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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
29445 Application of walking cast covering foot, ankle, and lower leg CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,540 services ▼ 16.7% YoY · 459 beneficiaries (CY2024, Medicare FFS)
Medicare paid $181K · $71.29 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
16
Named-group FFS services
1,104
FFS of Medicare
49%
Services YoY
-16.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,102 services

1,104 observed fee-for-service (53%) · ~998 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 — 29445 (CY2024)

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

Named-group submitted charges
$296K
Named-group allowed amount
$92K
Named-group Medicare payments
$72K
Avg charge / svc
$268
Avg allowed / svc
$84
Avg payment / svc
$65
Average charge per group
$157 16 groups · avg submitted charge / service $553
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 29445 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 29445 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 AJ APPLEWHITE MD PA DALLAS TX FAMILY PRACTICE 2 194 $47,724 $246 premium 47.1% (214) 820-4400
2 FRONTIER FOOT AND ANKLE SPECIALISTS LLC BANDON TX PODIATRY 3 178 $65,985 $371 premium 43.2% (541) 329-2555
3 OCEAN COUNTY FOOT AND ANKLE SURGICAL ASSOCIATES TOMS RIVER NJ PODIATRY 23 121 $23,822 $197 premium 100.0% (732) 505-4500
4 AUGUSTA MEDICAL GROUP FISHERSVILLE VA PHYSICIAN ASSISTANT 424 86 $13,502 $157 premium 100.0% (540) 332-5595
5 UNION HOSPITAL OF CECIL COUNTY ELKTON MD INTERNAL MEDICINE 293 72 $12,600 $175 premium 100.0% (410) 398-4000
6 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 57 $19,946 $350 premium 62.0% (417) 347-8200
7 ST JOSEPH HOSPITAL LLC LEWISTON ID PHYSICIAN ASSISTANT 86 57 $11,413 $200 premium 100.0% (208) 298-1050
8 BEAUFORT COUNTY MEMORIAL HOSPITAL BEAUFORT SC PHYSICIAN ASSISTANT 204 54 $20,720 $384 premium 100.0% (843) 522-5983
9 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MT NURSE PRACTITIONER 236 44 $12,379 $281 premium 100.0% (508) 771-1800
10 FOOT AND ANKLE CARE, PSC LOUISVILLE KY PODIATRY 2 43 $8,098 $188 premium 62.3% (502) 409-5580
11 GATEWAY FOOT AND ANKLE CENTER PLC CLARKSVILLE TN PODIATRY 6 41 $7,995 $195 premium 11.3% (931) 245-1920
12 EDGAR ZAMBRANO D.O, P.A MOUNT PLEASANT TX NURSE PRACTITIONER 4 40 $11,272 $282 premium 9.7% (903) 575-9408
13 HILL MEDICAL SERVICES PLLC LITTLE ROCK AR PHYSICIAN ASSISTANT 16 33 $18,249 $553 premium 100.0% (501) 552-3000
14 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 31 $8,494 $274 premium 100.0% (202) 429-2401
15 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 27 $9,774 $362 premium 100.0% (708) 216-8372
16 UNIVERSITY FOOT AND ANKLE CENTER LLC LOUISVILLE KY PODIATRY 6 26 $4,326 $166 premium 37.7% (502) 893-1844

*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 →