Medicare procedure market data by CPT code & state

+ Build a code basket

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

46750 Repair of anal muscle for incontinence or prolapse, adult CPT · Procedure

Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)

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

National scale 248 services ▲ 15.3% YoY · 248 beneficiaries (CY2024, Medicare FFS)

Medicare paid $71K · $287.58 avg / service, national

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

Billing groups

Named groups billing this code

Named-group FFS services

212

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+15.3%

FFS enrollment -2.2%

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

Estimated all-Medicare volume estimate

FFS + estimated MA

~470 services

212 observed fee-for-service (45%) · ~258 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 — 46750 (CY2024)

FL 126 TN 44 GA 26 MI 25 CA 16

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

Billed → allowed → paid

Named-group submitted charges

$440K

Named-group allowed amount

$75K

Named-group Medicare payments

$60K

Avg charge / svc

$2,077

Avg allowed / svc

$355

Avg payment / svc

$283

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

$339–630

$630–921

$921–1,213

$1,213–1,504

$1,504–1,796

$1,796–2,087

$2,087–2,379

$2,379+

$339 7 groups · avg submitted charge / service $2,678

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 46750 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	46750 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC	WEST PALM BEACH	FL	OBSTETRICS/GYNECOLOGY	49	55	$147,271	$2,678	premium	43.7%	(561) 616-9988
2	RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C.	SOUTH PITTSBURG	TN	NURSE PRACTITIONER	2	44	$80,300	$1,825	premium	100.0%	(423) 837-5801
3	FLORIDA PRACTITIONERS, LLC	FORT LAUDERDALE	FL	PHYSICIAN ASSISTANT	57	35	$88,025	$2,515	premium	27.8%	(954) 229-8635
4	SOUTHEASTERN UROGYNECOLOGY AND PELVIC SURGERY LLC	MOULTRIE	GA	NURSE PRACTITIONER	3	26	$68,978	$2,653	premium	100.0%	(229) 502-1020
5	IHA OLMA SPECIALTY 1 LLC	LIVONIA	MI	PSYCHIATRY	71	25	$36,050	$1,442	premium	100.0%	(734) 655-2692
6	INLAND EMPIRE MULTISPECIALTY GROUP PC	RIVERSIDE	CA	OBSTETRICS/GYNECOLOGY	6	16	$16,000	$1,000	premium	100.0%	(951) 354-2229
7	SPENCER MUNICIPAL HOSPITAL	SPENCER	IA	NURSE PRACTITIONER	89	11	$3,724	$339	premium	100.0%	(712) 580-2225

*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 →