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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33259 Extensive destruction and reconstruction of right upper heart chamber on heart-lung machine CPT · Cardiovascular procedure
Classification Procedure Cardiovascular (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 955 services ▲ 22.0% YoY · 953 beneficiaries (CY2024, Medicare FFS)
Medicare paid $551K · $577.02 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
33
Named-group FFS services
726
FFS of Medicare
49%
Services YoY
+22.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,497 services

726 observed fee-for-service (48%) · ~771 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 — 33259 (CY2024)

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

Named-group submitted charges
$2.3M
Named-group allowed amount
$508K
Named-group Medicare payments
$405K
Avg charge / svc
$3,140
Avg allowed / svc
$700
Avg payment / svc
$558
Average charge per group
$989 33 groups · avg submitted charge / service $6,500
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 33259 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 33259 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 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 80 $367,680 $4,596 premium 76.2%
2 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 60 $390,000 $6,500 premium 81.1% (212) 241-4812
3 DEACONESS SPECIALTY PHYSICIANS, INC NEWBURGH IN NURSE PRACTITIONER 207 49 $81,348 $1,660 premium 33.3% (812) 842-2737
4 TENET FLORIDA PHYSICIAN SERVICES LLC DELRAY BEACH FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 224 42 $100,338 $2,389 premium 25.9% (561) 498-4440
5 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 39 $89,661 $2,299 premium 24.1%
6 ST MARYS MEDICAL GROUP LLC EVANSVILLE IN NURSE PRACTITIONER 226 38 $91,770 $2,415 premium 25.9% (812) 491-3236
7 JACK STEPHENS HEART INSTITUTE LLC LITTLE ROCK AR CARDIAC SURGERY 6 25 $38,000 $1,520 premium 64.1% (501) 666-2894
8 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 24 $60,456 $2,519 premium 100.0%
9 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 24 $38,298 $1,596 premium 14.8% (407) 200-2700
10 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 23 $44,823 $1,949 premium 28.8% (916) 681-8852
11 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 18 $71,964 $3,998 premium 22.5% (415) 600-1020
12 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 17 $71,205 $4,189 premium 11.6% (317) 338-2345
13 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 17 $35,938 $2,114 premium 100.0% (801) 261-8346
14 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 16 $40,320 $2,520 premium 53.3%
15 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 15 $24,090 $1,606 premium 55.6% (901) 226-3882
16 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 15 $57,235 $3,816 premium 100.0% (734) 763-5459
17 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 15 $52,655 $3,510 premium 100.0% (617) 724-0287
18 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 14 $73,220 $5,230 premium 18.9% (212) 305-8559
19 ASANTE PHYSICIAN PARTNERS GRANTS PASS OR NURSE PRACTITIONER 221 14 $34,520 $2,466 premium 100.0% (541) 507-2290
20 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 14 $66,598 $4,757 premium 100.0%
21 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 14 $44,877 $3,206 premium 100.0%
22 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 14 $33,932 $2,424 premium 46.7% (253) 428-2200
23 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 12 $60,480 $5,040 premium 52.2% (314) 747-3000
24 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 12 $29,777 $2,481 premium 42.9%
25 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 12 $11,873 $989 premium 15.0% (916) 983-7476
26 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 12 $31,800 $2,650 premium 48.0% (410) 337-4877
27 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID PHYSICIAN ASSISTANT 647 12 $29,712 $2,476 premium 100.0%
28 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 12 $21,600 $1,800 premium 11.4% (419) 291-2003
29 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 12 $45,444 $3,787 premium 100.0% (205) 934-3460
30 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF FL NURSE PRACTITIONER 1202 11 $27,337 $2,485 premium 6.8%
31 ASHEVILLE HEART PA ASHEVILLE NC PHYSICIAN ASSISTANT 19 11 $34,122 $3,102 premium 50.0% 82825811211122
32 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 11 $24,013 $2,183 premium 13.8% (760) 340-3911
33 APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH PHYSICIAN ASSISTANT 202 11 $35,990 $3,272 premium 100.0% (603) 334-2065
34 HEART SURGEONS OF KANSAS CITY INC KANSAS CITY MO NURSE PRACTITIONER 36 11 $18,436 $1,676 premium 47.8% (816) 932-2000

*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 →