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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
31541 Removal of growth of tongue and/or stripping of vocal cord using an endoscope with operating microscope or telescope 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 1,271 services ▲ 20.0% YoY · 1,087 beneficiaries (CY2024, Medicare FFS)
Medicare paid $329K · $258.57 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
43
Named-group FFS services
944
FFS of Medicare
49%
Services YoY
+20.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,941 services

944 observed fee-for-service (49%) · ~997 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 — 31541 (CY2024)
CA 206 FL 112 PA 111 IL 90 MN 89

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

Named-group submitted charges
$1.4M
Named-group allowed amount
$238K
Named-group Medicare payments
$185K
Avg charge / svc
$1,522
Avg allowed / svc
$252
Avg payment / svc
$195
Average charge per group
$500 43 groups · avg submitted charge / service $3,032
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 31541 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 54 $135,000 $2,500 26.2% (650) 723-4000
2 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 53 $155,926 $2,942 47.7% (215) 662-2777
3 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 46 $139,476 $3,032 51.7% (507) 284-2511
4 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 42 $89,480 $2,130 37.5% (904) 953-2000
5 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 36 $53,955 $1,499 61.0% (314) 747-3000
6 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 36 $74,970 $2,083 43.9% (800) 603-0558
7 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 35 $103,880 $2,968 100.0% (608) 287-2050
8 ARIZONA OTOLARYNGOLOGY CONSULTANTS, PC GLENDALE AZ OTOLARYNGOLOGY 22 35 $18,865 $539 42.7% (602) 938-3205
9 PRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC GREENVILLE SC OTOLARYNGOLOGY 21 32 $24,728 $773 72.7% (864) 572-7001
10 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 32 $35,264 $1,102 28.6% (305) 689-5437
11 MIDWEST ENT ALLIANCE PLLC PARK RIDGE IL OTOLARYNGOLOGY 95 28 $24,425 $872 31.1% (847) 674-5585
12 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 28 $38,335 $1,369 68.3% (617) 724-0287
13 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 24 $22,032 $918 58.5% (336) 713-9800
14 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 23 $46,207 $2,009 41.8% —
15 SSM HEALTH CARE GROUP SAINT LOUIS MO NURSE PRACTITIONER 921 23 $18,400 $800 39.0% (314) 977-7455
16 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO CA OTOLARYNGOLOGY 16 22 $12,610 $573 10.7% (949) 364-4361
17 BUTLER AND BURNS EAR NOSE AND THROAT ASSOCIATES AUSTIN TX OTOLARYNGOLOGY 43 21 $16,485 $785 36.8% (512) 454-0392
18 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 20 $30,644 $1,532 17.9% (352) 265-8990
19 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 18 $23,670 $1,315 16.2% —
20 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 18 $15,404 $856 100.0% (503) 494-8311
21 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 18 $15,660 $870 60.0% (601) 815-4775
22 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 18 $9,702 $539 16.1% —
23 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 17 $34,595 $2,035 41.5% (919) 684-8111
24 EASTERN SHORE ENT AND ALLERGY SALISBURY MD OTOLARYNGOLOGY 10 17 $8,500 $500 41.5% (410) 742-1567
25 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 16 $10,165 $635 100.0% (913) 588-1227
26 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 16 $10,080 $630 47.1% (501) 202-2093
27 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 15 $12,165 $811 57.7% (318) 675-8700
28 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 15 $13,115 $874 100.0% (313) 916-2600
29 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 14 $17,248 $1,232 100.0% (888) 484-3258
30 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON CA PHYSICIAN ASSISTANT 1692 14 $34,415 $2,458 6.8% (843) 792-1414
31 BANNER-UNIVERSITY MEDICAL GROUP TUCSON CA INTERNAL MEDICINE 1068 13 $8,827 $679 6.3% (520) 694-0111
32 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 13 $25,739 $1,980 6.3% (310) 794-1110
33 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 13 $22,750 $1,750 14.4% —
34 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 13 $17,641 $1,357 31.7% (617) 523-7900
35 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 13 $15,404 $1,185 6.3% (800) 926-8273
36 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 13 $25,360 $1,951 22.8% (214) 633-5555
37 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 12 $9,384 $782 21.1% (254) 724-2663
38 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION NORFOLK VA OBSTETRICS/GYNECOLOGY 224 12 $6,840 $570 100.0% (757) 446-7900
39 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 12 $9,408 $784 21.8% (518) 262-3277
40 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 11 $12,738 $1,158 100.0% —
41 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 11 $10,582 $962 9.9% (717) 531-5638
42 JOHNS HOPKINS REGIONAL PHYSICIANS LLC LUTHERVILLE MD OTOLARYNGOLOGY 80 11 $18,375 $1,670 26.8% (443) 275-1337
43 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 11 $8,405 $764 19.3% (210) 450-7044

*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 →