NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4038 Cast supplies, short leg 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 17,961 services ▼ 13.4% YoY · 10,370 beneficiaries (CY2024, Medicare FFS)
Medicare paid $667K · $37.16 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
206
Named-group FFS services
11,826
FFS of Medicare
49%
Services YoY
-13.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~23,800 services

11,826 observed fee-for-service (50%) · ~11,974 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 — Q4038 (CY2024)
CA 2,091 TX 1,684 NJ 1,222 AZ 1,055 FL 826

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

Named-group submitted charges
$1.4M
Named-group allowed amount
$565K
Named-group Medicare payments
$438K
Avg charge / svc
$115
Avg allowed / svc
$48
Avg payment / svc
$37
Average charge per group
$10 206 groups · avg submitted charge / service $472
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4038 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 COMPLETE FOOT AND ANKLE SPECIALTY LLC EAST BRUNSWICK NJ PODIATRY 4 504 $73,950 $147 41.2% (732) 432-7250
2 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 310 $21,700 $70 18.4% (214) 220-2468
3 TUCSON ORTHOPAEDIC INSTITUTE PROFESSIONAL CORPORATION TUCSON AZ PHYSICIAN ASSISTANT 111 292 $82,305 $282 27.7% (520) 382-8200
4 CENTER FOR ORTHOPEDIC SURGERY L.L.P. LUBBOCK TX ORTHOPEDIC SURGERY 13 279 $14,183 $51 16.6% (806) 797-4985
5 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD NH PHYSICIAN ASSISTANT 268 251 $11,410 $45 86.6% (603) 883-0091
6 FOOT ANKLE SPECIALTY CENTERS, LLC GILBERT AZ PODIATRY 7 221 $17,109 $77 20.9% (480) 812-3668
7 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 219 $28,286 $129 26.5% (850) 877-8174
8 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 187 $22,420 $120 28.1% (919) 544-7270
9 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 175 $15,750 $90 87.5% (501) 500-3500
10 MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER JACKSON MS ORTHOPEDIC SURGERY 75 172 $20,686 $120 37.9% (601) 354-4488
11 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 162 $21,060 $130 24.3% (919) 684-8111
12 LAKESIDE ORTHOPEDIC INSTITUTE LLC LAKE HAVASU CITY AZ ORTHOPEDIC SURGERY 14 161 $27,255 $169 15.3% (928) 505-5555
13 LAWRENCEVILLE FOOT AND ANKLE SPECIALISTS LLC LAWRENCEVILLE NJ PODIATRY 2 154 $23,100 $150 12.6% (609) 512-1126
14 LOS ANGELES INSTITUTE OF FOOT AND ANKLE SURGERY, INC. BURBANK CA PODIATRY 6 153 $9,360 $61 7.3% (818) 848-5588
15 KANSAS ORTHOPAEDIC CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 26 144 $8,640 $60 45.7% (316) 838-2020
16 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 138 $13,110 $95 13.1% (602) 385-2115
17 KEVIN J PELTON MD INC LOS ANGELES CA PHYSICIAN ASSISTANT 38 128 $6,400 $50 6.1% (323) 264-7600
18 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 123 $10,455 $85 7.3% —
19 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 119 $20,273 $170 28.1% (877) 632-6637
20 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 119 $7,497 $63 24.8% (513) 354-3700
21 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 118 $55,696 $472 5.6% (310) 443-8999
22 MSK GROUP PC MEMPHIS TN ORTHOPEDIC SURGERY 141 115 $7,475 $65 14.3% (901) 641-3000
23 S.B.J.S. PC DOTHAN AL PHYSICIAN ASSISTANT 39 114 $5,472 $48 20.9% (334) 793-2663
24 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORD MA PHYSICIAN ASSISTANT 268 113 $6,811 $60 72.4% (603) 883-0091
25 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 113 $9,718 $86 24.6% (803) 749-5101
26 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 112 $6,384 $57 5.4% —
27 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD MO ORTHOPEDIC SURGERY 67 111 $15,873 $143 18.5% (913) 319-7600
28 THE SOUTH BEND CLINIC LLC SOUTH BEND IN NURSE PRACTITIONER 166 109 $5,559 $51 32.2% (574) 234-8161
29 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 108 $10,245 $95 8.8% (732) 974-0404
30 LANCASTER ORTHOPEDIC GROUP, INC. LANCASTER PA PHYSICIAN ASSISTANT 75 105 $11,655 $111 27.2% (717) 560-4200
31 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 103 $12,360 $120 4.9% (916) 681-8852
32 ST. CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC SAINT CLAIR SHORES MI ORTHOPEDIC SURGERY 26 101 $10,100 $100 40.4% (586) 773-1300
33 SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC TUPELO MS ORTHOPEDIC SURGERY 41 92 $14,950 $163 20.3% (662) 767-4200
34 THE ORTHOPAEDIC GROUP PC MOBILE AL ORTHOPEDIC SURGERY 69 89 $3,560 $40 16.3% (251) 476-5050
35 NOVA FOOT AND ANKLE PLLC HERNDON VA PODIATRY 3 85 $6,800 $80 17.0% —
36 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 84 $22,680 $270 16.4% (425) 313-5422
37 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 84 $5,880 $70 4.0% (714) 634-4567
38 PRECISION ORTHOPEDICS, PLLC DALLAS TX ORTHOPEDIC SURGERY 2 82 $13,530 $165 4.9% (214) 265-7175
39 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 82 $6,150 $75 6.7% (800) 321-9999
40 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 81 $6,966 $86 17.6% —
41 ORTHOPEDIC CENTER OF PALM BEACH COUNTY, LLC ATLANTIS FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 30 81 $12,150 $150 9.8% (561) 967-6500
42 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 78 $4,758 $61 15.6% (301) 774-0500
43 HAMPTON ROADS ORTHOPAEDIC AND SPORTS MEDICINE LLC NEWPORT NEWS VA ORTHOPEDIC SURGERY 26 78 $10,946 $140 15.6% (757) 873-1554
44 MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC SHREVEPORT LA PHYSICIAN ASSISTANT 28 78 $13,572 $174 32.2% (318) 635-3052
45 COLORADO SPRINGS ORTHOPAEDIC GROUP COLORADO SPRINGS CO PHYSICIAN ASSISTANT 75 74 $14,254 $193 18.5% (719) 632-7669
46 SIGNATURE MEDICAL GROUP OF KC PA OVERLAND PARK KS PHYSICIAN ASSISTANT 25 71 $4,544 $64 22.5% (913) 498-6000
47 CHATTANOOGA ORTHOPAEDIC GROUP, PC CHATTANOOGA TN PHYSICAL THERAPIST IN PRIVATE PRACTICE 72 70 $10,150 $145 8.7% (423) 624-2696
48 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 69 $7,038 $102 3.3% (858) 455-9100
49 CONNECTICUT ORTHOPAEDIC SPECIALISTS PC HAMDEN CT PHYSICIAN ASSISTANT 181 68 $7,550 $111 40.0% —
50 THE CENTER FOR BONE AND JOINT DISEASE, PA. HUDSON FL PHYSICIAN ASSISTANT 34 68 $27,336 $402 8.2% (727) 697-2200
51 S THOMAS SEHY D P M L L C CENTRALIA MO PODIATRY 3 63 $6,552 $104 10.5% (618) 532-4465
52 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 62 $3,100 $50 11.4% —
53 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 61 $7,625 $125 7.4% (904) 396-1725
54 ORTHOPAEDIC CLINIC OF MONROE MONROE LA PHYSICIAN ASSISTANT 35 61 $6,405 $105 25.2% 31832384514310
55 ROBERT NEVILLE AND ASSOCIATES PA SHENANDOAH TX PODIATRY 5 60 $19,926 $332 3.6% (281) 364-9041
56 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 60 $7,320 $122 2.9% (415) 600-1020
57 HH HEALTH SYSTEM - THE ORTHOPAEDIC CENTER LLC HUNTSVILLE AL PHYSICAL THERAPIST IN PRIVATE PRACTICE 175 59 $6,222 $105 10.8% (256) 539-2728
58 UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER SANTA MONICA CA PODIATRY 22 58 $11,296 $195 2.8% (310) 828-0011
59 SOUTHERN ORTHOPAEDIC ALLIANCE PLLC MOBILE AL PHYSICIAN ASSISTANT 105 58 $4,582 $79 10.6% (251) 435-2663
60 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 57 $8,379 $147 36.3% (608) 260-2900
61 ORTHOPEDIC ONE, INC. UPPER ARLINGTON OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 280 57 $4,689 $82 11.9% (614) 827-8700
62 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 56 $7,056 $126 6.9% (615) 329-6600
63 ORTHOSC LLC MYRTLE BEACH SC PHYSICAL THERAPIST IN PRIVATE PRACTICE 113 55 $1,650 $30 12.0% (843) 491-4937
64 JAN DAVID TEPPER D P M INC UPLAND CA PODIATRY 2 55 $5,500 $100 2.6% (909) 920-0884
