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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
29705 Removal or cutting of full arm or leg cast CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 650 services ▼ 2.5% YoY · 387 beneficiaries (CY2024, Medicare FFS)
Medicare paid $23K · $34.91 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
10
Named-group FFS services
514
FFS of Medicare
49%
Services YoY
-2.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,012 services

514 observed fee-for-service (51%) · ~498 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 — 29705 (CY2024)

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

Named-group submitted charges
$122K
Named-group allowed amount
$23K
Named-group Medicare payments
$18K
Avg charge / svc
$237
Avg allowed / svc
$44
Avg payment / svc
$34
Average charge per group
$117 10 groups · avg submitted charge / service $505
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 29705 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 29705 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 BOBBY POURZIAEE D P M INC PAHRUMP CA NURSE PRACTITIONER 5 276 $55,200 $200 premium 74.2% (775) 751-5200
2 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 45 $10,125 $225 premium 54.2% (662) 328-1012
3 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 38 $8,550 $225 premium 45.8% (662) 767-4200
4 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 30 $10,440 $348 premium 100.0% (800) 321-9999
5 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 30 $15,159 $505 premium 73.2%
6 SAINT AGNES MEDICAL FOUNDATION FRESNO CA INTERNAL MEDICINE 155 28 $3,288 $117 premium 7.5% (559) 450-5777
7 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA ORTHOPEDIC SURGERY 67 23 $10,350 $450 premium 6.2% (310) 319-1234
8 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 17 $3,400 $200 premium 34.7% (904) 396-1725
9 ORTHOPAEDIC CENTER OF S FLORIDA PLANTATION FL ORTHOPEDIC SURGERY 21 14 $2,114 $151 premium 28.6% 95447363443101
10 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 13 $3,445 $265 premium 100.0% (781) 983-9088

*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 →