NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J1040 Injection, methylprednisolone acetate, 80 mg HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 155,744 services ▼ 79.6% YoY · 117,898 beneficiaries (CY2024, Medicare FFS)
Medicare paid $936K · $6.01 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,036
Named-group FFS services
95,847
FFS of Medicare
49%
Services YoY
-79.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~194,485 services

95,846 observed fee-for-service (49%) · ~98,639 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 — J1040 (CY2024)
FL 24,557 TX 13,662 GA 8,261 TN 7,724 CA 7,591

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

Named-group submitted charges
$3.9M
Named-group allowed amount
$919K
Named-group Medicare payments
$572K
Avg charge / svc
$40
Avg allowed / svc
$10
Avg payment / svc
$6
Average charge per group
$0 1,036 groups · avg submitted charge / service $687
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J1040 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ARTHRITIS CLINIC INC BROOKSVILLE FL RHEUMATOLOGY 2 2,061 $412,200 $200 8.4% (352) 596-6333
2 MACON ORTHOPAEDIC AND HAND CENTER, PA MACON GA NURSE PRACTITIONER 87 1,903 $76,631 $40 23.0% (478) 745-4206
3 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 1,554 $65,268 $42 20.1% (731) 661-9825
4 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 1,204 $60,200 $50 23.5% (334) 288-7808
5 CARROLLTON ORTHOPAEDIC CLINIC PC CARROLLTON GA ORTHOPEDIC SURGERY 33 1,135 $22,700 $20 13.7% (770) 834-0873
6 SYRACUSE ORTHOPEDIC SPECIALISTS, PLLC SYRACUSE NY PHYSICIAN ASSISTANT 115 1,073 $32,180 $30 16.2% (315) 448-5111
7 TRUE NORTH MEDICAL GROUP PC ROCKVILLE CENTRE NY PHYSICIAN ASSISTANT 182 993 $38,727 $39 15.0% (516) 536-2800
8 SEAVIEW ORTHOPAEDICS AND MEDICAL ASSOCIATES LLP OCEAN NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 96 963 $24,075 $25 16.5% 732660620011702
9 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 930 $29,525 $32 3.8% (352) 693-3378
10 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 794 $20,644 $26 12.0% (803) 749-5101
11 ORTHO FLORIDA LLC BOCA RATON FL ORTHOPEDIC SURGERY 112 781 $57,013 $73 3.2% (954) 964-6114
12 ORTHOWEST, LLC OMAHA NE PHYSICIAN ASSISTANT 110 703 $16,968 $24 24.9% (402) 609-3000
13 CHATTANOOGA ORTHOPAEDIC GROUP, PC CHATTANOOGA TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 72 692 $10,380 $15 9.0% (423) 624-2696
14 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS IN ORTHOPEDIC SURGERY 348 680 $27,200 $40 16.9% (317) 802-2000
15 BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC VANCLEAVE MS ORTHOPEDIC SURGERY 42 662 $39,690 $60 19.0% (228) 230-2663
16 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 656 $31,505 $48 18.9% (662) 328-1012
17 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 650 $25,350 $39 9.8% —
18 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 608 $14,592 $24 10.4% (908) 273-4300
19 FOX VALLEY ORTHOPAEDIC ASSOCIATES PLLC GENEVA IL PHYSICIAN ASSISTANT 72 603 $24,120 $40 12.3% (847) 468-1400
20 GRANITE ORTHOPAEDICS PLLC PRESCOTT AZ PHYSICIAN ASSISTANT 12 584 $11,452 $20 20.2% (928) 777-9950
21 HUNTERDON ORTHOPEDIC INSTITUTE PA FLEMINGTON NJ ORTHOPEDIC SURGERY 24 575 $9,216 $16 9.8% (908) 782-0600
22 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 574 $14,867 $26 32.6% —
23 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 560 $14,000 $25 19.3% (602) 385-2115
24 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 554 $43,212 $78 7.2% (901) 759-3100
25 CENTER FOR ORTHOPEDIC SURGERY L.L.P. LUBBOCK TX ORTHOPEDIC SURGERY 13 534 $10,680 $20 3.9% (806) 797-4985
26 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 525 $25,814 $49 6.9% (858) 455-9100
