Medicare procedure market data by CPT code & state

+ Build a code basket

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

28120 Partial removal of infected foot or heel bone CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

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

National scale 312 services ▲ 82.5% YoY · 284 beneficiaries (CY2024, Medicare FFS)

Medicare paid $85K · $272.59 avg / service, national

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

Billing groups

Named-group FFS services

200

FFS of Medicare

49%

Services YoY

+82.5%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~391 services

200 observed fee-for-service (51%) · ~191 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 — 28120 (CY2024)

CA 63 FL 59 NV 52 MS 27 KS 22

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

Named-group submitted charges

$490K

Named-group allowed amount

$60K

Named-group Medicare payments

$48K

Avg charge / svc

$2,448

Avg allowed / svc

$299

Avg payment / svc

$238

Average charge per group

$935–1,614

$1,614–2,292

$2,292–2,971

$2,971–3,650

$3,650–4,329

$4,329–5,007

$5,007–5,686

$5,686+

$935 12 groups · avg submitted charge / service $9,500

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 28120 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	28120 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	REGENTS OF THE UNIV OF CA	SACRAMENTO	CA	DIAGNOSTIC RADIOLOGY	1608	41	$110,044	$2,684	premium	65.1%	(877) 827-7463
2	KANSAS ORTHOPAEDIC CENTER, PA	WICHITA	KS	PHYSICIAN ASSISTANT	26	22	$52,074	$2,367	premium	100.0%	(316) 838-2020
3	CAMPBELL CLINIC, PC	GERMANTOWN	TN	ORTHOPEDIC SURGERY	225	17	$23,596	$1,388	premium	100.0%	(901) 759-3100
4	CAPITAL ORTHOPAEDIC CLINIC, PLLC	FLOWOOD	MS	PHYSICAL THERAPIST IN PRIVATE PRACTICE	46	16	$23,720	$1,483	premium	59.3%	(601) 987-8200
5	VERO ORTHOPAEDICS II PA	VERO BEACH	FL	PHYSICIAN ASSISTANT	49	15	$14,025	$935	premium	25.4%	(772) 257-3608
6	SOUTHEAST ORTHOPEDIC SPECIALISTS LLC	JACKSONVILLE	FL	PHYSICIAN ASSISTANT	143	15	$57,000	$3,800	premium	25.4%	(904) 634-0640
7	NORTH FLORIDA SURGEONS PA	JACKSONVILLE	FL	PHYSICIAN ASSISTANT	331	14	$20,888	$1,492	premium	23.7%	(904) 396-1725
8	ROCKHILL ORTHOPAEDIC SPECIALISTS INC	LEES SUMMIT	MO	PHYSICIAN ASSISTANT	27	13	$22,802	$1,754	premium	100.0%	(816) 246-4302
9	RENO ORTHOPAEDIC CLINIC LTD	RENO	NV	ORTHOPEDIC SURGERY	95	13	$35,685	$2,745	premium	25.0%	(775) 786-3040
10	UNION HOSPITAL OF CECIL COUNTY	ELKTON	MD	INTERNAL MEDICINE	293	12	$13,140	$1,095	premium	100.0%	(410) 398-4000
11	INSPIRA HEALTH NETWORK MEDICAL GROUP PC	PITTSGROVE	NJ	DIAGNOSTIC RADIOLOGY	238	11	$12,034	$1,094	premium	100.0%	(856) 358-6161
12	MARK DRAKOS MD PLLC	UNIONDALE	NY	NURSE PRACTITIONER	2	11	$104,500	$9,500	premium	100.0%	(212) 606-1112

*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 →