NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4022 Cast supplies, short arm splint, 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 5,366 services ▼ 1.1% YoY · 4,528 beneficiaries (CY2024, Medicare FFS)
Medicare paid $60K · $11.10 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
116
Named-group FFS services
3,626
FFS of Medicare
49%
Services YoY
-1.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,234 services

3,626 observed fee-for-service (50%) · ~3,608 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 — Q4022 (CY2024)
CA 853 FL 608 TX 408 PA 221 NC 204

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

Named-group submitted charges
$148K
Named-group allowed amount
$52K
Named-group Medicare payments
$40K
Avg charge / svc
$41
Avg allowed / svc
$14
Avg payment / svc
$11
Average charge per group
$11 116 groups · avg submitted charge / service $200
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4022 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 143 $2,288 $16 35.0% (210) 804-5400
2 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 136 $5,440 $40 66.7% (919) 544-7270
3 ORTHOPEDIC ASSOC OF LANCASTER LTD LANCASTER PA ORTHOPEDIC SURGERY 80 123 $2,118 $17 55.7% (717) 299-4871
4 NAPA VALLEY ORTHOPAEDIC MEDICAL GROUP INC NAPA CA PHYSICIAN ASSISTANT 17 122 $3,168 $26 14.3% (707) 254-7117
5 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 112 $6,496 $58 67.9% (702) 731-1616
6 MICHIGAN SURGERY SPECIALISTS PC WARREN MI ORTHOPEDIC SURGERY 27 110 $1,540 $14 64.0% (586) 573-6880
7 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 92 $3,312 $36 70.2% (843) 491-4937
8 BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA NORTH LITTLE ROCK AR ORTHOPEDIC SURGERY 19 91 $1,820 $20 54.8% —
9 OZARK ORTHOPAEDICS, P.A. FAYETTEVILLE AR PHYSICIAN ASSISTANT 57 75 $2,250 $30 45.2% (479) 521-2752
10 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 71 $6,248 $88 35.3% (901) 759-3100
11 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDING CA PODIATRY 37 69 $2,553 $37 8.1% (530) 246-2467
12 ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC CINCINNATI KY PHYSICIAN ASSISTANT 163 61 $3,355 $55 64.2% (513) 232-2663
13 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 61 $1,220 $20 65.6% —
14 NEVADA ORTHOPEDIC AND SPINE CENTER LAS VEGAS NV PHYSICIAN ASSISTANT 25 53 $1,908 $36 32.1% (702) 878-0393
15 GOSHEN HEALTH SYSTEM INC GOSHEN IN NURSE PRACTITIONER 146 52 $936 $18 100.0% (574) 537-0219
16 THE MOORINGS INCORPORATED NAPLES FL ORTHOPEDIC SURGERY 120 50 $1,250 $25 8.2% —
17 COOPERATIVE HEALTHCARE SERVICES INC BRUNSWICK GA NURSE PRACTITIONER 228 47 $5,649 $120 28.1% (912) 466-5400
18 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 46 $1,521 $33 5.4% (858) 455-9100
19 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 46 $8,625 $188 5.4% (310) 443-8999
20 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 45 $810 $18 22.4% (301) 774-0500
21 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 45 $2,115 $47 5.3% (949) 722-7038
22 MAIMONIDES MEDICAL CENTER ORTHOPAEDIC FPP BROOKLYN NY ORTHOPEDIC SURGERY 25 44 $2,040 $46 26.8% (718) 283-7400
23 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 43 $860 $20 21.4% (615) 329-6600
24 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 41 $3,642 $89 24.1% (877) 632-6637
25 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 38 $2,470 $65 18.9% (901) 641-3000
26 ORTHOVIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 567 38 $684 $18 19.0% —
27 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN NE PHYSICIAN ASSISTANT 61 37 $740 $20 56.9% (402) 219-7700
28 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 36 $479 $13 56.2% —
29 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 36 $1,146 $32 35.0% (866) 974-2673
30 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 35 $1,260 $36 4.1% (415) 600-1020
31 MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC MEDFORD MA DIAGNOSTIC RADIOLOGY 424 35 $1,925 $55 29.7% (781) 395-4909
32 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 34 $1,190 $35 8.3% (214) 220-2468
33 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODY MA PHYSICIAN ASSISTANT 87 34 $1,700 $50 28.8% (978) 818-6350
34 ORTHOPAEDIC AND SPINE CENTER OF THE ROCKIES PC FORT COLLINS CO PHYSICIAN ASSISTANT 144 34 $1,802 $53 44.2% (970) 493-0567
35 SOUTHERN OREGON ORTHOPEDICS INC MEDFORD OR PHYSICIAN ASSISTANT 61 33 $990 $30 58.9% (541) 779-6250
36 MIDAMERICA ORTHOPAEDICS S.C. PALOS HILLS IL PHYSICIAN ASSISTANT 22 33 $3,069 $93 19.4% (708) 237-7200
37 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 32 $352 $11 100.0% 50572443003208
38 TRI-CITY ORTHOPAEDIC SURGERY MEDICAL GROUP INC. OCEANSIDE CA ORTHOPEDIC SURGERY 25 31 $930 $30 3.6% (760) 724-9000
39 CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A. WELLINGTON FL PHYSICIAN ASSISTANT 27 29 $1,258 $43 4.8% (561) 803-8616
40 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 28 $2,240 $80 16.5% (630) 933-4800
41 HOT SPRINGS MEDICAL SURGICAL GROUP SANTA BARBARA CA HAND SURGERY 4 28 $1,680 $60 3.3% (805) 682-8907
42 ARCH HEALTH PARTNERS INC POWAY CA PHYSICIAN ASSISTANT 161 27 $1,026 $38 3.2% (858) 485-0050
43 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 26 $676 $26 19.8% (803) 749-5101
44 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 26 $442 $17 12.7% (704) 323-2100
45 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 26 $1,300 $50 3.0% —
46 HAND SURGERY ASSOCIATES LLC OLYPHANT PA HAND SURGERY 2 25 $1,000 $40 11.3% (570) 877-2289
47 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 25 $724 $29 6.1% (210) 575-8289
48 ORTHOPEDICSNY, LLP ALBANY NY PHYSICIAN ASSISTANT 112 25 $556 $22 15.2% (518) 489-2663
49 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 24 $798 $33 100.0% (337) 235-8007
50 SPECIALTY ORTHOPAEDICS PC GAINESVILLE GA PHYSICIAN ASSISTANT 18 23 $444 $19 13.8% (770) 534-7200
51 COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA BRADENTON FL PHYSICIAN ASSISTANT 62 22 $550 $25 3.6% (941) 792-1404
52 ORTHO EXPRESS HOLDING COMPANY, LLC TUPELO MS NURSE PRACTITIONER 14 22 $550 $25 23.2% (662) 350-0737
53 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 21 $2,100 $100 22.1% (270) 781-4043
54 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 21 $336 $16 3.5% (904) 634-0640
55 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 20 $720 $36 2.3% (916) 681-8852
56 ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 89 20 $847 $42 17.7% (918) 494-2665
57 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 20 $1,000 $50 100.0% —
58 ORA ORTHOPEDICS PC MOLINE IL PHYSICIAN ASSISTANT 117 20 $520 $26 11.8% (309) 762-3621
59 MSK GROUP PC MEMPHIS MS ORTHOPEDIC SURGERY 141 20 $1,300 $65 21.1% (901) 641-3000
60 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS FL ORTHOPEDIC SURGERY 1373 20 $600 $30 3.3% (508) 385-4212
61 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 19 $836 $44 4.7% (817) 375-5200
62 SOUTHWEST SHOULDER ELBOW AND HAND CENTER PC TUCSON PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 9 19 $636 $33 8.6% (520) 783-3344
63 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 19 $589 $31 11.2% —
64 KANSAS ORTHOPAEDIC CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 26 19 $532 $28 27.9% (316) 838-2020
