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Market snapshot

49505 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

49505 — Repair of groin hernia (5 years or older)

Billing groups
324
Named-group FFS services
9,377
FFS of Medicare
49%
Services YoY
-6.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~18,386 services

9,377 observed fee-for-service (51%) · ~9,009 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 — 49505 (CY2024)

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

Named-group submitted charges
$18.0M
Named-group allowed amount
$4.5M
Named-group Medicare payments
$3.6M
Avg charge / svc
$1,914
Avg allowed / svc
$484
Avg payment / svc
$379
Average charge per group
$189 324 groups · avg submitted charge / service $11,701
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 49505 services, CY2024
#Physician group City St Specialty Providers 49505 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 230 $772,800 $3,360 premium 21.9%
2 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 139 $146,381 $1,053 premium 11.7%
3 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 116 $342,102 $2,949 premium 13.0% (617) 732-5500
4 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 112 $196,650 $1,756 premium 12.8% (215) 662-2777
5 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 112 $273,575 $2,443 premium 28.7%
6 ASSOCIATED SURGEONS OF SAN LUIS OBISPO PISMO BEACH CA GENERAL SURGERY 9 105 $141,250 $1,345 premium 5.4% (805) 546-0411
7 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 100 $194,682 $1,947 premium 35.1% (541) 382-2811
8 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 100 $175,342 $1,753 premium 11.4%
9 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 99 $170,130 $1,718 premium 8.4% (904) 396-1725
10 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 98 $103,618 $1,057 premium 20.2% (704) 384-8200
11 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 95 $253,385 $2,667 premium 10.6% (617) 724-0287
12 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 92 $527,499 $5,734 premium 8.8% (212) 263-9700
13 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 90 $146,400 $1,627 premium 25.8%
14 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 89 $228,330 $2,566 premium 23.8%
15 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 89 $143,766 $1,615 premium 19.8%
16 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 87 $129,513 $1,489 premium 9.7% (508) 771-1800
17 MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC NORTHAMPTON MA PHYSICIAN ASSISTANT 280 85 $102,942 $1,211 premium 9.5% (413) 582-2441
18 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 81 $431,600 $5,328 premium 7.7% (212) 746-5454
19 UCLA ASSOCIATED GENERAL SURGEONS LOS ANGELES CA GENERAL SURGERY 47 79 $285,548 $3,615 premium 4.0% (310) 267-7838
20 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 76 $95,817 $1,261 premium 15.7% (919) 684-8111
21 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH. WEST CHESTER PA NURSE PRACTITIONER 616 72 $116,314 $1,615 premium 8.2% (610) 431-5000
22 COOPER SURGICAL ASSOCIATES, PA CAMDEN NJ PHYSICIAN ASSISTANT 303 71 $67,650 $953 premium 9.9% (856) 270-4100
23 TAMPA BAY SURGICAL GROUP LLP TAMPA FL GENERAL SURGERY 20 69 $88,938 $1,289 premium 5.8%
24 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 68 $111,383 $1,638 premium 19.5% (404) 367-3210
25 TRI-COUNTY SURGICAL SPECIALISTS LLC CHARLESTON SC GENERAL SURGERY 30 66 $100,402 $1,521 premium 19.7% (843) 797-5151
26 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 64 $136,160 $2,128 premium 3.3% (415) 600-1020
27 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 63 $176,818 $2,807 premium 7.1%
28 SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP INC LAGUNA HILLS CA GENERAL SURGERY 22 62 $53,340 $860 premium 3.2% (949) 457-7900
