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Market snapshot

J7328 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J7328 — Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg

Billing groups
139
Named-group FFS services
4,848,573
FFS of Medicare
49%
Services YoY
-18.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,846,516 services

4,848,572 observed fee-for-service (49%) · ~4,997,944 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 — J7328 (CY2024)

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

Named-group submitted charges
$21.0M
Named-group allowed amount
$2.5M
Named-group Medicare payments
$2.0M
Avg charge / svc
$4
Avg allowed / svc
$1
Avg payment / svc
$0
Average charge per group
$1 139 groups · avg submitted charge / service $450
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Specialty market — Orthopedic Surgery: 1,342,262 services across 22 groups; top group 17%. See Orthopedic Surgery across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J7328 services, CY2024
#Physician group City St Specialty Providers J7328 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 PENINSULA ORTHOPEDIC ASSOCIATES INC DALY CITY CA ORTHOPEDIC SURGERY 18 228,683 $1,127,634 $5 premium 18.8% (650) 756-5630
2 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 226,296 $622,314 $3 premium 18.6% (925) 939-8585
3 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD KS ORTHOPEDIC SURGERY 67 134,067 $401,769 $3 premium 84.4% (913) 319-7600
4 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 85,512 $310,968 $4 premium 29.7% (602) 385-2115
5 HAYES AND FYDA MDS LTD RENO NV ORTHOPEDIC SURGERY 24 75,268 $451,608 $6 premium 100.0% (775) 786-1600
6 LONE STAR ORTHOPAEDIC AND SPINE SPECIALISTS, PLLC MANSFIELD TX ORTHOPEDIC SURGERY 20 69,216 $276,864 $4 premium 10.2% (682) 341-7110
7 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 64,344 $191,755 $3 premium 9.2%
8 AUSTIN SPORTS MEDICINE LLP AUSTIN TX ORTHOPEDIC SURGERY 17 63,551 $254,204 $4 premium 9.4% (512) 450-1300
9 MOUNTAINSTATE ORTHOPEDIC ASSOCIATES INC MORGANTOWN WV ORTHOPEDIC SURGERY 9 49,224 $117,153 $2 premium 37.4% (304) 599-0720
10 ORTHOONE SPORTS MEDICINE AND ORTHOPAEDICS PLLC COLLIERVILLE TN ORTHOPEDIC SURGERY 10 40,332 $162,120 $4 premium 29.4% (901) 861-9610
11 AUSTIN SPORTS MEDICINE LLP AUSTIN FL ORTHOPEDIC SURGERY 17 39,650 $158,600 $4 premium 6.7% (512) 450-1300
12 ORTHOPAEDIC INSTITUTE FOR SPINAL DISORDERS P A HOUSTON TX ORTHOPEDIC SURGERY 2 34,794 $173,970 $5 premium 5.1% (713) 781-5676
13 RYC ORTHOPAEDICS PC NEW YORK NY ORTHOPEDIC SURGERY 6 30,744 $307,440 $10 premium 4.0% (212) 348-3636
14 ORTHOPEDIC INSTITUTE OF MICHIGAN PLLC LIVONIA MI ORTHOPEDIC SURGERY 3 28,056 $84,168 $3 premium 10.8% (734) 464-0400
15 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD MO ORTHOPEDIC SURGERY 67 26,058 $78,173 $3 premium 100.0% (913) 319-7600
16 CARROLLTON ORTHOPAEDIC CLINIC PC CARROLLTON OK ORTHOPEDIC SURGERY 33 21,504 $64,512 $3 premium 20.7% (770) 834-0873
17 JOHN E SAMANI MD PC AUBURN HILLS MI ORTHOPEDIC SURGERY 4 20,160 $77,193 $4 premium 7.7% (248) 373-7600
18 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 20,130 $55,358 $3 premium 100.0% (401) 457-1500
19 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 17,136 $225,888 $13 premium 19.2% (662) 767-4200
20 ORTHOPEDIC ASSOCIATES OF PORT HURON PC PORT HURON MI ORTHOPEDIC SURGERY 22 16,800 $65,242 $4 premium 6.5% (810) 985-4900
21 ORTHOWEST LTD CLEVELAND OH ORTHOPEDIC SURGERY 5 15,960 $43,596 $3 premium 5.9% (440) 816-5380
22 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 15,456 $98,300 $6 premium 11.3% (901) 759-3100
23 ACADEMY ORTHOPAEDIC CLINIC LLC ALBUQUERQUE NM ORTHOPEDIC SURGERY 2 12,768 $53,115 $4 premium 35.2% (505) 821-6663
24 PROFESSIONAL ORTHOPEDICS MEDICAL ASSOCIATES A PROF MEDICAL CORP WEST HILLS CA ORTHOPEDIC SURGERY 3 6,553 $11,795 $2 premium 0.5% (818) 888-2855

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →