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Market snapshot

15769 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

15769 — Self soft tissue graft

Billing groups
34
Named-group FFS services
956
FFS of Medicare
49%
Services YoY
-14.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,918 services

956 observed fee-for-service (50%) · ~962 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 — 15769 (CY2024)

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$243K
Named-group Medicare payments
$194K
Avg charge / svc
$1,556
Avg allowed / svc
$254
Avg payment / svc
$202
Average charge per group
$766 34 groups · avg submitted charge / service $3,700
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 15769 services, CY2024
#Physician group City St Specialty Providers 15769 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS BELLINGHAM WA NEUROSURGERY 8 128 $266,112 $2,079 premium 49.2% (360) 676-0922
2 RAMIN GANJIANPOUR MD INC MISSION HILLS CA PHYSICIAN ASSISTANT 4 103 $113,300 $1,100 premium 34.2% (818) 361-0136
3 RIO ORTHOPEDICS AND SPORTS MEDICINE, PLLC NORTH RICHLAND HILLS TX ORTHOPEDIC SURGERY 3 77 $112,343 $1,459 premium 33.8%
4 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 62 $117,113 $1,889 premium 48.4% (410) 502-4340
5 MICHIGAN EAR INSTITUTE PLLC FARMINGTON HILLS MI QUALIFIED AUDIOLOGIST 36 48 $40,800 $850 premium 100.0% (248) 865-4444
6 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 33 $38,049 $1,153 premium 100.0%
7 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 29 $31,552 $1,088 premium 9.6% (916) 681-8852
8 ARIZONA EAR CENTER PC PHOENIX AZ OTOLARYNGOLOGY 2 29 $22,200 $766 premium 31.5% (602) 307-9919
9 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 27 $39,528 $1,464 premium 22.3%
10 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 27 $85,702 $3,174 premium 29.3% (480) 573-0130
11 JACKSON EAR CLINIC PA FLOWOOD MS OTOLARYNGOLOGY 3 26 $38,000 $1,462 premium 100.0% (601) 981-2825
12 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 26 $23,738 $913 premium 100.0%
13 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 25 $20,900 $836 premium 9.6% (509) 946-4611
14 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 20 $45,420 $2,271 premium 5.1% (904) 396-1725
15 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 20 $29,600 $1,480 premium 7.7%
16 OHIO EAR INSTITUTE LLC GAHANNA OH OTOLARYNGOLOGY 2 19 $19,000 $1,000 premium 57.6% (614) 891-9190
17 CAROLINA EAR AND HEARING CLINIC PC RALEIGH NC OTOLARYNGOLOGY 5 19 $26,087 $1,373 premium 59.4% 9198764327204
18 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 18 $49,536 $2,752 premium 100.0% (908) 273-4300
19 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 18 $24,030 $1,335 premium 54.5% (801) 475-3800
20 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 17 $37,200 $2,188 premium 14.7% (516) 766-2519
21 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 16 $20,832 $1,302 premium 59.3% (573) 882-2667
22 UNIVERSITY OF UTAH SURGICAL SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 45 15 $29,992 $1,999 premium 45.5% (801) 585-7575
23 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 15 $18,090 $1,206 premium 100.0% (501) 562-4838
24 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO CA OTOLARYNGOLOGY 16 15 $16,500 $1,100 premium 5.0% (949) 364-4361
25 SHOHET EAR ASSOCIATES MEDICAL GROUP INC NEWPORT BEACH CA QUALIFIED AUDIOLOGIST 11 14 $28,000 $2,000 premium 4.7% (949) 631-4327
26 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 14 $23,002 $1,643 premium 100.0%
27 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 13 $26,569 $2,044 premium 100.0% (615) 612-2146
28 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 13 $24,700 $1,900 premium 11.2% (631) 751-3000
29 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 13 $17,966 $1,382 premium 40.6% (984) 215-5556
30 BUTLER AND BURNS EAR NOSE AND THROAT ASSOCIATES AUSTIN TX OTOLARYNGOLOGY 43 12 $17,376 $1,448 premium 5.3% (512) 454-0392
31 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 12 $19,116 $1,593 premium 100.0% (503) 494-8311
32 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 11 $8,982 $817 premium 4.2% (206) 223-6600
33 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 11 $40,700 $3,700 premium 100.0% (414) 421-8400
34 EAR NOSE AND THROAT SPECIALTY CARE OF MINNESOTA PA ST LOUIS PARK MN OTOLARYNGOLOGY 47 11 $15,290 $1,390 premium 100.0% (612) 871-1144

*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 →