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Market snapshot

28272 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

28272 — Incision of toe joint capsule

Billing groups
34
Named-group FFS services
1,588
FFS of Medicare
49%
Services YoY
-14.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,203 services

1,588 observed fee-for-service (50%) · ~1,615 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 — 28272 (CY2024)

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

Named-group submitted charges
$1.4M
Named-group allowed amount
$387K
Named-group Medicare payments
$303K
Avg charge / svc
$907
Avg allowed / svc
$244
Avg payment / svc
$191
Average charge per group
$389 34 groups · avg submitted charge / service $2,662
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 28272 services, CY2024
#Physician group City St Specialty Providers 28272 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 224 $144,949 $647 premium 80.3% (803) 749-5101
2 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 131 $155,104 $1,184 premium 85.6% (812) 450-6700
3 CHARLES A SULESKEY DPM PA VENICE FL PODIATRY 2 79 $55,491 $702 premium 21.8% (941) 493-7999
4 FOOT AND ANKLE CENTER OF ILLINOIS PC SPRINGFIELD IL PODIATRY 2 78 $82,914 $1,063 premium 39.0% (217) 787-2700
5 MARK E NEAMAND DPM PC PARK RIDGE IL PODIATRY 3 69 $40,733 $590 premium 34.5% (847) 698-2895
6 ROMEO FOOT CLINIC PC WASHINGTON MI PODIATRY 2 65 $39,000 $600 premium 56.5% (586) 752-3519
7 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 63 $107,436 $1,705 premium 81.8% (617) 732-5500
8 MICHAEL T. MCCORMICK AND ASSOCIATES PA VENICE FL PODIATRY 5 58 $33,512 $578 premium 16.0% (941) 493-8666
9 CERTIFIED FOOT AND ANKLE SPECIALISTS BOCA RATON FL PODIATRY 12 56 $81,368 $1,453 premium 15.5% (561) 995-0229
10 PODIATRY CLINIC OF JACKSON PLLC JACKSON TN PODIATRY 5 52 $36,400 $700 premium 43.3% (731) 427-5581
11 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 50 $45,600 $912 premium 41.7% (615) 385-3751
12 ANKLE AND FOOT SPECIALISTS OF MARION INC MARION OH PODIATRY 4 49 $19,061 $389 premium 13.6% (740) 383-5115
13 HUNTSVILLE PODIATRY CENTER PC HUNTSVILLE AL PODIATRY 2 38 $20,748 $546 premium 14.4% (256) 533-3624
14 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 38 $24,738 $651 premium 50.0% (302) 731-2888
15 NORTH PORT PODIATRY CENTER PA NORTH PORT FL PODIATRY 3 37 $33,929 $917 premium 10.2% (941) 429-1702
16 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 33 $70,953 $2,150 premium 9.1% (352) 265-8990
17 RIMROCK PODIATRY PLLC BILLINGS MT PODIATRY 3 32 $21,440 $670 premium 100.0% (406) 256-0077
18 PODIATRY ASSOCIATES PA LOW COUNTRY FOOT AND ANKLE INSTITUTE INC BLUFFTON SC PODIATRY 2 32 $23,072 $721 premium 11.5% (843) 757-1633
19 S THOMAS SEHY D P M L L C CENTRALIA MO PODIATRY 3 31 $26,970 $870 premium 100.0% (618) 532-4465
20 ANKLE AND FOOT CENTERS OF GEORGIA, LLC PEACHTREE CITY MI PODIATRY 52 30 $31,500 $1,050 premium 26.1%
21 VALLEY VIEW HOSPITAL ASSOCIATION GLENWOOD SPGS CO PHYSICIAN ASSISTANT 206 30 $79,860 $2,662 premium 100.0% (970) 384-7290
22 BHSM REHABILITATION LLC PEORIA AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 416 29 $13,195 $455 premium 11.6% (602) 610-6866
23 MONROE HEALTH SERVICES INC AMORY MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 32 28 $35,308 $1,261 premium 100.0% (662) 256-7111
24 INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC CONCORD NC PODIATRY 46 28 $21,302 $761 premium 100.0% (704) 786-4482
25 PREMIER FOOT CARE, INC. BAY MINETTE AL PODIATRY 2 27 $12,825 $475 premium 10.2% (251) 580-0481
26 MASTERCARE PHYSICAL THERAPY INC SARASOTA FL INTERNAL MEDICINE 82 25 $14,518 $581 premium 6.9% (941) 377-6700
27 ADNAN SHARIFF INC OKEECHOBEE FL PODIATRY 6 25 $15,000 $600 premium 6.9% (863) 357-1166
28 APRAJITA NAKRA DPM PC GILBERT AZ PODIATRY 4 25 $17,375 $695 premium 10.0% (480) 962-4281
29 INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC CONCORD SC PODIATRY 46 23 $17,498 $761 premium 8.2% (704) 786-4482
30 HAMPTON ROADS ORTHOPAEDIC AND SPORTS MEDICINE LLC NEWPORT NEWS VA ORTHOPEDIC SURGERY 26 20 $15,840 $792 premium 52.6% (757) 873-1554
31 BAZZI PODIATRY DETROIT MI PODIATRY 9 20 $13,000 $650 premium 17.4% (313) 821-3338
32 TRINITY HEALTH MINOT ND NURSE PRACTITIONER 296 19 $38,758 $2,040 premium 18.4% (701) 418-8000
33 COASTAL PODIATRY INC VIRGINIA BEACH VA PODIATRY 2 18 $12,312 $684 premium 47.4% (804) 840-0512
34 PEABODY PODIATRY LLC PEABODY MA PODIATRY 5 14 $23,100 $1,650 premium 18.2% (978) 531-9969
35 CURALTA MEDICAL LLC WAYNE NJ PODIATRY 69 12 $14,900 $1,242 premium 16.4% (973) 956-8600

*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 →