NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
27690 Transfer of tendon and muscle rerouting at lower leg or ankle CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 363 services · est. ▲ 31.1% YoY · 168 FFS beneficiaries (CY2024, all-Medicare estimate) — 181 observed fee-for-service services
Medicare paid $255K · est. · $703.48 avg / service, national — $127K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

6

Named groups billing this code
Named-group all-Medicare svcs · est.

249

Scaled from 124 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+31.0%

All-Medicare est. · observed FFS +26.6%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~249 services

124 observed fee-for-service (50%) · ~125 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Top states — 27690 (CY2024)
CA 174 TX 64 OH 61 RI 34 NY 27

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid
Named-group submitted charges
$290K
Named-group allowed amount
$54K
Named-group Medicare payments
$86K · est.
— $43K observed FFS
Avg charge / svc
$2,335
Avg allowed / svc
$437
Avg payment / svc
$345
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$384 6 groups · avg submitted charge / service $9,923
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

View the live example →
See the Platform — the full read, every number below, code baskets, and export. Notify me at launch →
Refine: group size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 27690 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 ROBERT NEVILLE AND ASSOCIATES PA SHENANDOAH TX PODIATRY 5 30 $49,948 $1,665 100.0% (281) 364-9041
2 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO CA PHYSICIAN ASSISTANT 16 26 $51,298 $1,973 30.2% (949) 348-4000
3 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 25 $9,600 $384 29.1% (714) 871-3006
4 LA MEDICAL CLINIC INC GLENDALE CA GENERAL PRACTICE 3 18 $30,600 $1,700 20.9% (818) 696-2156
5 MARK DRAKOS MD PLLC UNIONDALE NY NURSE PRACTITIONER 2 13 $129,000 $9,923 100.0% (212) 606-1112
That's the top 5 of 6 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. 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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →