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Market snapshot

33999 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

33999 — Other heart surgery procedure

Billing groups
8
Named-group FFS services
476
FFS of Medicare
49%
Services YoY
+63.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~843 services

476 observed fee-for-service (56%) · ~367 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 — 33999 (CY2024)

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

Named-group submitted charges
$3.4M
Named-group allowed amount
$331K
Named-group Medicare payments
$264K
Avg charge / svc
$7,158
Avg allowed / svc
$695
Avg payment / svc
$555
Average charge per group
$888 8 groups · avg submitted charge / service $33,349
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 33999 services, CY2024
#Physician group City St Specialty Providers 33999 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 310 $277,677 $896 premium 93.9%
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 77 $2,567,849 $33,349 premium 85.6% (212) 263-9700
3 RMH MEDICAL GROUP LLC ROCKINGHAM VA PHYSICIAN ASSISTANT 263 20 $17,763 $888 premium 6.1% (540) 689-1110
4 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 17 $64,794 $3,811 premium 50.0% (760) 340-3911
5 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 14 $246,920 $17,637 premium 32.6% (713) 566-5000
6 OSF MULTI-SPECIALTY GROUP PEORIA FL NURSE PRACTITIONER 2091 13 $98,932 $7,610 premium 52.0% (309) 683-5050
7 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 13 $101,400 $7,800 premium 14.4% (212) 241-4812
8 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES PA ATLANTIS FL CARDIAC ELECTROPHYSIOLOGY 14 12 $32,088 $2,674 premium 48.0% (561) 434-0353

*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 →