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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
15757 Skin graft with repair of small blood vessel CPT · Skin procedure
Classification Procedure Skin Skin Grafting (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 418 services ▼ 12.6% YoY · 411 beneficiaries (CY2024, Medicare FFS)
Medicare paid $564K · $1349.95 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
22
Named-group FFS services
362
FFS of Medicare
49%
Services YoY
-12.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~724 services

362 observed fee-for-service (50%) · ~362 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 — 15757 (CY2024)

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

Named-group submitted charges
$3.4M
Named-group allowed amount
$633K
Named-group Medicare payments
$505K
Avg charge / svc
$9,354
Avg allowed / svc
$1,749
Avg payment / svc
$1,394
Average charge per group
$4,583 22 groups · avg submitted charge / service $22,873
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 15757 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 15757 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 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 49 $336,091 $6,859 premium 81.7%
2 MSKCC SURGERY GROUP NEW YORK IL PHYSICIAN ASSISTANT 373 28 $573,641 $20,487 premium 100.0% (212) 639-2000
3 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 23 $191,580 $8,330 premium 42.6% (314) 747-3000
4 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 18 $143,370 $7,965 premium 56.2% (202) 429-2401
5 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH DC DIAGNOSTIC RADIOLOGY 4291 14 $96,026 $6,859 premium 43.8%
6 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 14 $91,462 $6,533 premium 36.8% (513) 246-7000
7 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 13 $70,503 $5,423 premium 100.0% (913) 588-1227
8 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 13 $89,609 $6,893 premium 100.0%
9 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 13 $297,347 $22,873 premium 54.2% (713) 592-5433
10 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 13 $132,657 $10,204 premium 100.0% (914) 681-0600
11 THE QUEENS MEDICAL CENTER HONOLULU OH NURSE PRACTITIONER 190 13 $162,500 $12,500 premium 34.2%
12 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 13 $123,838 $9,526 premium 50.0% (305) 689-5437
13 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 13 $75,049 $5,773 premium 50.0%
14 NORTON HOSPITALS, INC LOUISVILLE NC NURSE PRACTITIONER 136 12 $54,998 $4,583 premium 100.0% (502) 629-2500
15 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 12 $116,459 $9,705 premium 100.0% (617) 523-7900
16 THE QUEENS MEDICAL CENTER HONOLULU HI NURSE PRACTITIONER 190 12 $75,000 $6,250 premium 100.0%
17 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 12 $81,564 $6,797 premium 100.0% (601) 815-4775
18 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 11 $126,414 $11,492 premium 45.8%
19 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 11 $71,555 $6,505 premium 50.0%
20 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 11 $153,646 $13,968 premium 100.0% (310) 794-1110
21 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 11 $97,438 $8,858 premium 18.3% (215) 662-2777
22 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 11 $81,356 $7,396 premium 100.0% (615) 322-5000
23 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE OH PHYSICIAN ASSISTANT 3612 11 $85,800 $7,800 premium 28.9% (206) 364-0500
24 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 11 $58,308 $5,301 premium 100.0%

*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 →