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Market snapshot

27702 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

27702 — Reconstruction of ankle joint with prosthesis

Billing groups
41
Named-group FFS services
734
FFS of Medicare
49%
Services YoY
+11.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,485 services

734 observed fee-for-service (49%) · ~751 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 — 27702 (CY2024)

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

Named-group submitted charges
$4.2M
Named-group allowed amount
$561K
Named-group Medicare payments
$443K
Avg charge / svc
$5,735
Avg allowed / svc
$765
Avg payment / svc
$603
Average charge per group
$430 41 groups · avg submitted charge / service $25,475
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 27702 services, CY2024
#Physician group City St Specialty Providers 27702 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 174 42 $1,069,950 $25,475 premium 59.2% (516) 240-2700
2 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 39 $89,989 $2,307 premium 73.6% (602) 385-2115
3 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 36 $89,435 $2,484 premium 100.0% (612) 863-6960
4 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 31 $372,000 $12,000 premium 100.0% (603) 883-0091
5 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 31 $108,877 $3,512 premium 100.0%
6 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 29 $77,716 $2,680 premium 29.3% (919) 684-8111
7 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 29 $101,315 $3,494 premium 44.6% (310) 423-3277
8 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 27 $105,840 $3,920 premium 67.5% (775) 786-3040
9 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 25 $177,306 $7,092 premium 100.0% (256) 539-2728
10 ORA ORTHOPEDICS PC MOLINE IA PHYSICIAN ASSISTANT 117 24 $106,535 $4,439 premium 100.0% (309) 762-3621
11 HEINRICH-JOSEY ORTHOPAEDICS AUSTIN TX PHYSICIAN ASSISTANT 22 23 $112,224 $4,879 premium 35.4% (512) 476-2830
12 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 22 $39,036 $1,774 premium 61.1% (573) 443-2402
13 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 20 $57,088 $2,854 premium 30.8% (210) 575-8289
14 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 16 $49,488 $3,093 premium 100.0% (248) 644-3920
15 STEADMAN CLINIC PROFESSIONAL LLC VAIL CO PHYSICIAN ASSISTANT 77 16 $113,108 $7,069 premium 13.8% (970) 476-1100
16 TRI-CITY ORTHOPAEDIC CLINIC P S C KENNEWICK WA ORTHOPEDIC SURGERY 19 16 $49,908 $3,119 premium 13.8% (509) 460-5588
17 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 16 $52,281 $3,268 premium 100.0% (541) 779-6250
18 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 15 $197,600 $13,173 premium 100.0% (732) 974-0404
19 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 15 $139,854 $9,324 premium 46.9% (843) 792-1414
20 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 14 $40,474 $2,891 premium 26.4% (520) 382-8200
21 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 14 $39,438 $2,817 premium 56.0% (502) 928-1050
22 NORTHWEST ORTHOPAEDIC SPECIALISTS PS SPOKANE WA PHYSICIAN ASSISTANT 80 13 $29,879 $2,298 premium 11.2% (509) 465-1300
23 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 13 $43,385 $3,337 premium 28.9% (484) 526-2400
24 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 13 $138,346 $10,642 premium 32.5% (904) 953-2000
25 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 13 $66,430 $5,110 premium 32.5% (850) 877-8174
26 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 13 $63,895 $4,915 premium 11.2% (720) 777-1234
27 UNITED HOSPITAL CENTER INC BRIDGEPORT PA PHYSICIAN ASSISTANT 298 12 $33,204 $2,767 premium 26.7% (681) 342-1842
28 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 12 $42,492 $3,541 premium 48.0% (434) 924-5959
29 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 12 $40,155 $3,346 premium 18.5% (760) 340-3911
30 GEM CITY BONE AND JOINT PC LARAMIE CO ORTHOPEDIC SURGERY 21 12 $90,491 $7,541 premium 10.3% (307) 745-8851
31 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 11 $11,305 $1,028 premium 9.5% (509) 946-4611
32 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 11 $4,729 $430 premium 9.5% (720) 497-6616
33 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 11 $22,609 $2,055 premium 100.0%
34 OPA ORTHO PLLC SEATTLE WA PHYSICIAN ASSISTANT 43 11 $29,202 $2,655 premium 9.5% (206) 622-2600
35 SYRACUSE ORTHOPEDIC SPECIALISTS, PLLC SYRACUSE NY PHYSICIAN ASSISTANT 115 11 $30,151 $2,741 premium 15.5% (315) 448-5111
36 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 11 $85,719 $7,793 premium 31.4%
37 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 11 $29,821 $2,711 premium 44.0% (502) 629-2398
38 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 11 $172,480 $15,680 premium 33.3%
39 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA CO PHYSICIAN ASSISTANT 323 11 $19,796 $1,800 premium 9.5% (303) 695-6060
40 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 11 $36,019 $3,274 premium 9.5%
41 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 11 $29,700 $2,700 premium 100.0% (501) 500-3500

*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 →