NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
29085 Application of hand and lower forearm cast CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,067 services ▲ 2.9% YoY · 1,687 beneficiaries (CY2024, Medicare FFS)
Medicare paid $148K · $71.53 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
51
Named-group FFS services
1,447
FFS of Medicare
49%
Services YoY
+2.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,860 services

1,447 observed fee-for-service (51%) · ~1,413 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 — 29085 (CY2024)
CA 298 IL 197 FL 188 MI 155 MA 146

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

Named-group submitted charges
$408K
Named-group allowed amount
$133K
Named-group Medicare payments
$103K
Avg charge / svc
$282
Avg allowed / svc
$92
Avg payment / svc
$71
Average charge per group
$120 51 groups · avg submitted charge / service $729
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 29085 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 105 $30,135 $287 100.0% (302) 731-2888
2 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 98 $18,032 $184 49.7% (630) 933-4800
3 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 81 $25,926 $320 68.1% (919) 544-7270
4 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 71 $17,608 $248 45.8% —
5 HOT SPRINGS MEDICAL SURGICAL GROUP SANTA BARBARA CA HAND SURGERY 4 66 $25,854 $392 22.1% (805) 682-8907
6 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 46 $18,124 $394 23.4% —
7 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 45 $10,575 $235 30.8% (978) 818-6350
8 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO CA PHYSICIAN ASSISTANT 16 43 $15,000 $349 14.4% (949) 348-4000
9 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 40 $7,600 $190 100.0% (801) 773-4840
10 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 39 $5,811 $149 60.9% (405) 692-9300
11 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 38 $10,792 $284 43.7% (602) 385-2115
12 SIGNATURE MEDICAL GROUP OF KC PA OVERLAND PARK KS PHYSICIAN ASSISTANT 25 38 $8,436 $222 100.0% (913) 498-6000
13 MEMORIALCARE MEDICAL FOUNDATION LONG BEACH CA FAMILY PRACTICE 549 32 $7,008 $219 10.7% (562) 346-2222
14 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 31 $7,099 $229 10.4% —
15 SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA PORTSMOUTH NH PHYSICIAN ASSISTANT 28 29 $7,920 $273 100.0% (603) 431-1121
16 BRUNSWICK URGENT CARE P A FRANKLIN PARK NJ EMERGENCY MEDICINE 9 28 $3,360 $120 100.0% (732) 422-4889
17 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 28 $6,378 $228 32.2% (866) 974-2673
18 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 27 $6,345 $235 58.7% (765) 284-7738
19 THE HAND AND UPPER EXTREMITY CENTER OF GA, PC ATLANTA GA ORTHOPEDIC SURGERY 17 26 $8,606 $331 60.5% (404) 256-0226
20 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 26 $4,836 $186 13.8% (239) 312-7878
21 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 25 $16,250 $650 8.4% (310) 443-8999
22 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 24 $14,880 $620 100.0% (212) 241-4812
23 PREFERRED ORTHOPEDICS OF THE PALM BEACHES P.A. BOYNTON BEACH FL ORTHOPEDIC SURGERY 11 22 $8,844 $402 11.7% (561) 733-5888
24 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 21 $5,607 $267 24.1% (520) 382-8200
25 SCIURIDAE BOYZ PLLC TWIN FALLS ID PHYSICIAN ASSISTANT 17 21 $8,001 $381 100.0% (208) 735-3600
26 KEVIN J PELTON MD INC LOS ANGELES CA PHYSICIAN ASSISTANT 38 21 $4,602 $219 7.0% (323) 264-7600
27 SELF MEDICAL GROUP GREENWOOD SC NURSE PRACTITIONER 400 20 $3,854 $193 100.0% —
28 ORTHOPAEDICS NORTHEAST PC FORT WAYNE IN PHYSICIAN ASSISTANT 80 19 $6,194 $326 41.3% (260) 484-8551
29 BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA NORTH LITTLE ROCK AR ORTHOPEDIC SURGERY 19 19 $4,191 $221 55.9% —
30 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 19 $6,878 $362 45.2% (775) 786-3040
31 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 18 $5,238 $291 22.8% (817) 375-5200
32 SOUTHWEST SHOULDER ELBOW AND HAND CENTER PC TUCSON PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 18 $4,140 $230 100.0% (520) 783-3344
33 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 17 $3,791 $223 17.9% (731) 661-9825
34 AVERY ARORA MD PC WEST BLOOMFIELD MI OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 17 $2,295 $135 11.0% (888) 392-4263
35 BOSTON HAND TO SHOULDER PC NEWTON MA PHYSICIAN ASSISTANT 11 16 $4,800 $300 11.0% (617) 965-4263
36 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 16 $11,664 $729 100.0% (414) 955-4263
37 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 16 $8,000 $500 51.6% (337) 235-8007
38 CORA HEALTH SERVICES INC THE VILLAGES MI ORTHOPEDIC SURGERY 1187 16 $2,240 $140 10.3% (352) 693-3378
39 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 15 $2,865 $191 48.4% (504) 842-3000
40 TORRANCE HEALTH ASSOCIATION INC TORRANCE CA FAMILY PRACTICE 298 15 $1,875 $125 5.0% (310) 257-7260
41 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 14 $3,962 $283 7.4% (904) 396-1725
42 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 14 $3,375 $241 21.9% (405) 254-9690
43 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 13 $2,600 $200 31.0% (720) 497-6616
44 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 12 $2,841 $237 100.0% (541) 706-7715
45 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 12 $4,188 $349 4.0% (925) 939-8585
46 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 12 $4,356 $363 12.6% (615) 329-6600
47 ORTHOTENNESSEE PC KNOXVILLE TN PHYSICIAN ASSISTANT 157 12 $3,204 $267 12.6% (865) 558-4400
48 ORTHOPEDIC ASSOCIATES OF FLOWER MOUND PLLC FLOWER MOUND TX ORTHOPEDIC SURGERY 19 12 $3,840 $320 15.2% (972) 420-1776
49 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA CO PHYSICIAN ASSISTANT 323 12 $4,740 $395 28.6% (303) 695-6060
50 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 11 $1,925 $175 100.0% —
51 ACCLAIM PHYSICIAN GROUP INC FORT WORTH TX NURSE PRACTITIONER 526 11 $1,478 $134 13.9% (817) 702-3701

*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 →