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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
30930 Therapeutic fracture of nasal passages 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 1,396 services ▼ 3.7% YoY · 1,381 beneficiaries (CY2024, Medicare FFS)
Medicare paid $166K · $118.62 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
34
Named-group FFS services
836
FFS of Medicare
49%
Services YoY
-3.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,634 services

836 observed fee-for-service (51%) · ~798 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 — 30930 (CY2024)

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

Named-group submitted charges
$332K
Named-group allowed amount
$50K
Named-group Medicare payments
$39K
Avg charge / svc
$397
Avg allowed / svc
$59
Avg payment / svc
$47
Average charge per group
$135 34 groups · avg submitted charge / service $856
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 30930 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 30930 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 BREATHE FREE SINUS AND ALLERGY CENTERS OF FLORIDA LLC PENSACOLA FL OTOLARYNGOLOGY 3 106 $53,020 $500 premium 53.3% (850) 990-9407
2 SOUTHERN INDIANA ENT LLC COLUMBUS IN PHYSICIAN ASSISTANT 12 104 $36,192 $348 premium 70.7% (812) 376-3182
3 ROMAN J. DYKUN, MD WOODSTOCK IL OTOLARYNGOLOGY 6 50 $15,500 $310 premium 76.9% (815) 338-4600
4 ROANOKE VALLEY ENT AND ALLERGY PC ROANOKE VA PHYSICIAN ASSISTANT 5 42 $18,900 $450 premium 66.7% (540) 968-7368
5 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 40 $33,200 $830 premium 26.8% (310) 794-1110
6 BRIAN H WEEKS MD INC SAN DIEGO CA PHYSICIAN ASSISTANT 4 34 $4,604 $135 premium 22.8% (619) 810-1202
7 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 30 $12,783 $426 premium 28.3% (410) 502-4340
8 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 26 $12,594 $484 premium 100.0% (843) 792-1414
9 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 25 $16,975 $679 premium 12.6% (352) 265-8990
10 SOUTHWEST WYOMING ENT INC EVANSTON WY NURSE PRACTITIONER 2 25 $7,574 $303 premium 44.6% (307) 789-8721
11 SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC SAN DIEGO CA INTERNAL MEDICINE 205 23 $8,971 $390 premium 15.4% (619) 294-8111
12 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 23 $5,520 $240 premium 15.6% (219) 836-4563
13 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION NORFOLK VA OBSTETRICS/GYNECOLOGY 224 21 $5,460 $260 premium 33.3% (757) 446-7900
14 GILLUM FACIAL PLASTIC SURGERY PC MARION IN NURSE PRACTITIONER 2 20 $8,700 $435 premium 13.6% (765) 651-4278
15 CENTRAL FLORIDA EYE SPECIALISTS PL DELAND FL OPHTHALMOLOGY 11 19 $4,750 $250 premium 9.5% (386) 734-2931
16 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 18 $5,058 $281 premium 9.0% (305) 595-6200
17 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 17 $3,927 $231 premium 32.1% (480) 847-1193
18 THOMAS EYE GROUP PC ROSWELL GA OPTOMETRY 56 17 $7,480 $440 premium 53.1% (770) 475-5515
19 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 15 $6,120 $408 premium 23.1% (312) 563-2875
20 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 14 $3,882 $277 premium 9.4% (559) 583-4695
21 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 14 $4,866 $348 premium 100.0% (253) 428-2200
22 FLAGSTAFF SURGICAL ASSOCIATES PA FLAGSTAFF AZ GENERAL SURGERY 29 13 $4,225 $325 premium 24.5% (928) 773-2222
23 OPHTHALMIC PLASTIC AND ORBITAL CONSULTANTS PC BETHESDA MD OPHTHALMOLOGY 2 13 $5,300 $408 premium 12.3% (301) 571-0000
24 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 13 $4,225 $325 premium 100.0% (801) 475-3800
25 DANNY KEWSON M.D. P.C DEARBORN MI OTOLARYNGOLOGY 11 12 $3,000 $250 premium 100.0%
26 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 12 $2,208 $184 premium 22.6% (800) 603-0558
27 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 12 $4,128 $344 premium 100.0% (573) 882-2667
28 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 12 $4,036 $336 premium 6.0% (813) 751-3375
29 KATHY YU-SYKEN M D INC A MEDICAL CORPORATION HUNTINGTON BEACH CA PHYSICIAN ASSISTANT 3 11 $3,025 $275 premium 7.4% (714) 375-4224
30 MID-ATLANTIC ENT ANNAPOLIS MD OTOLARYNGOLOGY 6 11 $2,096 $191 premium 10.4% (410) 573-9191
31 FACIAL AND OCULOPLASTIC SURGERY CENTER OF TEXAS PLLC SAN ANTONIO TX OPHTHALMOLOGY 6 11 $4,549 $414 premium 17.5% (210) 495-2367
32 TYGART VALLEY MEDICAL SPECIALTIES INC ELKINS WV NURSE PRACTITIONER 2 11 $4,184 $380 premium 100.0% (304) 637-6302
33 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 11 $5,823 $529 premium 100.0% (617) 523-7900
34 NORTH SHORE-LIJ MEDICAL PC MANHASSET NC PHYSICIAN ASSISTANT 6294 11 $9,416 $856 premium 100.0%

*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 →