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Market snapshot

73040 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

73040 — Review by radiologist of shoulder joint image

Billing groups
28
Named-group FFS services
1,042
FFS of Medicare
49%
Services YoY
-10.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,124 services

1,042 observed fee-for-service (49%) · ~1,082 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 — 73040 (CY2024)

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

Named-group submitted charges
$518K
Named-group allowed amount
$124K
Named-group Medicare payments
$98K
Avg charge / svc
$497
Avg allowed / svc
$119
Avg payment / svc
$94
Average charge per group
$58 28 groups · avg submitted charge / service $1,922
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 73040 services, CY2024
#Physician group City St Specialty Providers 73040 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. FORT MYERS FL PHYSICIAN ASSISTANT 46 211 $78,141 $370 premium 35.6% (239) 334-7000
2 KARAS PC ORLAND PARK IL PHYSICIAN ASSISTANT 10 110 $47,834 $435 premium 64.7% (214) 289-8282
3 KAYAL MEDICAL GROUP, LLC UNION CITY NJ PHYSICIAN ASSISTANT 77 92 $101,200 $1,100 premium 58.6% (844) 777-0910
4 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 80 $27,950 $349 premium 100.0% (203) 688-4242
5 MOUNT SHASTA RADIOLOGY INC MOUNT SHASTA CA DIAGNOSTIC RADIOLOGY 5 69 $15,475 $224 premium 11.2% (530) 926-6111
6 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 49 $15,141 $309 premium 8.0%
7 CENTER FOR ORTHOPAEDICS AND SPINE LLC LAKE CHARLES LA NURSE PRACTITIONER 32 45 $31,768 $706 premium 27.1% (337) 721-7236
8 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 33 $7,673 $233 premium 23.4% (425) 313-5422
9 DESERT ORTHOPEDICS CENTER PLLC SCOTTSDALE AZ PHYSICIAN ASSISTANT 10 31 $59,559 $1,921 premium 100.0% (877) 821-4657
10 ALL BE HEALTHY LLC BLOOMFIELD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 97 28 $8,700 $311 premium 17.8% (732) 784-3578
11 ORTHOMED PAIN RELIEF CENTERS LLC SARASOTA FL PAIN MANAGEMENT 2 26 $9,126 $351 premium 4.4% (941) 371-7171
12 RADIOLOGY ASSOCIATES OF NORTH TEXAS PA FORT WORTH TX DIAGNOSTIC RADIOLOGY 340 24 $2,592 $108 premium 9.8% (817) 321-0470
13 BEACH MEDICAL SPECIALISTS LLC INDIAN HARBOUR BEACH FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 22 $22,000 $1,000 premium 3.7% (321) 773-9898
14 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO PHYSICIAN ASSISTANT 251 21 $1,865 $89 premium 46.7% (417) 875-3000
15 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS FL ORTHOPEDIC SURGERY 1373 19 $8,702 $458 premium 3.2% (508) 385-4212
16 ATLANTIC MEDICAL PC BROOKLYN NY PAIN MANAGEMENT 4 16 $6,900 $431 premium 15.8% (718) 677-9700
17 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 15 $3,676 $245 premium 100.0% (319) 247-3010
18 EDWARD HOSPITAL NAPERVILLE IL EMERGENCY MEDICINE 99 15 $5,793 $386 premium 8.8% (312) 355-0450
19 ADVANCED PHYSICAL MEDICINE AND REHABILITATION LLC UTICA NY INTERVENTIONAL PAIN MANAGEMENT 6 14 $8,974 $641 premium 13.9% (315) 765-8448
20 MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 103 14 $3,458 $247 premium 42.4% (405) 604-6000
21 SERGEY V BOGDAN MD PC BROOKLYN NY INTERVENTIONAL PAIN MANAGEMENT 3 13 $4,550 $350 premium 12.9% (718) 265-7700
22 PAIN RELIEF CENTER PA UNION CITY NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 13 $7,800 $600 premium 8.3% (201) 662-5437
23 NEURODIAGNOSTICS INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 2 13 $4,212 $324 premium 100.0% (859) 278-7226
24 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 13 $4,628 $356 premium 8.3% (908) 273-4300
25 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 12 $2,400 $200 premium 2.0% (772) 257-3608
26 DESERT ORTHOPEDICS CENTER PLLC SCOTTSDALE TN PHYSICIAN ASSISTANT 10 11 $21,169 $1,924 premium 50.0% (877) 821-4657
27 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 11 $3,960 $360 premium 50.0% (615) 329-6600
28 ADVANCED ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE PC FREEHOLD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 36 11 $1,644 $149 premium 7.0% (732) 720-2555
29 JEFFERSON CITY MEDICAL GROUP PC JEFFERSON CITY MO NURSE PRACTITIONER 115 11 $639 $58 premium 24.4% (573) 556-5771

*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 →