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Market snapshot

28825 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

28825 — Amputation of toe at toe joint

Billing groups
19
Named-group FFS services
337
FFS of Medicare
49%
Services YoY
+19.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~606 services

337 observed fee-for-service (56%) · ~269 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 — 28825 (CY2024)

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

Named-group submitted charges
$572K
Named-group allowed amount
$48K
Named-group Medicare payments
$38K
Avg charge / svc
$1,699
Avg allowed / svc
$143
Avg payment / svc
$112
Average charge per group
$328 19 groups · avg submitted charge / service $6,277
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 28825 services, CY2024
#Physician group City St Specialty Providers 28825 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 31 $70,990 $2,290 premium 100.0%
2 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 26 $27,040 $1,040 premium 61.9% (405) 604-6000
3 MCHS HOSPITALS INC MARSHFIELD CA NURSE PRACTITIONER 1179 23 $144,371 $6,277 premium 27.4%
4 KANSAS ORTHOPAEDIC CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 26 22 $41,580 $1,890 premium 55.0% (316) 838-2020
5 UNION HOSPITAL OF CECIL COUNTY ELKTON MD INTERNAL MEDICINE 293 21 $25,200 $1,200 premium 39.6% (410) 398-4000
6 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 20 $19,600 $980 premium 37.7% (202) 429-2401
7 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 18 $19,332 $1,074 premium 100.0%
8 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 18 $21,892 $1,216 premium 45.0% (785) 354-9591
9 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 17 $37,318 $2,195 premium 20.2% (650) 723-4000
10 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 16 $17,232 $1,077 premium 38.1% (405) 608-3800
11 MOORE FOOT AND ANKLE SPECIALISTS PA ASHEVILLE NC PODIATRY 3 16 $5,247 $328 premium 100.0% 8283501880107
12 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 15 $34,680 $2,312 premium 17.9% (916) 681-8852
13 FAITH REGIONAL PHYSICIAN SERVICES LLC NORFOLK NE NURSE PRACTITIONER 185 15 $23,520 $1,568 premium 51.7% (402) 371-4880
14 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 15 $10,575 $705 premium 100.0% (615) 385-3751
15 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 14 $31,031 $2,216 premium 100.0% (507) 284-2511
16 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 14 $7,594 $542 premium 35.9% (850) 877-8174
17 KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT PHYSICIAN ASSISTANT 414 13 $16,120 $1,240 premium 100.0% (406) 751-6725
18 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 12 $14,736 $1,228 premium 22.6% (410) 502-4340
19 STOCKDALE PODIATRY GROUP INC BAKERSFIELD CA PODIATRY 14 11 $4,400 $400 premium 13.1% (661) 832-1667

*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 →