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Market snapshot

19000 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

19000 — Aspiration of cyst of breast, first cyst

Billing groups
11
Named-group FFS services
219
FFS of Medicare
49%
Services YoY
-31.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~460 services

219 observed fee-for-service (48%) · ~241 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 — 19000 (CY2024)

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

Named-group submitted charges
$47K
Named-group allowed amount
$12K
Named-group Medicare payments
$9K
Avg charge / svc
$212
Avg allowed / svc
$54
Avg payment / svc
$41
Average charge per group
$93 11 groups · avg submitted charge / service $350
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 19000 services, CY2024
#Physician group City St Specialty Providers 19000 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 RADIOLOGY OF MSMC, LLC MIAMI FL DIAGNOSTIC RADIOLOGY 23 35 $9,205 $263 premium 100.0% (305) 674-3905
2 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 26 $2,418 $93 premium 70.3% (502) 928-1050
3 BREAST IMAGING RADIOLOGISTS A MEDICAL GROUP INC LONG BEACH CA DIAGNOSTIC RADIOLOGY 5 24 $4,200 $175 premium 61.5% (844) 825-9300
4 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE MO NURSE PRACTITIONER 2448 19 $1,767 $93 premium 100.0% (502) 928-1050
5 X-RAY CONSULTANTS INC MISHAWAKA IN DIAGNOSTIC RADIOLOGY 38 18 $2,562 $142 premium 62.1% (574) 335-5000
6 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 17 $5,950 $350 premium 54.8%
7 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 15 $5,097 $340 premium 38.5% (916) 983-7476
8 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 15 $2,325 $155 premium 55.6% (336) 713-9800
9 PHOENIXVILLE CLINIC COMPANY LLC PHOENIXVILLE PA EMERGENCY MEDICINE 147 14 $4,746 $339 premium 100.0% (610) 983-1000
10 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER NY PHYSICIAN ASSISTANT 147 13 $4,459 $343 premium 48.1% (561) 747-2234
11 WILMINGTON SURGICAL ASSOCIATES PA WILMINGTON NC GENERAL SURGERY 9 12 $2,772 $231 premium 44.4% (910) 763-7363
12 RADIOLOGY REGIONAL CENTER P A FORT MYERS KY DIAGNOSTIC RADIOLOGY 52 11 $1,023 $93 premium 29.7% (239) 936-2316

*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 →