NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass HCPCS · Medical/Surgical Supplies dme
Classification DME › Medical/Surgical Supplies (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 24,503 services ▲ 1.6% YoY · 17,833 beneficiaries (CY2024, Medicare FFS)
Medicare paid $439K · $17.92 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
307
Named-group FFS services
17,211
FFS of Medicare
49%
Services YoY
+1.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~34,632 services

17,211 observed fee-for-service (50%) · ~17,421 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 — Q4010 (CY2024)
CA 3,559 FL 2,197 TX 1,821 MI 1,527 NY 1,295

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

Named-group submitted charges
$985K
Named-group allowed amount
$395K
Named-group Medicare payments
$308K
Avg charge / svc
$57
Avg allowed / svc
$23
Avg payment / svc
$18
Average charge per group
$13 307 groups · avg submitted charge / service $260
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4010 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MICHIGAN SURGERY SPECIALISTS PC WARREN MI ORTHOPEDIC SURGERY 27 495 $12,375 $25 32.4% (586) 573-6880
2 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 381 $19,050 $50 79.2% (501) 500-3500
3 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 351 $11,924 $34 23.0% —
4 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 323 $18,120 $56 45.7% (919) 544-7270
5 ORTHOPAEDIC AND SPINE CENTER OF THE ROCKIES PC FORT COLLINS CO PHYSICIAN ASSISTANT 144 305 $16,165 $53 49.4% (970) 493-0567
6 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 303 $30,894 $102 8.5% (310) 423-0674
7 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 297 $16,929 $57 8.3% (916) 681-8852
8 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 297 $13,365 $45 8.3% (949) 722-7038
9 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 282 $7,050 $25 15.5% (210) 804-5400
10 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 269 $61,870 $230 7.6% (310) 443-8999
11 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 257 $16,415 $64 14.1% (214) 220-2468
12 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 227 $13,440 $59 10.3% (850) 877-8174
13 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 207 $4,409 $21 34.7% —
14 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 199 $5,771 $29 35.4% —
15 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 195 $5,850 $30 5.5% (925) 939-8585
16 ORTHOPEDICSNY, LLP ALBANY NY PHYSICIAN ASSISTANT 112 194 $6,908 $36 15.0% (518) 489-2663
17 HAND SURGERY ASSOCIATES OF LI, PC Huntington NY ANESTHESIOLOGY 6 165 $7,095 $43 12.7% —
18 ORTHOPEDIC ASSOCIATES OF HARTFORD,PC HARTFORD CT PHYSICIAN ASSISTANT 95 158 $10,250 $65 50.5% (860) 549-3210
19 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 156 $5,616 $36 39.7% (843) 491-4937
20 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 142 $6,375 $45 25.5% (602) 385-2115
21 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 142 $13,243 $93 14.9% (877) 632-6637
22 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 139 $9,035 $65 23.6% (901) 641-3000
23 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 135 $7,808 $58 3.8% (415) 600-1020
24 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 131 $6,288 $48 3.7% (858) 455-9100
25 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 131 $5,895 $45 56.0% (541) 779-6250
26 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 127 $10,160 $80 13.3% (630) 933-4800
27 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 124 $3,468 $28 55.9% (603) 883-0091
