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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
28005 Incision of foot bone CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 895 services ▲ 3.6% YoY · 673 beneficiaries (CY2024, Medicare FFS)
Medicare paid $341K · $380.93 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
20
Named-group FFS services
484
FFS of Medicare
49%
Services YoY
+3.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~930 services

484 observed fee-for-service (52%) · ~446 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 — 28005 (CY2024)

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

Named-group submitted charges
$679K
Named-group allowed amount
$244K
Named-group Medicare payments
$194K
Avg charge / svc
$1,402
Avg allowed / svc
$504
Avg payment / svc
$402
Average charge per group
$621 20 groups · avg submitted charge / service $2,814
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 28005 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 28005 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 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 63 $95,949 $1,523 premium 100.0% (202) 429-2401
2 GLENDALE FOOT AND ANKLE PODIATRY CENTER, INC. GLENDALE CA PODIATRY 2 44 $41,800 $950 premium 28.4% (818) 242-4426
3 MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS PHOENIX AZ PODIATRY 3 37 $43,181 $1,167 premium 100.0% (480) 939-3440
4 FRANK J TURSI D P M VOORHEES NJ PODIATRY 6 33 $20,493 $621 premium 55.0% (856) 435-4000
5 OMEGA PODIATRY INC LOS ANGELES CA PODIATRY 2 29 $28,275 $975 premium 18.7% (323) 262-7450
6 INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC PHILADELPHIA PA PODIATRY 25 29 $36,250 $1,250 premium 46.8% (215) 923-2455
7 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 24 $48,408 $2,017 premium 68.6% (812) 450-6700
8 DESERT VALLEY MEDICAL GROUP INC VICTORVILLE CA NURSE PRACTITIONER 76 22 $61,909 $2,814 premium 14.2% (760) 241-8000
9 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 22 $31,372 $1,426 premium 45.8% (772) 257-3608
10 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 22 $33,506 $1,523 premium 28.9% (202) 429-2401
11 FOOT HEALTHCARE ASSOCIATES, PC NOVI MI PODIATRY 8 19 $18,050 $950 premium 100.0% (248) 258-0001
12 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS PA PHYSICIAN ASSISTANT 3200 19 $50,958 $2,682 premium 30.6% (214) 633-5555
13 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 18 $24,498 $1,361 premium 45.0% (803) 749-5101
14 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 18 $43,251 $2,403 premium 20.7% (210) 450-7044
15 KENTUCKYONE HEALTH MEDICAL GROUP INC LEXINGTON KY PHYSICIAN ASSISTANT 245 14 $15,372 $1,098 premium 35.9% (859) 276-4429
16 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 13 $18,239 $1,403 premium 33.3% (502) 629-2398
17 PREMIER FOOT AND ANKLE INC GLASSBORO NJ PODIATRY 2 12 $14,400 $1,200 premium 20.0% (856) 881-2525
18 MARY IMOGENE BASSETT HOSPITAL COOPERSTOWN NY PHYSICIAN ASSISTANT 792 12 $13,776 $1,148 premium 100.0%
19 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 12 $16,320 $1,360 premium 30.8% (859) 578-5880
20 FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC KENSINGTON VA PODIATRY 157 11 $10,510 $955 premium 100.0% (301) 949-2000
21 PREMIER FOOT AND ANKLE PLLC SANFORD NC PODIATRY 4 11 $12,100 $1,100 premium 100.0% (919) 292-1610

*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 →