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Market snapshot

19499 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

19499 — Other procedure on breast

Billing groups
17
Named-group FFS services
497
FFS of Medicare
49%
Services YoY
-11.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,057 services

497 observed fee-for-service (47%) · ~560 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 — 19499 (CY2024)

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

Named-group submitted charges
$504K
Named-group allowed amount
$98K
Named-group Medicare payments
$78K
Avg charge / svc
$1,015
Avg allowed / svc
$196
Avg payment / svc
$156
Average charge per group
$200 17 groups · avg submitted charge / service $3,779
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 19499 services, CY2024
#Physician group City St Specialty Providers 19499 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 79 $17,440 $221 premium 49.7%
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 48 $181,402 $3,779 premium 80.0% (507) 284-2511
3 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 43 $57,921 $1,347 premium 27.0%
4 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 41 $52,688 $1,285 premium 100.0% (732) 362-3663
5 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 34 $18,850 $554 premium 100.0% (616) 363-7272
6 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 32 $21,516 $672 premium 64.0% (520) 694-0111
7 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER NY PHYSICIAN ASSISTANT 147 25 $26,882 $1,075 premium 59.5% (561) 747-2234
8 X-RAY CONSULTANTS INC MISHAWAKA IN DIAGNOSTIC RADIOLOGY 38 21 $17,913 $853 premium 100.0% (574) 335-5000
9 EVANGELICAL MEDICAL SERVICES ORGANIZATION LEWISBURG PA PHYSICIAN ASSISTANT 262 20 $6,460 $323 premium 12.6% (570) 522-2000
10 RADIOLOGY AND IMAGING INC SPRINGFIELD OH DIAGNOSTIC RADIOLOGY 60 19 $3,800 $200 premium 50.0% (413) 827-7400
11 RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC COLUMBUS OH DIAGNOSTIC RADIOLOGY 243 19 $13,300 $700 premium 50.0% (614) 566-5600
12 ASHLAND HOSPITAL CORPORATION ASHLAND KY NURSE PRACTITIONER 170 19 $12,825 $675 premium 100.0% (606) 324-8060
13 RADIOLOGY AND IMAGING INC SPRINGFIELD NY DIAGNOSTIC RADIOLOGY 60 17 $3,400 $200 premium 40.5% (413) 827-7400
14 RADIOLOGY AND IMAGING INC SPRINGFIELD RI DIAGNOSTIC RADIOLOGY 60 16 $3,200 $200 premium 100.0% (413) 827-7400
15 COMMONWEALTH RADIOLOGY PC RICHMOND VA DIAGNOSTIC RADIOLOGY 49 15 $6,260 $417 premium 55.6% (804) 288-8327
16 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 14 $17,705 $1,265 premium 100.0%
17 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 12 $27,764 $2,314 premium 44.4%
18 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 12 $5,820 $485 premium 35.3% (800) 872-2273
19 RADIOLOGY MEDICAL GROUP OF NAPA NAPA CA DIAGNOSTIC RADIOLOGY 42 11 $9,295 $845 premium 32.4% (707) 252-4411

*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 →