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Market snapshot

00126 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

00126 — Anesthesia for incision of ear drum

Billing groups
7
Named-group FFS services
173
FFS of Medicare
49%
Services YoY
-9.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~373 services

173 observed fee-for-service (46%) · ~200 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 — 00126 (CY2024)

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

Named-group submitted charges
$177K
Named-group allowed amount
$13K
Named-group Medicare payments
$10K
Avg charge / svc
$1,021
Avg allowed / svc
$76
Avg payment / svc
$60
Average charge per group
$407 7 groups · avg submitted charge / service $3,056
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 00126 services, CY2024
#Physician group City St Specialty Providers 00126 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 PENN STATE HEALTH MEDICAL GROUP LLC CAMP HILL PA PHYSICIAN ASSISTANT 700 43 $17,511 $407 premium 44.8% (717) 972-4250
2 ANESTHESIA DYNAMICS LLC LECANTO FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 845 32 $32,512 $1,016 premium 55.2% (352) 527-1825
3 ANESTHESIA ADVANTAGE PC LANGHORNE AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 15 22 $18,200 $827 premium 100.0% (215) 860-4110
4 AAOC ANESTHESIA LLC LAWRENCEVILLE GA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 2 18 $55,000 $3,056 premium 100.0% (678) 689-1100
5 ANESTHESIA DYNAMICS LLC LECANTO MN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 845 13 $11,646 $896 premium 100.0% (352) 527-1825
6 ANESTHESIA DYNAMICS LLC LECANTO AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 845 12 $11,159 $930 premium 50.0% (352) 527-1825
7 MSC ANESTHESIA INC BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 19 11 $15,770 $1,434 premium 19.0% (941) 745-2727
8 ELITE ANESTHESIA PROVIDERS LTD MOKENA IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 23 11 $9,660 $878 premium 100.0% (708) 478-8889
9 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 11 $5,102 $464 premium 11.5%

*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 →