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Market snapshot

21235 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

21235 — Obtaining ear cartilage for grafting

Billing groups
50
Named-group FFS services
841
FFS of Medicare
49%
Services YoY
+2.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,668 services

841 observed fee-for-service (50%) · ~827 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 — 21235 (CY2024)
WA 238 FL 111 CA 107 SC 95 DE 69

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

Named-group submitted charges
$1.7M
Named-group allowed amount
$304K
Named-group Medicare payments
$241K
Avg charge / svc
$2,051
Avg allowed / svc
$361
Avg payment / svc
$287
Average charge per group
$692 50 groups · avg submitted charge / service $10,465
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 21235 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 39 $70,706 $1,813 16.4% (425) 313-5422
2 PANZER DERMATOLOGY ASSOCIATES NEWARK DE PHYSICIAN ASSISTANT 25 39 $42,900 $1,100 56.5% 3026337550229
3 MICHIGAN EAR INSTITUTE PLLC FARMINGTON HILLS MI QUALIFIED AUDIOLOGIST 36 33 $41,580 $1,260 100.0% (248) 865-4444
4 OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC NORMAN OK OTOLARYNGOLOGY 15 31 $37,253 $1,202 47.0% (405) 364-2666
5 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 31 $86,645 $2,795 70.5% (919) 684-8111
6 BALANCE AND EAR CENTER, INC RICHMOND VA QUALIFIED AUDIOLOGIST 4 30 $43,927 $1,464 50.8% (804) 288-3277
7 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 30 $126,848 $4,228 31.6% (843) 792-1414
8 ALABAMA EAR PC BIRMINGHAM AL OTOLARYNGOLOGY 4 19 $17,727 $933 54.3% (205) 598-4799
9 THOMAS DERMATOLOGY LAS VEGAS NV PHYSICIAN ASSISTANT 34 18 $22,876 $1,271 100.0% (702) 430-5333
10 TODD MOLLET MD PLLC OKLAHOMA CITY OK DERMATOLOGY 2 18 $21,780 $1,210 27.3% (405) 947-6647
11 IOWA EAR CENTER CLIVE IA QUALIFIED AUDIOLOGIST 10 18 $31,032 $1,724 100.0% (515) 418-9960
12 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 18 $35,100 $1,950 16.2% (561) 391-3333
13 SKIN SURGERY CENTER OF OKLAHOMA, P.C. OKLAHOMA CITY OK DERMATOLOGY 2 17 $20,570 $1,210 25.8% (405) 947-6647
14 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 17 $49,011 $2,883 15.9% (877) 827-7463
15 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 16 $38,400 $2,400 57.1% (314) 747-3000
16 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 16 $25,280 $1,580 31.4% (602) 406-6017
17 DALLAS OTOLARYNGOLOGY ASSOCIATES DALLAS TX QUALIFIED AUDIOLOGIST 19 16 $21,072 $1,317 23.9% (972) 566-7600
18 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY LA NURSE PRACTITIONER 1815 15 $36,145 $2,410 100.0% (913) 588-1227
19 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 15 $26,025 $1,735 53.6% —
20 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 15 $25,305 $1,687 15.8% —
21 FOREFRONT DERMATOLOGY - PACIFIC, P.C. THOUSAND OAKS CA DERMATOLOGY 25 15 $24,465 $1,631 14.0% (805) 497-1694
22 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 15 $41,560 $2,771 13.5% (904) 953-2000
23 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 15 $38,190 $2,546 22.1% (630) 469-9200
24 CHI HEALTH CLINIC SPECIALTY LLC LINCOLN NE NURSE PRACTITIONER 309 14 $28,686 $2,049 100.0% (402) 219-8000
25 LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC THE VILLAGES FL PHYSICIAN ASSISTANT 192 14 $37,142 $2,653 12.6% (352) 753-2812
26 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 14 $34,976 $2,498 26.9% (617) 523-7900
27 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 14 $22,750 $1,625 100.0% (513) 584-1000
28 PARHAM TABIBIAN MD INC LOS ALAMITOS CA PHYSICIAN ASSISTANT 8 13 $38,909 $2,993 12.1% (562) 799-3330
29 ARKANSAS OTOLARYNGOLOGY CENTER PA LITTLE ROCK AR OTOLARYNGOLOGY 27 13 $22,100 $1,700 39.4% (501) 221-5050
30 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 13 $31,372 $2,413 23.6% (615) 612-2146
31 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 13 $21,636 $1,664 46.4% (770) 422-2004
32 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 13 $39,624 $3,048 19.1% (708) 216-8372
33 DERMATOLOGY PARTNERS OF THE NORTH SHORE LLC NORTHBROOK IL DERMATOLOGY 13 13 $20,406 $1,570 19.1% (847) 272-4433
34 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 13 $25,220 $1,940 19.1% —
35 CARY SKIN CENTER PA CARY NC PHYSICIAN ASSISTANT 10 13 $9,002 $692 29.5% (919) 363-7546
36 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 13 $42,802 $3,292 11.7% (352) 265-8990
37 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 12 $29,035 $2,420 42.9% (913) 588-1227
38 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 12 $48,780 $4,065 100.0% (212) 746-5454
39 EAR INSTITUTE OF TEXAS P A SAN ANTONIO TX OTOLARYNGOLOGY 11 12 $16,539 $1,378 17.9% (210) 363-6936
40 LASER AND SKIN SURGERY CENTER OF INDIANA PC INDIANAPOLIS IN DERMATOLOGY 6 12 $15,284 $1,274 100.0% (317) 660-4900
41 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 12 $30,708 $2,559 100.0% (503) 239-6673
42 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 12 $34,920 $2,910 11.2% (800) 872-2273
43 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 12 $19,560 $1,630 5.0% —
44 OTOLARYNGOLOGY ASSOCIATES OF TENNESSEE PC NASHVILLE TN OTOLARYNGOLOGY 23 11 $17,699 $1,609 20.0% (615) 340-4000
45 SUNCOAST SKIN SOLUTIONS LUTZ FL DERMATOLOGY 90 11 $16,324 $1,484 9.9% (813) 321-1786
46 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 11 $115,115 $10,465 100.0% (215) 662-2777
47 PEAK ENT ASSOCIATES PROVO UT OTOLARYNGOLOGY 21 11 $13,574 $1,234 47.8% —
48 SURGICAL ASSOCIATES NORTHWEST PC FEDERAL WAY WA UROLOGY 11 11 $15,873 $1,443 4.6% (253) 927-1882
49 TEXAS OCULOPLASTIC CONSULTANTS LLP AUSTIN TX OPHTHALMOLOGY 12 11 $8,800 $800 16.4% (512) 457-2141
50 BELLINGHAM EAR NOSE THROAT AND FACIAL PLASTIC SURGERY INC PS BELLINGHAM WA OTOLARYNGOLOGY 11 11 $16,192 $1,472 4.6% (360) 733-0640
51 LOUIS KUCHNIR MD PC MARLBOROUGH MA DERMATOLOGY 17 11 $27,664 $2,515 21.2% 5084857779857779

*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 →