Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee HCPCS · 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 446 services ▼ 35.0% YoY · 442 beneficiaries (CY2024, Medicare FFS)

Medicare paid $30K · $67.37 avg / service, national

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

Billing groups

Named-group FFS services

280

FFS of Medicare

49%

Services YoY

-35.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~556 services

280 observed fee-for-service (50%) · ~276 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 — G0289 (CY2024)

FL 123 CA 78 NV 47 AK 40 MA 33

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

Named-group submitted charges

$491K

Named-group allowed amount

$24K

Named-group Medicare payments

$19K

Avg charge / svc

$1,753

Avg allowed / svc

$85

Avg payment / svc

$67

Average charge per group

$119–703

$703–1,287

$1,287–1,870

$1,870–2,454

$2,454–3,038

$3,038–3,622

$3,622–4,206

$4,206+

$119 12 groups · avg submitted charge / service $6,282

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 G0289 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	G0289 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	THE ORTHOPAEDIC INSTITUTE, PA	GAINESVILLE	FL	PHYSICIAN ASSISTANT	115	68	$19,040	$280	premium	55.3%	(352) 336-6000
2	ORTHOPEDICS AND SPORTS MEDICINE LTD	LAS VEGAS	NV	ORTHOPEDIC SURGERY	4	47	$167,721	$3,569	premium	100.0%	(702) 933-9393
3	ACCESS SPORTS MEDICINE AND ORTHOPAEDICS, PLLC	EXETER	NH	PHYSICAL THERAPIST IN PRIVATE PRACTICE	32	29	$182,169	$6,282	premium	100.0%	(603) 775-7575
4	JUDAH D PIFER MD PLLC	PRESCOTT	AZ	ORTHOPEDIC SURGERY	2	24	$43,200	$1,800	premium	100.0%	(928) 778-9250
5	PROVIDENCE MEDICAL INSTITUTE	TORRANCE	CA	INTERNAL MEDICINE	339	17	$4,063	$239	premium	21.8%	(310) 303-7496
6	UMASS MEMORIAL MEDICAL GROUP INC	WORCESTER	MA	PHYSICIAN ASSISTANT	2483	17	$6,545	$385	premium	51.5%	(508) 334-1000
7	NORTHEAST ORTHOPAEDIC ALLIANCE PLLC	CONCORD	MA	PHYSICIAN ASSISTANT	268	16	$7,008	$438	premium	48.5%	(603) 883-0091
8	G O M G A MEDICAL PARTNERSHIP	LA MESA	CA	PHYSICAL THERAPIST IN PRIVATE PRACTICE	11	15	$2,250	$150	premium	19.2%	6194623131232
9	BASS MEDICAL GROUP	WALNUT CREEK	CA	OTOLARYNGOLOGY	318	13	$33,888	$2,607	premium	16.7%	—
10	ORTHOTX PLLC	ARLINGTON	TX	ORTHOPEDIC SURGERY	81	12	$1,428	$119	premium	100.0%	(817) 375-5200
11	ALTA ORTHOPAEDIC MEDICAL GROUP INC	SANTA BARBARA	CA	PHYSICIAN ASSISTANT	22	11	$3,850	$350	premium	14.1%	(805) 963-9377
12	COMMUNITY FOUNDATION MEDICAL GROUP	FRESNO	CA	PHYSICIAN ASSISTANT	292	11	$19,800	$1,800	premium	14.1%	—

*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 →