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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
29898 Removal of extensive dead or infected tissue 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 480 services ▲ 16.5% YoY · 474 beneficiaries (CY2024, Medicare FFS)
Medicare paid $159K · $332.26 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
19
Named-group FFS services
320
FFS of Medicare
49%
Services YoY
+16.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~634 services

320 observed fee-for-service (50%) · ~314 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 — 29898 (CY2024)

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

Named-group submitted charges
$504K
Named-group allowed amount
$86K
Named-group Medicare payments
$69K
Avg charge / svc
$1,574
Avg allowed / svc
$269
Avg payment / svc
$215
Average charge per group
$645 19 groups · avg submitted charge / service $2,863
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 29898 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 29898 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 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 41 $49,852 $1,216 premium 41.8% (772) 257-3608
2 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 33 $40,547 $1,229 premium 47.8% (925) 939-8585
3 SOUTHERN BONE AND JOINT SPECIALISTS, PA HATTIESBURG MS PHYSICIAN ASSISTANT 53 29 $57,044 $1,967 premium 54.7% (601) 554-7400
4 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 23 $30,720 $1,336 premium 100.0% (513) 354-3700
5 COLORADO SPRINGS ORTHOPAEDIC GROUP COLORADO SPRINGS CO PHYSICIAN ASSISTANT 75 17 $29,676 $1,746 premium 35.4% (719) 632-7669
6 FAITH REGIONAL PHYSICIAN SERVICES LLC NORFOLK NE NURSE PRACTITIONER 185 16 $26,128 $1,633 premium 100.0% (402) 371-4880
7 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 16 $19,808 $1,238 premium 100.0% (864) 255-1901
8 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 15 $21,675 $1,445 premium 100.0% (704) 384-8200
9 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 13 $26,611 $2,047 premium 35.1% (610) 353-0800
10 MARY WASHINGTON HEALTHCARE PHYSICIANS FREDERICKSBURG VA PHYSICIAN ASSISTANT 307 13 $16,848 $1,296 premium 50.0% (540) 741-1100
11 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 13 $8,385 $645 premium 13.3% (904) 634-0640
12 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 12 $27,480 $2,290 premium 17.4% (916) 681-8852
13 OSS ORTHOPAEDIC HOSPITAL LLC YORK PA PHYSICIAN ASSISTANT 123 12 $9,771 $814 premium 32.4% (717) 848-4800
14 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 12 $29,537 $2,461 premium 17.4% (310) 423-0674
15 BLACK HILLS ORTHOPEDIC AND SPINE CENTER OF WYOMING PC GILLETTE WY ORTHOPEDIC SURGERY 12 11 $26,774 $2,434 premium 100.0% (800) 446-9556
16 MISSOULA BONE AND JOINT LLC MISSOULA MT PHYSICIAN ASSISTANT 55 11 $15,312 $1,392 premium 100.0% (406) 721-4436
17 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 11 $31,493 $2,863 premium 22.9% (720) 777-1234
18 OTERO COUNTY HOSPITAL ASSOCIATION ALAMOGORDO NM DIAGNOSTIC RADIOLOGY 236 11 $20,594 $1,872 premium 47.8% (505) 439-6100
19 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 11 $15,335 $1,394 premium 100.0% (866) 974-2673

*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 →