NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
29425 Application of walking cast covering below knee to toe CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3,116 services ▼ 8.8% YoY · 1,980 beneficiaries (CY2024, Medicare FFS)
Medicare paid $175K · $56.20 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
51
Named-group FFS services
2,423
FFS of Medicare
49%
Services YoY
-8.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,906 services

2,423 observed fee-for-service (49%) · ~2,483 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 — 29425 (CY2024)
NJ 523 FL 405 TX 309 AZ 181 CA 177

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

Named-group submitted charges
$715K
Named-group allowed amount
$176K
Named-group Medicare payments
$136K
Avg charge / svc
$295
Avg allowed / svc
$73
Avg payment / svc
$56
Average charge per group
$83 51 groups · avg submitted charge / service $881
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 29425 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 370 $172,144 $465 70.7% (908) 273-4300
2 KEVIN M LYNCH DPM PA MERRITT ISLAND FL PODIATRY 3 147 $12,130 $83 36.3% (321) 454-6333
3 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 145 $33,640 $232 80.1% (602) 385-2115
4 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 116 $29,847 $257 79.5% (919) 544-7270
5 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD MO ORTHOPEDIC SURGERY 67 108 $63,043 $584 75.5% (913) 319-7600
6 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 106 $25,334 $239 34.3% (214) 220-2468
7 DR BELA PANDIT PC EVERGREEN PARK IL PODIATRY 2 105 $21,000 $200 82.7% (708) 423-3668
8 ST. CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC SAINT CLAIR SHORES MI ORTHOPEDIC SURGERY 26 75 $21,000 $280 86.2% (586) 773-1300
9 HAMPTON ROADS ORTHOPAEDIC AND SPORTS MEDICINE LLC NEWPORT NEWS VA ORTHOPEDIC SURGERY 26 72 $16,416 $228 100.0% (757) 873-1554
10 MILFORD PODIATRY ASSOCIATES PC MILFORD CT PODIATRY 4 64 $5,699 $89 39.3% (203) 874-6755
11 KANSAS ORTHOPAEDIC CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 26 59 $21,181 $359 100.0% (316) 838-2020
12 FOOT AND ANKLE PREMIER SPECIALISTS LLC BAYONNE NJ PODIATRY 4 59 $13,275 $225 11.3% (201) 659-5222
13 S.B.J.S. PC DOTHAN AL PHYSICIAN ASSISTANT 39 51 $12,801 $251 58.0% (334) 793-2663
14 ORTHOWEST IRVINE CA ORTHOPEDIC SURGERY 47 43 $10,883 $253 24.3% (949) 586-3200
15 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 42 $28,266 $673 100.0% (608) 260-2900
16 MAGNOLIA ORTHOPAEDICS AND SPORTS MEDICINE, P.A.. CORINTH MS NURSE PRACTITIONER 5 40 $9,000 $225 46.5% (662) 286-6369
17 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 37 $6,900 $186 20.9% —
18 THE ORTHOPAEDIC GROUP PC MOBILE AL ORTHOPEDIC SURGERY 69 37 $9,250 $250 42.0% (251) 476-5050
19 ORTHOPAEDIC CLINIC OF MONROE MONROE LA PHYSICIAN ASSISTANT 35 36 $9,792 $272 100.0% 31832384514310
20 GLENDALE FOOT AND ANKLE PODIATRY CENTER, INC. GLENDALE CA PODIATRY 2 33 $4,950 $150 18.6% (818) 242-4426
21 FAMILY FOOTCARE PC NAUGATUCK CT PODIATRY 4 32 $6,880 $215 19.6% (203) 723-7884
22 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 31 $7,894 $255 43.1% (425) 313-5422
23 FOOT AND ANKLE SURGERY OF NEW BRAUNFELS, PLLC NEW BRAUNFELS TX PODIATRY 2 30 $7,500 $250 9.7% (830) 387-4427
24 ORTHOPEDIC CENTER OF PALM BEACH COUNTY, LLC ATLANTIS FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 30 30 $14,670 $489 7.4% (561) 967-6500
25 BRUCATO FOOT AND ANKLE SURGERY CLIFTON NJ PODIATRY 4 30 $4,800 $160 5.7% (973) 955-0260
26 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 29 $4,437 $153 9.4% (210) 804-5400
27 LAKE AREA PHYSICAL THERAPY INC. MELROSE FL ORTHOPEDIC SURGERY 365 28 $3,158 $113 6.9% —
28 ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC EAST SETAUKET NY PHYSICIAN ASSISTANT 30 27 $9,450 $350 30.0% (631) 689-6698
29 TENET FLORIDA PHYSICIAN SERVICES II, LLC MANGONIA PARK FL PHYSICIAN ASSISTANT 101 27 $16,713 $619 6.7% (561) 844-6300
30 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 27 $8,437 $312 8.7% —
31 BRAZOS VALLEY PHYSICIANS ALLIANCE BRYAN TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 22 27 $4,946 $183 8.7% (979) 704-5029
32 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 25 $22,025 $881 4.8% (732) 974-0404
33 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA OR PHYSICIAN ASSISTANT 109 23 $5,707 $248 100.0% —
34 CENTER FOR ORTHOPEDIC SURGERY L.L.P. LUBBOCK TX ORTHOPEDIC SURGERY 13 22 $4,290 $195 7.1% (806) 797-4985
35 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 22 $5,458 $248 30.6% —
36 CENTRAL VALLEY FOOT AND ANKLE INC VISALIA CA PODIATRY 4 21 $3,150 $150 11.9% (559) 636-3668
37 ANTO VINCETIC DPM PC FOREST HILLS NY PODIATRY 2 21 $4,408 $210 23.3% (718) 263-4600
38 ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC CINCINNATI KY PHYSICIAN ASSISTANT 163 19 $5,358 $282 100.0% (513) 232-2663
39 THOMASVILLE ORTHOPEDIC CENTER, PC THOMASVILLE GA NURSE PRACTITIONER 2 19 $5,301 $279 27.1% (229) 226-9141
40 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 18 $3,114 $173 100.0% (843) 491-4937
41 SUNRISE FOOT AND ANKLE LLC LAS VEGAS NV PODIATRY 3 18 $3,288 $183 100.0% (702) 731-3338
42 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 18 $4,612 $256 20.9% (662) 767-4200
43 OLMSTED MEDICAL CENTER ROCHESTER MN PHYSICIAN ASSISTANT 315 17 $6,239 $367 100.0% (507) 292-7009
44 VHS OUTPATIENT CLINICS INC PHOENIX AZ PHYSICIAN ASSISTANT 180 15 $3,480 $232 8.3% (602) 274-6506
45 CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC ALBANY NY ORTHOPEDIC SURGERY 67 15 $3,720 $248 16.7% (518) 489-2666
46 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 14 $5,460 $390 3.5% (850) 877-8174
47 BRUCE I LERMAN DPM INC LOS GATOS CA PODIATRY 5 13 $1,560 $120 7.3% (408) 292-8800
48 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 13 $3,198 $246 7.3% —
49 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 13 $2,860 $220 100.0% (501) 500-3500
50 VHS PHYSICIANS OF MICHIGAN DETROIT MI PHYSICIAN ASSISTANT 232 12 $1,563 $130 13.8% —
51 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 11 $3,256 $296 100.0% (615) 329-6600
52 INTERMOUNTAIN MEDICAL GROUP DENVER LLC BROOMFIELD CO PHYSICIAN ASSISTANT 562 11 $1,840 $167 100.0% —

*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 →