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Market snapshot

30469 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

30469 — Repair of collapsed nasal valve

Billing groups
47
Named-group FFS services
1,392
FFS of Medicare
49%
Services YoY
+24.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,822 services

1,392 observed fee-for-service (49%) · ~1,430 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 — 30469 (CY2024)
TX 384 CA 294 AZ 264 IL 225 FL 206

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

Named-group submitted charges
$8.4M
Named-group allowed amount
$2.6M
Named-group Medicare payments
$2.1M
Avg charge / svc
$6,030
Avg allowed / svc
$1,863
Avg payment / svc
$1,483
Average charge per group
$421 47 groups · avg submitted charge / service $19,676
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 30469 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HEAD AND NECK COSMETIC SURGERY ASSOCIATES LLC CHICAGO IL OTOLARYNGOLOGY 21 195 $1,228,500 $6,300 86.7% (773) 296-5500
2 TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC HOUSTON TX OTOLARYNGOLOGY 122 105 $533,400 $5,080 27.3% (281) 492-7827
3 FRANK DANIEL MONGIARDO M.D. P.S.C HAZARD KY OTOLARYNGOLOGY 2 87 $522,000 $6,000 100.0% (606) 439-4466
4 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 73 $365,000 $5,000 35.4% (561) 391-3333
5 MEDICAL CENTER EAR, NOSE AND THROAT ASSOCIATES OF HOUSTON, PLLC HOUSTON TX OTOLARYNGOLOGY 6 55 $214,749 $3,905 14.3% (713) 795-0111
6 COASTAL CAROLINA ENT DO PA WHITEVILLE SC OTOLARYNGOLOGY 6 51 $375,717 $7,367 48.6% (910) 914-0540
7 SURGICAL ASSOCIATES NORTHWEST PC FEDERAL WAY WA UROLOGY 11 43 $193,500 $4,500 72.9% (253) 927-1882
8 SPARTANBURG EAR, NOSE AND THROAT - HEAD AND NECK SURGERY, PA GREER SC OTOLARYNGOLOGY 12 40 $355,180 $8,880 38.1% (864) 582-2900
9 ALABAMA ENT AND ALLERGY PC BIRMINGHAM AL NURSE PRACTITIONER 7 39 $156,000 $4,000 60.9% (205) 982-7220
10 COASTAL CAROLINA ENT DO PA WHITEVILLE NC OTOLARYNGOLOGY 6 37 $272,579 $7,367 100.0% (910) 914-0540
11 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 36 $530,892 $14,747 28.3% (212) 271-4364
12 ENT AND ALLERGY ASSOCIATES LLP YONKERS NJ OTOLARYNGOLOGY 429 33 $164,490 $4,985 47.8% (914) 963-8588
13 EAR, NOSE AND THROAT PHYSICIANS OF NORTH MISS., P.A TUPELO MS QUALIFIED AUDIOLOGIST 22 32 $144,000 $4,500 100.0% (662) 840-7034
14 LOUISIANA EAR, NOSE, AND THROAT SPECIALISTS, INC. THIBODAUX LA OTOLARYNGOLOGY 65 29 $241,400 $8,324 100.0% 9854465079110
15 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 28 $155,120 $5,540 13.6% (305) 595-6200
16 BRAIN AND SPINE SURGEONS OF NEW YORK PC WHITE PLAINS NY OTOLARYNGOLOGY 21 24 $113,500 $4,729 18.9% (914) 948-8448
17 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 23 $134,527 $5,849 6.0% (817) 920-0484
18 BROKER,CRAMER AND SWANSON ENT, PC PHOENIXVILLE PA QUALIFIED AUDIOLOGIST 14 22 $110,000 $5,000 23.9% (610) 415-1100
19 MIDWEST ENT CENTRE, PC SAINT PETERS MO OTOLARYNGOLOGY 12 21 $181,566 $8,646 22.8% (636) 441-3100
