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Market snapshot

19125 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

19125 — Removal of growth of breast identified by x-ray marker, first growth

Billing groups
83
Named-group FFS services
1,713
FFS of Medicare
49%
Services YoY
-7.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,329 services

1,713 observed fee-for-service (51%) · ~1,616 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 — 19125 (CY2024)
NY 335 FL 312 CA 205 NJ 184 MA 181

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

Named-group submitted charges
$3.3M
Named-group allowed amount
$739K
Named-group Medicare payments
$582K
Avg charge / svc
$1,942
Avg allowed / svc
$431
Avg payment / svc
$340
Average charge per group
$750 83 groups · avg submitted charge / service $5,900
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 19125 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 104 $613,620 $5,900 31.0% (212) 263-9700
2 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 68 $67,130 $987 66.0% —
3 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 63 $113,841 $1,807 34.8% (508) 334-1000
4 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 61 $75,474 $1,237 19.6% —
5 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 54 $118,798 $2,200 26.3% (858) 455-9100
6 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 52 $76,282 $1,467 16.7% (407) 200-2700
7 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 40 $176,300 $4,408 11.9% (212) 746-5454
8 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 40 $40,338 $1,008 43.0% (502) 928-1050
9 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER FL PHYSICIAN ASSISTANT 147 36 $68,940 $1,915 11.5% (561) 747-2234
10 RIVER OAKS MANAGEMENT COMPANY LLC FLOWOOD MS NURSE PRACTITIONER 39 30 $46,560 $1,552 25.4% (601) 376-1394
11 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 29 $43,645 $1,505 47.5% (509) 665-6087
12 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 29 $72,500 $2,500 8.7% (212) 241-4812
13 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 28 $36,771 $1,313 63.6% —
14 TITAN HEALTH PARTNERS LLC EAST BRUNSWICK NJ HEMATOLOGY/ONCOLOGY 92 28 $42,504 $1,518 15.2% (732) 390-7750
15 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 25 $70,522 $2,821 13.6% —
16 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 25 $34,614 $1,385 8.0% (239) 291-6970
17 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 25 $25,948 $1,038 53.2% (901) 226-3882
18 CONWAY HOSPITAL INC CONWAY SC PHYSICIAN ASSISTANT 124 23 $21,020 $914 22.3% (843) 347-8041
19 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 23 $30,997 $1,348 53.5% (515) 343-1000
20 WILMINGTON SURGICAL ASSOCIATES PA WILMINGTON NC GENERAL SURGERY 9 23 $25,047 $1,089 27.7% (910) 763-7363
21 RACHEL P DULTZ MD BREAST SURGICAL SPECIALIST LLC EAST WINDSOR NJ GENERAL SURGERY 2 21 $26,880 $1,280 11.4% (609) 688-2700
22 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 21 $43,252 $2,060 23.6% —
23 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 21 $20,916 $996 58.3% (937) 395-8646
24 HENDERSON COUNTY HOSPITAL CORPORATION HENDERSONVILLE NC PHYSICIAN ASSISTANT 230 20 $18,140 $907 24.1% (828) 694-8427
25 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 20 $39,422 $1,971 23.8% (541) 382-2811
26 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 19 $38,000 $2,000 5.7% (631) 751-3000
27 NORTHWEST CANCER SPECIALISTS PC PORTLAND OR PHYSICIAN ASSISTANT 68 18 $27,936 $1,552 21.4% (503) 280-1223
28 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND WA PHYSICIAN ASSISTANT 588 18 $21,636 $1,202 29.5% —
29 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 18 $64,771 $3,598 5.8% (786) 662-0600
30 JOHNS HOPKINS UNIVERSITY BALTIMORE TX NURSE PRACTITIONER 2900 17 $26,838 $1,579 19.1% (410) 502-4340
31 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 17 $30,932 $1,820 16.8% —
32 JORDAN PHYSICIAN ASSOCIATES INC PLYMOUTH MA NURSE PRACTITIONER 166 17 $25,539 $1,502 9.4% (508) 210-5920
33 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 16 $35,200 $2,200 4.8% (914) 241-1050
34 THE PLASTIC SURGERY CENTER SHREWSBURY NJ PHYSICIAN ASSISTANT 86 16 $29,489 $1,843 8.7% —
35 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 16 $57,953 $3,622 5.1% (954) 659-5000
36 NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ PHYSICIAN ASSISTANT 128 16 $20,288 $1,268 36.4% (520) 202-7770
37 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 16 $19,093 $1,193 8.8% —
38 SINGING RIVER HEALTH SYSTEM PASCAGOULA MS NURSE PRACTITIONER 282 16 $21,040 $1,315 13.6% (228) 818-0563
39 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 16 $21,182 $1,324 8.8% (508) 771-1800
40 LAKELAND SURGICAL CLINIC PLLC JACKSON MS GENERAL SURGERY 15 15 $16,073 $1,072 12.7% (601) 982-3202
