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Market snapshot

31632 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31632 — Biopsy of lobe of lung using an endoscope, each additional lobe

Billing groups
53
Named-group FFS services
2,298
FFS of Medicare
49%
Services YoY
+39.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,783 services

2,298 observed fee-for-service (48%) · ~2,485 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 — 31632 (CY2024)
AZ 486 OH 341 CA 255 TX 231 NY 229

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

Named-group submitted charges
$655K
Named-group allowed amount
$108K
Named-group Medicare payments
$86K
Avg charge / svc
$285
Avg allowed / svc
$47
Avg payment / svc
$37
Average charge per group
$93 53 groups · avg submitted charge / service $1,288
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 31632 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 346 $48,440 $140 71.2% (602) 406-6017
2 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 252 $84,420 $335 73.9% —
3 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 151 $36,240 $240 81.2% (615) 322-5000
4 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 99 $23,760 $240 75.6% (215) 662-2777
5 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 90 $48,006 $533 44.8% (904) 953-2000
6 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 81 $24,680 $305 16.7% (800) 603-0558
7 NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC SUWANEE GA PHYSICIAN ASSISTANT 314 67 $9,849 $147 100.0% (678) 474-9633
8 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 64 $23,128 $361 69.6% (507) 284-2511
9 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 63 $81,144 $1,288 27.5% (212) 263-9700
10 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 55 $7,780 $141 23.8% (210) 450-7044
11 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 53 $13,144 $248 50.0% (314) 747-3000
12 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 52 $17,316 $333 22.7% (212) 305-8559
13 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 52 $16,262 $313 20.4% (800) 926-8273
14 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 51 $6,964 $137 78.5% —
15 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 41 $11,583 $283 20.4% (407) 896-1100
16 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO MA PHYSICIAN ASSISTANT 1326 39 $5,519 $142 78.0% (210) 450-7044
17 CLEVELAND CLINIC CLEVELAND WI PHYSICIAN ASSISTANT 6828 38 $12,730 $335 100.0% —
18 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 36 $10,152 $282 58.1% (919) 684-8111
19 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 33 $9,207 $279 14.3% (713) 266-9955
20 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 32 $22,400 $700 14.0% (212) 746-5454
21 VIRGINIA MASON MEDICAL CENTER SEATTLE MN PHYSICIAN ASSISTANT 879 28 $5,248 $187 30.4% (206) 223-6600
22 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 28 $13,748 $491 11.0% (650) 723-4000
23 NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ PHYSICIAN ASSISTANT 128 27 $3,780 $140 5.6% (520) 202-7770
24 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 27 $3,510 $130 10.6% (760) 340-3911
25 CITY OF HOPE MEDICAL GROUP OF GEORGIA LLC NEWNAN OH NURSE PRACTITIONER 134 24 $8,040 $335 7.0% (770) 400-6080
26 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 23 $3,289 $143 6.7% (513) 584-1000
27 CENTENNIAL SURGICAL CLINIC, LLC NASHVILLE TN CARDIAC SURGERY 15 21 $3,095 $147 11.3% (615) 342-1000
28 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 21 $3,675 $175 65.6% (434) 924-5959
29 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 19 $6,080 $320 100.0% (203) 688-4242
30 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK KY PHYSICIAN ASSISTANT 2818 19 $5,510 $290 100.0% (212) 241-4812
31 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 18 $9,630 $535 20.2% (847) 459-1160
32 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 18 $4,338 $241 20.2% —
33 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 17 $2,975 $175 5.0% (614) 293-8000
34 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 17 $3,385 $199 7.4% (903) 606-5560
35 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 17 $1,989 $117 13.0% —
36 CHS PHYSICIAN PARTNERS PC ROSLYN AZ PHYSICIAN ASSISTANT 734 16 $2,592 $162 3.3% —
37 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 16 $5,120 $320 100.0% (317) 338-2345
38 SCOTTSDALE PULMONARY AND CRITICAL CARE LLC SCOTTSDALE AZ PULMONARY DISEASE 14 16 $2,560 $160 3.3% (480) 994-9838
39 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM IL PHYSICIAN ASSISTANT 3051 15 $4,230 $282 16.9% (919) 684-8111
40 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 398 15 $2,250 $150 11.5% (215) 955-6161
41 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 15 $3,180 $212 16.9% (630) 933-4800
42 COASTAL PULMONARY AND CRITICAL CARE PLC ST PETERSBURG FL PULMONARY DISEASE 9 15 $1,628 $109 7.5% (727) 822-6661
43 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 15 $6,045 $403 6.6% —
44 THE EMORY CLINIC INC ATLANTA DE NURSE PRACTITIONER 3484 14 $4,396 $314 21.5% (404) 778-7525
45 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 14 $2,296 $164 7.5% (615) 269-4545
46 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 13 $2,769 $213 5.6% (254) 724-2663
47 PROVIDENCE HEALTH ALLIANCE WACO TX PHYSICIAN ASSISTANT 121 13 $2,482 $191 5.6% (254) 537-6200
48 BOZEMAN HEALTH DEACONESS HOSPITAL BOZEMAN MT PHYSICIAN ASSISTANT 305 12 $2,684 $224 100.0% (406) 414-4800
49 BLESSING HOSPITAL QUINCY IL NURSE PRACTITIONER 401 12 $2,514 $210 13.5% (217) 223-8400
50 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 12 $2,244 $187 19.4% (919) 881-0160
51 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 11 $1,023 $93 34.4% —
52 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 11 $3,553 $323 22.0% (508) 334-1000
53 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 11 $2,090 $190 100.0% (501) 686-8000
54 MONTEFIORE MEDICAL CENTER BRONX MO PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 11 $6,435 $585 10.4% (866) 633-8255
55 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 11 $1,628 $148 100.0% (410) 761-1222
56 ALEGENT CREIGHTON CLINIC OMAHA NE PHYSICIAN ASSISTANT 942 11 $1,991 $181 100.0% —

*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 →