Medicare procedure market data by CPT code & state

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Market snapshot

FL CY2024

Medicare Part B FFS · CY2024 · as published by CMS

11980 Placement of hormone pellet under skin CPT · Skin procedure

Classification Procedure › Skin (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 14,816 services ▼ 3.0% YoY · 6,780 beneficiaries (CY2024, Medicare FFS)

Medicare paid $946K · $63.88 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window · National figures — the FL market is below

Market analyticsPlatform Methods →

The structure and trend panels below are live for everyone — free to look at. The rank & score analytics, baskets, and export are the platform.

The read

What am I looking at, in one breath?

The read Platform

In Florida, 10 groups bill 11980 — 1,655 fee-for-service services, and volume is up 2.5% year over year.

The orienting line is free; the comparative synthesis — growth rank, concentration, and $/service against the national figure — unlocks with Platform.

The snapshot

The honest, real numbers — free, always.

Billing groups

Named groups billing this code in FL

Named-group FFS services

1,655

Attributable volume · fee-for-service

FFS of Medicare

43%

Payer-mix frame

Named-group coverage

54%

Of Florida’s disclosed Part B services (2024). The rest is billed by clinicians whose volume isn’t attributed to any group — they belong to several groups, or none. How attribution works →

Services · year over year

Services YoY

+2.5%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~3,774 services

1,655 observed fee-for-service (44%) · ~2,119 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

The market

How big, moving which way, worth how much.

Billed → allowed → paid

Named-group submitted charges

$315K

Named-group allowed amount

$121K

Named-group Medicare payments

$84K

Avg charge / svc

$190

Avg allowed / svc

$73

Avg payment / svc

$51

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Per-service vs national + the payments trend unlock with Platform

Market trend — 12-year view

services 2013–2024

Year	Services	Services per 1,000 Part B FFS beneficiaries	Medicare payments
2013 (introduction year)	2,180	1.0	$178,074
2014	2,188	1.0	$173,683
2015	2,077	0.9	$144,457
2016	2,255	1.0	$153,135
2017	2,662	1.2	$181,103
2018	2,999	1.4	$205,535
2019	3,452	1.6	$236,004
2020 (2020)	3,063	1.4	$211,110
2021	3,084	1.5	$211,757
2022	2,679	1.3	$181,953
2023	2,934	1.5	$199,368
2024	3,006	1.6	$173,816

CAGR 2014–2024: +3.2%/yr · CAGR excludes 2020 and the introduction year.

Rates are per 1,000 Part B fee-for-service beneficiaries in the market's geography. See Methods.

The structure

Who's in this market and how it's shaped.

Average charge per group

$68–122

$122–176

$176–231

$231–285

$285–339

$339–393

$393–448

$448+

$68 10 groups · avg submitted charge / service $585

Market structure

Concentration is not shown for markets under 11 billing groups.

Of volume attributable to named groups, independents account for 0%; hospital-affiliated 100%.

Disclosed setting mix: 98% office · 2% facility.

HHI trend: 2021: 3,125 · (group rosters begin 2019)

Provider-setting count 2013 → 2024: 43 → 34 (-21%).

Named groups cover 55% of disclosed volume. CMS suppresses provider-code rows under 11 beneficiaries at the source; suppressed volume is excluded and cannot be estimated from this file. Volume shares describe the volume attributable to named groups; the coverage line above states how much of disclosed Medicare fee-for-service volume that is.

Market position

Where this market sits on volume and growth among all state markets, and its rank.

National benchmarks

Where each group's volume sits nationally and within its specialty.

The opportunity

So where do I act?

Worth a look

Every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume. The cross-market compare view sits alongside.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 11980 services, highest first, CY2024
#	Physician group locked column	City locked column	Specialty locked column	Providers locked column	11980 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share* locked column	Phone
1	WOMENS CARE FLORIDA LLC	TAMPA	OBSTETRICS/GYNECOLOGY	334	814	$55,364	$68	premium	27.1%	(813) 961-7440
2	FLORIDA WOMAN CARE LLC	ORLANDO	OBSTETRICS/GYNECOLOGY	604	394	$124,900	$317	premium	13.1%	(407) 857-2502
3	GENESISCARE USA OF FLORIDA LLC	CAPE CORAL	UROLOGY	175	107	$36,906	$345	premium	3.6%	—
4	FLORIDA PHYSICIAN SPECIALISTS LLC	JACKSONVILLE	UROLOGY	36	67	$26,802	$400	premium	2.2%	(904) 483-2310
5	SMH PHYSICIAN SERVICES INC	SARASOTA	PHYSICIAN ASSISTANT	766	65	$13,000	$200	premium	2.2%	—

That's the top 5 of 10 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →