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Market snapshot

27520 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

27520 — Closed treatment of broken kneecap

Billing groups
3
Named-group FFS services
35
FFS of Medicare
49%
Services YoY
+220.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~72 services

35 observed fee-for-service (49%) · ~37 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 — 27520 (CY2024)

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

Named-group submitted charges
$81K
Named-group allowed amount
$13K
Named-group Medicare payments
$10K
Avg charge / svc
$2,320
Avg allowed / svc
$374
Avg payment / svc
$296
Average charge per group
$930 3 groups · avg submitted charge / service $4,829
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 27520 services, CY2024
#Physician group City St Specialty Providers 27520 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 12 $16,908 $1,409 premium 50.0% (916) 681-8852
2 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 12 $11,160 $930 premium 50.0% (949) 722-7038
3 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 11 $53,119 $4,829 premium 42.3% (212) 263-9700

*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 →