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Definitive Healthcare defines a Physician Group as one or more physicians operating as an organization to provide care. The following list includes the top 25 Physician Groups by total number of knee replacement procedures, as classified by CPT code 27447.
The total list represents over $265 million in charges with an average charge per procedure of $4,431. Rothman Orthopaedic Institute in Pennsylvania tops the list with 12,711 total procedures— a figure that is 87.5% higher than the next appearing group on the list, Illiinois Bone and Joint Institute with 4,972 procedures. Rothman accounts for 22% of the procedures from the top 25 groups and nearly 27% of the charges on the list.
Between 2017 and 2018, there was a small increase in number of procedures and total charges represented in the top 25 list at 3.03% and 2.9%, respectively. Of those with the highest number of procedures, there was an overall decrease of 2.5% for average charge per procedure from the top 25 of 2017. The changes for Rothman Orthopaedic Institute, specifically, were far more substantial with a 9.35% increase in procedures and an 8% increase in total charges in a year over year comparison.
Top Physician Groups by Total Knee Replacements
|
|
Physician Group Name |
State |
Definitive ID |
Number of Total Procedures |
Total Charges |
Average Charge/Procedure |
|
1. |
Rothman Orthopaedic Institute |
PA |
706720 |
12,711 |
$70,823,822 |
$5,572 |
|
2. |
Illinois Bone & Joint Institute |
IL |
551612 |
4,972 |
$22,277,087 |
$4,481 |
|
3. |
Tucson Orthopaedic Institute PC |
AZ |
551896 |
3,285 |
$10,472,383 |
$3,188 |
|
4. |
Towson Orthopaedic Associates |
MD |
603828 |
2,443 |
$8,983,215 |
$3,677 |
|
5. |
Orthopaedic Clinical Associates |
MA |
725064 |
2,199 |
$3,298,500 |
$1,500 |
|
6. |
New England Orthopedic Surgeons |
MA |
695692 |
2,084 |
$10,215,012 |
$4,902 |
|
7. |
Signature Medical Group |
MO |
956860 |
2,001 |
$14,209,351 |
$7,101 |
|
8. |
Jewett Orthopaedic Clinic PA |
FL |
551732 |
1,982 |
$6,704,656 |
$3,383 |
|
9. |
Kennedy-White Orthopedic Center |
FL |
600616 |
1,752 |
$5,398,378 |
$3,081 |
|
10. |
Center for Neurosciences Orthopaedics & Spine |
SD |
661207 |
1,736 |
$5,901,440 |
$3,399 |
|
11. |
EmergeOrtho Triad Region |
NC |
752095 |
1,650 |
$10,980,776 |
$6,655 |
|
12. |
Jordan-Young Institute for Reconstructive Surgery and Sports Medicine |
VA |
586353 |
1,625 |
$12,713,483 |
$7,824 |
|
13. |
St Cloud Orthopedics |
MN |
551631 |
1,623 |
$7,570,654 |
$4,665 |
|
14. |
North Shore Health & Hyperbarics |
NY |
644217 |
1,595 |
$11,261,175 |
$7,060 |
|
15. |
The Center |
OR |
697426 |
1,584 |
$6,114,941 |
$3,860 |
|
16. |
The Bone & Joint Center |
ND |
641568 |
1,581 |
$4,393,392 |
$2,779 |
|
17. |
Physicians Clinic of Iowa PC |
IA |
550528 |
1,565 |
$3,463,946 |
$2,213 |
|
18. |
Orthopedic Associates of Dutchess County |
NY |
689632 |
1,548 |
$6,364,624 |
$4,112 |
|
19. |
Center for Orthopedic Surgery LLP |
TX |
642179 |
1,533 |
$8,283,628 |
$5,404 |
|
20. |
Tri-County Orthopedics |
NJ |
719238 |
1,443 |
$11,491,100 |
$7,963 |
|
21. |
Orthocincy Orthopaedics & Sports Medicine |
KY |
737589 |
1,427 |
$4,569,785 |
$3,202 |
|
22. |
Midwest Neurosurgery |
NE |
593697 |
1,364 |
$6,352,452 |
$4,657 |
|
23. |
Ortho Rhode Island |
RI |
845390 |
1,355 |
$4,059,973 |
$2,996 |
|
24. |
Toledo Orthopaedic Surgeons |
OH |
652300 |
1,346 |
$5,391,019 |
$4,005 |
|
25. |
Center for Orthopedics Inc |
OH |
647091 |
1,330 |
$4,122,175 |
$3,099 |
Fig 1. Data is from the 2018 claims year from the Definitive Healthcare's Commercial Claims database.