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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33979 Insertion of implanted blood flow assist device in lower heart chamber CPT · Cardiovascular procedure
Classification Procedure Cardiovascular Insertion/Removal/Replacement ICD (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 49 services ▲ 276.9% YoY · 49 beneficiaries (CY2024, Medicare FFS)
Medicare paid $75K · $1521.53 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
3
Named-group FFS services
35
FFS of Medicare
49%
Services YoY
+276.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~71 services

35 observed fee-for-service (49%) · ~36 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 — 33979 (CY2024)

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

Named-group submitted charges
$700K
Named-group allowed amount
$62K
Named-group Medicare payments
$50K
Avg charge / svc
$19,993
Avg allowed / svc
$1,784
Avg payment / svc
$1,429
Average charge per group
$11,650 3 groups · avg submitted charge / service $37,895
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 33979 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 33979 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 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 13 $154,766 $11,905 premium 100.0%
2 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 11 $416,846 $37,895 premium 100.0% (212) 305-8559
3 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 11 $128,151 $11,650 premium 100.0% (352) 265-8990

*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 →