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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length CPT · Procedure
Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)
First observed 2023
National scale 1,729 services ▼ 14.7% YoY · 1,727 beneficiaries (CY2024, Medicare FFS)
Medicare paid $629K · $363.81 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
60
Named-group FFS services
1,059
FFS of Medicare
49%
Services YoY
-14.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,084 services

1,059 observed fee-for-service (51%) · ~1,025 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 — 49591 (CY2024)
CA 387 FL 172 OH 105 NY 99 MD 80

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

Named-group submitted charges
$1.2M
Named-group allowed amount
$262K
Named-group Medicare payments
$204K
Avg charge / svc
$1,114
Avg allowed / svc
$248
Avg payment / svc
$193
Average charge per group
$196 60 groups · avg submitted charge / service $3,559
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 49591 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 43 $23,815 $554 100.0% (316) 263-0296
2 UTAH SURGICAL ASSOCIATES INC PROVO UT GENERAL SURGERY 49 41 $23,827 $581 71.9% —
3 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 35 $30,914 $883 50.0% (630) 933-4800
4 PREMIER SURGICAL SPECIALISTS PC ROCHESTER HILLS MI GENERAL SURGERY 5 35 $70,000 $2,000 100.0% (248) 853-3100
5 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 33 $29,793 $903 45.8% —
6 SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM SITKA CA NURSE PRACTITIONER 373 31 $21,700 $700 8.0% (907) 966-8611
7 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 31 $110,329 $3,559 31.3% (212) 263-9700
8 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 30 $58,140 $1,938 30.3% —
9 ASSOCIATED SURGEONS OF SAN LUIS OBISPO PISMO BEACH CA GENERAL SURGERY 9 26 $23,400 $900 6.7% (805) 546-0411
10 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 26 $61,204 $2,354 15.1% (904) 396-1725
11 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 25 $17,675 $707 14.5% (941) 366-1888
12 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 24 $25,158 $1,048 6.2% (805) 681-7500
13 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 23 $17,503 $761 42.6% (484) 526-2400
14 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 23 $14,086 $612 46.9% (601) 264-6000
15 SJC GENERAL SURGERY LLC SAVANNAH GA GENERAL SURGERY 7 22 $12,947 $588 100.0% (912) 354-6303
16 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 22 $19,250 $875 44.0% (704) 384-8200
17 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 21 $31,346 $1,493 12.2% (561) 955-7100
18 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 20 $14,137 $707 100.0% (302) 645-3525
19 CENTRAL OHIO UROLOGY GROUP, LLC. GAHANNA OH UROLOGY 45 19 $19,003 $1,000 18.1% (614) 396-2684
20 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 19 $20,580 $1,083 35.2% —
21 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 18 $25,940 $1,441 60.0% (617) 732-5500
22 PROFESSIONAL GASTROENTEROLOGY AND NUTRITION ASSOCIATES, P.A. LEESBURG FL GASTROENTEROLOGY 6 18 $23,076 $1,282 10.5% —
23 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 17 $14,994 $882 9.9% (727) 725-5060
24 MARTHA JEFFERSON MEDICAL GROUP LLC CHARLOTTESVILLE VA PHYSICIAN ASSISTANT 192 16 $10,362 $648 23.2% (434) 817-1020
25 SURGICAL SPECIALISTS OF SOUTHWEST FLORIDA PA FORT MYERS FL VASCULAR SURGERY 10 15 $6,450 $430 8.7% (239) 936-8555
26 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 15 $16,830 $1,122 18.8% (410) 663-8100
27 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 15 $13,110 $874 21.7% —
28 HENDERSON COUNTY HOSPITAL CORPORATION HENDERSONVILLE NC PHYSICIAN ASSISTANT 230 14 $9,128 $652 28.0% (828) 694-8427
29 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 14 $20,742 $1,482 100.0% (802) 847-0000
30 VIRGINIA CANCER INSTITUTE INCORPORATED NORTH CHESTERFIELD VA HEMATOLOGY/ONCOLOGY 50 13 $19,682 $1,514 18.8% (804) 330-7990
31 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 13 $12,760 $982 18.6% (210) 575-8289
32 SIERRA MEDICAL PARTNERSHIP ROSEVILLE CA GENERAL SURGERY 17 13 $15,629 $1,202 3.4% (916) 250-2596
33 MARSHALL MEDICAL CENTER PLACERVILLE CA PHYSICIAN ASSISTANT 154 13 $9,980 $768 3.4% —
34 AUSTIN SURGEONS PLLC AUSTIN TX GENERAL SURGERY 7 13 $12,831 $987 18.6% —
35 CARROLL HEALTH GROUP LLC WESTMINSTER MD PHYSICIAN ASSISTANT 70 13 $10,062 $774 16.2% (410) 876-3380
36 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 13 $12,506 $962 13.1% (518) 262-3277
37 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 13 $10,010 $770 7.6% —
38 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 12 $5,001 $417 12.1% (914) 241-1050
39 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 12 $12,470 $1,039 52.2% —
40 MESQUITE CLINIC MANAGEMENT COMPANY LLC MESQUITE NV NURSE PRACTITIONER 23 12 $9,042 $753 52.2% (702) 346-1700
41 BEAUFORT COUNTY MEMORIAL HOSPITAL BEAUFORT SC PHYSICIAN ASSISTANT 204 12 $12,144 $1,012 19.4% (843) 522-5983
42 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 12 $8,472 $706 17.4% —
43 IQ SURGICAL ASSOCIATES INC VISALIA CA GENERAL SURGERY 5 12 $7,691 $641 3.1% (559) 302-5600
44 HIGHLAND CLINIC, A PROF MED CORP SHREVEPORT LA PHYSICIAN ASSISTANT 58 12 $17,448 $1,454 100.0% —
45 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 12 $10,409 $867 40.0% (508) 771-1800
46 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 12 $10,344 $862 3.1% (559) 583-4695
47 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 12 $6,000 $500 3.1% (310) 423-0674
48 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 12 $12,153 $1,013 100.0% (253) 428-2200
49 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 11 $13,013 $1,183 2.8% (916) 681-8852
50 ST AGNES HEALTHCARE INC BALTIMORE MD PHYSICIAN ASSISTANT 277 11 $11,935 $1,085 13.8% (667) 234-6000
51 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 11 $13,105 $1,191 2.8% (858) 455-9100
52 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 11 $17,182 $1,562 17.7% —
53 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 11 $12,661 $1,151 2.8% (925) 296-9720
54 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 11 $25,935 $2,358 6.4% (904) 953-2000
55 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 11 $11,946 $1,086 13.8% (410) 761-1222
56 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 11 $9,394 $854 15.7% —
57 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 11 $27,863 $2,533 10.5% —
58 UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES PA BALTIMORE MD GENERAL SURGERY 101 11 $12,079 $1,098 13.8% (410) 328-5191
59 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 11 $22,312 $2,028 15.7% —
60 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 11 $2,162 $196 47.8% (515) 239-4400

*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 →