NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
29824 Partial removal of collar bone at shoulder 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 28,236 services ▼ 3.8% YoY · 28,040 beneficiaries (CY2024, Medicare FFS)
Medicare paid $9.0M · $318.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
327
Named-group FFS services
12,772
FFS of Medicare
49%
Services YoY
-3.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~25,520 services

12,772 observed fee-for-service (50%) · ~12,748 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 — 29824 (CY2024)
FL 2,887 TX 2,049 CA 1,549 NC 1,357 MS 1,351

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

Named-group submitted charges
$25.6M
Named-group allowed amount
$2.4M
Named-group Medicare payments
$1.9M
Avg charge / svc
$2,003
Avg allowed / svc
$190
Avg payment / svc
$151
Average charge per group
$123 327 groups · avg submitted charge / service $11,185
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 29824 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 493 $941,895 $1,911 40.3% (256) 539-2728
2 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 238 $595,000 $2,500 17.6% (601) 354-4488
3 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 170 $622,144 $3,660 18.0% (877) 632-6637
4 MOUNTAIN ORTHOPAEDICS LLC BOUNTIFUL UT PHYSICIAN ASSISTANT 27 162 $163,000 $1,006 23.0% (801) 295-7200
5 ROSENBERG COOLEY METCALF LC PARK CITY UT PHYSICIAN ASSISTANT 34 159 $255,780 $1,609 22.6% (435) 655-6600
6 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 156 $243,633 $1,562 11.5% (919) 544-7270
7 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 154 $334,205 $2,170 11.4% (662) 767-4200
8 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 150 $164,016 $1,093 11.1% (704) 323-2100
9 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 147 $285,288 $1,941 5.1% (352) 336-6000
10 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 146 $141,370 $968 13.2% (513) 354-3700
11 ADVANCED ORTHOPEDIC SPECIALISTS, PC BRIGHTON MI ORTHOPEDIC SURGERY 11 141 $161,600 $1,146 20.5% (810) 299-8550
12 ORTHO CENTRAL NORMAN OK PHYSICIAN ASSISTANT 32 140 $143,640 $1,026 15.8% —
13 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 130 $316,198 $2,432 48.9% —
14 ORTHOPAEDIC ASSOCIATES OF MUSKEGON PC MUSKEGON MI PHYSICIAN ASSISTANT 84 129 $116,824 $906 18.8% (231) 733-1326
15 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 125 $181,038 $1,448 11.4% —
16 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 125 $223,639 $1,789 18.6% —
17 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 122 $358,559 $2,939 22.4% (603) 883-0091
18 NEW WEST SPORTS MEDICINE AND ORTHOPAEDIC SURGERY PC KEARNEY NE PHYSICIAN ASSISTANT 12 120 $169,510 $1,413 37.0% (308) 865-2570
19 COLLIER SPORTS MEDICINE AND ORTHOPAEDIC CENTER PA NAPLES FL PHYSICIAN ASSISTANT 4 115 $126,574 $1,101 4.0% 2395933500206
20 JUDAH D PIFER MD PLLC PRESCOTT AZ ORTHOPEDIC SURGERY 2 103 $227,250 $2,206 11.5% (928) 778-9250
21 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 101 $211,965 $2,099 4.9% —
22 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 99 $105,208 $1,063 8.9% (614) 827-8700
23 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 97 $162,758 $1,678 4.7% (214) 220-2468
24 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 96 $187,024 $1,948 3.3% (904) 396-1725
25 TEXAS ORTHOPEDIC SPECIALISTS, PLLC BEDFORD TX ORTHOPEDIC SURGERY 14 96 $113,904 $1,186 4.7% (817) 540-4477
26 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 96 $99,064 $1,032 10.8% (866) 974-2673
27 BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC VANCLEAVE MS ORTHOPEDIC SURGERY 42 94 $211,385 $2,249 7.0% (228) 230-2663
