Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

29875 Partial removal of knee joint lining using an endoscope CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal › Arthroscopy - Lower Extremity (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 401 services ▼ 16.6% YoY · 395 beneficiaries (CY2024, Medicare FFS)

Medicare paid $49K · $123.39 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

225

FFS of Medicare

49%

Services YoY

-16.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~452 services

225 observed fee-for-service (50%) · ~227 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 — 29875 (CY2024)

NV 116 CA 106 FL 49 MD 27 NY 26

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

Named-group submitted charges

$646K

Named-group allowed amount

$22K

Named-group Medicare payments

$18K

Avg charge / svc

$2,870

Avg allowed / svc

$99

Avg payment / svc

$79

Average charge per group

$584–1,262

$1,262–1,941

$1,941–2,619

$2,619–3,297

$3,297–3,976

$3,976–4,654

$4,654–5,333

$5,333+

$584 12 groups · avg submitted charge / service $8,500

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 29875 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	29875 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	YEE ADVANCED ORTHOPEDICS AND SPORTS MEDICINE PC	LAS VEGAS	NV	PHYSICIAN ASSISTANT	22	44	$140,976	$3,204	premium	37.9%	(702) 740-5327
2	DESERT ORTHOPAEDIC CENTER LTD	LAS VEGAS	NV	PHYSICIAN ASSISTANT	102	35	$139,100	$3,974	premium	30.2%	(702) 731-1616
3	JACOB A SPENCER DO INC	LA QUINTA	CA	CHIROPRACTIC	2	18	$36,702	$2,039	premium	17.0%	(760) 797-7540
4	SUTTER BAY MEDICAL FOUNDATION	PALO ALTO	CA	INTERNAL MEDICINE	3716	17	$22,669	$1,333	premium	16.0%	(415) 600-1020
5	PREMIER HEALTH ASSOCIATES LLC	SPARTA	NJ	INTERNAL MEDICINE	45	17	$66,300	$3,900	premium	100.0%	(973) 729-2121
6	WATSON CLINIC LLP	LAKELAND	FL	NURSE PRACTITIONER	363	16	$20,640	$1,290	premium	32.7%	(863) 680-7780
7	NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING	NEW YORK	NY	PHYSICIAN ASSISTANT	174	15	$127,500	$8,500	premium	57.7%	(516) 240-2700
8	BATON ROUGE ORTHOPAEDIC CLINIC LLC	BATON ROUGE	LA	PHYSICIAN ASSISTANT	145	14	$26,400	$1,886	premium	100.0%	—
9	MID-AMERICA ORTHOPEDICS LLC	WICHITA	KS	PHYSICAL THERAPIST IN PRIVATE PRACTICE	37	14	$22,554	$1,611	premium	100.0%	(316) 630-9300
10	DIGNITY HEALTH MEDICAL FOUNDATION	FOLSOM	CA	DIAGNOSTIC RADIOLOGY	1197	12	$21,372	$1,781	premium	11.3%	(916) 983-7476
11	SANJUM SAMAGH MD INC	ENCINITAS	CA	ORTHOPEDIC SURGERY	2	12	$15,179	$1,265	premium	11.3%	(760) 690-3133
12	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	11	$6,425	$584	premium	42.3%	(212) 263-9700

*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 →