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Market snapshot

36569 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

36569 — Insertion of tube for infusion (5 years or older)

Billing groups
24
Named-group FFS services
2,662
FFS of Medicare
49%
Services YoY
-14.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,475 services

2,662 observed fee-for-service (49%) · ~2,813 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 — 36569 (CY2024)

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$236K
Named-group Medicare payments
$186K
Avg charge / svc
$576
Avg allowed / svc
$89
Avg payment / svc
$70
Average charge per group
$120 24 groups · avg submitted charge / service $1,785
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 36569 services, CY2024
#Physician group City St Specialty Providers 36569 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 BADR MEDICAL CORPORATION GLENDALE CA NURSE PRACTITIONER 5 1,202 $367,350 $306 premium 95.1% (818) 827-3898
2 RADIOLOGIC PL MIAMI FL DIAGNOSTIC RADIOLOGY 5 234 $44,300 $189 premium 65.0% (954) 485-7707
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 184 $328,440 $1,785 premium 27.8%
4 MISSOURI BAPTIST MEDICAL CENTER SAINT LOUIS MO CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 124 155 $72,385 $467 premium 48.6% (314) 996-5000
5 SAMARITAN MEDICAL SERVICES PC WEST ISLIP NY PHYSICIAN ASSISTANT 333 142 $39,192 $276 premium 21.4% (516) 705-2689
6 DUNCAN ANESTHESIA ASSOCIATES INC DUNCAN OK CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 9 116 $127,600 $1,100 premium 88.5% (580) 252-6366
7 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 91 $102,830 $1,130 premium 13.7% (866) 633-8255
8 ADVANCED SURGEONS AND PHYSICIANS NETWORK INC HOUSTON TX NURSE PRACTITIONER 47 62 $104,782 $1,690 premium 58.5% (713) 795-4884
9 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 56 $57,680 $1,030 premium 8.4% (212) 241-4812
10 UVA COMMUNITY HEALTH MEDICAL GROUP LLC MANASSAS VA NURSE PRACTITIONER 345 52 $42,276 $813 premium 100.0% (703) 396-5292
11 FOUR CORNERS RADIOLOGY ASSOCIATES PC FARMINGTON NM DIAGNOSTIC RADIOLOGY 7 39 $9,324 $239 premium 76.5% (505) 325-1572
12 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 34 $23,020 $677 premium 69.4%
13 HANNIBAL REGIONAL HEALTHCARE SYSTEM INC HANNIBAL MO NURSE PRACTITIONER 265 29 $10,150 $350 premium 9.1% (573) 248-1300
14 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 27 $5,670 $210 premium 100.0% (248) 898-5058
15 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 27 $14,850 $550 premium 100.0% (803) 395-3400
16 ADVANCED INFUSION SERVICES LLC AMARILLO TX FAMILY PRACTICE 2 24 $9,000 $375 premium 22.6% (806) 242-2272
17 CLEVELAND CLINIC CLEVELAND IN PHYSICIAN ASSISTANT 6828 24 $19,392 $808 premium 100.0%
18 ADIRONDACK MEDICAL CENTER SARANAC LAKE NY PHYSICIAN ASSISTANT 83 21 $20,013 $953 premium 3.2% (518) 897-2981
19 PREMIER ONCOLOGY CONSULTANTS PA HOUSTON TX MEDICAL ONCOLOGY 2 20 $6,855 $343 premium 18.9% (281) 647-7766
20 MMC UNIVERSITY VASCULAR SURGEONS BROOKLYN NY VASCULAR SURGERY 7 19 $5,235 $276 premium 2.9% (718) 283-7966
21 CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY PHYSICIAN ASSISTANT 91 17 $2,032 $120 premium 2.6% (631) 548-6101
22 RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY NEW BRUNSWICK NY PHYSICIAN ASSISTANT 192 17 $30,345 $1,785 premium 2.6% (732) 828-3000
23 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 16 $12,928 $808 premium 100.0%
24 CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC DARBY PA CRITICAL CARE (INTENSIVISTS) 50 15 $9,960 $664 premium 30.6% (866) 212-7753
25 NORTH SHORE-LIJ MEDICAL PC MANHASSET NJ PHYSICIAN ASSISTANT 6294 14 $24,990 $1,785 premium 20.9%
26 TENET FLORIDA PHYSICIAN SERVICES LLC DELRAY BEACH NY CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 224 13 $21,255 $1,635 premium 2.0% (561) 498-4440
27 NORTH SHORE-LIJ MEDICAL PC MANHASSET LA PHYSICIAN ASSISTANT 6294 12 $21,420 $1,785 premium 37.5%

*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 →