NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J0775 Injection, collagenase, clostridium histolyticum, 0.01 mg HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) › Injection - Enzymes (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 256,513 services ▼ 4.7% YoY · 1,502 beneficiaries (CY2024, Medicare FFS)
Medicare paid $13.9M · $54.33 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
51
Named-group FFS services
185,531
FFS of Medicare
49%
Services YoY
-4.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~363,691 services

185,531 observed fee-for-service (51%) · ~178,160 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 — J0775 (CY2024)
CA 105,890 FL 30,149 MA 12,420 NY 11,132 AZ 11,110

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

Named-group submitted charges
$33.7M
Named-group allowed amount
$12.4M
Named-group Medicare payments
$10.1M
Avg charge / svc
$182
Avg allowed / svc
$67
Avg payment / svc
$54
Average charge per group
$60 51 groups · avg submitted charge / service $405
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J0775 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA UROLOGY 9 54,327 $17,220,450 $317 51.3% (310) 794-7700
2 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 7,560 $452,164 $60 73.7% (541) 706-7715
3 BRANDYWINE UROLOGY CONSULTANTS PA WILMINGTON DE PHYSICIAN ASSISTANT 20 7,380 $553,500 $75 100.0% (302) 652-8990
4 UCI DEPARTMENT OF UROLOGY ORANGE CA UROLOGY 53 6,570 $2,660,850 $405 6.2% (714) 456-6054
5 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 6,123 $489,680 $80 5.8% 3108549898159
6 SIMEDHEALTH LLC GAINESVILLE FL NURSE PRACTITIONER 91 5,490 $411,750 $75 18.2% (352) 416-1082
7 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 5,427 $434,160 $80 100.0% (804) 330-9105
8 ORTHOPEDIC INSTITUTE PC SIOUX FALLS SD ORTHOPEDIC SURGERY 58 4,924 $620,424 $126 100.0% —
9 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 4,790 $651,871 $136 43.1% (866) 974-2673
10 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 4,590 $407,486 $89 4.3% —
11 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA ORTHOPEDIC SURGERY 67 3,960 $1,247,040 $315 3.7% (310) 319-1234
12 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 3,780 $305,100 $81 75.0% (603) 883-0091
13 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 3,472 $312,480 $90 3.3% (714) 634-4567
14 KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT PHYSICIAN ASSISTANT 414 3,330 $266,400 $80 100.0% (406) 751-6725
15 ORTHOPEDIC CARE PHYSICIAN NETWORK, LLC NORTH EASTON MA ORTHOPEDIC SURGERY 35 2,880 $288,000 $100 23.2% (781) 344-3535
16 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 2,700 $784,511 $291 24.3% (800) 603-0558
17 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 2,604 $184,110 $71 23.4% (203) 869-1145
18 UNIVERSITY ORTHOPAEDIC CLINIC P C TUSCALOOSA AL ORTHOPEDIC SURGERY 21 2,520 $198,900 $79 100.0% (205) 345-0192
19 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 2,257 $449,143 $199 20.3% (516) 536-2800
20 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 2,250 $240,750 $107 100.0% (615) 329-6600
21 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 2,250 $449,640 $200 18.1% (617) 732-5500
22 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 2,250 $318,375 $142 100.0% (337) 235-8007
23 TUCSON PHYSICIAN GROUP HOLDINGS LLC TUCSON AZ INTERNAL MEDICINE 200 2,180 $218,000 $100 19.6% (520) 396-1360
24 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 1,980 $171,450 $87 100.0% (402) 219-7700
25 MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC NORTHAMPTON MA PHYSICIAN ASSISTANT 280 1,980 $250,020 $126 15.9% (413) 582-2441
26 PECONIC BAY PRIMARY MEDICAL CARE RIVERHEAD NY PHYSICIAN ASSISTANT 71 1,955 $316,710 $162 17.6% (631) 727-1600
27 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 1,760 $161,920 $92 100.0% (509) 946-4611
28 VIRTUA MEDICAL GROUP, PA VOORHEES PA PHYSICIAN ASSISTANT 1662 1,710 $208,620 $122 55.9% (856) 247-7260
29 SOUTH FLORIDA HAND AND ORTHOPAEDIC CENTER PA BOCA RATON FL HAND SURGERY 10 1,710 $165,600 $97 5.7% (561) 241-4758
30 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 1,710 $253,080 $148 100.0% (662) 767-4200
31 LAKESHORE BONE AND JOINT INSTITUTE, PC CHESTERTON IN PHYSICIAN ASSISTANT 85 1,710 $172,658 $101 60.0% (219) 921-1444
32 PALM BEACH ORTHOPAEDIC INSTITUTE PA PALM BEACH GARDENS FL ORTHOPEDIC SURGERY 38 1,710 $165,870 $97 5.7% (561) 694-7776
33 BLACKSTONE HAND CENTER, LLC MELBOURNE FL PHYSICIAN ASSISTANT 4 1,620 $162,000 $100 5.4% (321) 500-4263
34 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 1,620 $143,320 $88 31.6% (803) 256-4107
35 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 1,620 $143,820 $89 31.6% —
36 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 1,620 $129,600 $80 48.6% (704) 323-2100
37 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 1,530 $166,556 $109 14.9% (541) 779-6250
38 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 1,524 $280,590 $184 13.7% —
39 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 1,440 $115,200 $80 13.0% (602) 385-2115
40 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 1,440 $129,600 $90 12.9% (845) 703-6999
41 TULSA BONE AND JOINT ASSOCIATES PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 92 1,428 $107,100 $75 100.0% (918) 392-1513
42 STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR EAST SETAUKET NY ORTHOPEDIC SURGERY 50 1,352 $166,080 $123 12.1% (631) 444-4233
43 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 1,350 $109,350 $81 31.2% (630) 469-9200
44 FOX VALLEY ORTHOPAEDIC ASSOCIATES PLLC GENEVA IL PHYSICIAN ASSISTANT 72 1,260 $89,460 $71 29.2% (847) 468-1400
45 WENTWORTH DOUGLASS PHYSICIAN CORPORATION DOVER NH PHYSICIAN ASSISTANT 429 1,260 $151,200 $120 25.0% —
46 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 1,230 $121,170 $99 4.1% (904) 396-1725
47 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 1,170 $98,884 $85 100.0% (501) 686-8000
48 SLOCUM ORTHOPEDICS PC EUGENE OR PHYSICIAN ASSISTANT 67 1,170 $96,209 $82 11.4% (541) 485-8111
49 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 1,080 $214,920 $199 1.0% (714) 871-3006
50 JACKSONVILLE ORTHOPAEDIC INSTITUTE INC JACKSONVILLE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 61 992 $74,340 $75 3.3% (904) 858-7045
51 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 986 $177,194 $180 0.9% (858) 455-9100

*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 →