NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
29876 Removal of joint lining from multiple knee joint compartments 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 2,151 services ▼ 6.5% YoY · 2,100 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.0M · $480.99 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

46

Named groups billing this code
Named-group FFS services

1,082

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-6.5%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~2,180 services

1,082 observed fee-for-service (50%) · ~1,098 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 — 29876 (CY2024)
CA 540 FL 311 NV 271 TX 159 MA 92

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

Billed → allowed → paid
Named-group submitted charges
$3.2M
Named-group allowed amount
$573K
Named-group Medicare payments
$455K
Avg charge / svc
$2,941
Avg allowed / svc
$530
Avg payment / svc
$421
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$1,095 46 groups · avg submitted charge / service $6,643
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 29876 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 162 $567,000 $3,500 30.0% —
2 ORTHOPEDICS AND SPORTS MEDICINE LTD LAS VEGAS NV ORTHOPEDIC SURGERY 4 75 $221,250 $2,950 27.7% (702) 933-9393
3 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 60 $277,242 $4,621 22.1% (702) 731-1616
4 MINIVASIVE PAIN SPECIALISTS,PLLC HOUSTON TX NURSE PRACTITIONER 27 46 $85,238 $1,853 28.9% (346) 800-6001
5 GLENDALE ADVENTIST MEDICAL CENTER GLENDALE CA ANESTHESIOLOGY 100 43 $92,880 $2,160 8.0% (818) 863-4099
6 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 37 $195,064 $5,272 11.9% (904) 634-0640
7 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 33 $135,300 $4,100 40.7% —
8 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 33 $126,701 $3,839 100.0% (256) 539-2728
9 BEACH CITIES ORTHOPEDICS AND SPORTS MEDICINE MANHATTAN BEACH CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 34 27 $98,693 $3,655 5.0% (310) 546-3461
10 CHRISTOPHER C NINH MD, INC IRVINE CA ORTHOPEDIC SURGERY 4 24 $69,600 $2,900 4.4% (714) 432-9990
11 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 24 $73,872 $3,078 4.4% (415) 600-1020
12 ACCESS SPORTS MEDICINE AND ORTHOPAEDICS, PLLC EXETER NH PHYSICAL THERAPIST IN PRIVATE PRACTICE 32 23 $152,789 $6,643 62.2% (603) 775-7575
13 TRIEU T TRAN MD INC WESTMINSTER CA ORTHOPEDIC SURGERY 2 22 $32,120 $1,460 4.1% (714) 893-6008
14 ORTHO CENTRAL NORMAN OK PHYSICIAN ASSISTANT 32 21 $22,995 $1,095 56.8% —
15 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO CA PHYSICIAN ASSISTANT 16 21 $41,874 $1,994 3.9% (949) 348-4000
16 RIO ORTHOPEDICS AND SPORTS MEDICINE, PLLC NORTH RICHLAND HILLS TX ORTHOPEDIC SURGERY 3 20 $39,800 $1,990 12.6% —
17 PIKEVILLE MEDICAL CENTER INC PIKEVILLE KY NURSE PRACTITIONER 435 20 $29,580 $1,479 100.0% —
18 GREGORY T EVANGELISTA MD LLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 3 19 $38,475 $2,025 100.0% (480) 656-0291
19 MICHAEL H BOOTHBY, MD, PA FORT WORTH TX ORTHOPEDIC SURGERY 12 19 $25,650 $1,350 11.9% 81752919002010
