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Market snapshot

13160 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

13160 — Extensive or complicated repair of surface wound reopening

Billing groups
33
Named-group FFS services
1,005
FFS of Medicare
49%
Services YoY
+21.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,912 services

1,005 observed fee-for-service (53%) · ~907 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 — 13160 (CY2024)

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

Named-group submitted charges
$2.4M
Named-group allowed amount
$658K
Named-group Medicare payments
$525K
Avg charge / svc
$2,432
Avg allowed / svc
$655
Avg payment / svc
$522
Average charge per group
$960 33 groups · avg submitted charge / service $7,933
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 13160 services, CY2024
#Physician group City St Specialty Providers 13160 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 126 $257,040 $2,040 premium 87.5% (202) 429-2401
2 TEXAS JOINT INSTITUTE, PLLC DALLAS TX PHYSICIAN ASSISTANT 39 113 $289,135 $2,559 premium 35.9% (972) 566-5255
3 CHI HEALTH CLINIC SPECIALTY LLC LINCOLN NV NURSE PRACTITIONER 309 76 $115,882 $1,525 premium 100.0% (402) 219-8000
4 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 75 $153,000 $2,040 premium 24.5% (202) 429-2401
5 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 58 $112,230 $1,935 premium 100.0% (918) 502-4720
6 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 34 $113,819 $3,348 premium 16.7% (239) 343-9888
7 CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER APC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 16 32 $37,755 $1,180 premium 14.6% (760) 423-4000
8 RICHARD G BUCH MD PA CARROLLTON TX NURSE PRACTITIONER 3 32 $104,859 $3,277 premium 10.2% (469) 433-0924
9 MISSISSIPPI BURN HAND AND RECONSTRUCTION CENTERS PC JACKSON MS NURSE PRACTITIONER 13 30 $87,000 $2,900 premium 100.0% (833) 672-8767
10 MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC ROCHESTER HILLS PA PHYSICIAN ASSISTANT 16 26 $52,000 $2,000 premium 36.6% (248) 215-8080
11 ST FRANCIS MEDICAL GROUP LLC MONROE LA NURSE PRACTITIONER 165 25 $44,550 $1,782 premium 100.0% (318) 966-6500
12 MCHS HOSPITALS INC MARSHFIELD CA NURSE PRACTITIONER 1179 24 $119,330 $4,972 premium 11.0%
13 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 21 $58,527 $2,787 premium 100.0% (312) 563-2875
14 SEQUOIA INSTITUTE FOR SURGICAL SERVICES INC VISALIA CA NURSE PRACTITIONER 4 20 $158,650 $7,933 premium 9.1% (559) 731-2009
15 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 20 $41,960 $2,098 premium 100.0% (812) 450-6700
16 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 18 $44,100 $2,450 premium 8.8% (386) 231-6000
17 JOHNS HOPKINS UNIVERSITY BALTIMORE MD INTERNAL MEDICINE 720 18 $47,412 $2,634 premium 12.5% (410) 550-0100
18 EMERGENCY AND ACUTE CARE MEDICAL CORPORATION SAN DIEGO CA INTERNAL MEDICINE 450 17 $16,320 $960 premium 7.8% (858) 939-3400
19 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 17 $32,353 $1,903 premium 100.0% (913) 588-1227
20 ST. MARY'S HIMG, LLC HUNTINGTON WV NURSE PRACTITIONER 78 17 $19,686 $1,158 premium 100.0% (304) 528-4600
21 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 17 $58,232 $3,425 premium 48.6% (617) 732-5500
22 POLINSKY MEDICAL REHABILITATION CENTER DULUTH MN FAMILY PRACTICE 366 17 $84,674 $4,981 premium 38.6% (218) 786-5360
23 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 16 $29,216 $1,826 premium 100.0% (615) 385-3751
24 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 16 $67,360 $4,210 premium 7.8% (850) 877-8174
25 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 16 $38,541 $2,409 premium 7.3% (760) 340-3911
26 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 16 $38,016 $2,376 premium 5.1% (512) 324-7300
27 ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO INC SAN DIEGO CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 146 15 $30,585 $2,039 premium 6.8% (619) 359-6600
28 PRESTIGE FOOT AND ANKLE CENTER LLC MEDINA OH PODIATRY 9 15 $18,150 $1,210 premium 100.0% (330) 591-9635
29 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 15 $28,965 $1,931 premium 24.6% (757) 595-9880
30 MCLAREN CENTRAL MICHIGAN PETOSKEY MI NURSE PRACTITIONER 171 14 $39,987 $2,856 premium 41.2% (231) 487-7200
31 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 14 $47,180 $3,370 premium 6.9% (305) 689-5437
32 METROPLEX FOOT AND ANKLE CENTER, PLLC N RICHLAND HILLS TX PODIATRY 3 12 $19,122 $1,594 premium 3.8% (817) 595-1310
33 FOOT AND ANKLE ASSOCIATES OF NORTH CAROLINA, PLLC RALEIGH NC PODIATRY 5 12 $12,400 $1,033 premium 48.0% (919) 231-7969
34 JOINT PAIN AND ORTHOPEDICS, PLLC AUSTIN TX ORTHOPEDIC SURGERY 10 11 $26,488 $2,408 premium 3.5% (512) 266-3377

*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 →