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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
00868 Anesthesia for kidney transplant CPT · Anesthesia
Classification Anesthesia Anesthesia (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 443 services ▼ 27.6% YoY · 442 beneficiaries (CY2024, Medicare FFS)
Medicare paid $141K · $317.86 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
18
Named-group FFS services
392
FFS of Medicare
49%
Services YoY
-27.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~763 services

392 observed fee-for-service (51%) · ~371 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 — 00868 (CY2024)

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$160K
Named-group Medicare payments
$127K
Avg charge / svc
$3,866
Avg allowed / svc
$408
Avg payment / svc
$323
Average charge per group
$2,358 18 groups · avg submitted charge / service $6,628
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 00868 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 00868 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 82 $227,028 $2,769 premium 100.0% (202) 429-2401
2 U S ANESTHESIA PARTNERS OF TEXAS, PA HOUSTON TX ANESTHESIOLOGY 2754 48 $291,276 $6,068 premium 100.0% (713) 375-7000
3 UNIVERSITY OF TOLEDO PHYSICIANS LLC TOLEDO OH PHYSICIAN ASSISTANT 405 34 $80,181 $2,358 premium 55.7% (419) 383-5550
4 ALLIED ANESTHESIA MEDICAL GROUP INC ORANGE CA ANESTHESIOLOGY 183 27 $99,260 $3,676 premium 100.0% (714) 744-8700
5 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 24 $104,200 $4,342 premium 66.7% (205) 934-3460
6 NORTHWEST HBP MEDICAL SERVICES LLC TUCSON AZ INTERNAL MEDICINE 290 19 $49,080 $2,583 premium 63.3% (520) 229-2657
7 CARDIOVASCULAR ANESTHESIOLOGISTS PC NASHVILLE TN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 142 16 $57,876 $3,617 premium 100.0% (615) 385-3704
8 GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES LLC TAMPA FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 320 15 $99,424 $6,628 premium 57.7% (813) 844-4396
9 UNIVERSITY OF MARYLAND ANESTHESIOLOGY ASSOCIATES PA BALTIMORE MD ANESTHESIOLOGY 138 14 $46,170 $3,298 premium 53.8% (410) 328-6720
10 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 12 $36,663 $3,055 premium 52.2% (314) 747-3000
11 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 12 $34,969 $2,914 premium 100.0% (507) 284-2511
12 NEW JERSEY HEALTHCARE SPECIALISTS PC HACKENSACK NJ ANESTHESIOLOGY 582 12 $64,430 $5,369 premium 52.2% (201) 488-0066
13 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 11 $39,088 $3,554 premium 100.0% (888) 484-3258
14 MAYO CLINIC ARIZONA PHOENIX OH PHYSICIAN ASSISTANT 1635 11 $25,000 $2,273 premium 18.0% (800) 603-0558
15 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 11 $31,380 $2,853 premium 36.7% (800) 603-0558
16 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 11 $44,458 $4,042 premium 42.3% (904) 953-2000
17 RWJBH OBSERVATION ASSOCIATES LLC SOMERVILLE NJ PHYSICIAN ASSISTANT 937 11 $68,040 $6,185 premium 47.8% (908) 685-2200
18 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 11 $53,930 $4,903 premium 100.0% (804) 828-9000
19 NEW YORK UNIVERSITY NEW YORK MA DIAGNOSTIC RADIOLOGY 5704 11 $62,942 $5,722 premium 100.0% (212) 263-9700

*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 →