29 BOSTON HERNIA AND PILONIDAL CENTER, PLLC WELLESLEY MA PHYSICIAN ASSISTANT 2 61 $83,000 $1,361 premium 6.8% (617) 466-3373
30 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 60 $181,046 $3,017 premium 8.4% (908) 273-4300
31 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 60 $57,794 $963 premium 48.0% (801) 261-8346
32 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 60 $67,427 $1,124 premium 8.0%
33 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 59 $104,146 $1,765 premium 9.8% (903) 606-5560
34 PRIVIA MEDICAL GROUP, LLC ARLINGTON MD NURSE PRACTITIONER 1477 58 $85,956 $1,482 premium 7.7%
35 THE SOUTH BEND CLINIC LLC SOUTH BEND IN NURSE PRACTITIONER 166 58 $65,426 $1,128 premium 18.0% (574) 234-8161
36 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 57 $150,770 $2,645 premium 5.4% (914) 241-1050
37 UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC BEL AIR MD PHYSICIAN ASSISTANT 25 57 $40,995 $719 premium 7.6% (443) 643-1199
38 ATLANTIC SHORE SURGICAL ASSOCIATES, PC BRICK NJ GENERAL SURGERY 16 57 $666,936 $11,701 premium 7.9% (732) 701-4848
39 CHEVY CHASE SURGICAL ASSOCIATES, P.C. CHEVY CHASE MD GENERAL SURGERY 5 55 $96,850 $1,761 premium 7.3% (301) 656-6700
40 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 54 $54,426 $1,008 premium 65.9% (208) 381-4210
41 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 53 $106,750 $2,014 premium 25.6% (314) 747-3000
42 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 53 $77,600 $1,464 premium 6.0% (484) 526-2400
43 LAFAYETTE HEALTH VENTURES INC LAFAYETTE LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 293 52 $73,386 $1,411 premium 35.1% (337) 289-7374
44 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 52 $54,492 $1,048 premium 11.6%
45 BEAUFORT COUNTY MEMORIAL HOSPITAL BEAUFORT SC PHYSICIAN ASSISTANT 204 52 $83,836 $1,612 premium 15.5% (843) 522-5983
46 NCHMD INC NAPLES FL NEUROLOGY 515 51 $55,559 $1,089 premium 4.3% (239) 436-5100
47 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 51 $76,915 $1,508 premium 2.6% (858) 455-9100
48 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 51 $77,418 $1,518 premium 8.5% (254) 724-2663
49 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 51 $194,828 $3,820 premium 4.9%
50 WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC NYACK NY INTERNAL MEDICINE 94 50 $58,876 $1,178 premium 4.8% (845) 897-8371
51 PRINCETON SURGICAL ASSOCIATES PA PLAINSBORO NJ GENERAL SURGERY 8 49 $105,143 $2,146 premium 6.8%
52 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 48 $69,542 $1,449 premium 2.5% (714) 871-3006
53 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 48 $128,125 $2,669 premium 12.7% (800) 603-0558
54 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 48 $54,144 $1,128 premium 4.1% (941) 366-1888
55 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 48 $115,738 $2,411 premium 4.6% (212) 241-4812
56 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 48 $71,179 $1,483 premium 12.3% (513) 246-7000
57 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 47 $90,225 $1,920 premium 13.5% (770) 422-2004
58 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 46 $100,832 $2,192 premium 2.4% (916) 681-8852
59 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 46 $76,865 $1,671 premium 3.9% (813) 615-7075
60 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 45 $57,118 $1,269 premium 6.0% (410) 337-4877
61 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 43 $54,740 $1,273 premium 13.3% (615) 385-3751
62 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 43 $50,573 $1,176 premium 37.7% (515) 239-4400
63 CARROLL HEALTH GROUP LLC WESTMINSTER MD PHYSICIAN ASSISTANT 70 42 $54,863 $1,306 premium 5.6% (410) 876-3380
64 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 41 $94,183 $2,297 premium 11.0% (309) 683-5050
65 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 41 $59,286 $1,446 premium 2.1% (805) 681-7500
