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Market snapshot

37243 in KY CY2024

Medicare Part B FFS · CY2024 · as published by CMS

37243 — Occlusion of growths or obstructed vessels with review by radiologist

Billing groups
1
Named-group FFS services
87
FFS of Medicare
46%
Services YoY
+35.9%
FFS enrollment -3.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~187 services

87 observed fee-for-service (47%) · ~100 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

Named-group submitted charges
$1.3M
Named-group allowed amount
$632K
Named-group Medicare payments
$504K
Avg charge / svc
$14,471
Avg allowed / svc
$7,267
Avg payment / svc
$5,790
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Specialty market — Urology: 87 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Urology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 37243 services, CY2024
#Physician group City Specialty Providers 37243 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 UROLOGY PARTNERS OF NORTH TEXAS, PLLC ARLINGTON UROLOGY 89 87 $1,259,000 $14,471 premium 100.0%

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →