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Market snapshot

33419 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

33419 — Repair of mitral valve through the skin, additional prosthesis

Billing groups
25
Named-group FFS services
530
FFS of Medicare
49%
Services YoY
-7.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,051 services

530 observed fee-for-service (50%) · ~521 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 — 33419 (CY2024)
CA 122 WA 70 NY 58 VA 57 TN 53

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

Named-group submitted charges
$862K
Named-group allowed amount
$187K
Named-group Medicare payments
$150K
Avg charge / svc
$1,627
Avg allowed / svc
$354
Avg payment / svc
$283
Average charge per group
$224 25 groups · avg submitted charge / service $7,438
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 33419 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 44 $34,490 $784 77.2% —
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 40 $76,368 $1,909 32.8% (415) 600-1020
3 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 40 $57,146 $1,429 32.8% (310) 423-3277
4 RIVERVIEW CARDIAC SURGERY PA PORT CHARLOTTE FL THORACIC SURGERY 6 38 $33,896 $892 100.0% (941) 744-2640
5 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 30 $45,320 $1,511 24.6% (858) 455-9100
6 PIEDMONT CARDIOLOGY OF ATLANTA, LLC ATLANTA GA PHYSICIAN ASSISTANT 477 30 $30,051 $1,002 68.2% (404) 605-5000
7 SWEDISH HEALTH SERVICES SEATTLE WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 78 26 $34,548 $1,329 37.1% (206) 386-6000
8 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 26 $38,480 $1,480 49.1% (615) 322-5000
9 HEART HOSPITAL OF SOUTH DAKOTA LLC SIOUX FALLS SD NURSE PRACTITIONER 67 23 $5,151 $224 100.0% (605) 977-7000
10 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 23 $171,074 $7,438 39.7% (212) 263-9700
11 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 20 $37,400 $1,870 34.5% (212) 241-4812
12 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 16 $35,696 $2,231 100.0% (617) 732-5500
13 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 15 $40,650 $2,710 25.9% (212) 305-8559
14 WELLMONT CARDIOLOGY SERVICES KINGSPORT TN CARDIOVASCULAR DISEASE (CARDIOLOGY) 138 14 $12,636 $903 26.4% (423) 230-5000
15 GEORGIA HEART INSTITUTE LLC GAINESVILLE GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 128 14 $20,202 $1,443 31.8% (770) 534-2020
16 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 13 $12,699 $977 100.0% (913) 588-1227
17 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 13 $21,112 $1,624 22.8% —
18 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 13 $11,791 $907 24.5% (615) 269-4545
19 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 12 $23,268 $1,939 33.3% (952) 993-3123
20 PARK NICOLLET CLINIC ST LOUIS PARK MI PHYSICIAN ASSISTANT 1754 12 $23,268 $1,939 100.0% (952) 993-3123
21 GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION THOUSAND OAKS CA PHYSICIAN ASSISTANT 22 12 $16,937 $1,411 9.8% (805) 852-9100
22 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 12 $18,912 $1,576 100.0% —
23 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 11 $14,377 $1,307 100.0% (410) 337-4877
24 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 11 $19,993 $1,818 30.6% (612) 863-4000
25 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 114 11 $7,834 $712 100.0% (405) 951-4345
26 SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS LLC LAS VEGAS NV NURSE PRACTITIONER 60 11 $18,964 $1,724 100.0% (702) 916-8431

*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 →