65 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 54 $3,456 $64 2.6% (925) 939-8585
66 ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC CINCINNATI KY PHYSICIAN ASSISTANT 163 54 $5,562 $103 20.7% (513) 232-2663
67 ORTHOPAEDIC INSTITUTE OF OHIO, INC LIMA OH PHYSICIAN ASSISTANT 75 54 $15,120 $280 11.3% (419) 222-6622
68 MICHIGAN ORTHOPAEDIC SURGEONS PLLC BEVERLY HILLS MI PHYSICIAN ASSISTANT 124 52 $7,571 $146 20.8% (248) 644-3920
69 PRECISION ORTHOPEDICS AND SPORTS MEDICINE IRVING TX ORTHOPEDIC SURGERY 14 52 $6,500 $125 3.1% 97243846361117
70 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 51 $6,528 $128 2.4% (916) 983-7476
71 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 51 $4,182 $82 19.5% (502) 928-1050
72 JEREMIAH GRAFF DPM P A PLANO TX PODIATRY 7 51 $3,876 $76 3.0% (972) 403-7733
73 CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC ALBANY NY ORTHOPEDIC SURGERY 67 51 $2,703 $53 13.4% (518) 489-2666
74 ORTHOWEST IRVINE CA ORTHOPEDIC SURGERY 47 51 $4,948 $97 2.4% (949) 586-3200
75 SOUTHWEST GENERAL MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 238 50 $2,500 $50 10.4% —
76 CENTER FOR ORTHOPAEDICS AND SPINE LLC LAKE CHARLES LA NURSE PRACTITIONER 32 50 $6,800 $136 20.7% (337) 721-7236
77 ALBUQUERQUE ASSOCIATED PODIATRISTS ALBUQUERQUE NM PODIATRY 8 49 $6,076 $124 62.8% (505) 247-4164
78 ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 36 49 $4,366 $89 2.9% (972) 985-1072
79 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 48 $3,367 $70 24.1% (541) 706-7715
80 ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PLLC GREENWICH NY PHYSICIAN ASSISTANT 259 47 $5,616 $119 12.4% (203) 869-1145
81 TEXAS JOINT INSTITUTE, PLLC DALLAS TX PHYSICIAN ASSISTANT 39 46 $3,220 $70 2.7% (972) 566-5255
82 WISCONSIN RIVER ORTHOPAEDICS, LTD. WISCONSIN RAPIDS WI PHYSICAL THERAPIST IN PRIVATE PRACTICE 18 45 $994 $22 28.7% (715) 424-1881
83 TRI-CITY ORTHOPAEDIC CLINIC P S C KENNEWICK WA ORTHOPEDIC SURGERY 19 44 $8,654 $197 8.6% (509) 460-5588
84 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALL PA ORTHOPEDIC SURGERY 216 44 $6,138 $140 11.4% (610) 353-0800
85 CHATTANOOGA ORTHOPAEDIC GROUP, PC CHATTANOOGA WA PHYSICAL THERAPIST IN PRIVATE PRACTICE 72 44 $6,380 $145 8.6% (423) 624-2696
86 DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC LEAWOOD KS ORTHOPEDIC SURGERY 67 44 $6,292 $143 14.0% (913) 319-7600
87 GRANITE ORTHOPAEDICS PLLC PRESCOTT AZ PHYSICIAN ASSISTANT 12 43 $4,321 $100 4.1% (928) 777-9950
88 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 43 $2,642 $61 72.9% (801) 261-8346
89 TRI-COUNTY ORTHOPAEDIC AND SPORTS MEDICINE PA CEDAR KNOLLS NJ ORTHOPEDIC SURGERY 42 42 $4,116 $98 3.4% (973) 538-2334
90 ROCKHILL ORTHOPAEDIC SPECIALISTS INC LEES SUMMIT KS PHYSICIAN ASSISTANT 27 42 $5,250 $125 13.3% (816) 246-4302
91 ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. FORT MYERS FL PHYSICIAN ASSISTANT 46 42 $4,146 $99 5.1% (239) 334-7000
92 GATEWAY FOOT AND ANKLE CENTER PLC CLARKSVILLE TN PODIATRY 6 41 $4,715 $115 5.1% (931) 245-1920
93 UNIVERSITY FOOT AND ANKLE CENTER LLC LOUISVILLE KY PODIATRY 6 41 $1,845 $45 15.7% (502) 893-1844
94 SCRIPPS HEALTH LA JOLLA SC PHYSICIAN ASSISTANT 1431 40 $4,080 $102 8.7% (858) 455-9100
95 ORA ORTHOPEDICS PC MOLINE IA PHYSICIAN ASSISTANT 117 40 $3,360 $84 17.9% (309) 762-3621
96 SCOTT E ADAMS DPM INC ARROYO GRANDE CA PODIATRY 4 40 $2,040 $51 1.9% (805) 481-0881
97 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 40 $3,400 $85 6.0% (405) 751-5555
98 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 40 $1,802 $45 7.8% —
99 COLUMBIA ORTHOPAEDIC GROUP LLP COLUMBIA MO ORTHOPEDIC SURGERY 91 39 $5,733 $147 6.5% (573) 443-2402
100 SVMHS CLINICS SALINAS CA PHYSICIAN ASSISTANT 245 39 $3,997 $102 1.9% (831) 422-3636

Showing the top 100 of 206 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 →