41 BRYAN PHYSICIAN NETWORK LINCOLN NE PHYSICIAN ASSISTANT 229 15 $16,271 $1,085 34.1% (402) 481-1111
42 MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC NORTHAMPTON MA PHYSICIAN ASSISTANT 280 15 $25,335 $1,689 8.3% (413) 582-2441
43 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 15 $45,488 $3,033 41.7% —
44 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 14 $27,623 $1,973 7.6% (732) 362-3663
45 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 14 $23,295 $1,664 23.0% —
46 ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS NEW BEDFORD MA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 564 14 $21,644 $1,546 7.7% (781) 983-9088
47 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 14 $40,068 $2,862 6.8% (415) 476-1000
48 DEACONESS WOMENS HOSPITAL OF SOUTHERN INDIANA LLC NEWBURGH IN OBSTETRICS/GYNECOLOGY 47 14 $23,150 $1,654 23.3% (812) 858-5950
49 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 14 $55,408 $3,958 4.2% —
50 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 14 $21,793 $1,557 8.5% (202) 429-2401
51 BREAST CARE SPECIALISTS ATLANTA GA GENERAL SURGERY 12 13 $14,521 $1,117 54.2% 4042558086208
52 JOHNS HOPKINS UNIVERSITY BALTIMORE DC INTERNAL MEDICINE 720 13 $19,383 $1,491 54.2% (410) 550-0100
53 INSPIRA HEALTH NETWORK MEDICAL GROUP PC PITTSGROVE NJ DIAGNOSTIC RADIOLOGY 238 13 $16,705 $1,285 7.1% (856) 358-6161
54 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 13 $12,742 $980 12.9% (434) 947-3033
55 PHYSICIAN GROUPS LC SAINT LOUIS MO NURSE PRACTITIONER 516 13 $14,300 $1,100 26.0% (314) 273-0195
56 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 13 $17,706 $1,362 7.9% (301) 982-9800
57 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 12 $18,432 $1,536 5.9% —
58 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA SURGICAL ONCOLOGY 14 12 $45,375 $3,781 5.9% (310) 390-4099
59 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 12 $24,609 $2,051 14.3% (541) 706-7715
60 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 12 $19,080 $1,590 7.3% (410) 663-8100
61 TAMPA GENERAL MEDICAL GROUP INC TAMPA FL PHYSICIAN ASSISTANT 352 12 $17,508 $1,459 3.8% (813) 844-7585
62 OZARK SURGICAL GROUP SALEM AR GENERAL SURGERY 9 12 $10,872 $906 18.8% (870) 425-9120
63 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 12 $14,196 $1,183 3.8% (727) 725-5060
64 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 12 $31,840 $2,653 11.7% (843) 792-1414
65 BAPTIST MD ANDERSON CANCER PHYSICIANS INC JACKSONVILLE FL PHYSICIAN ASSISTANT 118 12 $15,621 $1,302 3.8% (904) 202-7300
66 WENTWORTH DOUGLASS PHYSICIAN CORPORATION DOVER NH PHYSICIAN ASSISTANT 429 12 $17,914 $1,493 33.3% —
67 ANDERSON PHYSICIAN ALLIANCE INC MERIDIAN MS NURSE PRACTITIONER 70 12 $12,080 $1,007 10.2% (601) 553-6399
68 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 12 $10,956 $913 52.2% (405) 254-9690
69 MEDSTAR MEDICAL GROUP II LLC WASHINGTON VA PHYSICIAN ASSISTANT 3707 12 $17,355 $1,446 11.9% (202) 429-2401
70 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 11 $16,270 $1,479 100.0% —
71 HARRISON COUNTY HOSPITAL CORYDON IN NURSE PRACTITIONER 44 11 $10,956 $996 18.3% (812) 738-6245
72 NORTH SUNFLOWER MEDICAL CENTER RULEVILLE MS NURSE PRACTITIONER 46 11 $16,500 $1,500 9.3% —
73 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 11 $14,575 $1,325 22.0% (314) 645-6450
74 UKIAH ADVENTIST HOSPITAL UKIAH CA CLINICAL SOCIAL WORKER 133 11 $18,447 $1,677 5.4% (707) 462-3111
75 NORMAN REGIONAL PROVIDERS SPECIALTY CARE NORMAN OK NURSE PRACTITIONER 162 11 $16,687 $1,517 47.8% (405) 307-5700
76 COLORADO SURGICAL AFFILIATES LLC GRAND JUNCTION CO PHYSICIAN ASSISTANT 53 11 $18,316 $1,665 50.0% (970) 243-0900
77 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES SANTA MONICA CA OBSTETRICS/GYNECOLOGY 80 11 $39,930 $3,630 5.4% (310) 319-5098
78 THE SOUTH BEND CLINIC LLC SOUTH BEND IN NURSE PRACTITIONER 166 11 $12,397 $1,127 18.3% (574) 234-8161
79 GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC TAMPA FL PHYSICIAN ASSISTANT 31 11 $18,167 $1,652 3.5% (813) 877-1415
80 ATLANTA BREAST CARE, PC ATLANTA GA GENERAL SURGERY 3 11 $14,850 $1,350 45.8% (404) 351-1002
81 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON MD NURSE PRACTITIONER 3380 11 $17,908 $1,628 6.7% —
82 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 11 $18,220 $1,656 5.4% (310) 423-0674
83 BAPTIST HEALTH SERVICES FORT SMITH AR FAMILY PRACTICE 107 11 $11,550 $1,050 17.2% (479) 709-7250
84 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 11 $16,417 $1,492 45.8% (202) 429-2401
85 BREAST CARE CENTER AT ST LUKES LLC CHESTERFIELD MO NURSE PRACTITIONER 3 11 $8,250 $750 22.0% (314) 205-6491

*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 →