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Market snapshot

31646 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31646 — Aspiration of subsequent secretions of lung airway using an endoscope during same hospital stay

Billing groups
11
Named-group FFS services
357
FFS of Medicare
49%
Services YoY
+44.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~707 services

357 observed fee-for-service (50%) · ~350 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 — 31646 (CY2024)
CA 223 MS 111 AZ 61 MA 55 PA 54

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

Named-group submitted charges
$324K
Named-group allowed amount
$43K
Named-group Medicare payments
$34K
Avg charge / svc
$907
Avg allowed / svc
$119
Avg payment / svc
$95
Average charge per group
$317 11 groups · avg submitted charge / service $1,730
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 31646 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 101 $138,996 $1,376 45.3% (650) 723-4000
2 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 61 $24,400 $400 100.0% (602) 406-6017
3 DEACONESS HOSPITAL, INC. EVANSVILLE IN HOSPITALIST 420 24 $24,581 $1,024 100.0% (812) 450-7338
4 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 24 $7,604 $317 10.8% (714) 456-7002
5 CLEVELAND CLINIC CLEVELAND PA PHYSICIAN ASSISTANT 6828 24 $28,368 $1,182 44.4% —
6 QURESHI AL-OWIR PLLC LAS VEGAS NV CRITICAL CARE (INTENSIVISTS) 17 22 $9,900 $450 43.1% (702) 233-7572
7 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 22 $9,504 $432 100.0% (410) 761-1222
8 ANDERSON PHYSICIAN ALLIANCE INC MERIDIAN MS NURSE PRACTITIONER 70 22 $7,986 $363 19.8% (601) 553-6399
9 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 17 $29,410 $1,730 100.0% (212) 305-8559
10 DEACONESS HOSPITAL, INC. EVANSVILLE KY HOSPITALIST 420 15 $15,167 $1,011 100.0% (812) 450-7338
11 FROEDTERT SOUTH INC PLEASANT PRAIRIE WI PHYSICIAN ASSISTANT 151 13 $12,974 $998 100.0% (262) 551-4200
12 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 12 $14,748 $1,229 100.0% (803) 395-3400

*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 →