NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
27278 Fusion of pelvic joint including joint implant using imaging guidance CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2024
National scale 1,714 services · est. · 757 FFS beneficiaries (CY2024, all-Medicare estimate) — 847 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 27278
The whole of 27278, written up and sourced.

The Brief is a national document for 27278. 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 27278 ran ~1,714 all-Medicare services (estimated), 847 observed fee-for-service in CY2024. 14 billing groups and 23 clinicians bill it.
  2. 2Payment. Half the field lists between $1,402 and $13,547 per service; the median group lists $3,684. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. FL, CO, OK and TX lead the state markets — together 58% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,714 services

847 observed fee-for-service (49%) · ~867 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 $1,402 and $13,547

Submitted charges are provider-set list amounts, not payments · median $3,684 (named groups)
Every group, one dot14 billing groups · median $3,684

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

$0$20,000$40,000++1 groups list more, to $75,072 →average submitted charge per service, per billing groupmedian $3,684
One dot per billing group, 27278 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
MEVTNHWAIDMTNDMN: 15MNWI: 32WIIL: 25ILMINYMARIORNVWYSDIAINOHPA: 13PANJ: 28NJCTCAUTCO: 125CONEMOKYWV: 23WVVAMDDEAZNMKS: 60KSARTN: 13TNNCSC: 59SCDCOK: 117OKLA: 12LAMSALGA: 78GAHIAKTX: 80TXFL: 167FL
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.

Open a state market: FL · CO · OK · TX · GA · KS · SC · WI · NJ · IL · WV · MN — 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 chart14 groups · bubble = services
One billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing group$10,000$25,000$50,000$75,000$100,000+Average submitted charge per service — list amounts, not paymentsServices per group — 27278, CY2024
One mark per physician group, 27278 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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