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Market snapshot

44970 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

44970 — Removal of appendix using an endoscope

Billing groups
10
Named-group FFS services
159
FFS of Medicare
49%
Services YoY
+75.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~344 services

159 observed fee-for-service (46%) · ~185 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 — 44970 (CY2024)

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

Named-group submitted charges
$306K
Named-group allowed amount
$89K
Named-group Medicare payments
$70K
Avg charge / svc
$1,926
Avg allowed / svc
$560
Avg payment / svc
$442
Average charge per group
$1,035 10 groups · avg submitted charge / service $3,627
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 44970 services, CY2024
#Physician group City St Specialty Providers 44970 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NCHMD INC NAPLES FL NEUROLOGY 515 25 $47,650 $1,906 premium 26.6% (239) 436-5100
2 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 24 $56,800 $2,367 premium 25.5% (772) 223-5665
3 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 18 $38,418 $2,134 premium 62.1% (903) 606-5560
4 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 16 $29,997 $1,875 premium 57.1% (949) 791-3370
5 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 16 $28,800 $1,800 premium 17.0%
6 VALLEY SURGICAL CLINICS, LTD PHOENIX AZ GENERAL SURGERY 14 14 $16,604 $1,186 premium 26.4% (602) 996-4747
7 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 12 $18,948 $1,579 premium 22.6% (623) 832-4000
8 VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC SUMMERFIELD FL DIAGNOSTIC RADIOLOGY 196 12 $43,528 $3,627 premium 12.8% (352) 255-3615
9 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 11 $14,179 $1,289 premium 100.0% (509) 946-4611
10 WILLIAMSON MEDICAL GROUP, LLC FRANKLIN TN NURSE PRACTITIONER 69 11 $11,385 $1,035 premium 100.0% (615) 435-7780

*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 →