Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

38747 Removal of lymph nodes of abdominal organ CPT · Other Organ Systems procedure

Classification Procedure › Other Organ Systems (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 412 services · est. ▼ 44.3% YoY · 204 FFS beneficiaries (CY2024, all-Medicare estimate) — 205 observed fee-for-service services

Medicare paid $76K · est. · $187.10 avg / service, national — $38K observed FFS

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named groups billing this code

Named-group all-Medicare svcs · est.

373

Scaled from 186 observed FFS services.

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-44.3%

All-Medicare est. · observed FFS -48.9%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~373 services

186 observed fee-for-service (50%) · ~187 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 — 38747 (CY2024)

NY 69 TX 64 KY 62 CA 43 AL 42

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid

Named-group submitted charges

$192K

Named-group allowed amount

$42K

Named-group Medicare payments

$67K · est.

— $34K observed FFS

Avg charge / svc

$1,034

Avg allowed / svc

$228

Avg payment / svc

$182

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$526–700

$700–873

$873–1,047

$1,047–1,220

$1,220–1,394

$1,394–1,568

$1,568–1,741

$1,741+

$526 9 groups · avg submitted charge / service $2,251

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 38747 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	38747 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share of state* locked column	Phone
1	SHARIF SURGICAL PLLC	FORT WORTH	TX	PHYSICIAN ASSISTANT	2	30	$67,541	$2,251	premium	100.0%	(817) 332-0786
2	KENTUCKY MEDICAL SERVICES FOUNDATION, INC	LEXINGTON	KY	DIAGNOSTIC RADIOLOGY	989	29	$23,113	$797	premium	100.0%	(859) 257-1412
3	ACADEMIC SURGICAL ASSOCIATES INC.	GLENDALE	CA	GENERAL SURGERY	4	21	$29,610	$1,410	premium	100.0%	(818) 275-4759
4	MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC	HOLLYWOOD	MD	INTERNAL MEDICINE	236	20	$14,720	$736	premium	100.0%	—
5	ST VINCENT MEDICAL GROUP	LITTLE ROCK	AR	FAMILY PRACTICE	247	18	$9,468	$526	premium	100.0%	(501) 562-4838

That's the top 5 of 9 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →