NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
28299 Correction of bunion with 2 areas of realignment CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,339 services ▲ 15.8% YoY · 1,230 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.0M · $1498.28 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

26

Named groups billing this code
Named-group FFS services

501

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+15.8%

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

~985 services

501 observed fee-for-service (51%) · ~484 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 — 28299 (CY2024)
WI 164 SC 129 MN 108 AZ 106 FL 105

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
$1.3M
Named-group allowed amount
$272K
Named-group Medicare payments
$212K
Avg charge / svc
$2,670
Avg allowed / svc
$542
Avg payment / svc
$423
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
$450 26 groups · avg submitted charge / service $5,469
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 28299 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 59 $201,392 $3,413 54.6% (612) 863-6960
2 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 51 $122,176 $2,396 39.5% (843) 491-4937
3 FEET N BEYOND OF NEW JERSEY PROFESSIONAL ASSOCIATION HACKETTSTOWN NJ PODIATRY 2 29 $88,170 $3,040 100.0% (908) 576-0880
4 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 26 $142,194 $5,469 52.0% (301) 774-0500
5 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 26 $53,664 $2,064 56.5% (662) 767-4200
6 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 23 $80,500 $3,500 47.9% (603) 883-0091
7 PHYSICIAN PRACTICES OF MSMC LLC MIAMI BEACH FL INTERNAL MEDICINE 176 20 $40,080 $2,004 19.0% —
8 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 19 $61,760 $3,251 31.7% (901) 759-3100
9 KENNEDY WHITE AND RIGGS ORTHOPEDIC ASSOCIATES SARASOTA FL PHYSICIAN ASSISTANT 40 19 $19,736 $1,039 18.1% (941) 365-0655
10 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 18 $53,628 $2,979 21.7% (310) 423-0674
11 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 18 $36,657 $2,036 21.7% (310) 423-3277
12 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 16 $44,528 $2,783 51.6% (256) 539-2728
13 UNITY HEALTH NETWORK LLC CUYAHOGA FALLS OH FAMILY PRACTICE 73 15 $35,175 $2,345 57.7% (330) 662-5666
14 NIRSCHL ORTHOPAEDIC CENTER FOR SPORTSMEDICINE AND JOINT RECONSTRUCTION ARLINGTON TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 23 14 $57,462 $4,104 23.3% (703) 525-2200
15 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 14 $37,408 $2,672 10.9% (843) 720-8448
16 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 14 $26,642 $1,903 10.9% (864) 255-1901
17 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 13 $19,708 $1,516 12.3% (623) 832-4000
18 DELAWARE PODIATRIC MEDICINE PA MILFORD DE PODIATRY 3 13 $15,430 $1,187 37.1% (302) 674-9255
19 FOOT FIRST PODIATRY CENTERS, V.P.C. SCHAUMBURG IL PODIATRY 3 13 $13,725 $1,056 21.0% —
20 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 13 $56,389 $4,338 21.0% —
21 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 12 $5,395 $450 14.5% (714) 871-3006
22 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO CA PHYSICIAN ASSISTANT 16 12 $37,395 $3,116 14.5% (949) 348-4000
23 SIGNATURE MEDICAL GROUP OF KC PA OVERLAND PARK KS PHYSICIAN ASSISTANT 25 11 $25,022 $2,275 100.0% (913) 498-6000
24 PRECISION ORTHOPEDICS AND SPORTS MEDICINE IRVING TX ORTHOPEDIC SURGERY 14 11 $24,284 $2,208 20.8% 97243846361117
25 MARK E NEAMAND DPM PC PARK RIDGE IL PODIATRY 3 11 $17,319 $1,574 17.7% (847) 698-2895
26 CAROLINA FOOT CARE LLC SPARTANBURG SC PODIATRY 2 11 $22,000 $2,000 8.5% (864) 595-9300

*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 →