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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
46260 Removal of multiple hemorrhoid groups CPT · Procedure
Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 771 services ▲ 0.3% YoY · 771 beneficiaries (CY2024, Medicare FFS)
Medicare paid $479K · $621.42 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
26
Named-group FFS services
409
FFS of Medicare
49%
Services YoY
+0.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~814 services

409 observed fee-for-service (50%) · ~405 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 — 46260 (CY2024)
FL 124 NC 78 AZ 74 MD 48 CA 47

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

Named-group submitted charges
$587K
Named-group allowed amount
$189K
Named-group Medicare payments
$149K
Avg charge / svc
$1,436
Avg allowed / svc
$462
Avg payment / svc
$365
Average charge per group
$850 26 groups · avg submitted charge / service $2,869
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 46260 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 COLLIER HMA PHYSICIAN MANAGEMENT LLC NAPLES FL NURSE PRACTITIONER 95 32 $44,395 $1,387 25.8% —
2 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 26 $37,518 $1,443 21.0% (904) 396-1725
3 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 24 $22,416 $934 100.0% (501) 562-4838
4 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 24 $27,072 $1,128 30.8% (252) 355-4357
5 TENET FLORIDA PHYSICIAN SERVICES LLC DELRAY BEACH FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 224 23 $30,935 $1,345 18.5% (561) 498-4440
6 WEST FLORIDA SPECIALTY PHYSICIANS LLC PENSACOLA PA GENERAL SURGERY 17 20 $33,312 $1,666 50.0% (850) 474-8342
7 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 20 $31,720 $1,586 50.0% —
8 CNJ SPECIALTY SURGICAL ASSOCIATE EATONTOWN NJ COLORECTAL SURGERY (PROCTOLOGY) 6 16 $40,000 $2,500 38.1% (732) 389-1331
9 ARIZONA ADVANCED SURGERY LLC PHOENIX AZ GENERAL SURGERY 89 16 $23,152 $1,447 21.6% (602) 340-0201
10 EAST TENNESSEE COLON AND RECTAL SURGICAL ASSOCIATES PC KNOXVILLE TN COLORECTAL SURGERY (PROCTOLOGY) 2 15 $24,300 $1,620 46.9% 8653929220230
11 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 14 $22,050 $1,575 33.3% (856) 247-7260
12 HENDRICK PROVIDER NETWORK ABILENE TX PHYSICIAN ASSISTANT 249 14 $23,618 $1,687 35.0% (325) 672-4372
13 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 13 $12,086 $930 33.3% —
14 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 13 $17,953 $1,381 54.2% (843) 720-8448
15 ALEGENT CREIGHTON CLINIC OMAHA IA PHYSICIAN ASSISTANT 942 13 $17,134 $1,318 100.0% —
16 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 12 $19,125 $1,594 28.6% (732) 362-3663
17 COLON RECTAL SURGICAL ASSOCIATES, LLC ELLICOTT CITY MD COLORECTAL SURGERY (PROCTOLOGY) 2 12 $12,996 $1,083 25.0% (410) 730-1712
18 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 12 $34,428 $2,869 100.0% —
19 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 12 $14,202 $1,184 100.0% (513) 246-7000
20 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 12 $15,960 $1,330 25.0% —
21 LAFAYETTE HEALTH VENTURES INC LAFAYETTE LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 293 11 $17,545 $1,595 100.0% (337) 289-7374
22 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 11 $16,423 $1,493 8.9% (386) 231-6000
23 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 11 $13,750 $1,250 23.4% (760) 340-3911
24 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 11 $9,350 $850 28.2% —
25 CHRISTUS TRINITY CLINIC TYLER FL NURSE PRACTITIONER 1495 11 $14,795 $1,345 8.9% (903) 606-5560
26 ST. JOHN PHYSICIANS, INC. TULSA OK NURSE PRACTITIONER 263 11 $10,945 $995 47.8% —

*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 →