27 BLACK HILLS ORTHOPEDIC AND SPINE CENTER INC RAPID CITY SD PHYSICIAN ASSISTANT 76 508 $19,851 $39 63.7% (605) 737-9151
28 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 507 $15,210 $30 8.7% (732) 974-0404
29 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 498 $22,410 $45 9.7% —
30 ORTHOPAEDIC INSTITUTE OF OHIO, INC LIMA OH PHYSICIAN ASSISTANT 75 496 $34,600 $70 20.5% (419) 222-6622
31 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 491 $27,005 $55 2.0% (941) 627-9095
32 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 484 $19,324 $40 9.9% (309) 683-5050
33 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 479 $21,076 $44 15.8% (252) 321-8474
34 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 464 $16,704 $36 16.0% (623) 777-4747
35 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 440 $9,680 $22 9.0% (618) 236-8000
36 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 438 $19,154 $44 12.3% (913) 258-2116
37 COASTAL ORTHOPAEDICS AND SPORTS MEDICINE CENTER PORT SAINT LUCIE FL ORTHOPEDIC SURGERY 15 435 $13,050 $30 1.8% 77233553002015
38 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 434 $17,170 $40 1.8% (850) 877-8174
39 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 413 $12,390 $30 3.0% (214) 220-2468
40 NORTHWEST ORTHOPAEDIC SPECIALISTS PS SPOKANE WA PHYSICIAN ASSISTANT 80 411 $9,495 $23 23.4% (509) 465-1300
41 PCCC OF VOLUSIA LLC NEW SMYRNA BEACH FL NURSE PRACTITIONER 13 407 $10,582 $26 1.7% (386) 423-0505
42 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 405 $14,985 $37 5.3% (916) 681-8852
43 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORD MA ORTHOPEDIC SURGERY 43 402 $16,032 $40 18.0% (978) 454-0706
44 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 400 $20,576 $51 1.6% 9417059555110
45 CEDAR VALLEY MEDICAL SPECIALISTS PC WATERLOO IA NURSE PRACTITIONER 83 394 $7,800 $20 17.3% —
46 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 384 $29,952 $78 24.9% (608) 260-2900
47 ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OF SOUTH JERSEY PC VINELAND NJ RHEUMATOLOGY 5 380 $9,500 $25 6.5% (856) 749-9090
48 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 379 $8,717 $23 10.7% —
49 RESTORE MEDICAL PARTNERS PLLC VENICE FL NURSE PRACTITIONER 15 369 $11,070 $30 1.5% (941) 375-3006
50 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 366 $8,959 $24 7.8% (502) 928-1050
51 RESTORATION HEALTH OF SOUTH ALABAMA INC SPANISH FORT AL NURSE PRACTITIONER 8 365 $8,022 $22 7.1% (251) 626-0732
52 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 365 $7,300 $20 15.1% (513) 354-3700
53 YEE ADVANCED ORTHOPEDICS AND SPORTS MEDICINE PC LAS VEGAS NV PHYSICIAN ASSISTANT 22 362 $12,670 $35 42.2% (702) 740-5327
54 RAMIN GANJIANPOUR MD INC MISSION HILLS CA PHYSICIAN ASSISTANT 4 362 $7,250 $20 4.8% (818) 361-0136
55 THE ORTHOPAEDIC CLINIC, P.C. OPELIKA AL ORTHOPEDIC SURGERY 14 362 $13,032 $36 7.1% (334) 749-8303
56 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 359 $7,539 $21 10.1% —
57 TRISTATE ARTHRITIS AND RHEUMATOLOGY PSC CRESTVIEW HILLS KY RHEUMATOLOGY 9 352 $7,744 $22 7.5% (859) 331-3100
58 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 349 $23,383 $67 1.4% —
59 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 333 $3,627 $11 5.0% (914) 241-1050
60 ORTHOWEST, LLC OMAHA IA PHYSICIAN ASSISTANT 110 331 $7,944 $24 14.6% (402) 609-3000
61 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 331 $8,606 $26 5.0% —
62 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 331 $4,965 $15 6.7% (630) 469-9200
63 ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC SAINT JOSEPH MO ORTHOPEDIC SURGERY 21 325 $10,156 $31 9.1% (816) 233-9888
64 CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A. WELLINGTON FL PHYSICIAN ASSISTANT 27 321 $11,761 $37 1.3% (561) 803-8616
