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

29999 Other procedure on joint 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 457 services ▼ 20.2% YoY · 415 beneficiaries (CY2024, Medicare FFS)

Medicare paid $259K · $566.83 avg / service, national

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

Billing groups

Named-group FFS services

333

FFS of Medicare

49%

Services YoY

-20.2%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~680 services

333 observed fee-for-service (49%) · ~347 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 — 29999 (CY2024)

OH 135 FL 84 IL 30 CO 28 OK 26

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

Named-group submitted charges

$1.2M

Named-group allowed amount

$240K

Named-group Medicare payments

$192K

Avg charge / svc

$3,618

Avg allowed / svc

$720

Avg payment / svc

$576

Average charge per group

$1,466–2,169

$2,169–2,872

$2,872–3,575

$3,575–4,278

$4,278–4,981

$4,981–5,684

$5,684–6,387

$6,387+

$1,466 14 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.

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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 29999 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	29999 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	CRYSTAL CLINIC, INC.	CUYAHOGA FALLS	OH	PHYSICIAN ASSISTANT	45	85	$357,917	$4,211	premium	63.0%	(330) 929-9136
2	VERO ORTHOPAEDICS II PA	VERO BEACH	FL	PHYSICIAN ASSISTANT	49	31	$49,437	$1,595	premium	36.9%	(772) 257-3608
3	NORTH FLORIDA SURGEONS PA	JACKSONVILLE	FL	PHYSICIAN ASSISTANT	331	29	$64,011	$2,207	premium	34.5%	(904) 396-1725
4	OHIOHEALTH CORPORATION	COLUMBUS	OH	PHYSICIAN ASSISTANT	2282	27	$98,100	$3,633	premium	20.0%	—
5	THE PHYSICIANS GROUP, LLC	OKLAHOMA CITY	OK	NURSE PRACTITIONER	103	26	$221,000	$8,500	premium	100.0%	(405) 692-9300
6	CAPITAL ORTHOPAEDIC CLINIC, PLLC	FLOWOOD	MS	PHYSICAL THERAPIST IN PRIVATE PRACTICE	46	22	$66,000	$3,000	premium	100.0%	(601) 987-8200
7	CAPITAL ORTHOPAEDICS AND SPORTS MEDICINE PC	CLIVE	IA	PHYSICIAN ASSISTANT	19	20	$40,840	$2,042	premium	100.0%	(515) 440-2676
8	CENTERS FOR ADVANCED ORTHOPAEDICS LLC	OLNEY	MD	PHYSICAL THERAPIST IN PRIVATE PRACTICE	596	18	$35,551	$1,975	premium	100.0%	(301) 774-0500
9	HOUSTON METHODIST SPECIALTY PHYSICIANS	HOUSTON	PA	NURSE PRACTITIONER	1273	14	$20,520	$1,466	premium	100.0%	(713) 441-3150
10	ORTHOPEDIC INSTITUTE PC	SIOUX FALLS	SD	ORTHOPEDIC SURGERY	58	13	$51,296	$3,946	premium	100.0%	—
11	PRISMA HEALTH UNIVERSITY MEDICAL GROUP	GREENVILLE	SC	NURSE PRACTITIONER	2447	12	$60,524	$5,044	premium	100.0%	—
12	BAYCARE CLINIC LLP	GREEN BAY	WI	PHYSICIAN ASSISTANT	199	12	$75,973	$6,331	premium	100.0%	—
13	ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC	CINCINNATI	KY	PHYSICIAN ASSISTANT	163	12	$24,132	$2,011	premium	100.0%	(513) 232-2663
14	NEIGHBORHOOD HEALTH CARE INCORPORATED	CLEVELAND	OH	NURSE PRACTITIONER	63	12	$39,650	$3,304	premium	8.9%	(216) 281-0872

*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 →