NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) › Injection - Hyaluronan or Derivative (CMS RBCS)
First observed 2020
National scale 526,849 services ▼ 30.9% YoY · 6,803 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.3M · $8.10 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
52
Named-group FFS services
277,199
FFS of Medicare
49%
Services YoY
-30.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~566,084 services

277,199 observed fee-for-service (49%) · ~288,885 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 — J7331 (CY2024)
CA 118,411 TX 84,911 FL 73,552 NY 70,202 AZ 38,011

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

Named-group submitted charges
$13.0M
Named-group allowed amount
$2.8M
Named-group Medicare payments
$2.2M
Avg charge / svc
$47
Avg allowed / svc
$10
Avg payment / svc
$8
Average charge per group
$15 52 groups · avg submitted charge / service $152
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J7331 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOPAEDIC SPECIALISTS OF DALLAS PA ROCKWALL TX PHYSICIAN ASSISTANT 39 31,900 $1,428,829 $45 37.6% (972) 771-8111
2 ORTHOPEDIC ASSOCIATES OF NORTHERN CALIFORNIA A MEDICAL GROUP CHICO CA ANESTHESIOLOGY 31 25,852 $904,820 $35 21.8% 5308974500128
3 STEPHEN J NICHOLAS MD PC NEW YORK NY PHYSICIAN ASSISTANT 27 21,211 $318,165 $15 30.2% (212) 737-3301
4 LAKESIDE ORTHOPEDIC INSTITUTE LLC LAKE HAVASU CITY AZ ORTHOPEDIC SURGERY 14 18,881 $872,786 $46 49.7% (928) 505-5555
5 PARAGON PHYSICAL THERAPY AND REHAB LLC BULLHEAD CITY AZ ORTHOPEDIC SURGERY 82 15,222 $757,470 $50 40.0% —
6 MICHAEL H BOOTHBY, MD, PA FORT WORTH TX ORTHOPEDIC SURGERY 12 13,780 $689,000 $50 16.2% 81752919002010
7 ORTHOPEDIC SURGERY, INC STONEHAM MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 25 13,500 $1,391,850 $103 100.0% (781) 279-7040
8 JEFFERSON CITY MEDICAL GROUP PC JEFFERSON CITY MO NURSE PRACTITIONER 115 12,800 $409,600 $32 69.5% (573) 556-5771
9 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 11,021 $396,756 $36 15.0% (772) 257-3608
10 NORTH POINT ORTHOPEDICS LLC MUNSTER IN ORTHOPEDIC SURGERY 17 8,860 $1,347,200 $152 75.7% (219) 836-1060
11 SANJUM SAMAGH MD INC ENCINITAS CA ORTHOPEDIC SURGERY 2 7,503 $187,575 $25 6.3% (760) 690-3133
12 ORTHOPAEDICS SPINE AND SPORTS MEDICINE, LLC MASSAPEQUA NY ORTHOPEDIC SURGERY 25 6,923 $418,457 $60 9.9% (516) 795-3033
13 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD KS ORTHOPEDIC SURGERY 67 5,680 $176,080 $31 70.8% (913) 319-7600
14 BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA NORTH LITTLE ROCK AR ORTHOPEDIC SURGERY 19 5,600 $123,200 $22 27.1% —
15 SIGNATURE MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 41 5,260 $142,178 $27 28.6% 31484903112384
16 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 5,113 $271,815 $53 7.3% —
17 PREMIER BRAIN AND SPINE LLC UNION NJ PHYSICIAN ASSISTANT 127 4,785 $191,400 $40 86.3% (732) 906-9600
18 GARRETT J TALLMAN MD INC ENCINITAS CA ORTHOPEDIC SURGERY 2 4,544 $299,904 $66 3.8% (760) 633-4700
19 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 4,340 $347,200 $80 47.7% (702) 731-1616
20 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 3,580 $217,342 $61 4.2% —
21 CROSS TIMBERS ORTHOPAEDICS STEPHENVILLE TX PHYSICIAN ASSISTANT 2 3,580 $89,500 $25 4.2% —
22 PALM BEACH ORTHOPAEDIC INSTITUTE PA PALM BEACH GARDENS FL ORTHOPEDIC SURGERY 38 3,561 $196,514 $55 4.8% (561) 694-7776
