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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
32480 Removal of lobe of lung 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 249 services ▼ 9.8% YoY · 249 beneficiaries (CY2024, Medicare FFS)
Medicare paid $240K · $962.23 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
10
Named-group FFS services
223
FFS of Medicare
49%
Services YoY
-9.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~442 services

223 observed fee-for-service (50%) · ~219 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 — 32480 (CY2024)

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

Named-group submitted charges
$1.0M
Named-group allowed amount
$278K
Named-group Medicare payments
$222K
Avg charge / svc
$4,624
Avg allowed / svc
$1,248
Avg payment / svc
$995
Average charge per group
$2,766 10 groups · avg submitted charge / service $12,468
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 32480 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 32480 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 36 $136,620 $3,795 premium 100.0% (760) 340-3911
2 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 32 $133,600 $4,175 premium 100.0% (405) 608-3800
3 MERCY CLINIC CARDIOVASCULAR AND THORACIC SURGERY LLC SAINT LOUIS MO PHYSICIAN ASSISTANT 23 29 $116,406 $4,014 premium 100.0% (314) 251-6970
4 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 29 $147,436 $5,084 premium 100.0% (215) 662-2777
5 NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 361 24 $73,755 $3,073 premium 100.0% (662) 377-3258
6 LAFAYETTE HEALTH VENTURES INC LAFAYETTE LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 293 20 $76,280 $3,814 premium 100.0% (337) 289-7374
7 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 15 $122,430 $8,162 premium 100.0% (952) 928-2900
8 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 15 $44,520 $2,968 premium 57.7% (434) 947-3033
9 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 12 $149,622 $12,468 premium 100.0% (713) 592-5433
10 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 11 $30,431 $2,766 premium 42.3%

*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 →