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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
30130 Removal of nasal air passage CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 706 services ▲ 9.8% YoY · 587 beneficiaries (CY2024, Medicare FFS)
Medicare paid $243K · $344.23 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
20
Named-group FFS services
340
FFS of Medicare
49%
Services YoY
+9.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~673 services

340 observed fee-for-service (51%) · ~333 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 — 30130 (CY2024)

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

Named-group submitted charges
$667K
Named-group allowed amount
$108K
Named-group Medicare payments
$86K
Avg charge / svc
$1,963
Avg allowed / svc
$317
Avg payment / svc
$252
Average charge per group
$549 20 groups · avg submitted charge / service $7,041
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 30130 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 30130 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES, PA MYRTLE BEACH SC OTOLARYNGOLOGY 7 32 $17,567 $549 premium 43.2% (843) 449-6449
2 PRIVIA MEDICAL GROUP WASHINGTON PLLC WALLA WALLA WA NURSE PRACTITIONER 73 29 $52,635 $1,815 premium 30.9% 50952537201405
3 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 27 $31,000 $1,148 premium 30.0% (516) 766-2519
4 JESSE E SMITH, MD, PLLC FORT WORTH TX NURSE PRACTITIONER 2 24 $46,528 $1,939 premium 18.5% (817) 806-4245
5 MEDICAL FACULTY ASSOCIATES, INC WASHINGTON DC PHYSICIAN ASSISTANT 685 19 $51,908 $2,732 premium 100.0% (202) 715-4000
6 SHEA CLINIC MEMPHIS TN OTOLARYNGOLOGY 8 19 $34,580 $1,820 premium 23.5% (901) 761-9720
7 GOLDBERG AND PELLEGRINI, MD, P.C. BROOKLYN NY INTERNAL MEDICINE 7 19 $38,000 $2,000 premium 21.1% (718) 748-5482
8 EAR NOSE AND THROAT CONSULTANTS OF NORTH MISSISSIPPI PLLC OXFORD MS QUALIFIED AUDIOLOGIST 10 17 $25,575 $1,504 premium 100.0% (662) 234-1337
9 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 17 $25,080 $1,475 premium 100.0%
10 NORTH SHORE EAR, NOSE AND THROAT ASSOCIATES, PC DANVERS MA OTOLARYNGOLOGY 18 15 $22,560 $1,504 premium 100.0% (978) 745-6601
11 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 14 $94,176 $6,727 premium 15.6%
12 ASCENSION MEDICAL GROUP VIA CHRISTI PA WICHITA KS FAMILY PRACTICE 186 14 $20,053 $1,432 premium 28.6% (316) 689-9349
13 KAREN L STIERMAN, MD PA AUSTIN TX PHYSICIAN ASSISTANT 4 13 $91,535 $7,041 premium 10.0% (512) 328-7722
14 OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC SUWANEE GA OPHTHALMOLOGY 3 12 $14,400 $1,200 premium 52.2% (770) 604-4141
15 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 12 $25,056 $2,088 premium 100.0% (317) 338-2345
16 PRESCOTT EAR NOSE AND THROAT PLLC PRESCOTT AZ OTOLARYNGOLOGY 5 12 $12,842 $1,070 premium 100.0%
17 BRIAN H WEEKS MD INC SAN DIEGO CA PHYSICIAN ASSISTANT 4 12 $10,069 $839 premium 100.0% (619) 810-1202
18 NORTH FULTON EAR NOSE AND THROAT ASSOCIATES, P.C. ROSWELL GA OTOLARYNGOLOGY 6 11 $24,200 $2,200 premium 47.8% (770) 343-8675
19 MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC LIMA AL NURSE PRACTITIONER 251 11 $15,532 $1,412 premium 100.0% (419) 227-3361
20 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC BATON ROUGE LA NURSE PRACTITIONER 628 11 $13,984 $1,271 premium 40.7% (225) 765-1765

*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 →