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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
46924 Extensive destruction of growth of anus CPT · Procedure
Classification Procedure Digestive/Gastrointestinal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 240 services ▲ 9.6% YoY · 200 beneficiaries (CY2024, Medicare FFS)
Medicare paid $85K · $353.53 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
6
Named-group FFS services
149
FFS of Medicare
49%
Services YoY
+9.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~305 services

149 observed fee-for-service (49%) · ~156 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 — 46924 (CY2024)

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

Named-group submitted charges
$271K
Named-group allowed amount
$56K
Named-group Medicare payments
$44K
Avg charge / svc
$1,816
Avg allowed / svc
$378
Avg payment / svc
$295
Average charge per group
$665 6 groups · avg submitted charge / service $3,391
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 46924 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 46924 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 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 34 $37,388 $1,100 premium 28.6% (760) 340-3911
2 SURGICAL ASSOCIATES OF WESTERN NY PC WEST SENECA NY GENERAL SURGERY 7 31 $37,630 $1,214 premium 60.8% (716) 677-5500
3 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 25 $84,775 $3,391 premium 21.0% (415) 476-4029
4 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 21 $63,147 $3,007 premium 17.6% (415) 600-1020
5 CYPRESS MEDICAL SURGICAL SERVICES LLP BROOKLYN NY GENERAL SURGERY 3 20 $13,293 $665 premium 39.2% (718) 456-3438
6 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 18 $34,390 $1,911 premium 15.1% (650) 723-4000

*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 →