 $192,500 $10,132 premium 13.5%
8 GLENDALE ADVENTIST MEDICAL CENTER GLENDALE CA ANESTHESIOLOGY 100 17 $77,469 $4,557 premium 12.1% (818) 863-4099
9 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 17 $167,212 $9,836 premium 53.1% (706) 494-3434
10 SARAH BUSH LINCOLN HEALTH CENTER MATTOON IL NURSE PRACTITIONER 405 16 $100,959 $6,310 premium 21.6%
11 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 16 $164,452 $10,278 premium 11.3% (310) 443-8999
12 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 15 $44,235 $2,949 premium 15.6% (850) 474-8000
13 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 15 $54,750 $3,650 premium 10.6% (559) 583-4695
14 ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC SAINT JOSEPH VA ORTHOPEDIC SURGERY 21 14 $69,510 $4,965 premium 100.0% (816) 233-9888
15 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 14 $62,118 $4,437 premium 18.2% (817) 281-2977
16 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 13 $62,920 $4,840 premium 50.0% (614) 293-8000
17 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 13 $36,244 $2,788 premium 28.9% (405) 604-6000
18 MENORAH MEDICAL GROUP LLC OVERLAND PARK KS GENERAL SURGERY 22 13 $56,835 $4,372 premium 33.3% (913) 345-6901
19 SAH ORTHOPAEDIC ASSOCIATES FREMONT CA PHYSICIAN ASSISTANT 8 13 $130,000 $10,000 premium 9.2% (510) 818-7200
20 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 13 $135,200 $10,400 premium 9.2% (310) 423-0674
21 OVERLAND PARK SURGICAL SPECIALTIES LLC OVERLAND PARK KS FAMILY PRACTICE 88 12 $37,982 $3,165 premium 30.8% (913) 956-4200
22 ALTA ORTHOPAEDIC MEDICAL GROUP INC SANTA BARBARA CA PHYSICIAN ASSISTANT 22 12 $70,200 $5,850 premium 8.5% (805) 963-9377
23 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 12 $52,860 $4,405 premium 100.0% (515) 343-1000
24 BAPTIST HEALTH MEDICAL GROUP ORTHOPEDICS, LLC CORAL GABLES FL PHYSICIAN ASSISTANT 68 11 $96,968 $8,815 premium 11.5% (786) 268-6200
25 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 11 $89,380 $8,125 premium 100.0% (507) 284-2511
26 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 11 $101,981 $9,271 premium 100.0% (302) 731-2888
27 BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA NORTH LITTLE ROCK AR ORTHOPEDIC SURGERY 19 11 $13,551 $1,232 premium 50.0%
28 ORTHOTENNESSEE PC KNOXVILLE TN PHYSICIAN ASSISTANT 157 11 $42,691 $3,881 premium 100.0% (865) 558-4400

*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 →