23 ORTHO FLORIDA LLC BOCA RATON FL ORTHOPEDIC SURGERY 112 3,440 $369,770 $107 4.7% (954) 964-6114
24 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 3,420 $102,600 $30 2.9% (415) 600-1020
25 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 3,280 $91,282 $28 73.2% (405) 692-9300
26 CHISHOLM TRAIL ORTHOPEDICS AND SPORTS MEDICINE, LLLP CLEBURNE TX PHYSICIAN ASSISTANT 12 2,920 $151,583 $52 3.4% 8175563212201
27 ORTHOUTAH LLC BRIGHAM CITY UT ORTHOPEDIC SURGERY 2 2,840 $71,000 $25 100.0% (435) 734-2151
28 ORTHOPAEDIC ASSOCIATES LLP WICHITA FALLS TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 11 2,410 $72,300 $30 2.8% (940) 689-9664
29 ORTHOMIDWEST, PLLC CHICAGO PA PHYSICIAN ASSISTANT 542 1,580 $39,500 $25 14.7% (877) 632-6637
30 ACTIVE ORTHOPEDIC MEDICAL CORPORATION TURLOCK CA ORTHOPEDIC SURGERY 2 1,520 $68,400 $45 1.3% (209) 216-5900
31 COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA BRADENTON FL PHYSICIAN ASSISTANT 62 1,500 $54,060 $36 2.0% (941) 792-1404
32 JEFFREY M REAGAN MD PLLC LAKESIDE AZ PHYSICIAN ASSISTANT 2 1,406 $68,542 $49 3.7% (928) 537-8777
33 UNIVERSITY OF MINNESOTA PHYSICIANS MINNEAPOLIS MN FAMILY PRACTICE 148 1,400 $28,000 $20 53.8% —
34 FRANK J SCHLEHR M D P C WILLIAMSVILLE NY PHYSICIAN ASSISTANT 3 1,360 $54,400 $40 1.9% (716) 626-1824
35 M GANJIANPOUR, M.D. A PROFESSIONAL CORPORATION LOS ANGELES CA PHYSICIAN ASSISTANT 3 1,340 $53,600 $40 1.1% —
36 MKSC, INC. TRIADELPHIA WV ORTHOPEDIC SURGERY 2 1,321 $26,420 $20 100.0% (304) 242-8042
37 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 1,300 $35,100 $27 1.8% (239) 312-7878
38 SAN MATEO ORTHOPEDIC MEDICAL GROUP INC SAN MATEO CA ORTHOPEDIC SURGERY 2 1,080 $82,500 $76 0.9% 65034208541021
39 BATON ROUGE ORTHOPAEDIC CLINIC LLC BATON ROUGE LA PHYSICIAN ASSISTANT 145 1,040 $26,000 $25 100.0% —
40 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 980 $35,280 $36 9.1% (610) 353-0800
41 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 962 $56,170 $58 2.5% (623) 832-4000
42 CROVETTI BONE AND JOINT INSTITUTE OF SOUTHERN NEVADA HENDERSON NV ORTHOPEDIC SURGERY 14 960 $72,000 $75 10.5% (702) 990-2290
43 ORTHOPAEDIC INSTITUTE FOR SPINAL DISORDERS P A HOUSTON TX ORTHOPEDIC SURGERY 2 860 $34,400 $40 1.0% (713) 781-5676
44 NORTHERN OHIO MEDICAL SPECIALISTS, LLC SANDUSKY OH NURSE PRACTITIONER 294 841 $50,460 $60 13.6% (419) 626-6161
45 MAIN LINE HEALTHCARE BRYN MAWR DE NURSE PRACTITIONER 1157 780 $39,000 $50 100.0% —
46 REVENGE MEDICAL INC RENO NV NURSE PRACTITIONER 3 763 $20,982 $28 8.4% (775) 470-6651
47 STEPHEN J NICHOLAS MD PC NEW YORK FL PHYSICIAN ASSISTANT 27 760 $11,400 $15 1.0% (212) 737-3301
48 DOCTORS EXPRESS OF THE BEAUMONT AREA PA BEAUMONT TX PHYSICIAN ASSISTANT 216 740 $33,330 $45 0.9% (409) 860-1888
49 CENTRACARE CLINIC SAINT CLOUD MN PHYSICIAN ASSISTANT 747 680 $13,600 $20 26.2% (320) 252-5131
50 ORTHOPEDIC ASSOC OF LANCASTER LTD LANCASTER PA ORTHOPEDIC SURGERY 80 640 $19,840 $31 6.0% (717) 299-4871
51 PREFERRED ORTHOPEDICS OF THE PALM BEACHES P.A. BOYNTON BEACH FL ORTHOPEDIC SURGERY 11 540 $25,380 $47 0.7% (561) 733-5888
52 PEREZ ORTHOPEDICS PLLC VICTORIA TX PHYSICIAN ASSISTANT 3 520 $12,650 $24 0.6% (361) 345-4566
53 ST CLOUD ORTHOPEDIC ASSOCIATES LTD SARTELL MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 45 520 $10,400 $20 20.0% (320) 259-4100

*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 →