20 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 20 $393,520 $19,676 15.7% —
21 NATIONAL SINUS INSTITUTE PLLC DEMING UT PHYSICIAN ASSISTANT 35 18 $69,600 $3,867 100.0% (575) 449-8949
22 CHRISTOPHER M SHAARI MD PC HACKENSACK NJ OTOLARYNGOLOGY 2 18 $162,000 $9,000 26.1% (201) 342-8060
23 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 18 $143,278 $7,960 26.1% (856) 433-2535
24 FLORIDA GULF COAST EAR NOSE AND THROAT LLC NAPLES FL OTOLARYNGOLOGY 12 18 $87,512 $4,862 8.7% (239) 514-2225
25 ST VINCENT HOSPITAL SANTA FE TN PHYSICIAN ASSISTANT 313 17 $8,602 $506 40.5% —
26 PRIVIA MEDICAL GROUP WASHINGTON PLLC WALLA WALLA WA NURSE PRACTITIONER 73 16 $104,960 $6,560 27.1% 50952537201405
27 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 15 $54,000 $3,600 5.7% (480) 847-1193
28 TRI COUNTY EAR NOSE AND THROAT PC HONESDALE PA OTOLARYNGOLOGY 3 15 $45,000 $3,000 16.3% (570) 491-1525
29 MAUI MEDICAL GROUP INC WAILUKU HI PHYSICIAN ASSISTANT 68 15 $54,746 $3,650 100.0% (808) 242-6464
30 SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC SACRAMENTO CA OTOLARYNGOLOGY 34 15 $125,175 $8,345 5.1% (916) 736-3399
31 DESERT EAR NOSE AND THROAT MEDICAL GROUP INC RANCHO MIRAGE CA OTOLARYNGOLOGY 8 15 $63,507 $4,234 5.1% (760) 340-4566
32 EAR NOSE AND THROAT ASSOCIATES OF MOUNTAIN HOME PA MOUNTAIN HOME AR OTOLARYNGOLOGY 6 14 $70,000 $5,000 100.0% 870424420014
33 CAPITOL BREATHE FREE SINUS AND ALLERGY CENTERS FREDERICK MD OTOLARYNGOLOGY 2 14 $70,000 $5,000 100.0% (805) 728-5728
34 ATREUS LLC SENECA SC NURSE PRACTITIONER 7 14 $62,095 $4,435 13.3% (864) 800-0100
35 SONORA COMMUNITY HOSPITAL SONORA CA PHYSICIAN ASSISTANT 139 14 $5,894 $421 4.8% —
36 GEORGIA NASAL AND SINUS INSTITUTE PC SAVANNAH GA OTOLARYNGOLOGY 2 14 $95,200 $6,800 34.1% (912) 350-8000
37 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 14 $99,400 $7,100 6.8% (904) 396-1725
38 ROBERT B CONTRUCCI D O P A PEMBROKE PINES FL OTOLARYNGOLOGY 2 14 $42,000 $3,000 6.8% (954) 437-5333
39 ALABAMA EAR, NOSE AND THROAT SPECIALISTS, LLC TUSCALOOSA AL OTOLARYNGOLOGY 5 13 $39,000 $3,000 20.3% (205) 523-9300
40 HEALTHSTAR PHYSICIANS PC MORRISTOWN TN NURSE PRACTITIONER 90 13 $72,800 $5,600 31.0% —
41 THE ENT AND ALLERGY CENTERS OF TEXAS, PLLC MCKINNEY TX OTOLARYNGOLOGY 54 13 $55,367 $4,259 3.4% (972) 984-1050
42 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 12 $112,492 $9,374 4.1% (916) 983-7476
43 NORTH DALLAS OTOLARYNGOLOGY CONSULTANTS DALLAS TX OTOLARYNGOLOGY 6 12 $67,430 $5,619 3.1% (214) 382-5100
44 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 12 $82,536 $6,878 28.6% (629) 255-2115
45 MIDWEST SINUS SLEEP AND ALLERGY ASSOCIATES, LLC MOUNT VERNON IL OTOLARYNGOLOGY 12 12 $90,000 $7,500 5.3% (618) 628-0715
46 EAR NOSE AND THROAT ASSOCIATES OF SAN DIEGO A MEDICAL CORP LA MESA CA OTOLARYNGOLOGY 10 12 $67,800 $5,650 4.1% (619) 464-3353
47 BILTMORE EAR NOSE AND THROAT PC PHOENIX AZ OTOLARYNGOLOGY 15 11 $52,948 $4,813 4.2% (602) 956-1250
48 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 11 $4,696 $427 4.2% —

*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 →