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Market snapshot

15630 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

15630 — Transfer of skin flap to eyelids, nose, ears, or lips

Billing groups
32
Named-group FFS services
660
FFS of Medicare
49%
Services YoY
-12.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,332 services

660 observed fee-for-service (50%) · ~672 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 — 15630 (CY2024)

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

Named-group submitted charges
$839K
Named-group allowed amount
$220K
Named-group Medicare payments
$169K
Avg charge / svc
$1,271
Avg allowed / svc
$333
Avg payment / svc
$257
Average charge per group
$418 32 groups · avg submitted charge / service $3,500
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 15630 services, CY2024
#Physician group City St Specialty Providers 15630 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 73 $161,330 $2,210 premium 79.3% (919) 684-8111
2 OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC NORMAN OK OTOLARYNGOLOGY 15 42 $30,248 $720 premium 53.8% (405) 364-2666
3 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 32 $35,867 $1,121 premium 32.3% (425) 313-5422
4 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 29 $52,780 $1,820 premium 19.5% (877) 827-7463
5 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 26 $19,552 $752 premium 100.0% (215) 662-2777
6 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC LA CROSSE WI FAMILY PRACTICE 547 26 $43,940 $1,690 premium 100.0% (608) 785-0940
7 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 24 $43,791 $1,825 premium 60.0%
8 PANZER DERMATOLOGY ASSOCIATES NEWARK DE PHYSICIAN ASSISTANT 25 23 $13,156 $572 premium 59.0% 3026337550229
9 HOUSEL DERMATOLOGY PC LIVERPOOL NY PHYSICIAN ASSISTANT 4 22 $19,998 $909 premium 59.5% (315) 452-3376
10 SKIN SURGERY CENTER OF OKLAHOMA, P.C. OKLAHOMA CITY OK DERMATOLOGY 2 21 $15,918 $758 premium 26.9% (405) 947-6647
11 DERMATOLOGY ASSOCIATES OF BAY COUNTY PA PANAMA CITY FL PHYSICIAN ASSISTANT 11 20 $10,000 $500 premium 57.1% (850) 769-1668
12 MOUNTAIN WEST DERM - BLACKHART PLLC RENO CA PHYSICIAN ASSISTANT 105 20 $19,214 $961 premium 13.4% (775) 324-0699
13 PIEDMONT PLASTIC SURGERY AND DERMATOLOGY PA GASTONIA NC DERMATOLOGY 56 19 $20,612 $1,085 premium 20.7% (704) 866-0106
14 ARKANSAS OTOLARYNGOLOGY CENTER PA LITTLE ROCK AR OTOLARYNGOLOGY 27 18 $18,810 $1,045 premium 40.0% (501) 221-5050
15 JESSE E SMITH, MD, PLLC FORT WORTH TX NURSE PRACTITIONER 2 18 $15,442 $858 premium 43.9% (817) 806-4245
16 ADVANCED DERMATOLOGY OF MICHIGAN PC WARREN MI PHYSICIAN ASSISTANT 38 18 $30,276 $1,682 premium 58.1% (586) 759-5525
17 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 17 $32,691 $1,923 premium 11.4% (916) 681-8852
18 CHRISTINE S RAUSCH MD PC RICHMOND OH DERMATOLOGY 9 17 $11,730 $690 premium 51.5% (804) 282-4940
19 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 17 $7,680 $452 premium 100.0% (605) 322-5180
20 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 16 $24,112 $1,507 premium 40.0% (312) 563-2875
21 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 16 $15,552 $972 premium 48.5% (513) 584-1000
22 UNITED SKIN SPECIALISTS MISSOURI LTD PC CHESTERFIELD MO DERMATOLOGY 14 15 $15,075 $1,005 premium 48.4% (636) 532-2422
23 SUNCOAST SKIN SOLUTIONS LUTZ FL DERMATOLOGY 90 15 $13,608 $907 premium 42.9% (813) 321-1786
24 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 15 $21,630 $1,442 premium 100.0% (615) 322-5000
25 TODD MOLLET MD PLLC OKLAHOMA CITY OK DERMATOLOGY 2 15 $11,370 $758 premium 19.2% (405) 947-6647
26 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 15 $52,500 $3,500 premium 40.5% (212) 263-9700
27 NEWPORT BEACH SURGICAL AND MEDICAL GROUP INC NEWPORT BEACH CA DERMATOLOGY 7 14 $13,300 $950 premium 9.4% (949) 719-1800
28 TMH PHYSICIANS AND SURGEONS, PLLC HOUSTON TX PLASTIC AND RECONSTRUCTIVE SURGERY 29 12 $34,908 $2,909 premium 29.3% (713) 441-6106
29 ADVANCED DERMATOLOGY AND SKIN CANCER CENTER PA GRAND ISLAND KS PHYSICIAN ASSISTANT 4 12 $10,220 $852 premium 19.4% (308) 384-0133
30 INNOVIS HEALTH LLC FARGO ND NURSE PRACTITIONER 565 11 $4,598 $418 premium 100.0% (701) 364-6600
31 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 11 $8,613 $783 premium 26.8% (817) 920-0484
32 NAAMAN CLINIC, LLC BIRMINGHAM AL PHYSICIAN ASSISTANT 6 11 $10,291 $936 premium 100.0% (205) 453-4195

*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 →