NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
29105 Application of lower and upper arm splint CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 882 services ▲ 54.5% YoY · 787 beneficiaries (CY2024, Medicare FFS)
Medicare paid $52K · $59.21 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
26
Named-group FFS services
597
FFS of Medicare
49%
Services YoY
+54.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,198 services

597 observed fee-for-service (50%) · ~601 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 — 29105 (CY2024)
CA 309 FL 87 CT 80 SC 68 AZ 43

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

Named-group submitted charges
$169K
Named-group allowed amount
$45K
Named-group Medicare payments
$35K
Avg charge / svc
$282
Avg allowed / svc
$76
Avg payment / svc
$59
Average charge per group
$159 26 groups · avg submitted charge / service $603
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 29105 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 68 $22,030 $324 22.0% (858) 455-9100
2 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 43 $10,492 $244 100.0% (520) 382-8200
3 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 40 $10,400 $260 12.9% (949) 722-7038
4 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 37 $6,993 $189 54.4% (843) 491-4937
5 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CT PHYSICIAN ASSISTANT 1699 29 $9,330 $322 36.2% (310) 423-0674
6 COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA BRADENTON FL PHYSICIAN ASSISTANT 62 26 $4,680 $180 29.9% (941) 792-1404
7 VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 67 25 $6,250 $250 100.0% (757) 321-3300
8 ARCH HEALTH PARTNERS INC POWAY CA PHYSICIAN ASSISTANT 161 24 $6,176 $257 7.8% (858) 485-0050
9 KANSAS ORTHOPAEDIC CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 26 24 $7,992 $333 68.6% (316) 838-2020
10 CENTER FOR ORTHOPAEDICS AND SPINE LLC LAKE CHARLES LA NURSE PRACTITIONER 32 24 $6,048 $252 100.0% (337) 721-7236
11 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 21 $6,321 $301 6.8% (310) 423-0674
12 ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 89 20 $5,825 $291 100.0% (918) 494-2665
13 THE ORTHOPAEDIC GROUP PC MOBILE AL ORTHOPEDIC SURGERY 69 20 $4,600 $230 100.0% (251) 476-5050
14 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 19 $4,769 $251 6.1% (714) 634-4567
15 SPORTS AND SPINE ORTHOPAEDICS TORRANCE CA PHYSICIAN ASSISTANT 14 17 $3,111 $183 5.5% (310) 742-8388
16 BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA NORTH LITTLE ROCK AR ORTHOPEDIC SURGERY 19 17 $3,575 $210 100.0% —
17 SELF MEDICAL GROUP GREENWOOD SC NURSE PRACTITIONER 400 15 $2,385 $159 22.1% —
18 URGENT CARE OF OCONEE, LLC WATKINSVILLE GA PHYSICIAN ASSISTANT 13 15 $7,620 $508 57.7% (706) 714-3562
19 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 15 $9,000 $600 4.9% (310) 443-8999
20 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 14 $3,870 $276 100.0% (425) 313-5422
21 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 14 $8,437 $603 35.0% (212) 241-4812
22 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 13 $2,470 $190 100.0% (270) 781-4043
23 LAMONT J CARDON MD A PROFESSIONAL CORPORATION BERKELEY CA ORTHOPEDIC SURGERY 2 12 $2,304 $192 3.9% (510) 540-8800
24 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 12 $3,285 $274 100.0% (919) 544-7270
25 SPECIALTY ORTHOPAEDICS PC GAINESVILLE GA PHYSICIAN ASSISTANT 18 11 $5,355 $487 42.3% (770) 534-7200
26 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 11 $2,750 $250 100.0% (901) 641-3000
27 ADVANCED ORTHOPAEDIC ASSOCIATES, P.A. WELLINGTON KS ORTHOPEDIC SURGERY 48 11 $2,539 $231 31.4% (316) 631-1600

*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 →