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Market snapshot

30465 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

30465 — Repair of nasal passage

Billing groups
20
Named-group FFS services
357
FFS of Medicare
49%
Services YoY
+2.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~701 services

357 observed fee-for-service (51%) · ~344 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 — 30465 (CY2024)

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

Named-group submitted charges
$998K
Named-group allowed amount
$344K
Named-group Medicare payments
$273K
Avg charge / svc
$2,797
Avg allowed / svc
$964
Avg payment / svc
$765
Average charge per group
$1,185 20 groups · avg submitted charge / service $6,975
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 30465 services, CY2024
#Physician group City St Specialty Providers 30465 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC NORMAN OK OTOLARYNGOLOGY 15 40 $85,937 $2,148 premium 63.5% (405) 364-2666
2 JESSE E SMITH, MD, PLLC FORT WORTH TX NURSE PRACTITIONER 2 31 $73,150 $2,360 premium 34.8% (817) 806-4245
3 NEWPORT BEACH SURGICAL AND MEDICAL GROUP INC NEWPORT BEACH CA DERMATOLOGY 7 29 $58,522 $2,018 premium 17.4% (949) 719-1800
4 MICHAEL BUBLIK MD PC GLENDALE CA OTOLARYNGOLOGY 2 25 $85,000 $3,400 premium 15.0% (818) 649-1433
5 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 23 $47,491 $2,065 premium 36.5% (405) 751-5555
6 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 21 $52,143 $2,483 premium 100.0% (888) 484-3258
7 EXHALE SINUS PLLC SCHAUMBURG IL PHYSICIAN ASSISTANT 6 20 $51,200 $2,560 premium 64.5% (773) 234-5880
8 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 17 $39,530 $2,325 premium 19.1% (817) 920-0484
9 LOUDOUN MEDICAL GROUP, PC LEESBURG VA NURSE PRACTITIONER 293 17 $43,490 $2,558 premium 27.4% (703) 437-0001
10 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 15 $53,475 $3,565 premium 53.6% (503) 239-6673
11 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 13 $53,000 $4,077 premium 100.0% (314) 747-3000
12 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 13 $28,600 $2,200 premium 100.0%
13 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 13 $68,289 $5,253 premium 100.0% (720) 777-1234
14 TEXAS OCULOPLASTIC CONSULTANTS LLP AUSTIN TX OPHTHALMOLOGY 12 13 $15,400 $1,185 premium 14.6% (512) 457-2141
15 TOLEDO CLINIC INCORPORATED TOLEDO OH NURSE PRACTITIONER 217 12 $27,876 $2,323 premium 35.3% (419) 874-3246
16 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 11 $30,635 $2,785 premium 21.2% (206) 223-6600
17 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 11 $50,309 $4,574 premium 100.0% (617) 523-7900
18 BRIAN H WEEKS MD INC SAN DIEGO CA PHYSICIAN ASSISTANT 4 11 $24,838 $2,258 premium 6.6% (619) 810-1202
19 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA PLASTIC AND RECONSTRUCTIVE SURGERY 19 11 $76,727 $6,975 premium 6.6%
20 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 11 $32,835 $2,985 premium 32.4% (513) 584-1000

*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 →