NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

28725 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

28725 — Fusion of foot below ankle

Billing groups
13
Named-group FFS services
159
FFS of Medicare
49%
Services YoY
+0.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~319 services

159 observed fee-for-service (50%) · ~160 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 — 28725 (CY2024)

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

Named-group submitted charges
$424K
Named-group allowed amount
$99K
Named-group Medicare payments
$78K
Avg charge / svc
$2,667
Avg allowed / svc
$621
Avg payment / svc
$493
Average charge per group
$1,529 13 groups · avg submitted charge / service $4,383
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 28725 services, CY2024
#Physician group City St Specialty Providers 28725 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 14 $37,002 $2,643 premium 37.8%
2 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 14 $28,784 $2,056 premium 100.0% (502) 928-1050
3 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 13 $55,107 $4,239 premium 100.0% (800) 321-9999
4 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 13 $20,007 $1,539 premium 100.0% (405) 604-6000
5 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 13 $56,980 $4,383 premium 54.2% (877) 632-6637
6 ROCKHILL ORTHOPAEDIC SPECIALISTS INC LEES SUMMIT MO PHYSICIAN ASSISTANT 27 12 $31,789 $2,649 premium 100.0% (816) 246-4302
7 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 12 $43,764 $3,647 premium 100.0%
8 PNC MSK PC SANTA ROSA CA PODIATRY 8 12 $32,579 $2,715 premium 32.4% (707) 237-3410
9 ROSENBERG COOLEY METCALF LC PARK CITY UT PHYSICIAN ASSISTANT 34 12 $28,632 $2,386 premium 100.0% (435) 655-6600
10 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 11 $27,313 $2,483 premium 100.0% (248) 644-3920
11 GRANITE ORTHOPAEDICS PLLC PRESCOTT AZ PHYSICIAN ASSISTANT 12 11 $16,815 $1,529 premium 100.0% (928) 777-9950
12 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 11 $20,245 $1,840 premium 29.7% (714) 634-4567
13 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 11 $25,080 $2,280 premium 45.8% (708) 216-8372

*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 →