Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0413 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum) HCPCS · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

First observed 2014

National scale 296 services · est. ▼ 0.3% YoY · 155 FFS beneficiaries (CY2024, all-Medicare estimate) — 157 observed fee-for-service services

Medicare paid $215K · est. · $710.20 avg / service, national — $112K observed FFS

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

Billing groups

Named groups billing this code

Named-group all-Medicare svcs · est.

184

Scaled from 96 observed FFS services.

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-0.3%

All-Medicare est. · observed FFS -8.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~184 services

96 observed fee-for-service (52%) · ~88 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 — G0413 (CY2024)

WA 92 DE 57 CA 34 OH 34 FL 32

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid

Named-group submitted charges

$369K

Named-group allowed amount

$81K

Named-group Medicare payments

$130K · est.

— $65K observed FFS

Avg charge / svc

$3,842

Avg allowed / svc

$847

Avg payment / svc

$677

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$2,290–2,641

$2,641–2,993

$2,993–3,344

$3,344–3,696

$3,696–4,047

$4,047–4,399

$4,399–4,750

$4,750+

$2,290 5 groups · avg submitted charge / service $5,400

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by G0413 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	G0413 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share of state* locked column	Phone
1	THE ASSOCIATION OF UNIVERSITY PHYSICIANS	SEATTLE	WA	PHYSICIAN ASSISTANT	3612	32	$118,567	$3,705	premium	68.1%	(206) 364-0500
2	REGIONAL ORTHOPAEDIC ASSOCIATES PA	WILMINGTON	DE	PHYSICIAN ASSISTANT	59	18	$97,200	$5,400	premium	46.2%	(302) 655-9494
3	REGENTS OF THE UNIV OF CA	SACRAMENTO	CA	DIAGNOSTIC RADIOLOGY	1608	17	$66,436	$3,908	premium	100.0%	(877) 827-7463
4	KADLEC REGIONAL MEDICAL CENTER	RICHLAND	WA	PHYSICIAN ASSISTANT	382	15	$34,350	$2,290	premium	31.9%	(509) 946-4611
5	OU HEALTH PARTNERS INC	OKLAHOMA CITY	FL	PHYSICIAN ASSISTANT	1160	14	$52,323	$3,737	premium	100.0%	(405) 271-4311

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →