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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
49205 Removal or destruction of cysts or growths of abdominal cavity, more than 10.0 cm CPT · Procedure
Classification Procedure Digestive/Gastrointestinal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 115 services ▲ 134.7% YoY · 115 beneficiaries (CY2024, Medicare FFS)
Medicare paid $128K · $1115.24 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
103
FFS of Medicare
49%
Services YoY
+134.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~207 services

103 observed fee-for-service (50%) · ~104 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 — 49205 (CY2024)

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

Named-group submitted charges
$846K
Named-group allowed amount
$138K
Named-group Medicare payments
$110K
Avg charge / svc
$8,217
Avg allowed / svc
$1,342
Avg payment / svc
$1,072
Average charge per group
$3,382 7 groups · avg submitted charge / service $18,813
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 49205 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 49205 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 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 29 $152,929 $5,273 premium 100.0%
2 ASSOCIATES IN WOMENS HEALTH PA WICHITA KS OBSTETRICS/GYNECOLOGY 27 14 $47,348 $3,382 premium 100.0% (316) 722-5141
3 MSKCC SURGERY GROUP NEW YORK NY PHYSICIAN ASSISTANT 373 14 $222,110 $15,865 premium 36.8% (212) 639-2000
4 SOUTH FLORIDA CENTER FOR GYNECOLOGIC ONCOLOGY P A BOCA RATON FL GYNECOLOGICAL ONCOLOGY 2 12 $69,600 $5,800 premium 100.0% (561) 997-8991
5 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 12 $225,756 $18,813 premium 31.6% (212) 263-9700
6 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 11 $52,103 $4,737 premium 100.0% (402) 559-4000
7 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 11 $76,466 $6,951 premium 100.0% (626) 256-4673

*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 →