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

28003 Drainage of fluid filled sacs beneath connective tissue in multiple foot joints CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

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

National scale 911 services ▲ 18.5% YoY · 722 beneficiaries (CY2024, Medicare FFS)

Medicare paid $151K · $166.28 avg / service, national

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

Billing groups

Named groups billing this code

Named-group FFS services

297

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+18.5%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~596 services

297 observed fee-for-service (50%) · ~299 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 — 28003 (CY2024)

DC 153 CA 147 FL 118 OH 90 TX 77

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

Billed → allowed → paid

Named-group submitted charges

$325K

Named-group allowed amount

$60K

Named-group Medicare payments

$48K

Avg charge / svc

$1,093

Avg allowed / svc

$203

Avg payment / svc

$163

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

$494–697

$697–900

$900–1,103

$1,103–1,306

$1,306–1,509

$1,509–1,712

$1,712–1,915

$1,915+

$494 11 groups · avg submitted charge / service $2,166

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

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

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 28003 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	28003 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	STOCKDALE PODIATRY GROUP INC	BAKERSFIELD	CA	PODIATRY	14	68	$44,500	$654	premium	46.3%	(661) 832-1667
2	MEDSTAR MEDICAL GROUP II LLC	WASHINGTON	DC	PHYSICIAN ASSISTANT	3707	59	$87,261	$1,479	premium	38.6%	(202) 429-2401
3	PRESTIGE FOOT AND ANKLE CENTER LLC	MEDINA	OH	PODIATRY	9	29	$25,230	$870	premium	32.2%	(330) 591-9635
4	ANSONIA PODIATRY ASSOCIATES, LLC	ANSONIA	CT	PODIATRY	2	26	$12,835	$494	premium	100.0%	(203) 734-4806
5	ALBUQUERQUE ASSOCIATED PODIATRISTS	ALBUQUERQUE	NM	PODIATRY	8	19	$14,592	$768	premium	100.0%	(505) 247-4164
6	SURESTEP FOOT AND ANKLE MEDICAL CENTER LLC	CINCINNATI	OH	PODIATRY	5	19	$13,001	$684	premium	21.1%	(513) 489-2400
7	AMARILLO FOOT SPECIALISTS PLLC	AMARILLO	TX	PODIATRY	3	15	$21,750	$1,450	premium	19.5%	(806) 322-3338
8	MCLAREN CENTRAL MICHIGAN	PETOSKEY	MI	NURSE PRACTITIONER	171	14	$26,644	$1,903	premium	100.0%	(231) 487-7200
9	TEXAS FOOT AND ANKLE CONSULTANTS LLC	RICHARDSON	TX	PODIATRY	2	13	$28,158	$2,166	premium	16.9%	(214) 833-8709
10	FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC	DAYTONA BEACH	FL	PHYSICIAN ASSISTANT	588	12	$9,624	$802	premium	10.2%	(386) 231-6000
11	DFW FOOT AND ANKLE CARE LLC	GARLAND	TX	PODIATRY	2	12	$24,840	$2,070	premium	15.6%	(469) 551-8595
12	MEDSTAR MEDICAL GROUP II LLC	WASHINGTON	MD	PHYSICIAN ASSISTANT	3707	11	$16,269	$1,479	premium	22.4%	(202) 429-2401

*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 →