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49422 Removal of abdominal cavity tube CPT · Dialysis treatment
Classification Treatment Dialysis Peritoneal Dialysis (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,068 services ▼ 23.1% YoY · 1,051 beneficiaries (CY2024, Medicare FFS)
Medicare paid $280K · $262.27 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window · National figures — the VA market is below
Market analyticsPlatform Methods →

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The read
What am I looking at, in one breath?
The read Platform

In Virginia, 5 groups bill 49422 — 68 fee-for-service services, and volume is up 46.7% year over year.

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The snapshot
The honest, real numbers — free, always.
Billing groups

5

Named groups billing this code in VA
Named-group FFS services

68

Attributable volume · fee-for-service
FFS of Medicare

61%

Payer-mix frame
Named-group coverage

57%

Of Virginia’s disclosed Part B services (2024). The rest is billed by clinicians whose volume isn’t attributed to any group — they belong to several groups, or none. How attribution works →
Services · year over year
Services YoY

+46.7%

FFS enrollment -1.7%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~110 services

68 observed fee-for-service (62%) · ~42 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
The market
How big, moving which way, worth how much.
Billed → allowed → paid
Named-group submitted charges
$74K
Named-group allowed amount
$12K
Named-group Medicare payments
$9K
Avg charge / svc
$1,092
Avg allowed / svc
$171
Avg payment / svc
$128
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Per-service vs national + the payments trend unlock with Platformpremium
Market trend — 12-year view
services 2013–2024
YearServices Services per 1,000 Part B FFS beneficiaries Medicare payments
2013 (introduction year) 50 0.1 $15,970
2014 48 0.0 $17,306
2015 52 0.1 $18,250
2016 62 0.1 $25,561
2017 86 0.1 $38,853
2018 93 0.1 $34,238
2019 129 0.1 $26,951
2020 (2020) 83 0.1 $24,211
2021 39 0.0 $17,712
2022 62 0.1 $18,196
2023 60 0.1 $19,104
2024 88 0.1 $31,050

CAGR 2014–2024: +6.2%/yr · CAGR excludes 2020 and the introduction year.

Rates are per 1,000 Part B fee-for-service beneficiaries in the market's geography. See Methods.

The structure
Who's in this market and how it's shaped.
Average charge per group
$432 5 groups · avg submitted charge / service $1,656
Market structure

Concentration is not shown for markets under 11 billing groups.

Of volume attributable to named groups, independents account for 0%; hospital-affiliated 100%.

Disclosed setting mix: 0% office · 100% facility.

HHI trend: (group rosters begin 2019)

Provider-setting count 2013 → 2024: 4 → 6 (+50%).

Named groups cover 77% of disclosed volume. CMS suppresses provider-code rows under 11 beneficiaries at the source; suppressed volume is excluded and cannot be estimated from this file. Volume shares describe the volume attributable to named groups; the coverage line above states how much of disclosed Medicare fee-for-service volume that is.

Market positionpremium

Where this market sits on volume and growth among all state markets, and its rank.

National benchmarkspremium

Where each group's volume sits nationally and within its specialty.

The opportunity
So where do I act?
Worth a lookpremium

Every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume. The cross-market compare view sits alongside.

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 49422 services, highest first, CY2024
# Physician group locked column City locked column Specialty locked column Providers locked column 49422 svcs Submitted charges locked column Avg charge locked column Medicare $ locked column Share* locked column Phone
1 PHYSICIANS CARE OF VIRGINIA PC ROANOKE NEPHROLOGY 20 19 $22,059 $1,161 premium 21.6% (540) 527-2737
2 MCV ASSOCIATED PHYSICIANS RICHMOND NURSE PRACTITIONER 1791 14 $23,184 $1,656 premium 15.9% (804) 828-9000
3 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE NURSE PRACTITIONER 1704 12 $11,616 $968 premium 13.6% (434) 924-5959
4 INOVA HEALTH CARE SERVICES FALLS CHURCH NURSE PRACTITIONER 1818 12 $12,624 $1,052 premium 13.6%
5 CHESAPEAKE REGIONAL MEDICAL GROUP CHESAPEAKE NURSE PRACTITIONER 140 11 $4,753 $432 premium 12.5% (757) 312-6460

*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 →