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Market snapshot

28011 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

28011 — Repair of multiple toe tendons

Billing groups
15
Named-group FFS services
639
FFS of Medicare
49%
Services YoY
+11.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,269 services

639 observed fee-for-service (50%) · ~630 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 — 28011 (CY2024)
FL 332 SC 251 GA 94 TN 66 WI 65

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

Named-group submitted charges
$512K
Named-group allowed amount
$126K
Named-group Medicare payments
$99K
Avg charge / svc
$802
Avg allowed / svc
$197
Avg payment / svc
$155
Average charge per group
$328 15 groups · avg submitted charge / service $1,436
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 28011 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 211 $148,481 $704 84.1% (803) 749-5101
2 ANKLE AND FOOT CENTERS OF GEORGIA, LLC PEACHTREE CITY GA PODIATRY 52 94 $93,530 $995 100.0% —
3 ROBERT DARRIN HURST DPM WEST TENNESSEE FOOT CLINIC CORINTH TN PODIATRY 2 66 $52,800 $800 100.0% (662) 286-1406
4 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 37 $39,655 $1,072 100.0% (919) 544-7270
5 D J SILVESTER DPM PA PLEASANTON TX PODIATRY 4 34 $15,446 $454 68.0% (830) 569-3338
6 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 32 $25,120 $785 64.0% (757) 595-9880
7 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 24 $34,455 $1,436 100.0% (916) 983-7476
8 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 23 $22,586 $982 9.2% (803) 744-4900
9 FOOT AND ANKLE MANAGEMENT GROUP LLC NAPLES FL PODIATRY 5 21 $6,879 $328 6.3% (239) 263-0200
10 APRAJITA NAKRA DPM PC GILBERT AZ PODIATRY 4 18 $10,026 $557 38.3% (480) 962-4281
11 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 17 $13,171 $775 6.8% —
12 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 17 $13,471 $792 36.2% —
13 EDDIE P LO DPM AND NATALIE T CHU DPM PLLC Tacoma WA PODIATRY 2 17 $11,050 $650 36.2% —
14 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 16 $14,760 $922 34.0% (253) 428-2200
15 SUNBELT MEDICAL GROUP LLC TUCSON AZ NURSE PRACTITIONER 20 12 $10,884 $907 25.5% (520) 884-0001

*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 →