28 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 124 $16,864 $136 22.3% (520) 382-8200
29 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 123 $8,241 $67 9.5% (203) 869-1145
30 CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC ALBANY NY ORTHOPEDIC SURGERY 67 122 $3,050 $25 9.4% (518) 489-2666
31 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 120 $10,715 $89 12.6% —
32 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 119 $12,495 $105 19.3% (720) 497-6616
33 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 116 $6,728 $58 3.3% (530) 246-2467
34 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 111 $3,996 $36 28.3% (800) 321-9999
35 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 110 $3,960 $36 17.3% (267) 339-3500
36 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 106 $1,802 $17 71.6% 50572443003208
37 VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 67 104 $12,064 $116 18.5% (757) 321-3300
38 COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA BRADENTON FL PHYSICIAN ASSISTANT 62 104 $4,160 $40 4.7% (941) 792-1404
39 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 103 $4,487 $44 11.2% (603) 883-0091
40 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 103 $7,210 $70 2.9% (714) 634-4567
41 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 103 $3,135 $30 14.2% (443) 481-1000
42 NEVADA ORTHOPEDIC AND SPINE CENTER LAS VEGAS NV PHYSICIAN ASSISTANT 25 102 $2,244 $22 47.2% (702) 878-0393
43 ORA ORTHOPEDICS PC MOLINE IA PHYSICIAN ASSISTANT 117 99 $3,465 $35 21.4% (309) 762-3621
44 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 99 $3,168 $32 16.8% (615) 329-6600
45 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 99 $5,049 $51 10.4% —
46 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 95 $9,690 $102 51.9% (401) 457-1500
47 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 95 $2,375 $25 20.5% (515) 343-1000
48 SYRACUSE ORTHOPEDIC SPECIALISTS, PLLC SYRACUSE NY PHYSICIAN ASSISTANT 115 94 $1,880 $20 7.3% (315) 448-5111
49 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 94 $2,820 $30 35.9% (402) 219-7700
50 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 90 $5,670 $63 33.6% (765) 284-7738
51 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 87 $2,523 $29 12.0% (301) 774-0500
52 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 87 $2,871 $33 100.0% (302) 731-2888
53 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 87 $4,959 $57 2.4% —
54 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 86 $2,408 $28 12.2% (704) 323-2100
55 CHATTANOOGA ORTHOPAEDIC GROUP, PC CHATTANOOGA TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 72 83 $10,209 $123 14.1% (423) 624-2696
56 HUGHSTON CLINIC PC COLUMBUS AL ORTHOPEDIC SURGERY 118 81 $6,480 $80 36.3% (706) 494-3434
57 YOSEMITE BONE AND JOINT, INC. MODESTO CA ORTHOPEDIC SURGERY 4 80 $3,798 $47 2.2% (209) 723-2799
58 DKUMAR LLC SMYRNA GA HAND SURGERY 6 77 $8,855 $115 11.9% 7703337888105
59 BOSTON ORTHOPAEDIC AND SPINE LLC BRIGHTON MA PHYSICIAN ASSISTANT 19 76 $6,080 $80 8.2% (617) 738-8642
60 SHORE ORTHOPEDICS, INC EASTON MD PHYSICIAN ASSISTANT 28 75 $2,325 $31 10.4% 4108208226107
61 TULSA BONE AND JOINT ASSOCIATES PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 92 74 $4,630 $63 20.8% (918) 392-1513
62 SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA PORTSMOUTH NH PHYSICIAN ASSISTANT 28 74 $4,440 $60 33.3% (603) 431-1121
63 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 72 $2,160 $30 3.3% (904) 396-1725
64 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 72 $2,592 $36 3.3% (407) 200-2700