66 NORTH SPRINGS SURGICAL ASSOCIATES, PC COLORADO SPRINGS CO GENERAL SURGERY 5 40 $43,460 $1,086 premium 16.7% (719) 591-8100
67 SURGICAL PARTNERS OF OKLAHOMA YUKON OK GENERAL SURGERY 3 40 $52,176 $1,304 premium 32.8% (405) 265-2210
68 MARTHA JEFFERSON MEDICAL GROUP LLC CHARLOTTESVILLE VA PHYSICIAN ASSISTANT 192 40 $42,192 $1,055 premium 8.9% (434) 817-1020
69 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 40 $70,356 $1,759 premium 6.7% (817) 281-2977
70 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 38 $59,600 $1,568 premium 4.3%
71 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD CT PHYSICIAN ASSISTANT 419 38 $85,310 $2,245 premium 33.9% (203) 276-4644
72 JL SURGICAL LLC OAKLAND NJ GENERAL SURGERY 2 38 $175,500 $4,618 premium 5.3% (201) 327-0220
73 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS HOT SPRINGS AR NURSE PRACTITIONER 192 38 $41,656 $1,096 premium 24.8%
74 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 37 $57,141 $1,544 premium 9.9% (630) 469-9200
75 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 36 $59,508 $1,653 premium 3.0% (386) 231-6000
76 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 35 $71,151 $2,033 premium 4.9% (973) 971-5596
77 DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC CLYDE NC DIAGNOSTIC RADIOLOGY 185 34 $37,309 $1,097 premium 7.0% (828) 452-8651
78 SONORA COMMUNITY HOSPITAL SONORA CA PHYSICIAN ASSISTANT 139 34 $30,634 $901 premium 1.7%
79 HAYS MEDICAL CENTER INC HAYS KS PHYSICIAN ASSISTANT 182 34 $20,781 $611 premium 21.4% (785) 623-5774
80 ARIZONA ADVANCED SURGERY LLC PHOENIX AZ GENERAL SURGERY 89 34 $59,483 $1,750 premium 9.0% (602) 340-0201
81 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 33 $56,836 $1,722 premium 38.4% (701) 234-2000
82 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 33 $87,945 $2,665 premium 13.8% (720) 777-1234
83 EVANSVILLE SURGICAL ASSOCIATES INC EVANSVILLE IN PHYSICIAN ASSISTANT 45 33 $29,799 $903 premium 10.2% (812) 424-8231
84 MERCY CLINIC SURGICAL SPECIALISTS LLC SAINT LOUIS MO PHYSICIAN ASSISTANT 177 33 $45,917 $1,391 premium 15.9% (314) 567-5850
85 HENDRICK PROVIDER NETWORK ABILENE TX PHYSICIAN ASSISTANT 249 32 $47,424 $1,482 premium 5.3% (325) 672-4372
86 RMH MEDICAL GROUP LLC ROCKINGHAM VA PHYSICIAN ASSISTANT 263 32 $32,838 $1,026 premium 7.1% (540) 689-1110
87 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 32 $36,761 $1,149 premium 5.3% (713) 242-2222
88 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 32 $80,619 $2,519 premium 3.6% (570) 271-6144
89 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON FL PHYSICIAN ASSISTANT 1194 32 $79,141 $2,473 premium 2.7% (802) 847-0000
90 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 31 $30,082 $970 premium 6.9%
91 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 31 $48,144 $1,553 premium 3.5% (617) 421-1000
92 NOVANT HEALTH PREP II LLC CHARLOTTE NC GENERAL SURGERY 45 31 $48,350 $1,560 premium 6.4% (704) 364-8104
93 HILTON HEAD LAPAROSCOPIC AND GENERAL SURGERY PA HILTON HEAD ISLAND SC GENERAL SURGERY 3 30 $15,184 $506 premium 9.0% (843) 681-9489
94 UVA COMMUNITY HEALTH MEDICAL GROUP LLC MANASSAS VA NURSE PRACTITIONER 345 30 $37,440 $1,248 premium 6.7% (703) 396-5292
95 ROCHESTER GENERAL HOSPITAL ROCHESTER NY PHYSICIAN ASSISTANT 1218 30 $26,054 $868 premium 2.9% (585) 922-4000
96 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 29 $39,943 $1,377 premium 8.7%
97 NORTH FLORIDA SURGICAL ASSOCIATES LLC GAINESVILLE FL GENERAL SURGERY 51 29 $54,738 $1,888 premium 2.4% (352) 333-4000
98 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 29 $70,675 $2,437 premium 2.8% (914) 681-0600
99 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 29 $38,280 $1,320 premium 6.0% (252) 355-4357
100 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 29 $57,431 $1,980 premium 1.5% (310) 423-0674

Showing the top 100 of 324 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →