NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4021 Cast supplies, short arm splint, adult (11 years +), plaster 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 1,568 services ▼ 9.8% YoY · 1,099 beneficiaries (CY2024, Medicare FFS)
Medicare paid $10K · $6.20 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
24
Named-group FFS services
1,180
FFS of Medicare
49%
Services YoY
-9.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,342 services

1,180 observed fee-for-service (50%) · ~1,162 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 — Q4021 (CY2024)
CA 362 GA 214 AR 141 CT 125 MA 114

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

Named-group submitted charges
$47K
Named-group allowed amount
$10K
Named-group Medicare payments
$7K
Avg charge / svc
$40
Avg allowed / svc
$8
Avg payment / svc
$6
Average charge per group
$10 24 groups · avg submitted charge / service $123
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4021 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 297 $11,501 $39 82.0% (310) 423-0674
2 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 141 $2,820 $20 100.0% (501) 500-3500
3 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CT PHYSICIAN ASSISTANT 1699 125 $4,841 $39 100.0% (310) 423-0674
4 DKUMAR LLC SMYRNA GA HAND SURGERY 6 107 $13,200 $123 50.0% 7703337888105
5 ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC TUPELO MS ORTHOPEDIC SURGERY 11 52 $1,248 $24 100.0% (662) 377-2663
6 KANSAS ORTHOPAEDIC CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 26 45 $945 $21 71.4% (316) 838-2020
7 ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 36 39 $1,560 $40 34.2% (972) 985-1072
8 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 38 $1,976 $52 100.0% (520) 382-8200
9 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 38 $1,140 $30 60.3% (850) 877-8174
10 BOSTON ORTHOPAEDIC AND SPINE LLC BRIGHTON MA PHYSICIAN ASSISTANT 19 38 $1,558 $41 33.3% (617) 738-8642
11 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIA PA PHYSICIAN ASSISTANT 287 29 $377 $13 70.7% (267) 339-3500
12 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 28 $1,820 $65 100.0% (302) 731-2888
13 AUSTIN HAND GROUP PLLC WEST LAKE HILLS TX HAND SURGERY 2 22 $660 $30 19.3% (512) 327-4263
14 JOHN KADZIELSKI MD PLLC QUINCY MA ORTHOPEDIC SURGERY 3 19 $570 $30 16.7% (617) 773-2200
15 ATHENS ORTHOPEDIC CLINIC, PA ATHENS GA PHYSICIAN ASSISTANT 68 19 $950 $50 8.9% (706) 549-1663
16 ORTHOPAEDIC SPECIALISTS OF DALLAS PA ROCKWALL TX PHYSICIAN ASSISTANT 39 18 $370 $21 15.8% (972) 771-8111
17 ADVANCED ORTHOPAEDIC ASSOCIATES, P.A. WELLINGTON KS ORTHOPEDIC SURGERY 48 18 $222 $12 28.6% (316) 631-1600
18 WK BOSSIER ORTHOPEDIC AND SPORTS BOSSIER CITY LA ORTHOPEDIC SURGERY 12 16 $240 $15 100.0% (318) 212-7841
19 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 15 $150 $10 31.9% (843) 720-8448
20 SEACOAST ORTHOPEDIC ASSOC INC NEWBURYPORT MA ORTHOPEDIC SURGERY 8 15 $310 $21 13.2% (978) 462-7555
21 YOUNGSTOWN ORTHOPAEDIC ASSOCIATES LTD CANFIELD OH PHYSICIAN ASSISTANT 36 14 $140 $10 29.8% (330) 758-0577
22 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 14 $182 $13 12.3% (512) 346-6611
23 HOSPITAL PHYSICIAN SERVICES OF FLORIDA PA TALLAHASSEE FL INTERNAL MEDICINE 224 11 $275 $25 17.5% (850) 325-5000
24 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 11 $143 $13 100.0% (800) 321-9999
25 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 11 $110 $10 100.0% (515) 343-1000

*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 →