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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33025 Surgical removal of piece of sac covering heart for drainage CPT · Cardiovascular procedure
Classification Procedure Cardiovascular (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 407 services ▲ 17.3% YoY · 406 beneficiaries (CY2024, Medicare FFS)
Medicare paid $123K · $303.22 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
8
Named-group FFS services
392
FFS of Medicare
49%
Services YoY
+17.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~714 services

392 observed fee-for-service (55%) · ~322 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 — 33025 (CY2024)

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

Named-group submitted charges
$895K
Named-group allowed amount
$143K
Named-group Medicare payments
$114K
Avg charge / svc
$2,283
Avg allowed / svc
$365
Avg payment / svc
$290
Average charge per group
$1,700 8 groups · avg submitted charge / service $2,917
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 33025 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 33025 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 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 241 $511,999 $2,124 premium 94.1% (973) 971-5596
2 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD CT PHYSICIAN ASSISTANT 419 54 $157,518 $2,917 premium 100.0% (203) 276-4644
3 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 25 $68,400 $2,736 premium 62.5%
4 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 16 $27,200 $1,700 premium 100.0%
5 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 16 $46,621 $2,914 premium 100.0%
6 MAIMONIDES MEDICAL CENTER MAIMONIDES CARDIOTHORACIC SURGERY BROOKLYN NY THORACIC SURGERY 7 15 $34,387 $2,292 premium 37.5% (718) 283-5433
7 WESLEY PHYSICIANS MEDICAL SPECIALTIES LLC WICHITA KS FAMILY PRACTICE 51 13 $25,480 $1,960 premium 52.0% (316) 260-1690
8 KANSAS HEART HOSPITAL, LLC WICHITA KS NURSE PRACTITIONER 24 12 $23,520 $1,960 premium 48.0% (316) 630-5000

*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 →