NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
28470 Closed treatment of broken bone in forefoot or midfoot CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,934 services ▼ 3.6% YoY · 2,716 beneficiaries (CY2024, Medicare FFS)
Medicare paid $478K · $163.06 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
78
Named-group FFS services
1,920
FFS of Medicare
49%
Services YoY
-3.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,846 services

1,920 observed fee-for-service (50%) · ~1,926 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 — 28470 (CY2024)
FL 532 PA 420 NY 326 NJ 268 SC 167

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

Named-group submitted charges
$1.9M
Named-group allowed amount
$414K
Named-group Medicare payments
$317K
Avg charge / svc
$1,015
Avg allowed / svc
$216
Avg payment / svc
$165
Average charge per group
$297 78 groups · avg submitted charge / service $3,267
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 28470 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 153 $293,454 $1,918 46.9% (516) 536-2800
2 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 80 $96,240 $1,203 19.0% (267) 339-3500
3 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 67 $69,700 $1,040 12.6% (850) 877-8174
4 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 55 $50,019 $909 10.3% —
5 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 47 $46,798 $996 44.8% (617) 724-0287
6 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 45 $29,970 $666 26.9% (803) 744-4900
7 SEAVIEW ORTHOPAEDICS AND MEDICAL ASSOCIATES LLP OCEAN NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 96 44 $99,080 $2,252 16.4% 732660620011702
8 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 43 $33,239 $773 25.7% (843) 720-8448
9 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 41 $104,796 $2,556 15.3% (732) 974-0404
10 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 41 $42,845 $1,045 12.6% (203) 869-1145
11 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 39 $28,665 $735 14.6% (856) 247-7260
12 ADVANCED ORTHOPEDIC CENTER OF CHARLOTTE COUNTY, PA PORT CHARLOTTE FL PHYSICIAN ASSISTANT 36 37 $18,485 $500 7.0% (941) 629-6262
13 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 36 $34,056 $946 35.3% (916) 681-8852
14 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 36 $28,800 $800 37.1% (614) 827-8700
15 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 35 $42,105 $1,203 13.1% (800) 321-9999
16 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 174 35 $87,500 $2,500 10.7% (516) 240-2700
17 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 35 $49,261 $1,407 10.7% —
18 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLAND SC PHYSICIAN ASSISTANT 78 34 $29,546 $869 20.4% (843) 380-9330
19 ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC CINCINNATI KY PHYSICIAN ASSISTANT 163 31 $22,754 $734 100.0% (513) 232-2663
20 ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. FORT MYERS FL PHYSICIAN ASSISTANT 46 30 $18,756 $625 5.6% (239) 334-7000
21 GAREY ORTHOPEDIC MEDICAL GROUP POMONA CA PHYSICIAN ASSISTANT 7 29 $16,791 $579 28.4% —
22 COASTAL ORTHOPEDIC ASSOCIATES INC BEVERLY RI ORTHOPEDIC SURGERY 18 28 $19,376 $692 100.0% (978) 927-3040
23 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 28 $25,732 $919 21.7% —
24 ASSOCIATES IN MEDICINE AND SURGERY LLC FORT MYERS FL PODIATRY 17 25 $7,433 $297 4.7% (239) 481-7000
25 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 25 $81,675 $3,267 7.7% (212) 263-9700
26 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 24 $20,110 $838 42.9% (515) 247-8400
27 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 24 $24,533 $1,022 100.0% (612) 863-4000
28 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 24 $21,600 $900 22.9% (978) 818-6350
29 PROFESSIONAL ORTHOPAEDIC ASSOC PA TINTON FALLS NJ ORTHOPEDIC SURGERY 22 23 $7,651 $333 8.6% 7325304949240
30 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 23 $13,961 $607 36.5% (256) 539-2728
31 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 22 $15,444 $702 5.2% (610) 353-0800
32 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 22 $8,866 $403 25.3% —
33 TRI-COUNTY ORTHOPAEDIC AND SPORTS MEDICINE PA CEDAR KNOLLS NJ ORTHOPEDIC SURGERY 42 21 $27,111 $1,291 7.8% (973) 538-2334
34 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 20 $14,000 $700 35.7% (515) 343-1000
35 ORTHOPEDIC HEALTH OF KANSAS CITY PC LENEXA MO PHYSICIAN ASSISTANT 47 19 $19,285 $1,015 30.2% (816) 561-3003
