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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
29807 Repair of shoulder socket using an endoscope CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal Arthroscopy - Upper Extremity (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 385 services ▼ 4.5% YoY · 376 beneficiaries (CY2024, Medicare FFS)
Medicare paid $281K · $728.67 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
6
Named-group FFS services
101
FFS of Medicare
49%
Services YoY
-4.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~215 services

101 observed fee-for-service (47%) · ~114 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 — 29807 (CY2024)

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

Named-group submitted charges
$530K
Named-group allowed amount
$59K
Named-group Medicare payments
$47K
Avg charge / svc
$5,251
Avg allowed / svc
$580
Avg payment / svc
$463
Average charge per group
$2,922 6 groups · avg submitted charge / service $10,000
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 29807 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 29807 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 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 26 $156,000 $6,000 premium 28.9% (904) 634-0640
2 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 23 $75,072 $3,264 premium 25.6% (407) 896-1100
3 BLUE RIDGE ORTHOPAEDIC ASSOCIATES PC WARRENTON VA ORTHOPEDIC SURGERY 38 16 $160,000 $10,000 premium 50.0% (540) 347-9220
4 WINONA HEALTH SERVICES WINONA OH NURSE PRACTITIONER 142 14 $73,136 $5,224 premium 100.0% (507) 454-3650
5 LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO NURSE PRACTITIONER 129 11 $33,990 $3,090 premium 100.0% (573) 348-2225
6 VHS OUTPATIENT CLINICS INC PHOENIX AZ PHYSICIAN ASSISTANT 180 11 $32,142 $2,922 premium 50.0% (602) 274-6506

*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 →