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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
A4565 Slings HCPCS · Medical/Surgical Supplies dme
Classification DME › Medical/Surgical Supplies (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3,138 services ▼ 15.1% YoY · 3,097 beneficiaries (CY2024, Medicare FFS)
Medicare paid $24K · $7.63 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
49
Named-group FFS services
2,266
FFS of Medicare
49%
Services YoY
-15.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,021 services

2,266 observed fee-for-service (56%) · ~1,755 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 — A4565 (CY2024)
MD 508 IL 401 FL 282 NE 243 CA 230

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

Named-group submitted charges
$63K
Named-group allowed amount
$23K
Named-group Medicare payments
$17K
Avg charge / svc
$28
Avg allowed / svc
$10
Avg payment / svc
$8
Average charge per group
$10 49 groups · avg submitted charge / service $53
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers A4565 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PATIENT FIRST MARYLAND MEDICAL GROUP PLLC BALTIMORE MD PHYSICIAN ASSISTANT 262 409 $16,360 $40 80.5% (443) 461-1997
2 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 220 $6,470 $29 54.9% (877) 632-6637
3 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 159 $2,385 $15 65.4% (402) 219-7700
4 ORTHOPAEDIC ASSOCIATES INC NEWBURGH IN ORTHOPEDIC SURGERY 25 110 $2,200 $20 89.4% (812) 424-9291
5 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 93 $3,720 $40 40.4% (310) 443-8999
6 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 92 $1,830 $20 87.6% (978) 818-6350
7 NEW WEST SPORTS MEDICINE AND ORTHOPAEDIC SURGERY PC KEARNEY NE PHYSICIAN ASSISTANT 12 84 $1,848 $22 34.6% (308) 865-2570
8 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 69 $1,380 $20 50.7% (601) 354-4488
9 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 68 $2,040 $30 24.1% (850) 877-8174
10 PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC HARRISBURG PA PHYSICIAN ASSISTANT 146 67 $2,680 $40 51.1% (717) 943-1566
11 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 50 $1,250 $25 61.7% (214) 220-2468
12 PATIENT FIRST RICHMOND MEDICAL GROUP PLLC LEESBURG VA PHYSICIAN ASSISTANT 330 46 $1,840 $40 39.0% (703) 840-1396
13 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 46 $1,610 $35 11.5% —
14 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD KS ORTHOPEDIC SURGERY 67 45 $1,260 $28 27.4% (913) 319-7600
15 MICHUMI PLLC NEWPORT NEWS VA PHYSICIAN ASSISTANT 40 41 $1,148 $28 34.7% (757) 369-9446
16 WATAUGA ORTHOPAEDICS PLC JOHNSON CITY TN PHYSICIAN ASSISTANT 81 40 $600 $15 31.5% (423) 282-9011
17 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 34 $680 $20 66.7% (614) 827-8700
18 ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC TUPELO MS ORTHOPEDIC SURGERY 11 33 $663 $20 24.3% (662) 377-2663
19 ORA ORTHOPEDICS PC MOLINE IL PHYSICIAN ASSISTANT 117 32 $512 $16 8.0% (309) 762-3621
20 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 30 $1,470 $49 13.0% —
21 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 29 $683 $24 54.7% (337) 235-8007
22 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 27 $405 $15 100.0% (919) 544-7270
23 ALEXANDER MEDICAL GROUP LLC LARGO FL PHYSICIAN ASSISTANT 27 27 $1,419 $53 9.6% (727) 547-4700
24 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 25 $500 $20 10.9% (949) 722-7038
25 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 24 $470 $20 8.5% (904) 396-1725
26 TORRANCE HEALTH ASSOCIATION INC TORRANCE CA FAMILY PRACTICE 298 22 $286 $13 9.6% (310) 257-7260
27 PATIENT FIRST MARYLAND MEDICAL GROUP PLLC BALTIMORE PA PHYSICIAN ASSISTANT 262 19 $760 $40 14.5% (443) 461-1997
28 THE ORTHOPAEDIC GROUP PC MOBILE AL ORTHOPEDIC SURGERY 69 19 $399 $21 100.0% (251) 476-5050
29 ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER PLC NASHVILLE TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 92 18 $395 $22 14.2% (615) 324-1600
30 DOCTX1 PLLC LUFKIN TX PHYSICIAN ASSISTANT 5 18 $432 $24 22.2% —
31 ORTHOPEDIC ASSOCIATES LLC SAINT LOUIS MO ORTHOPEDIC SURGERY 14 15 $165 $11 100.0% (314) 569-0612
32 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN IA PHYSICIAN ASSISTANT 61 15 $225 $15 34.9% (402) 219-7700
33 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 15 $270 $18 11.5% —
34 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 14 $177 $13 48.3% (914) 241-1050
35 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 14 $252 $18 100.0% (918) 502-4720
36 VALDOSTA ORTHOPEDIC ASSOCIATES PC VALDOSTA GA ORTHOPEDIC SURGERY 23 14 $420 $30 31.1% (229) 247-2290
37 PATIENT FIRST NEW JERSEY PHYSICIANS GROUP LLC WOODBURY NJ PHYSICIAN ASSISTANT 44 14 $560 $40 36.8% (856) 812-2220
38 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 13 $260 $20 52.0% (414) 421-8400
39 CAPE REGIONAL URGENT CARE LLC CAPE MAY COURT HOUSE NJ PHYSICIAN ASSISTANT 32 13 $286 $22 34.2% (609) 465-6364
40 HEALTH SERVICE SYSTEMS, INC NEW LENOX IL FAMILY PRACTICE 60 13 $195 $15 3.2% (815) 727-4292
41 EXCEL ORTHOPEDIC SPECIALISTS INC WOBURN MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 48 13 $221 $17 12.4% (781) 782-1300
42 ORTHOPAEDIC AND SPINE CENTER OF THE ROCKIES PC FORT COLLINS CO PHYSICIAN ASSISTANT 144 13 $143 $11 100.0% (970) 493-0567
43 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 12 $276 $23 3.0% —
44 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 12 $144 $12 3.0% (630) 469-9200
45 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 12 $300 $25 9.4% (615) 329-6600
46 AURORA ADVANCED HEALTHCARE, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 1093 12 $240 $20 48.0% (414) 352-3100
47 ORTHOPAEDIC CLINIC OF MONROE MONROE LA PHYSICIAN ASSISTANT 35 12 $240 $20 22.6% 31832384514310
48 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 11 $275 $25 4.8% (916) 681-8852
49 CENTRACARE CLINIC SOUTHWEST LLC WILLMAR MN FAMILY PRACTICE 165 11 $490 $45 17.7% (320) 231-5000
50 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 11 $220 $20 25.6% (515) 343-1000
51 ST CLOUD ORTHOPEDIC ASSOCIATES LTD SARTELL MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 45 11 $112 $10 17.7% (320) 259-4100

*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 →