36 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 19 $12,568 $662 3.6% (904) 634-0640
37 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 18 $15,486 $860 10.8% (843) 792-1414
38 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 17 $11,953 $703 100.0% (603) 883-0091
39 ST. CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC SAINT CLAIR SHORES MI ORTHOPEDIC SURGERY 26 17 $13,600 $800 54.8% (586) 773-1300
40 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 17 $7,480 $440 3.2% (904) 396-1725
41 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 17 $9,435 $555 3.2% (863) 680-7780
42 UKHS GREAT BEND LLC GREAT BEND KS NURSE PRACTITIONER 62 16 $8,052 $503 100.0% (620) 792-8833
43 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK OH ORTHOPEDIC SURGERY 32 16 $30,400 $1,900 16.5% (212) 241-9561
44 SCOTT P KURECKI DPM PA NORTH PORT IL PODIATRY 2 16 $7,568 $473 12.4% (941) 426-1167
45 PREMIER FOOT AND ANKLE, LLC PRESCOTT VALLEY AZ PODIATRY 2 16 $4,918 $307 27.1% (928) 772-5916
46 LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO NURSE PRACTITIONER 129 15 $9,150 $610 23.8% (573) 348-2225
47 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS IN ORTHOPEDIC SURGERY 348 15 $9,765 $651 35.7% (317) 802-2000
48 ROBERT J VALINS DPM PA ZEPHYRHILLS FL PODIATRY 6 15 $4,500 $300 2.8% (813) 788-3600
49 SELF MEDICAL GROUP GREENWOOD SC NURSE PRACTITIONER 400 15 $6,375 $425 9.0% —
50 GEORGIALINA PHYSICAL THERAPY ASSOCIATES LLC AUGUSTA GA ORTHOPEDIC SURGERY 460 15 $9,429 $629 40.5% (706) 945-0810
51 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 15 $7,550 $503 3.6% —
52 HUGHSTON CLINIC PC COLUMBUS AL ORTHOPEDIC SURGERY 118 15 $17,835 $1,189 23.8% (706) 494-3434
53 TUCSON PHYSICIAN GROUP HOLDINGS LLC TUCSON AZ INTERNAL MEDICINE 200 15 $9,210 $614 25.4% (520) 396-1360
54 UNITED HOSPITAL CENTER INC BRIDGEPORT PA PHYSICIAN ASSISTANT 298 14 $8,190 $585 3.3% (681) 342-1842
55 ORTHOPEDICSNY, LLP ALBANY NY PHYSICIAN ASSISTANT 112 14 $6,012 $429 4.3% (518) 489-2663
56 NORWICH ORTHOPEDIC GROUP PC NORTH FRANKLIN CT ORTHOPEDIC SURGERY 48 14 $8,050 $575 35.0% (860) 889-7345
57 SIGNATURE MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 41 14 $10,892 $778 22.2% 31484903112384
58 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 14 $6,650 $475 14.4% —
59 PHYSICIAN PRACTICES OF MSMC LLC MIAMI BEACH FL INTERNAL MEDICINE 176 13 $9,529 $733 2.4% —
60 MIDWEST ORTHOPAEDIC CENTER S C PEORIA IL PHYSICIAN ASSISTANT 46 13 $9,100 $700 10.1% (309) 691-1400
61 WEST VIRGINIA ORTHOPEDIC TRAUMA INC BECKLEY WV ORTHOPEDIC SURGERY 3 13 $5,343 $411 100.0% (304) 410-0061
62 ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC TUPELO MS ORTHOPEDIC SURGERY 11 13 $14,599 $1,123 27.1% (662) 377-2663
63 PODIATRY INC BEACHWOOD OH PODIATRY 5 13 $6,070 $467 13.4% (216) 245-1290
64 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 13 $12,497 $961 10.1% (877) 632-6637
65 SOUTH CAROLINA SPORTS MEDICINE AND ORTHOPAEDIC CENTER NORTH CHARLESTON SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 43 12 $6,300 $525 7.2% (843) 300-8585
66 SYRACUSE ORTHOPEDIC SPECIALISTS, PLLC SYRACUSE NY PHYSICIAN ASSISTANT 115 12 $3,876 $323 3.7% (315) 448-5111
67 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 12 $7,572 $631 2.9% —
68 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 12 $14,082 $1,174 9.3% (309) 683-5050
69 CENTRAL MASSACHUSETTS PODIATRY PC WORCESTER MA PODIATRY 4 12 $5,160 $430 11.4% (508) 757-4003
70 COOPER SURGICAL ASSOCIATES, PA CAMDEN NJ PHYSICIAN ASSISTANT 303 12 $13,316 $1,110 4.5% (856) 270-4100
71 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 12 $6,130 $511 21.4% (515) 239-4400
72 BAY AREA FOOT CARE INC SAN FRANCISCO CA PODIATRY 125 12 $8,423 $702 11.8% (415) 759-2014
73 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 11 $5,731 $521 8.5% (618) 236-8000
74 PINNACLE ORTHOPAEDICS AND SPORTS MEDICINE SPECIALISTS LLC MARIETTA GA PHYSICIAN ASSISTANT 49 11 $6,479 $589 29.7% (770) 579-8558
75 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORD MA ORTHOPEDIC SURGERY 43 11 $6,600 $600 10.5% (978) 454-0706
76 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 11 $11,000 $1,000 10.5% (508) 334-1000
77 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 11 $6,875 $625 2.1% (352) 336-6000
78 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 11 $5,709 $519 8.5% —

*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 →