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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
28309 Incision or partial removal of multiple foot bones to straighten toes CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 239 services ▲ 91.2% YoY · 230 beneficiaries (CY2024, Medicare FFS)
Medicare paid $256K · $1072.52 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
131
FFS of Medicare
49%
Services YoY
+91.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~265 services

131 observed fee-for-service (49%) · ~134 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 — 28309 (CY2024)

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

Named-group submitted charges
$367K
Named-group allowed amount
$101K
Named-group Medicare payments
$81K
Avg charge / svc
$2,801
Avg allowed / svc
$773
Avg payment / svc
$616
Average charge per group
$713 7 groups · avg submitted charge / service $3,563
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 28309 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 28309 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 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 27 $93,555 $3,465 premium 33.3% (916) 681-8852
2 PHYSICIAN PRACTICES OF MSMC LLC MIAMI BEACH FL INTERNAL MEDICINE 176 20 $62,000 $3,100 premium 45.5%
3 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 19 $68,138 $3,586 premium 23.5% (310) 423-0674
4 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 14 $49,882 $3,563 premium 31.8% (775) 786-3040
5 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 14 $35,280 $2,520 premium 100.0% (501) 500-3500
6 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 13 $40,694 $3,130 premium 100.0% (662) 767-4200
7 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES NY PHYSICIAN ASSISTANT 1699 13 $9,520 $732 premium 100.0% (310) 423-0674
8 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 11 $7,843 $713 premium 13.6% (877) 827-7463

*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 →