20 NORTHERN CALIFORNIA ORTHOPEDIC CENTERS MEDICAL GROUP CARMICHAEL CA PHYSICIAN ASSISTANT 5 18 $36,902 $2,050 3.3% (916) 965-4000
21 ORTHOPEDIC CENTER OF FLORIDA, INC FORT MYERS FL PHYSICIAN ASSISTANT 49 16 $78,227 $4,889 5.1% (239) 482-2663
22 ST AGNES HEALTHCARE INC BALTIMORE MD PHYSICIAN ASSISTANT 277 16 $33,472 $2,092 51.6% (667) 234-6000
23 PRECISION ORTHOPEDICS AND SPORTS MEDICINE LAUREL MD ORTHOPEDIC SURGERY 41 15 $21,800 $1,453 48.4% (301) 498-0383
24 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLAND SC PHYSICIAN ASSISTANT 78 15 $24,073 $1,605 100.0% (843) 380-9330
25 MERCY CLINIC SURGICAL SPECIALISTS LLC SAINT LOUIS MO PHYSICIAN ASSISTANT 177 15 $23,235 $1,549 100.0% (314) 567-5850
26 THE ORTHOPAEDIC INSTITUTE, PA GAINESVILLE FL PHYSICIAN ASSISTANT 115 14 $16,572 $1,184 4.5% (352) 336-6000
27 DANIEL C EBY DO PC JASPER IN PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 14 $44,688 $3,192 28.6% (812) 482-7441
28 MONTEREY SPINE AND JOINT PC MONTEREY CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 80 14 $29,481 $2,106 2.6% (831) 648-7200
29 ATLANTA KNEE AND SHOULDER CLINIC PC ATLANTA GA ORTHOPEDIC SURGERY 5 14 $42,420 $3,030 100.0% (404) 352-4779
30 PREMIER ORTHOPEDICS OF FORT WORTH, PA FORT WORTH TX ORTHOPEDIC SURGERY 2 13 $24,700 $1,900 8.2% 81763200202008
31 ALTA ORTHOPAEDIC MEDICAL GROUP INC SANTA BARBARA CA PHYSICIAN ASSISTANT 22 13 $35,750 $2,750 2.4% (805) 963-9377
32 HOLY NAME PRIMARY CARE AND SPECIALTY ASSOCIATES PC TEANECK NJ PHYSICIAN ASSISTANT 34 13 $25,287 $1,945 54.2% (201) 833-3000
33 HENRY FORD HEALTH ROCHESTER HOSPITAL ROCHESTER MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 99 12 $16,032 $1,336 33.3% (248) 652-5000
34 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 12 $21,756 $1,813 100.0% (804) 764-6000
35 BENTON FRANKLIN ORTHOPEDIC ASSOCIATES, PLLC KENNEWICK WA ORTHOPEDIC SURGERY 13 12 $19,904 $1,659 42.9% (509) 586-2828
36 SANJUM SAMAGH MD INC ENCINITAS CA ORTHOPEDIC SURGERY 2 12 $15,553 $1,296 2.2% (760) 690-3133
37 TEXAS SPECIALIST CENTER PLLC LUFKIN TX ORTHOPEDIC SURGERY 9 12 $39,576 $3,298 7.5% (936) 634-8800
38 JOHN E SAMANI MD PC AUBURN HILLS MI ORTHOPEDIC SURGERY 4 12 $16,632 $1,386 33.3% (248) 373-7600
39 REGIONAL ORTHOPAEDIC HEALTH CARE MOUNTAIN HOME AR ORTHOPEDIC SURGERY 5 12 $14,127 $1,177 100.0% 8704243400306
40 BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC VANCLEAVE MS ORTHOPEDIC SURGERY 42 12 $39,948 $3,329 100.0% (228) 230-2663
41 ORTHOPAEDIC CENTER OF IL SPRINGFIELD IL ORTHOPEDIC SURGERY 30 12 $55,968 $4,664 14.8% (217) 547-9100
42 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 11 $43,571 $3,961 33.3% (401) 457-1500
43 FREMONT ORTHOPAEDICS PC LANDER WY ORTHOPEDIC SURGERY 5 11 $59,620 $5,420 100.0% (307) 332-9720
44 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 11 $27,295 $2,481 2.0% (858) 455-9100
45 LONE STAR ORTHOPAEDIC AND SPINE SPECIALISTS, PLLC MANSFIELD TX ORTHOPEDIC SURGERY 20 11 $18,129 $1,648 6.9% (682) 341-7110
46 SARAH BUSH LINCOLN HEALTH CENTER MATTOON IL NURSE PRACTITIONER 405 11 $31,127 $2,830 13.6% —

*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 →