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

73050 X-ray of both collar bones joints CPT · Standard X-ray imaging

Classification Imaging › Standard X-ray › X-ray - Upper Extremity (CMS RBCS)

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

National scale 2,785 services ▼ 6.8% YoY · 2,599 beneficiaries (CY2024, Medicare FFS)

Medicare paid $55K · $19.78 avg / service, national

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

Billing groups

Named-group FFS services

1,536

FFS of Medicare

49%

Services YoY

-6.8%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~3,177 services

1,536 observed fee-for-service (48%) · ~1,641 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 — 73050 (CY2024)

AZ 500 IN 434 PA 353 CA 275 IL 226

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

Named-group submitted charges

$158K

Named-group allowed amount

$41K

Named-group Medicare payments

$31K

Avg charge / svc

$103

Avg allowed / svc

$27

Avg payment / svc

$20

Average charge per group

$35–56

$56–76

$76–96

$96–117

$117–137

$137–157

$157–178

$178+

$35 17 groups · avg submitted charge / service $277

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.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 73050 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	73050 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	SOUTHWEST SHOULDER ELBOW AND HAND CENTER PC	TUCSON	AZ	PHYSICAL THERAPIST IN PRIVATE PRACTICE	9	481	$42,322	$88	premium	96.2%	(520) 783-3344
2	ORTHOPEDIC AND FRACTURE CLINIC PC	PORTLAND	OR	PHYSICIAN ASSISTANT	54	201	$18,291	$91	premium	94.8%	(503) 214-5200
3	SOUTHWEST SHOULDER ELBOW AND HAND CENTER PC	TUCSON	PA	PHYSICAL THERAPIST IN PRIVATE PRACTICE	9	139	$12,226	$88	premium	39.4%	(520) 783-3344
4	ADVANCED ORTHOPEDIC AND SPINE CARE SC	OAK LAWN	IL	PHYSICIAN ASSISTANT	7	121	$17,303	$143	premium	53.5%	(708) 684-8000
5	HEALTHONE CLINIC SERVICES ORTHOPEDIC SPECIALISTS LLC	ENGLEWOOD	CO	PHYSICIAN ASSISTANT	78	68	$5,307	$78	premium	100.0%	(303) 209-2503
6	MICHIGAN SURGERY SPECIALISTS PC	WARREN	MI	ORTHOPEDIC SURGERY	27	63	$5,410	$86	premium	28.8%	(586) 573-6880
7	YOUSIF ORTHOPEDIC SURGERY PLLC	TROY	MI	ORTHOPEDIC SURGERY	3	60	$5,316	$89	premium	27.4%	(248) 329-0711
8	SPINE AND SPORTS SPECIALITIES MEDICAL GROUP	ORANGE	CA	ORTHOPEDIC SURGERY	15	60	$7,800	$130	premium	21.8%	(714) 598-1745
9	MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC	BOSTON	MA	DIAGNOSTIC RADIOLOGY	3532	57	$6,669	$117	premium	100.0%	(617) 724-0287
10	CARROLLTON ORTHOPAEDIC CLINIC PC	CARROLLTON	GA	ORTHOPEDIC SURGERY	33	51	$5,616	$110	premium	100.0%	(770) 834-0873
11	LONE STAR ORTHOPAEDIC AND SPINE SPECIALISTS, PLLC	MANSFIELD	TX	ORTHOPEDIC SURGERY	20	51	$4,398	$86	premium	26.4%	(682) 341-7110
12	TRI-STATE ORTHOPAEDIC SURGEONS INC	EVANSVILLE	IN	ORTHOPEDIC SURGERY	67	43	$4,859	$113	premium	9.9%	(812) 477-1558
13	SKYLINE ORTHOPEDICS LLC	ORLAND PARK	IL	PHYSICAL THERAPIST IN PRIVATE PRACTICE	6	35	$4,936	$141	premium	15.5%	(773) 203-3894
14	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	33	$9,141	$277	premium	100.0%	(212) 263-9700
15	CEDARS-SINAI MEDICAL CARE FOUNDATION	LOS ANGELES	CA	PHYSICIAN ASSISTANT	1699	33	$4,173	$126	premium	12.0%	(310) 423-0674
16	ORTHO FLORIDA LLC	BOCA RATON	FL	ORTHOPEDIC SURGERY	112	17	$3,026	$178	premium	48.6%	(954) 964-6114
17	THE ANDERSON CLINIC INC	ALEXANDRIA	VA	ORTHOPEDIC SURGERY	79	12	$425	$35	premium	100.0%	(703) 892-6500
18	THE OREGON CLINIC, PC	PORTLAND	OR	PHYSICIAN ASSISTANT	347	11	$1,015	$92	premium	5.2%	(503) 239-6673

*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 →