Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

27691 Transfer of deep tendon of foot with muscle rerouting CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 515 services ▼ 19.9% YoY · 505 beneficiaries (CY2024, Medicare FFS)

Medicare paid $317K · $616.02 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

283

FFS of Medicare

49%

Services YoY

-19.9%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~541 services

283 observed fee-for-service (52%) · ~258 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 — 27691 (CY2024)

MO 67 SC 46 AR 42 IL 41 CO 36

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

Named-group submitted charges

$616K

Named-group allowed amount

$145K

Named-group Medicare payments

$115K

Avg charge / svc

$2,175

Avg allowed / svc

$513

Avg payment / svc

$407

Average charge per group

$1,213–1,641

$1,641–2,069

$2,069–2,497

$2,497–2,924

$2,924–3,352

$3,352–3,780

$3,780–4,208

$4,208+

$1,213 16 groups · avg submitted charge / service $6,763

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 27691 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	27691 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	ROCKHILL ORTHOPAEDIC SPECIALISTS INC	LEES SUMMIT	MO	PHYSICIAN ASSISTANT	27	43	$87,416	$2,033	premium	64.2%	(816) 246-4302
2	BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC	GREENVILLE	SC	NURSE PRACTITIONER	288	35	$56,980	$1,628	premium	76.1%	(864) 255-1901
3	COLUMBIA ORTHOPAEDIC GROUP LLP	COLUMBIA	MO	ORTHOPEDIC SURGERY	91	24	$31,545	$1,314	premium	35.8%	(573) 443-2402
4	KANSAS ORTHOPAEDIC CENTER, PA	WICHITA	KS	PHYSICIAN ASSISTANT	26	23	$58,650	$2,550	premium	100.0%	(316) 838-2020
5	ORTHOPEDIC CENTERS OF COLORADO LLC	AURORA	CO	PHYSICIAN ASSISTANT	323	18	$21,840	$1,213	premium	50.0%	(303) 695-6060
6	RENO ORTHOPAEDIC CLINIC LTD	RENO	NV	ORTHOPEDIC SURGERY	95	17	$50,762	$2,986	premium	100.0%	(775) 786-3040
7	ORTHOARKANSAS PA	LITTLE ROCK	AR	PHYSICAL THERAPIST IN PRIVATE PRACTICE	145	15	$31,350	$2,090	premium	35.7%	(501) 500-3500
8	LOYOLA UNIVERSITY MEDICAL CENTER	MAYWOOD	IL	NURSE PRACTITIONER	933	14	$29,848	$2,132	premium	34.1%	(708) 216-8372
9	ORTHOPEDICSNY, LLP	ALBANY	NY	PHYSICIAN ASSISTANT	112	13	$18,561	$1,428	premium	54.2%	(518) 489-2663
10	MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC	OKLAHOMA CITY	OK	PHYSICIAN ASSISTANT	103	13	$19,084	$1,468	premium	100.0%	(405) 604-6000
11	TRI-COUNTY ORTHOPAEDIC AND SPORTS MEDICINE PA	CEDAR KNOLLS	NJ	ORTHOPEDIC SURGERY	42	12	$81,156	$6,763	premium	52.2%	(973) 538-2334
12	NOVANT HEALTH MEDICAL GROUP, LLC	WINSTON SALEM	NC	PHYSICIAN ASSISTANT	2389	12	$21,528	$1,794	premium	100.0%	(704) 384-8200
13	MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA	COLUMBIA	SC	PHYSICIAN ASSISTANT	42	11	$16,500	$1,500	premium	23.9%	(803) 256-4107
14	ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC	SCOTTSDALE	AZ	ORTHOPEDIC SURGERY	308	11	$24,860	$2,260	premium	50.0%	(602) 385-2115
15	ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA	LINDEN	NJ	PHYSICIAN ASSISTANT	47	11	$22,330	$2,030	premium	47.8%	—
16	SPRINGFIELD CLINIC, LLP	SPRINGFIELD	IL	NURSE PRACTITIONER	686	11	$43,186	$3,926	premium	26.8%	(217) 544-6464

*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 →