65 ADVANCED ORTHOPAEDIC ASSOCIATES, P.A. WELLINGTON KS ORTHOPEDIC SURGERY 48 19 $423 $22 27.9% (316) 631-1600
66 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 19 $1,520 $80 9.3% (704) 384-8200
67 SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 20 18 $2,880 $160 15.9% —
68 JEFFERSON CITY MEDICAL GROUP PC JEFFERSON CITY MO NURSE PRACTITIONER 115 17 $639 $38 54.8% (573) 556-5771
69 OPTIM ORTHOPEDICS LLC SAVANNAH GA PHYSICIAN ASSISTANT 103 16 $1,258 $79 9.6% (912) 644-5300
70 NORTHWEST URGENT CARE LLC TUCSON AZ NURSE PRACTITIONER 71 16 $509 $32 15.5% (520) 640-6300
71 HAND CENTER PA SAN ANTONIO TX ORTHOPEDIC SURGERY 7 16 $1,520 $95 3.9% (210) 558-7025
72 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 16 $304 $19 1.9% (925) 939-8585
73 ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC TUPELO MS ORTHOPEDIC SURGERY 11 16 $704 $44 16.8% (662) 377-2663
74 DOCTX1 PLLC LUFKIN TX PHYSICIAN ASSISTANT 5 16 $480 $30 3.9% —
75 ALEGENT CREIGHTON CLINIC OMAHA NE PHYSICIAN ASSISTANT 942 16 $352 $22 24.6% —
76 YOSEMITE BONE AND JOINT, INC. MODESTO CA ORTHOPEDIC SURGERY 4 16 $475 $30 1.9% (209) 723-2799
77 CHRIST HOSPITAL ORTHOPEDIC ASSOCIATES III LLC CINCINNATI OH PHYSICIAN ASSISTANT 33 15 $450 $30 100.0% (513) 791-5200
78 ORTHOPAEDIC CENTER PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 19 15 $600 $40 13.3% (918) 582-6800
79 SIGNATURE MEDICAL GROUP OF KC PA OVERLAND PARK KS PHYSICIAN ASSISTANT 25 15 $285 $19 22.1% (913) 498-6000
80 TRI-COUNTY ORTHOPAEDIC AND SPORTS MEDICINE PA CEDAR KNOLLS NY ORTHOPEDIC SURGERY 42 15 $450 $30 9.1% (973) 538-2334
81 ORTHOPEDICS RHODE ISLAND INC WARWICK RI PHYSICIAN ASSISTANT 124 15 $375 $25 57.7% (401) 777-7000
82 DOWN EAST ORTHOPEDIC ASSOC PA BANGOR ME ORTHOPEDIC SURGERY 14 15 $450 $30 100.0% (207) 947-8381
83 LAWRENCE PHYSICIANS LLC LAWRENCE KS PHYSICIAN ASSISTANT 219 15 $495 $33 22.1% —
84 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 14 $1,264 $90 21.9% (425) 339-5442
85 COMMONS CLINIC MEDICAL GROUP, PC MARINA DEL REY CA ORTHOPEDIC SURGERY 21 14 $280 $20 1.6% (310) 437-7925
86 CENTENNIAL MEDICAL GROUP INC ROSEBURG WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 60 14 $186 $13 21.9% —
87 ONSPOT-FL FORT MYERS FL PHYSICIAN ASSISTANT 49 14 $535 $38 2.3% (877) 266-7768
88 ORTHOTENNESSEE PC KNOXVILLE TN PHYSICIAN ASSISTANT 157 14 $308 $22 7.0% (865) 558-4400
89 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 14 $630 $45 8.5% —
90 ORTHOPEDIC HEALTH OF KANSAS CITY PC LENEXA MO PHYSICIAN ASSISTANT 47 14 $1,330 $95 45.2% (816) 561-3003
91 ORTHOWEST IRVINE CA ORTHOPEDIC SURGERY 47 14 $629 $45 1.6% (949) 586-3200
92 MODERN ORTHOPAEDICS OF NEW JERSEY WAYNE NJ ORTHOPEDIC SURGERY 7 14 $995 $71 14.9% (201) 572-7982
93 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 14 $238 $17 2.3% (772) 257-3608
94 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN IA PHYSICIAN ASSISTANT 61 14 $280 $20 35.9% (402) 219-7700
95 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 14 $686 $49 12.4% (405) 254-9690
96 PANORAMA ORTHOPEDICS AND SPINE CENTER PC GOLDEN CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 324 13 $1,365 $105 16.9% (720) 497-6616
97 ORA ORTHOPEDICS PC MOLINE IA PHYSICIAN ASSISTANT 117 13 $338 $26 33.3% (309) 762-3621
98 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 13 $650 $50 7.9% (203) 869-1145
99 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS SC PHYSICIAN ASSISTANT 793 13 $2,600 $200 9.9% —
100 LEE ORTHOPEDIC INSTITUTE A PROFESSIONAL MEDICAL CORPORATION LOS ANGELES CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 13 $520 $40 1.5% (213) 387-0102

Showing the top 100 of 116 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 →