NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
23472 Prosthetic repair of shoulder joint, total shoulder CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal Shoulder Repair or Replacement - Open (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 222,331 services · est. ▲ 23.7% YoY · 109,051 FFS beneficiaries (CY2024, all-Medicare estimate) — 111,038 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview
Market Brief 23472
The whole of 23472, written up and sourced.

The Brief is a national document for 23472. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for 23472 ran ~222,331 all-Medicare services (estimated), 111,038 observed fee-for-service in CY2024. The market is up 23.7% year over year. 907 billing groups and 3,719 clinicians bill it.
  2. 2Payment. Half the field lists between $2,719 and $5,447 per service; the median group lists $3,924. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. FL, CA, TX and OH lead the state markets — together 25% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~222,331 services

111,038 observed fee-for-service (50%) · ~111,293 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
Average charge
per service, submitted list amounts — not payments · named-group basis, observed FFS
Average payment
per service, Medicare paid amounts — not charges · all disclosed claims, observed FFS basis
Charge-to-payment ratio
average list price vs average Medicare payment per service · named-group basis
What they charge

Half the field lists between $2,719 and $5,447

Submitted charges are provider-set list amounts, not payments · median $3,924 (named groups)
Every group, one dot907 billing groups · median $3,924

The same field as one dot per billing group: where the cluster sits, and how far the tail reaches

$0$7,500$15,000++29 groups list more, to $45,000 →average submitted charge per service, per billing groupmedian $3,924
One dot per billing group, 23472 nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
ME: 432MEVT: 157VTNH: 755NHWA: 3057WAID: 1163IDMT: 1139MTND: 571NDMN: 1537MNWI: 1773WIIL: 3773ILMI: 2818MINY: 3403NYMA: 2836MARI: 292RIOR: 1769ORNV: 1026NVWY: 574WYSD: 1031SDIA: 1599IAIN: 3048INOH: 4972OHPA: 4063PANJ: 2086NJCT: 1316CTCA: 6690CAUT: 1583UTCO: 3232CONE: 1573NEMO: 2598MOKY: 1978KYWV: 371WVVA: 3908VAMD: 2080MDDE: 564DEAZ: 3879AZNM: 450NMKS: 2254KSAR: 1208ARTN: 3183TNNC: 3899NCSC: 2833SCDC: 129DCOK: 1681OKLA: 1291LAMS: 1035MSAL: 1112ALGA: 1970GAHI: 42HIAK: 514AKTX: 6059TXFL: 9732FL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighboring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.
Which states movedservices per 1,000 FFS beneficiaries · CY2021 → CY2024
CY2021CY2024AK: 2 → 5AL: 2 → 3AR: 2 → 4AZ: 4 → 6CO: 5 → 8CT: 2 → 5DC: 2 → 3DE: 3 → 4GA: 2 → 3HI: 0 → 0IA: 3 → 4ID: 3 → 7IL: 2 → 3IN: 3 → 5KS: 4 → 6KY: 3 → 5LA: 2 → 4MA: 2 → 4MD: 2 → 3ME: 2 → 3MI: 2 → 4MN: 2 → 4MO: 3 → 5MS: 1 → 3MT: 4 → 7NC: 3 → 5ND: 5 → 7NE: 4 → 7NH: 2 → 4NJ: 1 → 2NM: 1 → 2NV: 3 → 4NY: 1 → 2OK: 3 → 4OR: 3 → 5PA: 2 → 4RI: 2 → 4SC: 2 → 5SD: 6 → 9TN: 3 → 5UT: 5 → 9VA: 2 → 4VT: 1 → 2WA: 3 → 5WI: 2 → 4WV: 1 → 2WY: 3 → 6CA: 2 → 2FL: 3 → 5OH: 3 → 5TX: 2 → 3OH 3FL 3TX 2CA 25 OH5 FL3 TX2 CA
One line per state market, 51 drawn; the 4 leading states by volume are in accent, the rest are context lines. Both columns share one scale, so a slope is real change. A RATE against each state’s own fee-for-service population — assumption-free, and no all-Medicare estimate is used or implied. CY2021 is the left period because CY2020 is the pandemic year and a slope off it would read as growth almost everywhere.

Open a state market: FL · CA · TX · OH · PA · VA · NC · AZ · IL · NY · CO · TN — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

This market’s groups, on one chart907 groups · bubble = services
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One mark per physician group, 23472 nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.

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