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Market snapshot

31535 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31535 — Biopsy of voice box using an endoscope

Billing groups
15
Named-group FFS services
228
FFS of Medicare
49%
Services YoY
-11.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~470 services

228 observed fee-for-service (49%) · ~242 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 — 31535 (CY2024)
FL 150 NY 40 TX 25 GA 21 AZ 19

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

Named-group submitted charges
$188K
Named-group allowed amount
$37K
Named-group Medicare payments
$29K
Avg charge / svc
$826
Avg allowed / svc
$163
Avg payment / svc
$127
Average charge per group
$385 15 groups · avg submitted charge / service $2,187
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 31535 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 26 $15,028 $578 17.3% (407) 200-2700
2 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION NORFOLK GA OBSTETRICS/GYNECOLOGY 224 21 $12,180 $580 100.0% (757) 446-7900
3 ARIZONA OTOLARYNGOLOGY CONSULTANTS, PC GLENDALE AZ OTOLARYNGOLOGY 22 19 $7,315 $385 100.0% (602) 938-3205
4 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 19 $14,991 $789 12.7% (305) 689-5437
5 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 16 $7,456 $466 100.0% (206) 223-6600
6 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 15 $10,455 $697 100.0% —
7 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 14 $13,622 $973 100.0% (617) 523-7900
8 SOUTHWEST IDAHO EAR NOSE AND THROAT BOISE ID OTOLARYNGOLOGY 15 14 $7,294 $521 100.0% (208) 336-4368
9 NORTH SHORE-LIJ MEDICAL PC MANHASSET MI PHYSICIAN ASSISTANT 6294 13 $18,512 $1,424 100.0% —
10 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 13 $28,431 $2,187 32.5% (212) 263-9700
11 CENTENNIAL SURGICAL CLINIC, LLC NASHVILLE TN CARDIAC SURGERY 15 12 $6,648 $554 100.0% (615) 342-1000
12 MIDWEST ENT ALLIANCE PLLC PARK RIDGE IL OTOLARYNGOLOGY 95 12 $5,760 $480 100.0% (847) 674-5585
13 COASTAL EAR NOSE AND THROAT LLC NEPTUNE DC OTOLARYNGOLOGY 19 12 $4,952 $413 100.0% (732) 280-7855
14 PHYSICIANS REFERRAL SERVICE HOUSTON CA NURSE PRACTITIONER 2696 11 $23,846 $2,168 100.0% (713) 592-5433
15 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 11 $11,737 $1,067 44.0% —

*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 →