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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
01200 Anesthesia for closed procedure on hip joint CPT · Anesthesia
Classification Anesthesia Anesthesia (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 783 services ▼ 14.1% YoY · 728 beneficiaries (CY2024, Medicare FFS)
Medicare paid $49K · $62.06 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
432
FFS of Medicare
49%
Services YoY
-14.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~963 services

432 observed fee-for-service (45%) · ~531 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 — 01200 (CY2024)

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

Named-group submitted charges
$420K
Named-group allowed amount
$31K
Named-group Medicare payments
$24K
Avg charge / svc
$972
Avg allowed / svc
$73
Avg payment / svc
$56
Average charge per group
$332 21 groups · avg submitted charge / service $2,255
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 01200 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 01200 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 MOTOR CITY ANESTHESIA SERVICES PLLC DEARBORN MI ANESTHESIOLOGY 2 60 $61,370 $1,023 premium 41.1% (734) 212-3097
2 ANESTHESIA PARTNERS OF NORTH VALLEY LANCASTER CA ANESTHESIOLOGY 20 33 $17,100 $518 premium 40.2% (661) 949-5000
3 ANESTHESIA GROUP PRACTICE INC MONTGOMERY OH CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 407 28 $9,614 $343 premium 42.4% (513) 865-1111
4 SENTRY ANESTHESIA MANAGEMENT, LLC AMERICUS GA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 175 27 $43,582 $1,614 premium 64.3% (229) 924-6011
5 U S ANESTHESIA PARTNERS OF TEXAS, PA HOUSTON TX ANESTHESIOLOGY 2754 27 $30,015 $1,112 premium 19.4% (713) 375-7000
6 BMR ANESTHESIA PLLC PENSACOLA FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 19 25 $17,200 $688 premium 30.9%
7 PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP SAN LUIS OBISPO CA NURSE PRACTITIONER 11 23 $39,432 $1,714 premium 28.0% (805) 544-7246
8 ANESTHESIA DYNAMICS LLC LECANTO FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 845 18 $23,404 $1,300 premium 22.2% (352) 527-1825
9 SWEET DREAMS ANESTHESIA PLLC MERIDIAN MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 20 18 $5,980 $332 premium 100.0% (601) 482-9224
10 ST MARY MERCY HOSPITAL CRNA LIVONIA MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 51 17 $13,173 $775 premium 11.6% (734) 655-2909
11 NTX ANESTHESIOLOGY CONSULTANTS PLLC ARLINGTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 100 16 $36,075 $2,255 premium 11.5% (469) 607-2276
12 CAMDEN-CLARK PHYSICIAN CORPORATION PARKERSBURG OH NURSE PRACTITIONER 353 16 $9,045 $565 premium 24.2% (304) 424-2111
13 ANESTHESIA DYNAMICS LLC LECANTO MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 845 15 $17,444 $1,163 premium 10.3% (352) 527-1825
14 ASSOCIATES IN ANESTHESIA, INC. CHESTER PA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 30 14 $5,872 $419 premium 50.0%
15 CONCIERGE ANESTHESIA THOUSAND OAKS CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 21 13 $21,914 $1,686 premium 15.9% (805) 870-9482
16 DEARBORN PHYSICAL THERAPY LTD DEARBORN MI ORTHOPEDIC SURGERY 102 13 $11,500 $885 premium 8.9%
17 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 12 $7,480 $623 premium 8.6% (254) 724-2663
18 EASTERN DISTRICT ANESTHESIOLOGY PLLC ROCHESTER HILLS MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 38 12 $6,930 $578 premium 8.2% (248) 601-0040
19 NORTH AMERICAN PARTNERS IN ANESTHESIA MARYLAND LLC CUMBERLAND MD CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 43 12 $18,251 $1,521 premium 100.0% (240) 964-7000
20 BEL-PARK ANESTHESIA ASSOCIATES, INC. YOUNGSTOWN OH CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 159 11 $5,024 $457 premium 16.7% (330) 480-3658
21 NEW JERSEY HEALTHCARE SPECIALISTS PC HACKENSACK NJ ANESTHESIOLOGY 582 11 $14,718 $1,338 premium 100.0% (201) 488-0066
22 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 11 $4,720 $429 premium 7.9% (512) 244-4272

*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 →