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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
28312 Incision or partial removal of toe bone to straighten toe CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 481 services ▼ 22.0% YoY · 268 beneficiaries (CY2024, Medicare FFS)
Medicare paid $134K · $278.41 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
251
FFS of Medicare
49%
Services YoY
-22.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~457 services

251 observed fee-for-service (55%) · ~206 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 — 28312 (CY2024)

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

Named-group submitted charges
$497K
Named-group allowed amount
$50K
Named-group Medicare payments
$40K
Avg charge / svc
$1,980
Avg allowed / svc
$199
Avg payment / svc
$158
Average charge per group
$849 7 groups · avg submitted charge / service $3,082
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 28312 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 28312 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 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 70 $215,740 $3,082 premium 45.2% (301) 774-0500
2 VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 67 50 $102,900 $2,058 premium 32.3% (757) 321-3300
3 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 40 $47,528 $1,188 premium 100.0% (310) 423-3277
4 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 30 $52,698 $1,757 premium 100.0% (919) 544-7270
5 CNOS PC SIOUX CITY IA PHYSICIAN ASSISTANT 99 28 $36,120 $1,290 premium 100.0% (712) 279-3500
6 BAPTIST HEALTH MEDICAL GROUP ORTHOPEDICS, LLC CORAL GABLES FL PHYSICIAN ASSISTANT 68 21 $31,773 $1,513 premium 100.0% (786) 268-6200
7 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 12 $10,188 $849 premium 100.0% (803) 749-5101

*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 →