65 EXCELA HEALTH PHYSICIAN PRACTICES, INC GREENSBURG PA PHYSICIAN ASSISTANT 470 312 $6,240 $20 6.8% (724) 261-5610
66 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 308 $14,883 $48 8.9% (662) 767-4200
67 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 305 $7,725 $25 6.2% —
68 SAN BERNARDINO MEDICAL ORTHOPAEDIC GROUP INC REDLANDS CA PHYSICIAN ASSISTANT 88 302 $9,060 $30 4.0% (909) 557-1600
69 SUMMIT ORTHOPEDICS, LTD SAINT PAUL MN PHYSICIAN ASSISTANT 271 296 $7,104 $24 40.8% (651) 968-5201
70 WHITE RIVER HEALTH SYSTEM, INC. BATESVILLE AR NURSE PRACTITIONER 180 293 $32,746 $112 9.1% (870) 793-7519
71 ARCIS HEALTHCARE LLC NORTH CHARLESTON SC PHYSICIAN ASSISTANT 33 282 $14,946 $53 4.3% (843) 797-5050
72 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 274 $10,960 $40 4.1% (845) 703-6999
73 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 270 $42,758 $158 1.1% (863) 291-4000
74 RESURGENS, LLC ATLANTA GA ORTHOPEDIC SURGERY 172 265 $14,045 $53 3.2% (404) 847-9999
75 HARTSVILLE MEDICAL GROUP LLC HARTSVILLE SC DIAGNOSTIC RADIOLOGY 63 260 $6,500 $25 3.9% —
76 CHI HEALTH CLINIC SPECIALTY LLC LINCOLN NE NURSE PRACTITIONER 309 260 $7,280 $28 9.2% (402) 219-8000
77 TEXAS ARTHRITIS AND RHEUMATOLOGY TYLER TX PHYSICIAN ASSISTANT 5 252 $6,300 $25 1.8% (903) 561-9255
78 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 249 $10,209 $41 5.4% (570) 888-5858
79 UNION GENERAL AFFILIATED SERVICES, LLC BLAIRSVILLE GA PHYSICIAN ASSISTANT 19 249 $22,410 $90 3.0% (706) 745-3333
80 TIMOTHY D. GROTH MD PC SMITHTOWN NY PHYSICIAN ASSISTANT 42 248 $8,623 $35 3.7% (631) 543-1440
81 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 247 $12,222 $49 7.7% (501) 686-8000
82 MISSOULA BONE AND JOINT LLC MISSOULA MT PHYSICIAN ASSISTANT 55 247 $7,440 $30 32.1% (406) 721-4436
83 CENTER FOR ORTHOPAEDICS AND SPINE LLC LAKE CHARLES LA NURSE PRACTITIONER 32 246 $8,856 $36 9.9% (337) 721-7236
84 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 246 $7,658 $31 8.1% (919) 544-7270
85 HILTON HEAD REGIONAL PHYSICIAN GROUP LLC BLUFFTON SC PHYSICIAN ASSISTANT 106 245 $4,268 $17 3.7% (843) 682-7480
86 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 242 $6,776 $28 34.9% (603) 883-0091
87 TULSA BONE AND JOINT ASSOCIATES PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 92 239 $5,301 $22 7.0% (918) 392-1513
88 KENTUCKYONE HEALTH MEDICAL GROUP INC LEXINGTON KY PHYSICIAN ASSISTANT 245 238 $5,712 $24 5.0% (859) 276-4429
89 PENINSULA ORTHOPEDIC ASSOCIATES INC DALY CITY CA ORTHOPEDIC SURGERY 18 231 $4,620 $20 3.0% (650) 756-5630
90 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 231 $5,775 $25 0.9% (321) 434-8878
91 S.B.J.S. PC DOTHAN AL PHYSICIAN ASSISTANT 39 230 $5,060 $22 4.5% (334) 793-2663
92 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 229 $8,244 $36 9.5% (419) 291-2003
93 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 228 $7,148 $31 3.4% (803) 744-4900
94 ORTHOPAEDICS NORTHEAST PC FORT WAYNE IN PHYSICIAN ASSISTANT 80 224 $9,408 $42 5.6% (260) 484-8551
95 TEXAS STAR ORTHOPEDIC INSTITUTE LLC PLANO TX ORTHOPEDIC SURGERY 23 221 $5,967 $27 1.6% (972) 250-5700
96 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 219 $4,380 $20 14.3% (804) 764-6000
97 STILLWATER MEDICAL CENTER AUTHORITY STILLWATER OK PHYSICIAN ASSISTANT 166 218 $6,540 $30 6.4% (405) 372-1480
98 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 215 $2,150 $10 3.2% (803) 256-4107
99 ST LOUIS PAIN CONSULTANTS LLC SAINT LOUIS MO PHYSICIAN ASSISTANT 5 209 $8,360 $40 5.9% (314) 205-3146
100 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 205 $4,305 $21 3.1% —

Showing the top 100 of 1,036 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →