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Market snapshot

38510 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

38510 — Biopsy or removal of deep lymph nodes of neck

Billing groups
34
Named-group FFS services
590
FFS of Medicare
49%
Services YoY
+23.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,236 services

590 observed fee-for-service (48%) · ~646 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 — 38510 (CY2024)
CA 90 TX 85 IN 72 FL 72 ME 52

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

Named-group submitted charges
$1.0M
Named-group allowed amount
$182K
Named-group Medicare payments
$145K
Avg charge / svc
$1,768
Avg allowed / svc
$308
Avg payment / svc
$245
Average charge per group
$725 34 groups · avg submitted charge / service $3,739
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 38510 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 52 $62,299 $1,198 100.0% (207) 885-9905
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 43 $118,922 $2,766 47.8% (415) 600-1020
3 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 27 $39,643 $1,468 100.0% (734) 763-5459
4 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 26 $87,074 $3,349 30.6% (713) 592-5433
5 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 21 $68,019 $3,239 63.6% (215) 662-2777
6 COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES, PA MYRTLE BEACH MN OTOLARYNGOLOGY 7 20 $14,508 $725 62.5% (843) 449-6449
7 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 20 $41,082 $2,054 58.8% (617) 523-7900
8 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 19 $23,807 $1,253 100.0% —
9 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 18 $27,090 $1,505 52.9% —
10 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 18 $28,834 $1,602 25.0% (813) 745-4673
11 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY TX PHYSICIAN ASSISTANT 1783 18 $22,684 $1,260 21.2% (801) 581-2121
12 OSU SURGERY, LLC COLUMBUS OH PHYSICIAN ASSISTANT 204 17 $26,190 $1,541 100.0% (614) 293-2101
13 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 16 $15,944 $996 100.0% (913) 588-1227
14 OTOLARYNGOLOGY ASSOCIATES PC FAIRFAX VA OTOLARYNGOLOGY 30 16 $12,800 $800 47.1% (703) 383-8130
15 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 16 $17,456 $1,091 55.2% (520) 694-0111
16 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 16 $59,824 $3,739 100.0% (608) 287-2050
17 DEACONESS SPECIALTY PHYSICIANS, INC NEWBURGH IN NURSE PRACTITIONER 207 16 $22,928 $1,433 22.2% (812) 842-2737
18 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 15 $27,045 $1,803 17.6% (903) 606-5560
19 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CT PHYSICIAN ASSISTANT 1699 15 $22,200 $1,480 100.0% (310) 423-0674
20 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 14 $36,746 $2,625 19.4% (904) 953-2000
21 BANNER CANCER CENTER SPECIALISTS LLC GILBERT AZ PHYSICIAN ASSISTANT 331 13 $14,183 $1,091 44.8% (480) 256-6444
22 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 13 $41,860 $3,220 14.4% (415) 476-1000
23 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 13 $13,455 $1,035 18.1% —
24 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 13 $21,626 $1,664 100.0% (901) 683-0055
25 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 12 $27,180 $2,265 37.5% (507) 284-2511
26 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 12 $10,644 $887 50.0% (803) 749-5101
27 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 12 $22,560 $1,880 14.1% —
28 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 12 $14,528 $1,211 36.4% —
29 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 12 $15,528 $1,294 50.0% (803) 744-4900
30 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 11 $29,532 $2,685 12.2% (650) 723-4000
31 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 11 $12,815 $1,165 12.2% (925) 296-9720
32 EASTERN OKLAHOMA EAR NOSE AND THROAT INC TULSA OK OTOLARYNGOLOGY 20 11 $12,034 $1,094 100.0% (918) 492-3636
33 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 11 $20,899 $1,900 100.0% (503) 494-8311
34 AZZI ENT AND FACIAL RECONSTRUCTIVE SURGERY PA JUPITER FL NURSE PRACTITIONER 2 11 $11,266 $1,024 15.3% (561) 979-2001

*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 →