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Market snapshot

G0247 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0247 — Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following i

Billing groups
25
Named-group FFS services
1,083
FFS of Medicare
49%
Services YoY
-23.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,217 services

1,083 observed fee-for-service (49%) · ~1,134 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 — G0247 (CY2024)

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

Named-group submitted charges
$137K
Named-group allowed amount
$74K
Named-group Medicare payments
$52K
Avg charge / svc
$126
Avg allowed / svc
$68
Avg payment / svc
$48
Average charge per group
$53 25 groups · avg submitted charge / service $238
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0247 services, CY2024
#Physician group City St Specialty Providers G0247 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SAN ANTONIO PODIATRY ASSOCIATES PLLC SAN ANTONIO TX PODIATRY 10 138 $15,456 $112 premium 37.5% (210) 899-1026
2 ANDERSON PHYSICIAN ALLIANCE INC MERIDIAN MS NURSE PRACTITIONER 70 111 $11,564 $104 premium 78.2% (601) 553-6399
3 GOLDEN TRIANGLE FOOT AND ANKLE SPECIALISTS PA BEAUMONT TX PODIATRY 5 77 $5,964 $77 premium 20.9% (409) 899-1538
4 LOUDOUN MEDICAL GROUP, PC LEESBURG VA NURSE PRACTITIONER 293 75 $6,375 $85 premium 58.1% (703) 437-0001
5 INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC CONCORD NC PODIATRY 46 62 $9,863 $159 premium 13.3% (704) 786-4482
6 ALTA RIDGE FOOT SPECIALISTS, PLLC SPRUCE PINE NC PODIATRY 4 62 $8,598 $139 premium 13.3% (828) 766-7667
7 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 55 $7,755 $141 premium 11.8% (704) 838-8210
8 CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC FAYETTEVILLE NC PHYSICIAN ASSISTANT 280 47 $8,178 $174 premium 10.1% (910) 829-6588
9 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 46 $6,900 $150 premium 9.9% (252) 634-3278
10 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 42 $7,350 $175 premium 11.4% (254) 724-2663
11 MEDICAL FACULTY ASSOCIATES, INC WASHINGTON DC PHYSICIAN ASSISTANT 685 36 $3,060 $85 premium 100.0% (202) 715-4000
12 ALTA RIDGE FOOT SPECIALISTS, PLLC SPRUCE PINE VA PODIATRY 4 32 $4,438 $139 premium 24.8% (828) 766-7667
13 ORTHOPEDICS RHODE ISLAND INC WARWICK RI PHYSICIAN ASSISTANT 124 31 $7,378 $238 premium 100.0% (401) 777-7000
14 FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC KENSINGTON NC PODIATRY 157 29 $4,613 $159 premium 6.2% (301) 949-2000
15 26 MEDICAL, LLC WATKINSVILLE GA PODIATRY 6 27 $2,295 $85 premium 10.9% (762) 999-8090
16 VM MEDICAL GROUP WESTMINSTER CA INTERNAL MEDICINE 3 26 $3,744 $144 premium 100.0% (714) 465-2222
17 PLATTSBURGH PODIATRY CENTER LLP PLATTSBURGH NY PODIATRY 2 24 $2,160 $90 premium 100.0% (518) 562-5600
18 MARLBORO PODIATRY CENTER LLC MANALAPAN NJ PODIATRY 4 23 $2,439 $106 premium 100.0% (732) 780-8787
19 CENTRAL VERMONT MEDICAL CENTER INC BERLIN VT NURSE PRACTITIONER 243 19 $1,011 $53 premium 17.3% (802) 225-1266
20 EASTERN CAROLINA FOOT AN ANKLE SPECIALISTS, INC GREENVILLE NC PODIATRY 3 19 $1,615 $85 premium 4.1% (252) 830-1000
21 MOSES CONE AFFILIATED PHYSICIANS, INC. GREENSBORO NC NURSE PRACTITIONER 78 19 $3,040 $160 premium 4.1% (336) 544-5400
22 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 19 $4,043 $213 premium 54.3%
23 FOOT ASSOCIATES OF CENTRAL TEXAS, LLC ROUND ROCK TX PODIATRY 2 17 $1,445 $85 premium 4.6% (512) 733-8600
24 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 16 $2,656 $166 premium 3.4% (919) 684-8111
25 FOOT AND ANKLE HEALTH GROUP PC POTTSTOWN PA PODIATRY 5 16 $1,545 $97 premium 45.7% (610) 326-4367
26 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 15 $3,195 $213 premium 100.0%

*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 →