28 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 92 $95,620 $1,039 10.4% (405) 692-9300
29 MICHAEL H BOOTHBY, MD, PA FORT WORTH TX ORTHOPEDIC SURGERY 12 90 $115,200 $1,280 4.4% 81752919002010
30 S.B.J.S. PC DOTHAN AL PHYSICIAN ASSISTANT 39 88 $64,854 $737 7.2% (334) 793-2663
31 ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 89 87 $150,105 $1,725 9.8% (918) 494-2665
32 PALMETTO BONE AND JOINT CLINTON SC ORTHOPEDIC SURGERY 12 87 $417,564 $4,800 8.0% (864) 833-3046
33 BONE AND JOINT CENTER PC BISMARCK ND PHYSICIAN ASSISTANT 39 87 $183,868 $2,113 31.3% (701) 946-7500
34 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 82 $157,758 $1,924 7.5% —
35 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 81 $137,336 $1,696 10.3% —
36 VHS OUTPATIENT CLINICS INC PHOENIX AZ PHYSICIAN ASSISTANT 180 80 $150,160 $1,877 9.0% (602) 274-6506
37 ORTHOPEDICS AND SPORTS MEDICINE LTD LAS VEGAS NV ORTHOPEDIC SURGERY 4 77 $246,400 $3,200 11.4% (702) 933-9393
38 BATON ROUGE ORTHOPAEDIC CLINIC LLC BATON ROUGE LA PHYSICIAN ASSISTANT 145 77 $111,930 $1,454 13.7% —
39 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 76 $176,817 $2,327 4.9% (916) 681-8852
40 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 76 $233,449 $3,072 4.9% (415) 476-1000
41 NATURE COAST ORTHOPAEDICS AND SPORTS MEDICINE CLINIC, PA BEVERLY HILLS FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 72 $96,066 $1,334 2.5% (352) 746-5707
42 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 70 $159,720 $2,282 4.5% —
43 ORTHOWEST, LLC OMAHA NE PHYSICIAN ASSISTANT 110 69 $93,015 $1,348 21.3% (402) 609-3000
44 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 69 $157,803 $2,287 12.3% (301) 774-0500
45 CAPITAL ORTHOPAEDIC CLINIC, PLLC FLOWOOD MS PHYSICAL THERAPIST IN PRIVATE PRACTICE 46 68 $149,440 $2,198 5.0% (601) 987-8200
46 EAST IDAHO ORTHOPAEDICS PLLC IDAHO FALLS ID ORTHOPEDIC SURGERY 6 66 $149,226 $2,261 25.8% (208) 522-3355
47 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 65 $150,583 $2,317 8.0% (615) 329-6600
48 MPOWER CLINICAL TX PHOENIX TX PHYSICIAN ASSISTANT 32 65 $369,538 $5,685 3.2% (210) 598-4268
49 ALL ACCESS ORTHO OAHU LLC HONOLULU HI PHYSICIAN ASSISTANT 18 64 $85,462 $1,335 83.1% (808) 356-5699
50 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 63 $89,149 $1,415 7.1% (602) 385-2115
51 CORE ORTHOPEDICS AND SPORTS MEDICINE LLC ELK GROVE VILLAGE IL PHYSICIAN ASSISTANT 14 62 $227,509 $3,670 6.6% (847) 690-1776
52 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 61 $86,020 $1,410 11.2% (501) 500-3500
53 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 60 $86,648 $1,444 5.5% (803) 749-5101
54 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 59 $166,970 $2,830 16.6% (908) 273-4300
55 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 58 $113,622 $1,959 5.3% (843) 720-8448
56 SONORAN RADIOLOGY LTD MESA AZ DIAGNOSTIC RADIOLOGY 474 58 $90,000 $1,552 6.5% (832) 915-2534
57 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 57 $126,415 $2,218 2.8% (210) 804-5400
58 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 56 $120,362 $2,149 8.3% (425) 313-5422
59 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 56 $104,720 $1,870 7.2% (804) 764-6000
60 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 55 $71,730 $1,304 7.8% —
61 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 55 $181,060 $3,292 5.8% —
62 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 54 $60,582 $1,122 6.1% (623) 832-4000
63 ORTHOPAEDIC INSTITUTE OF OHIO, INC LIMA OH PHYSICIAN ASSISTANT 75 54 $59,265 $1,098 4.9% (419) 222-6622
64 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 52 $262,269 $5,044 4.8% (864) 582-6396
