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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0398T Destruction of tissue of brain using mri guidance HCPCS · Other Organ Systems procedure
Classification Procedure Other Organ Systems (CMS RBCS)
First observed 2018
National scale 1,358 services ▲ 48.1% YoY · 1,313 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.8M · $1304.33 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
31
Named-group FFS services
999
FFS of Medicare
49%
Services YoY
+48.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,915 services

999 observed fee-for-service (52%) · ~916 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 — 0398T (CY2024)

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

Named-group submitted charges
$8.6M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.3M
Avg charge / svc
$8,643
Avg allowed / svc
$1,693
Avg payment / svc
$1,347
Average charge per group
$1,040 31 groups · avg submitted charge / service $38,940
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 0398T 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 0398T 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 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 82 $811,548 $9,897 premium 100.0% (617) 732-5500
2 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 72 $1,123,488 $15,604 premium 43.6% (434) 924-5959
3 TEXAS BRAIN AND SPINE CENTER, P.A HOUSTON TX PHYSICIAN ASSISTANT 2 69 $327,750 $4,750 premium 55.6% (281) 922-5099
4 NEUROSURGICAL ASSOCIATES PC HENRICO VA NEUROSURGERY 16 67 $435,500 $6,500 premium 40.6% (804) 288-8204
5 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 63 $65,550 $1,040 premium 100.0% (503) 494-8311
6 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 50 $258,300 $5,166 premium 58.8% (919) 684-8111
7 UNIVERSITY OF MARYLAND NEUROSURGERY ASSOCIATES P A BALTIMORE MD NEUROSURGERY 24 44 $379,104 $8,616 premium 72.1% (410) 328-6034
8 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 42 $175,837 $4,187 premium 100.0%
9 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 40 $265,246 $6,631 premium 100.0% (405) 271-4311
10 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 36 $411,569 $11,432 premium 35.0% (212) 746-5454
11 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 35 $119,805 $3,423 premium 100.0% (312) 563-2875
12 NEW JERSEY BRAIN AND SPINE PC MONTVALE NJ NEUROSURGERY 36 32 $401,042 $12,533 premium 72.7% (201) 342-2550
13 UNIVERSITY OF UTAH SURGICAL SERVICES SALT LAKE CITY CO PHYSICIAN ASSISTANT 45 32 $384,216 $12,007 premium 69.6% (801) 585-7575
14 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 31 $372,210 $12,007 premium 100.0% (801) 581-2121
15 NORTH SHORE-LIJ MEDICAL PC MANHASSET TX PHYSICIAN ASSISTANT 6294 25 $125,000 $5,000 premium 20.2%
16 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 23 $93,959 $4,085 premium 100.0% (404) 778-7525
17 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 23 $672,750 $29,250 premium 27.1% (984) 215-5556
18 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 21 $472,500 $22,500 premium 20.4% (212) 263-9700
19 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 20 $128,380 $6,419 premium 64.5%
20 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 20 $140,000 $7,000 premium 100.0%
21 WEST TENNESSEE MEDICAL GROUP INC JACKSON TN NURSE PRACTITIONER 189 19 $65,968 $3,472 premium 63.3%
22 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROSURGERY 46 19 $143,127 $7,533 premium 18.1% (310) 825-5111
23 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 16 $131,568 $8,223 premium 15.0% (786) 662-0600
24 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA CA PHYSICIAN ASSISTANT 3505 15 $93,750 $6,250 premium 14.3% (215) 662-2777
25 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 15 $32,355 $2,157 premium 9.1%
26 NEW JERSEY BRAIN AND SPINE PC MONTVALE NY NEUROSURGERY 36 14 $175,456 $12,533 premium 13.6% (201) 342-2550
27 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 14 $92,666 $6,619 premium 30.4% (720) 777-1234
28 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 13 $95,242 $7,326 premium 12.4% (650) 723-4000
29 MEMORIAL NEUROSURGERY GROUP LLC JACKSONVILLE FL NEUROSURGERY 8 12 $56,719 $4,727 premium 11.2% (904) 399-6069
30 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 12 $467,280 $38,940 premium 27.3% (732) 362-3663
31 BOCACARE INC BOCA RATON NC PHYSICIAN ASSISTANT 199 12 $83,850 $6,988 premium 14.1% (561) 955-7100
32 SEMMES-MURPHEY CLINIC PC MEMPHIS TN NEUROSURGERY 65 11 $32,780 $2,980 premium 36.7% (901) 522-7700

*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 →