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Market snapshot

19302 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

19302 — Partial removal of breast and underarm lymph nodes

Billing groups
6
Named-group FFS services
168
FFS of Medicare
49%
Services YoY
-28.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~324 services

168 observed fee-for-service (52%) · ~156 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 — 19302 (CY2024)

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

Named-group submitted charges
$458K
Named-group allowed amount
$150K
Named-group Medicare payments
$119K
Avg charge / svc
$2,725
Avg allowed / svc
$890
Avg payment / svc
$709
Average charge per group
$1,953 6 groups · avg submitted charge / service $5,580
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 19302 services, CY2024
#Physician group City St Specialty Providers 19302 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 60 $127,957 $2,133 premium 100.0% (515) 461-9786
2 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 37 $72,261 $1,953 premium 77.1% (941) 366-1888
3 UKIAH ADVENTIST HOSPITAL UKIAH CA CLINICAL SOCIAL WORKER 133 33 $107,844 $3,268 premium 60.0% (707) 462-3111
4 UNM MEDICAL GROUP INC ALBUQUERQUE NM FAMILY PRACTICE 1089 16 $57,325 $3,583 premium 100.0% (505) 272-2111
5 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 11 $31,068 $2,824 premium 20.0% (714) 871-3006
6 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 11 $61,380 $5,580 premium 45.8%

*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 →