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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
11426 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm CPT · Skin procedure
Classification Procedure Skin Skin Lesion Excision (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 762 services · est. ▲ 5.0% YoY · 264 FFS beneficiaries (CY2024, all-Medicare estimate) — 380 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview

Nationally, 4 billing groups and 8 clinicians bill 11426 — ~762 all-Medicare services · est. (380 observed FFS), and volume is up 5.0% year over year.

Market Brief 11426
The whole of 11426, written up and sourced.

The Brief is a national document for 11426. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for 11426 ran ~762 all-Medicare services (estimated), 380 observed fee-for-service in CY2024. The market is up 5.0% year over year. 4 billing groups and 8 clinicians bill it.
  2. 2Payment. Half the field lists between $713 and $839 per service; the median group lists $746. Submitted charges are provider-set list amounts, not payments.
Estimated all-Medicare volume estimate
FFS + estimated MA

~762 services

380 observed fee-for-service (50%) · ~382 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Average charge

$875

per service, submitted list amounts — not payments · observed FFS basis
Charge-to-payment ratio

7.6×

average list $875 vs average Medicare payment $116 per service · basis-independent
Billing groups

4

4 at the ≥11-service disclosure floor
What they charge

Half the field lists between $713 and $839

Submitted charges are provider-set list amounts, not payments · median $746 (named groups)
Every group, one dot4 billing groups · median $746

Each dot is one billing group — 4 of them list this code

$0$750$1,500average submitted charge per service, per billing groupmedian $746
One dot per billing group, 11426 nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
MEVTNHWAIDMTNDMNWIILMINYMARIORNVWYSDIAINOHPANJCTCA: 261CAUTCONEMOKYWVVAMDDEAZNMKSARTN: 29TNNCSCDCOKLAMSALGAHIAKTXFL: 90FL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighbouring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.
Which states movedservices per 1,000 FFS beneficiaries · CY2021 → CY2024
CY2021CY2024CA: 0 → 0FL: 0 → 0CA 0FL 00 CA0 FL
One line per state market, 2 drawn; the 2 leading states by volume are in accent, the rest are context lines. Both columns share one scale, so a slope is real change. A RATE against each state’s own fee-for-service population — assumption-free, and no all-Medicare estimate is used or implied. CY2021 is the left period because CY2020 is the pandemic year and a slope off it would read as growth almost everywhere. 2 states with a rate in only one of the two years are not drawn.

Open a state market: CA · FL · TN — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

The whole field, one canvas4 groups · bubble = services
One billing groupOne billing groupOne billing groupOne billing group$200$500$1,000$1,500$2,000+Average submitted charge per service — list amounts, not paymentsServices per group — 11426, CY2024
One mark per physician group, 11426 nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.