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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
15777 Implantation of biologic implant to soft tissue CPT · Skin procedure
Classification Procedure Skin (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 659 services ▼ 2.5% YoY · 638 beneficiaries (CY2024, Medicare FFS)
Medicare paid $128K · $193.70 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
23
Named-group FFS services
446
FFS of Medicare
49%
Services YoY
-2.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~918 services

446 observed fee-for-service (49%) · ~472 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 — 15777 (CY2024)

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

Named-group submitted charges
$491K
Named-group allowed amount
$102K
Named-group Medicare payments
$82K
Avg charge / svc
$1,100
Avg allowed / svc
$229
Avg payment / svc
$183
Average charge per group
$403 23 groups · avg submitted charge / service $15,500
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 15777 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 15777 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 UROGYNECOLOGY OF SAN ANTONIO PLLC BOERNE TX OBSTETRICS/GYNECOLOGY 2 71 $29,699 $418 premium 33.0% (830) 355-2343
2 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 47 $28,905 $615 premium 21.9% (210) 614-7414
3 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 33 $20,140 $610 premium 15.3% (210) 593-5700
4 SHARIF SURGICAL PLLC FORT WORTH TX PHYSICIAN ASSISTANT 2 25 $31,752 $1,270 premium 11.6% (817) 332-0786
5 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 21 $10,101 $481 premium 33.9%
6 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 19 $11,258 $593 premium 63.3% (405) 254-9690
7 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 18 $7,254 $403 premium 40.9% (937) 395-8646
8 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 16 $8,364 $523 premium 100.0% (504) 842-3000
9 SAINT FRANCIS PHYSICIAN NETWORK, LLC MEMPHIS TN PHYSICIAN ASSISTANT 75 16 $9,840 $615 premium 53.3% (901) 680-9205
10 PIERRE MENDOZA MD LLC TOMS RIVER NJ PATHOLOGY 3 15 $7,500 $500 premium 100.0% (732) 230-2611
11 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 15 $9,735 $649 premium 100.0%
12 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 15 $13,032 $869 premium 34.1% (410) 663-8100
13 NATIONAL CENTER FOR PLASTIC SURGERY LLC MCLEAN OH PHYSICIAN ASSISTANT 13 15 $26,400 $1,760 premium 34.1% (703) 287-8277
14 THE PLASTIC SURGERY GROUP OF MEMPHIS P.C. MEMPHIS TN PLASTIC AND RECONSTRUCTIVE SURGERY 7 14 $6,846 $489 premium 46.7% (901) 761-9030
15 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 14 $7,656 $547 premium 100.0% (502) 928-1050
16 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 13 $14,200 $1,092 premium 100.0% (215) 662-2777
17 AESTHETIC PLASTIC SURGERY PC GREAT NECK NY PHYSICIAN ASSISTANT 10 12 $186,000 $15,500 premium 42.9% (516) 498-8400
18 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 12 $10,296 $858 premium 19.4% (786) 662-0600
19 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 11 $8,568 $779 premium 36.7%
20 NOVANT HEALTH WESTERN CAROLINA MEDICAL GROUP LLC ASHEVILLE NC NURSE PRACTITIONER 30 11 $7,755 $705 premium 100.0% (828) 670-6812
21 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 11 $12,636 $1,149 premium 100.0% (617) 732-5500
22 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 11 $5,605 $510 premium 25.0% (443) 481-1000
23 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 11 $17,100 $1,555 premium 5.1% (214) 633-5555

*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 →