NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4014 Cast supplies, gauntlet cast (includes lower forearm and hand), 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 1,013 services ▼ 18.6% YoY · 801 beneficiaries (CY2024, Medicare FFS)
Medicare paid $25K · $24.61 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
29
Named-group FFS services
792
FFS of Medicare
49%
Services YoY
-18.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,562 services

792 observed fee-for-service (51%) · ~770 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 — Q4014 (CY2024)
CA 235 OK 105 AZ 101 TN 71 SC 67

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

Named-group submitted charges
$55K
Named-group allowed amount
$25K
Named-group Medicare payments
$20K
Avg charge / svc
$69
Avg allowed / svc
$32
Avg payment / svc
$25
Average charge per group
$29 29 groups · avg submitted charge / service $216
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4014 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 80 $4,400 $55 76.2% (405) 692-9300
2 SELF MEDICAL GROUP GREENWOOD SC NURSE PRACTITIONER 400 67 $3,484 $52 100.0% —
3 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 66 $3,300 $50 100.0% (978) 818-6350
4 HOT SPRINGS MEDICAL SURGICAL GROUP SANTA BARBARA CA HAND SURGERY 4 64 $3,840 $60 27.2% (805) 682-8907
5 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 53 $3,975 $75 52.5% (602) 385-2115
6 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO CA PHYSICIAN ASSISTANT 16 43 $3,440 $80 18.3% (949) 348-4000
7 THE HAND AND UPPER EXTREMITY CENTER OF GA, PC ATLANTA GA ORTHOPEDIC SURGERY 17 42 $4,032 $96 72.4% (404) 256-0226
8 MEMORIALCARE MEDICAL FOUNDATION LONG BEACH CA FAMILY PRACTICE 549 31 $1,860 $60 13.2% (562) 346-2222
9 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 31 $1,767 $57 13.2% —
10 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 27 $1,879 $70 26.7% (866) 974-2673
11 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 21 $2,688 $128 20.8% (520) 382-8200
12 ORTHOPAEDICS NORTHEAST PC FORT WAYNE IN PHYSICIAN ASSISTANT 80 19 $1,824 $96 100.0% (260) 484-8551
13 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 19 $551 $29 46.3% (775) 786-3040
14 WEST TENNESSEE BONE AND JOINT CLINIC PC JACKSON TN ORTHOPEDIC SURGERY 60 18 $810 $45 25.4% (731) 661-9825
15 SCIURIDAE BOYZ PLLC TWIN FALLS ID PHYSICIAN ASSISTANT 17 18 $2,160 $120 32.1% (208) 735-3600
16 TORRANCE HEALTH ASSOCIATION INC TORRANCE CA FAMILY PRACTICE 298 18 $954 $53 7.7% (310) 257-7260
17 CORA HEALTH SERVICES INC THE VILLAGES MI ORTHOPEDIC SURGERY 1187 17 $850 $50 100.0% (352) 693-3378
18 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 16 $1,520 $95 57.1% (817) 375-5200
19 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 16 $623 $39 100.0% (337) 235-8007
20 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 15 $2,430 $162 100.0% (414) 955-4263
21 CENTRAL JERSEY HAND SURGERY EATONTOWN NJ HAND SURGERY 8 14 $840 $60 100.0% (732) 542-4477
22 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 13 $1,365 $105 44.8% (720) 497-6616
23 ORTHOPAEDIC CENTER PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 19 13 $520 $40 12.4% (918) 582-6800
24 ORTHOPAEDIC CENTER OF S FLORIDA PLANTATION FL ORTHOPEDIC SURGERY 21 13 $715 $55 100.0% 95447363443101
25 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 12 $467 $39 100.0% (541) 706-7715
26 ORTHOTENNESSEE PC KNOXVILLE TN PHYSICIAN ASSISTANT 157 12 $1,104 $92 16.9% (865) 558-4400
27 ORTHOPEDIC ASSOCIATES OF FLOWER MOUND PLLC FLOWER MOUND TX ORTHOPEDIC SURGERY 19 12 $360 $30 42.9% (972) 420-1776
28 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 11 $550 $50 100.0% —
29 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 11 $2,376 $216 4.7% (310) 443-8999

*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 →