NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
27786 Closed treatment of broken outside lower leg bone at ankle CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,087 services ▲ 15.4% YoY · 1,086 beneficiaries (CY2024, Medicare FFS)
Medicare paid $273K · $251.16 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
36
Named-group FFS services
729
FFS of Medicare
49%
Services YoY
+15.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,425 services

729 observed fee-for-service (51%) · ~696 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 — 27786 (CY2024)

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

Named-group submitted charges
$1.1M
Named-group allowed amount
$234K
Named-group Medicare payments
$181K
Avg charge / svc
$1,475
Avg allowed / svc
$320
Avg payment / svc
$249
Average charge per group
$447 36 groups · avg submitted charge / service $3,665
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 27786 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 27786 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 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 74 $205,498 $2,777 premium 54.4% (516) 536-2800
2 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 47 $45,888 $976 premium 63.5% (803) 744-4900
3 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 40 $69,840 $1,746 premium 29.0% (800) 321-9999
4 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 36 $55,620 $1,545 premium 26.5% (203) 869-1145
5 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 35 $36,575 $1,045 premium 25.4% (856) 247-7260
6 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 32 $55,872 $1,746 premium 15.9% (267) 339-3500
7 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 28 $46,321 $1,654 premium 16.4% (850) 877-8174
8 SEAVIEW ORTHOPAEDICS AND MEDICAL ASSOCIATES LLP OCEAN NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 96 23 $81,874 $3,560 premium 16.7% 732660620011702
9 ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA PORT CHARLOTTE FL PHYSICIAN ASSISTANT 36 22 $17,613 $801 premium 12.9% (941) 629-6262
10 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 21 $27,636 $1,316 premium 26.9% (508) 334-1000
11 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 20 $73,300 $3,665 premium 14.5% (732) 974-0404
12 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 20 $13,255 $663 premium 11.7% (904) 396-1725
13 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 20 $16,740 $837 premium 62.5% (515) 239-4400
14 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 19 $19,399 $1,021 premium 9.5% (610) 353-0800
15 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 15 $19,830 $1,322 premium 57.7%
16 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 15 $21,568 $1,438 premium 19.2% (617) 724-0287
17 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLAND SC PHYSICIAN ASSISTANT 78 15 $18,855 $1,257 premium 20.3% (843) 380-9330
18 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 15 $13,830 $922 premium 19.2% (978) 818-6350
19 LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO NURSE PRACTITIONER 129 14 $11,200 $800 premium 51.9% (573) 348-2225
20 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 14 $31,584 $2,256 premium 10.3%
21 SIGNATURE MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 41 13 $12,480 $960 premium 48.1% 31484903112384
22 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 13 $11,960 $920 premium 24.5% (949) 722-7038
23 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 13 $11,401 $877 premium 7.6% (352) 336-6000
24 ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. FORT MYERS FL PHYSICIAN ASSISTANT 46 13 $12,077 $929 premium 7.6% (239) 334-7000
25 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 13 $10,608 $816 premium 100.0% 50572443003208
26 SYRACUSE ORTHOPEDIC SPECIALISTS, PLLC SYRACUSE NY PHYSICIAN ASSISTANT 115 12 $9,936 $828 premium 8.8% (315) 448-5111
27 SELF MEDICAL GROUP GREENWOOD SC NURSE PRACTITIONER 400 12 $5,364 $447 premium 16.2%
28 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 12 $13,125 $1,094 premium 37.5% (515) 247-8400
29 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 12 $6,948 $579 premium 44.4%
30 LAKESHORE BONE AND JOINT INSTITUTE, PC CHESTERTON IN PHYSICIAN ASSISTANT 85 12 $12,948 $1,079 premium 100.0% (219) 921-1444
31 GAREY ORTHOPEDIC MEDICAL GROUP POMONA CA PHYSICIAN ASSISTANT 7 12 $10,644 $887 premium 22.6%
32 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 12 $20,748 $1,729 premium 100.0% (706) 494-3434
33 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 11 $10,241 $931 premium 100.0% (248) 644-3920
34 ORTHOPEDIC CARE PHYSICIAN NETWORK, LLC NORTH EASTON MA ORTHOPEDIC SURGERY 35 11 $12,573 $1,143 premium 14.1% (781) 344-3535
35 JACKSONVILLE ORTHOPAEDIC INSTITUTE INC JACKSONVILLE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 61 11 $7,095 $645 premium 6.4% (904) 858-7045
36 LANCASTER ORTHOPEDIC GROUP, INC. LANCASTER PA PHYSICIAN ASSISTANT 75 11 $5,478 $498 premium 5.5% (717) 560-4200
37 HUGHSTON CLINIC PC COLUMBUS AL ORTHOPEDIC SURGERY 118 11 $19,019 $1,729 premium 100.0% (706) 494-3434

*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 →