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Market snapshot

31502 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31502 — Change of breathing tube in windpipe

Billing groups
20
Named-group FFS services
1,577
FFS of Medicare
49%
Services YoY
+22.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,155 services

1,577 observed fee-for-service (50%) · ~1,578 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 — 31502 (CY2024)

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

Named-group submitted charges
$114K
Named-group allowed amount
$45K
Named-group Medicare payments
$36K
Avg charge / svc
$72
Avg allowed / svc
$29
Avg payment / svc
$23
Average charge per group
$30 20 groups · avg submitted charge / service $793
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 31502 services, CY2024
#Physician group City St Specialty Providers 31502 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 1,102 $33,060 $30 premium 80.1% (562) 698-0811
2 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 68 $8,976 $132 premium 54.0% (708) 216-8372
3 EAST BAY PULMONARY GROUP ALAMEDA CA PULMONARY DISEASE 2 38 $2,850 $75 premium 2.8% (510) 814-4089
4 HEART AND LUNG ASSOCIATES, PC BAYSIDE NY INTERNAL MEDICINE 2 38 $3,800 $100 premium 44.7% (718) 225-5106
5 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 36 $4,320 $120 premium 57.1%
6 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS HOT SPRINGS AR NURSE PRACTITIONER 192 33 $4,356 $132 premium 100.0%
7 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 32 $3,776 $118 premium 25.4% (312) 563-2875
8 SELECT PULMONARY ASSOCIATES LLC COLUMBUS OH INTERNAL MEDICINE 2 28 $8,400 $300 premium 100.0% (614) 360-9754
9 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 27 $4,104 $152 premium 42.9% (205) 934-3460
10 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE GA NURSE PRACTITIONER 2448 19 $1,463 $77 premium 100.0% (502) 928-1050
11 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 19 $2,375 $125 premium 19.4% (410) 761-1222
12 UNIVERSITY OF MARYLAND ORAL MAXILLOFACIAL SURGERY ASSOC PA BALTIMORE MD MAXILLOFACIAL SURGERY 6 19 $5,975 $314 premium 19.4% (410) 706-6195
13 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON CA PHYSICIAN ASSISTANT 1692 18 $9,162 $509 premium 1.3% (843) 792-1414
14 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 17 $1,190 $70 premium 17.3% (202) 429-2401
15 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO MD INTERNAL MEDICINE 1965 15 $780 $52 premium 15.3% (301) 618-5700
16 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 15 $11,895 $793 premium 17.6% (212) 263-9700
17 MID MICHIGAN EAR NOSE AND THROAT PC EAST LANSING MI QUALIFIED AUDIOLOGIST 25 15 $3,075 $205 premium 100.0% (517) 324-4911
18 MARYLAND ENT CENTER LLC BALTIMORE MD OTOLARYNGOLOGY 7 14 $728 $52 premium 14.3% (410) 554-4455
19 SCOTT A EISMAN MD INC ENCINITAS CA PULMONARY DISEASE 12 13 $1,417 $109 premium 0.9% (818) 462-0990
20 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 11 $2,156 $196 premium 100.0% (817) 920-0484

*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 →