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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
35355 Removal of blood clot and portion of artery of upper thigh CPT · Vascular procedure
Classification Procedure Vascular (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 156 services ▲ 6.1% YoY · 148 beneficiaries (CY2024, Medicare FFS)
Medicare paid $89K · $570.47 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
5
Named-group FFS services
99
FFS of Medicare
49%
Services YoY
+6.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~208 services

99 observed fee-for-service (48%) · ~109 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 — 35355 (CY2024)

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

Named-group submitted charges
$329K
Named-group allowed amount
$78K
Named-group Medicare payments
$62K
Avg charge / svc
$3,321
Avg allowed / svc
$787
Avg payment / svc
$627
Average charge per group
$2,473 5 groups · avg submitted charge / service $4,361
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 35355 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 35355 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 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 29 $71,713 $2,473 premium 64.4% (916) 681-8852
2 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE NY PHYSICIAN ASSISTANT 578 24 $92,558 $3,857 premium 34.3%
3 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 18 $59,921 $3,329 premium 100.0% (386) 231-6000
4 NORTH COAST SURGICAL SPECIALISTS EUREKA CA GENERAL SURGERY 2 16 $69,783 $4,361 premium 35.6% (707) 445-3674
5 LONE STAR HEART AND VASCULAR CLINIC PA NEW BRAUNFELS TX INTERVENTIONAL CARDIOLOGY 12 12 $34,764 $2,897 premium 100.0%

*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 →