65 NEUROSCIENCE AND SPINE ASSOCIATES PL NAPLES FL PHYSICIAN ASSISTANT 52 69 $1,380 $20 3.1% (239) 312-7878
66 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 69 $6,417 $93 31.9% (702) 731-1616
67 ORA ORTHOPEDICS PC MOLINE IL PHYSICIAN ASSISTANT 117 69 $2,415 $35 7.2% (309) 762-3621
68 SOUTH SHORE ORTHOPEDICS LLC HINGHAM MA PHYSICIAN ASSISTANT 40 67 $2,814 $42 7.3% (781) 337-5555
69 NORWICH ORTHOPEDIC GROUP PC NORTH FRANKLIN CT ORTHOPEDIC SURGERY 48 66 $4,950 $75 21.1% (860) 889-7345
70 PACIFIC ORTHOPAEDIC MEDICAL GROUP INC ALHAMBRA CA ORTHOPEDIC SURGERY 12 66 $1,980 $30 1.9% (626) 656-1260
71 ORTHOTENNESSEE PC KNOXVILLE TN PHYSICIAN ASSISTANT 157 66 $6,402 $97 11.2% (865) 558-4400
72 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 65 $8,580 $132 10.9% (425) 313-5422
73 NORTHWEST SURGICAL SPECIALISTS PC VANCOUVER WA PHYSICIAN ASSISTANT 114 65 $1,439 $22 10.9% (360) 487-1000
74 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 64 $1,984 $31 10.9% (731) 661-9825
75 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 64 $4,558 $71 16.9% (662) 767-4200
76 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO CA PHYSICIAN ASSISTANT 16 64 $5,120 $80 1.8% (949) 348-4000
77 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 64 $4,800 $75 6.9% (978) 818-6350
78 EAST BAY HAND MEDICAL CENTER, INC SAN LEANDRO CA ORTHOPEDIC SURGERY 4 63 $2,898 $46 1.8% 51029705504
79 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 63 $3,620 $57 13.6% (319) 247-3010
80 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 62 $4,660 $75 15.8% (732) 974-0404
81 ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 36 62 $2,480 $40 3.4% (972) 985-1072
82 MACON ORTHOPAEDIC AND HAND CENTER, PA MACON GA NURSE PRACTITIONER 87 61 $9,455 $155 9.4% (478) 745-4206
83 NEWTON WELLESLEY ORTHOPEDIC ASSOCIATES INC NEWTON MA ORTHOPEDIC SURGERY 27 61 $2,745 $45 6.6% (617) 964-0024
84 YAKIMA VALLEY MEMORIAL PHYSICIANS YAKIMA WA DIAGNOSTIC RADIOLOGY 405 60 $2,600 $43 10.1% (509) 575-8000
85 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 60 $3,060 $51 10.8% (866) 974-2673
86 SOUTH FLORIDA ORTHOPAEDICS AND SPORTS MEDICINE, PA STUART FL PHYSICIAN ASSISTANT 71 59 $2,596 $44 2.7% —
87 ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC EAST SETAUKET NY PHYSICIAN ASSISTANT 30 59 $2,365 $40 4.6% (631) 689-6698
88 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 59 $767 $13 49.6% (801) 261-8346
89 ROCKHILL ORTHOPAEDIC SPECIALISTS INC LEES SUMMIT MO PHYSICIAN ASSISTANT 27 57 $7,125 $125 26.5% (816) 246-4302
90 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 56 $11,200 $200 14.8% (662) 328-1012
91 HUGHSTON CLINIC PC COLUMBUS GA ORTHOPEDIC SURGERY 118 56 $4,480 $80 8.7% (706) 494-3434
92 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 53 $2,173 $41 13.5% (803) 749-5101
93 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 53 $3,127 $59 4.1% —
94 BERKSHIRE ORTHOPAEDIC ASSOCIATES INC PITTSFIELD GU PHYSICIAN ASSISTANT 28 52 $1,570 $30 100.0% (413) 499-6600
95 THE ORTHOPAEDIC GROUP PC MOBILE AL ORTHOPEDIC SURGERY 69 52 $1,908 $37 23.3% (251) 476-5050
96 SAN BERNARDINO MEDICAL ORTHOPAEDIC GROUP INC REDLANDS CA PHYSICIAN ASSISTANT 88 50 $2,550 $51 1.4% (909) 557-1600
97 CORA HEALTH SERVICES INC THE VILLAGES MI ORTHOPEDIC SURGERY 1187 50 $1,250 $25 3.3% (352) 693-3378
98 SIGNATURE MEDICAL GROUP OF KC PA OVERLAND PARK KS PHYSICIAN ASSISTANT 25 49 $1,470 $30 23.6% (913) 498-6000
99 ROSS NATHAN MD, INC. LONG BEACH CA HAND SURGERY 2 49 $2,450 $50 1.4% (562) 429-9000
100 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 49 $2,695 $55 12.9% (601) 354-4488

Showing the top 100 of 307 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 →