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Market snapshot

20225 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

20225 — Deep biopsy of bone using needle or trocar

Billing groups
31
Named-group FFS services
611
FFS of Medicare
49%
Services YoY
-21.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,236 services

611 observed fee-for-service (49%) · ~625 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 — 20225 (CY2024)
NY 219 CA 206 MO 125 MN 43 FL 39

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

Named-group submitted charges
$821K
Named-group allowed amount
$94K
Named-group Medicare payments
$74K
Avg charge / svc
$1,344
Avg allowed / svc
$154
Avg payment / svc
$121
Average charge per group
$261 31 groups · avg submitted charge / service $3,155
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 20225 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 68 $213,040 $3,133 33.0% (415) 600-1020
2 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 52 $64,796 $1,246 23.7% (631) 751-3000
3 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 37 $11,481 $310 100.0% (913) 588-1227
4 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 37 $22,496 $608 16.9% —
5 MSKCC RADIOLOGY GROUP NEW YORK NY DIAGNOSTIC RADIOLOGY 199 34 $31,450 $925 15.5% (646) 888-5300
6 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 31 $56,513 $1,823 72.1% (507) 284-2511
7 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 25 $61,100 $2,444 65.8% (214) 633-5555
8 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 18 $5,364 $298 100.0% (304) 388-5432
9 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 17 $5,793 $341 100.0% —
10 OSU RADIOLOGY LLC COLUMBUS OH DIAGNOSTIC RADIOLOGY 174 17 $7,650 $450 58.6% (614) 293-8315
11 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 16 $50,480 $3,155 100.0% (203) 688-4242
12 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 16 $41,024 $2,564 59.3% —
13 PHYSICIANS OF CAPE COD HOSPITAL HYANNIS RI NURSE PRACTITIONER 318 15 $5,301 $353 100.0% (774) 552-6000
14 DARTMOUTH-HITCHCOCK CLINIC LEBANON NH PHYSICIAN ASSISTANT 1441 15 $40,923 $2,728 100.0% (603) 650-5000
15 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 15 $5,190 $346 38.5% (239) 561-9622
16 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 14 $3,962 $283 6.8% (530) 332-4470
17 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 14 $3,654 $261 56.0% (434) 947-3033
18 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 14 $42,816 $3,058 6.8% (800) 926-8273
19 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 13 $7,800 $600 33.3% (407) 896-1100
20 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 13 $22,313 $1,716 34.2% (713) 592-5433
21 MERITAS HEALTH CORPORATION NORTH KANSAS CITY MO NEUROLOGY 498 13 $4,507 $347 10.4% (816) 472-5157
22 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 13 $10,088 $776 6.3% (626) 256-4673
23 RADIOLOGY CONSULTANTS OF TULSA, INC. TULSA OK DIAGNOSTIC RADIOLOGY 34 13 $5,102 $392 100.0% (918) 743-8838
24 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA MONTEREY CA EMERGENCY MEDICINE 141 12 $9,201 $767 5.8% (831) 624-5311
25 ANCILLARY SERVICES OF PRACTICE ASSOCIATES PA MORRISTOWN NJ DIAGNOSTIC RADIOLOGY 97 12 $5,352 $446 52.2% (973) 971-6866
26 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 12 $14,448 $1,204 41.4% —
27 CROUSE MEDICAL PRACTICE PLLC SYRACUSE NY PHYSICIAN ASSISTANT 187 11 $9,579 $871 5.0% —
28 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 11 $23,100 $2,100 100.0% (919) 684-8111
29 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 11 $16,848 $1,532 28.2% (352) 726-9707
30 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 11 $16,500 $1,500 40.7% —
31 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 11 $3,553 $323 100.0% (601) 815-4775

*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 →