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Market snapshot

01215 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

01215 — Anesthesia for revision of total hip replacement

Billing groups
10
Named-group FFS services
179
FFS of Medicare
49%
Services YoY
-30.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~354 services

179 observed fee-for-service (51%) · ~175 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 — 01215 (CY2024)

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

Named-group submitted charges
$757K
Named-group allowed amount
$49K
Named-group Medicare payments
$39K
Avg charge / svc
$4,228
Avg allowed / svc
$272
Avg payment / svc
$217
Average charge per group
$1,270 10 groups · avg submitted charge / service $10,024
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 01215 services, CY2024
#Physician group City St Specialty Providers 01215 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 34 $76,140 $2,239 premium 75.6%
2 ARKANSAS SURGICAL HOSPITAL LLC NORTH LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 42 26 $41,123 $1,582 premium 100.0%
3 ORTHOMED STAFFING PLLC PLANO IN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 347 17 $174,150 $10,244 premium 100.0% (972) 596-6800
4 NORTHSTAR ANESTHESIA OF VIRGINIA, LLC ALEXANDRIA VA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 410 17 $120,984 $7,117 premium 100.0% (703) 504-3000
5 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 14 $28,169 $2,012 premium 100.0% (507) 284-2511
6 ANESTHESIA MEDICAL GROUP, P.C. NASHVILLE TN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 429 13 $28,836 $2,218 premium 100.0% (615) 327-4304
7 ORTHOMED STAFFING PLLC PLANO TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 347 12 $116,556 $9,713 premium 44.4% (972) 596-6800
8 ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS NEW BEDFORD MA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 564 12 $18,850 $1,571 premium 100.0% (781) 983-9088
9 EAST RIVER MEDICAL ASSOCIATES PC NEW YORK NY ANESTHESIOLOGY 111 12 $108,780 $9,065 premium 100.0% (212) 606-1206
10 UNITED ANESTHESIA SERVICES PC WAYNE PA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 422 11 $29,188 $2,654 premium 24.4% (610) 645-2000
11 THE OUTER BANKS HOSPITAL INC NAGS HEAD MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 11 $13,968 $1,270 premium 100.0% (252) 449-4518

*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 →