65 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 51 $92,218 $1,808 5.1% (770) 219-7777
66 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 51 $152,808 $2,996 4.7% (843) 792-1414
67 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 51 $125,306 $2,457 18.1% (612) 863-4000
68 AVERA ST LUKES ABERDEEN SD NURSE PRACTITIONER 169 50 $6,133 $123 18.8% (605) 622-5100
69 PEACEHEALTH BELLINGHAM WA PHYSICIAN ASSISTANT 287 49 $38,033 $776 7.3% —
70 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 49 $89,069 $1,818 9.0% (508) 771-1800
71 JOINT IMPLANT SURGEONS OF FLORIDA PA FORT MYERS FL PHYSICIAN ASSISTANT 26 48 $9,434 $197 1.7% (239) 337-2003
72 NORTHWEST ORTHOPAEDIC SPECIALISTS PS SPOKANE WA PHYSICIAN ASSISTANT 80 48 $78,014 $1,625 7.1% (509) 465-1300
73 YOUNGSTOWN ORTHOPAEDIC ASSOCIATES LTD CANFIELD OH PHYSICIAN ASSISTANT 36 48 $58,644 $1,222 4.3% (330) 758-0577
74 MERCY CLINIC JOPLIN LLC JOPLIN KS NURSE PRACTITIONER 289 48 $53,754 $1,120 20.1% (417) 556-6056
75 THE ORTHOPAEDIC GROUP PC MOBILE AL ORTHOPEDIC SURGERY 69 47 $38,675 $823 3.8% (251) 476-5050
76 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 47 $90,334 $1,922 1.6% (352) 693-3378
77 PIKEVILLE MEDICAL CENTER INC PIKEVILLE KY NURSE PRACTITIONER 435 46 $68,632 $1,492 38.7% —
78 SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 20 45 $87,300 $1,940 5.1% —
79 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 45 $119,044 $2,645 11.6% (417) 347-8200
80 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 45 $92,979 $2,066 2.2% (512) 816-8611
81 KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT PHYSICIAN ASSISTANT 414 45 $56,140 $1,248 23.4% (406) 751-6725
82 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 45 $51,740 $1,150 2.9% —
83 PUBLIC HOSPITAL DIST NO 1 SKAGIT MOUNT VERNON WA PHYSICIAN ASSISTANT 314 44 $54,388 $1,236 6.5% (360) 428-2500
84 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 44 $398,455 $9,056 12.4% (732) 974-0404
85 CNOS PC SIOUX CITY SD PHYSICIAN ASSISTANT 99 44 $71,847 $1,633 16.5% (712) 279-3500
86 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 44 $52,903 $1,202 4.0% (803) 744-4900
87 MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC SHREVEPORT LA PHYSICIAN ASSISTANT 28 44 $21,518 $489 7.8% (318) 635-3052
88 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 43 $183,145 $4,259 5.5% (301) 774-0500
89 JOHN E SAMANI MD PC AUBURN HILLS MI ORTHOPEDIC SURGERY 4 43 $40,142 $934 6.3% (248) 373-7600
90 IOWA ORTHOPAEDIC CENTER PC DES MOINES IA PHYSICIAN ASSISTANT 69 42 $70,182 $1,671 15.6% (515) 247-8400
91 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 42 $128,700 $3,064 1.5% (904) 634-0640
92 BLACK HILLS ORTHOPEDIC AND SPINE CENTER INC RAPID CITY SD PHYSICIAN ASSISTANT 76 42 $92,009 $2,191 15.8% (605) 737-9151
93 TULSA BONE AND JOINT ASSOCIATES PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 92 41 $50,594 $1,234 4.6% (918) 392-1513
94 SPORTS AND SPINE ORTHOPAEDICS TORRANCE CA PHYSICIAN ASSISTANT 14 41 $99,960 $2,438 2.6% (310) 742-8388
95 SURGICAL PHYSICIAN ASSISTANTS LLC MERRITT ISLAND FL PHYSICIAN ASSISTANT 5 40 $52,000 $1,300 1.4% (321) 806-9222
96 ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 36 40 $92,494 $2,312 2.0% (972) 985-1072
97 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 40 $87,000 $2,175 2.6% (530) 246-2467
98 THE ANDERSON CLINIC INC ALEXANDRIA VA ORTHOPEDIC SURGERY 79 40 $66,470 $1,662 5.1% (703) 892-6500
99 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 39 $45,304 $1,162 10.3% (303) 778-5797
100 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 38 $232,750 $6,125 7.9% (516) 536-2800

Showing the top 100 of 327 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →