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Market snapshot

49594 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

49594 — Initial repair of entrapped hernia of abdomen, 3-10 cm in length

Billing groups
80
Named-group FFS services
1,576
FFS of Medicare
49%
Services YoY
+34.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,172 services

1,576 observed fee-for-service (50%) · ~1,596 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 — 49594 (CY2024)
CA 348 FL 331 AZ 230 TX 225 NY 204

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

Named-group submitted charges
$4.1M
Named-group allowed amount
$1.0M
Named-group Medicare payments
$794K
Avg charge / svc
$2,598
Avg allowed / svc
$637
Avg payment / svc
$504
Average charge per group
$700 80 groups · avg submitted charge / service $15,719
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 49594 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 110 $605,076 $5,501 53.9% —
2 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 90 $149,794 $1,664 25.9% (858) 455-9100
3 TUCSON PHYSICIAN GROUP HOLDINGS LLC TUCSON AZ INTERNAL MEDICINE 200 55 $103,675 $1,885 23.9% (520) 396-1360
4 CONWAY HOSPITAL INC CONWAY SC PHYSICIAN ASSISTANT 124 48 $72,384 $1,508 55.2% (843) 347-8041
5 ARIZONA ADVANCED SURGERY LLC PHOENIX AZ GENERAL SURGERY 89 37 $64,267 $1,737 16.1% (602) 340-0201
6 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 32 $61,423 $1,919 13.9% —
7 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 31 $83,359 $2,689 15.2% —
8 VIRTUA MEDICAL GROUP, PA VOORHEES DE PHYSICIAN ASSISTANT 1662 30 $63,531 $2,118 52.6% (856) 247-7260
9 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 30 $37,118 $1,237 100.0% (405) 254-9690
10 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 29 $58,192 $2,007 8.3% (559) 459-6000
11 WOODLANDS SURGICAL ASSOCIATES PLLC SHENANDOAH TX GENERAL SURGERY 11 28 $65,240 $2,330 12.4% (281) 419-8400
12 CHARLES J KOLLER MD PA WINTER PARK FL GENERAL SURGERY 2 28 $50,400 $1,800 8.5% (407) 645-3555
13 DAVID W. RITTER, MD PA GREENVILLE TX GENERAL SURGERY 5 27 $118,692 $4,396 12.0% (972) 412-7700
14 MANATEE SPECIALTY PHYSICIAN ALLIANCE LLC BRADENTON FL PHYSICIAN ASSISTANT 27 26 $23,640 $909 7.9% (941) 746-3115
15 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM PHYSICIAN ASSISTANT 328 25 $54,918 $2,197 64.1% (505) 727-7090
16 UKIAH ADVENTIST HOSPITAL UKIAH CA CLINICAL SOCIAL WORKER 133 25 $65,825 $2,633 7.2% (707) 462-3111
17 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 24 $59,448 $2,477 34.8% (509) 946-4611
18 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 23 $42,160 $1,833 40.4% (630) 469-9200
19 PIEDMONT ATHENS SPECIALTY CARE LLC ATHENS GA PHYSICIAN ASSISTANT 115 22 $54,812 $2,491 19.6% (706) 475-7000
20 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 22 $47,260 $2,148 9.8% (210) 575-8289
21 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 22 $41,140 $1,870 38.6% —
22 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 21 $48,951 $2,331 15.4% (856) 247-7260
23 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 21 $40,509 $1,929 6.3% (727) 725-5060
24 COTTAGE MEDICAL FOUNDATION GOLETA CA INTERNAL MEDICINE 74 21 $61,775 $2,942 6.0% (805) 879-4240
25 SOUTH TEXAS PHYSICIAN GROUP PLLC FREDERICKSBURG TX NURSE PRACTITIONER 16 19 $40,126 $2,112 8.4% (830) 990-1404
26 BASSAM SAYEGH MD PA JUPITER FL GENERAL SURGERY 2 19 $40,500 $2,132 5.7% (561) 743-7766
27 COOPER CARE ALLIANCE, PC TURNERSVILLE NJ FAMILY PRACTICE 117 18 $16,812 $934 13.2% (856) 536-1515
28 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 17 $30,379 $1,787 7.6% (214) 599-8624
29 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 17 $51,000 $3,000 37.8% (314) 747-3000
30 ST VINCENT HOSPITAL SANTA FE MO PHYSICIAN ASSISTANT 313 17 $45,097 $2,653 37.8% —
31 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 16 $251,500 $15,719 11.8% —
32 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 16 $25,017 $1,564 28.1% (302) 645-3525
33 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 16 $26,975 $1,686 41.0% (615) 385-3751
34 GRAND STRAND SURGICAL SPECIALISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 51 16 $43,088 $2,693 18.4% (843) 848-1440
35 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 16 $30,384 $1,899 4.6% (559) 583-4695
36 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 16 $37,944 $2,372 23.2% (360) 882-2778
37 CHEVY CHASE SURGICAL ASSOCIATES, P.C. CHEVY CHASE MD GENERAL SURGERY 5 15 $43,500 $2,900 17.0% (301) 656-6700
38 PECONIC BAY PRIMARY MEDICAL CARE RIVERHEAD NY PHYSICIAN ASSISTANT 71 14 $33,768 $2,412 6.9% (631) 727-1600
39 OXFORD SURGICAL AND BARIATRIC CLINIC PLLC OXFORD MS GENERAL SURGERY 3 14 $29,400 $2,100 56.0% (662) 234-4744
40 SAN JUAN REGIONAL MEDICAL CENTER, INC. FARMINGTON NM INTERNAL MEDICINE 221 14 $39,966 $2,855 35.9% —
41 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 14 $45,713 $3,265 4.2% (561) 955-7100
42 GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC TAMPA GA PHYSICIAN ASSISTANT 31 14 $34,946 $2,496 12.5% (813) 877-1415
43 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 14 $38,944 $2,782 4.2% (954) 772-2136
44 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 13 $21,832 $1,679 3.9% (321) 434-8878
45 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 13 $24,505 $1,885 5.8% (210) 614-7414
46 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 13 $51,610 $3,970 9.6% (908) 273-4300
47 NORTH FLORIDA SURGICAL ASSOCIATES LLC GAINESVILLE FL GENERAL SURGERY 51 13 $32,286 $2,484 3.9% (352) 333-4000
48 NORTH BROWARD HOSPITAL DISTRICT FORT LAUDERDALE FL NURSE PRACTITIONER 181 13 $42,535 $3,272 3.9% (954) 763-6655
49 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 13 $101,010 $7,770 6.4% (212) 263-9700
50 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 13 $30,186 $2,322 3.9% (407) 200-2700
51 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 12 $27,104 $2,259 3.6% (407) 896-1100
52 ROCHESTER GENERAL SURGERY PLC ROCHESTER HILLS MI GENERAL SURGERY 7 12 $20,800 $1,733 44.4% (248) 853-9177
53 GEORGIADES SURGICAL ASSOCIATES MONROEVILLE PA GENERAL SURGERY 2 12 $13,200 $1,100 18.8% (412) 683-2267
54 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 12 $71,556 $5,963 100.0% (608) 260-2900
55 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 12 $16,332 $1,361 30.8% (901) 226-3882
56 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 12 $51,752 $4,313 21.1% —
57 SURGICAL SPECIALISTS OF NORTH TEXAS, PA IRVING TX GENERAL SURGERY 2 12 $50,676 $4,223 5.3% (972) 747-0440
58 SURGICAL PHYSICIAN ASSISTANTS LLC MERRITT ISLAND FL PHYSICIAN ASSISTANT 5 12 $8,400 $700 3.6% (321) 806-9222
59 COLLIER HMA PHYSICIAN MANAGEMENT LLC NAPLES FL NURSE PRACTITIONER 95 12 $26,172 $2,181 3.6% —
60 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 12 $17,124 $1,427 18.8% —
61 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 12 $33,612 $2,801 100.0% (205) 934-3460
62 TRI-COUNTY SURGICAL SPECIALISTS LLC CHARLESTON SC GENERAL SURGERY 30 12 $29,874 $2,490 13.8% (843) 797-5151
63 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 12 $26,696 $2,225 100.0% (508) 973-5919
64 SALINA REGIONAL HEALTH CENTER INC SALINA KS NURSE PRACTITIONER 160 12 $24,303 $2,025 52.2% —
65 STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI HAMPTON BAYS NY GENERAL SURGERY 102 12 $36,925 $3,077 5.9% (631) 723-5000
66 COLUMBIA HEALTHCARE OF CENTRAL VIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 30 11 $27,524 $2,502 100.0% (804) 716-5520
67 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 11 $28,783 $2,617 12.5% (410) 502-4340
68 MEMORIAL HEALTH PARTNERS FOUNDATION, INC CHATTANOOGA TN NURSE PRACTITIONER 459 11 $20,592 $1,872 28.2% (423) 495-2620
69 GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC LAWRENCEVILLE GA GENERAL SURGERY 4 11 $24,937 $2,267 9.8% (770) 962-9977
70 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 11 $33,330 $3,030 100.0% (317) 338-2345
71 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 11 $17,292 $1,572 100.0% (502) 928-1050
72 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 11 $30,442 $2,767 3.2% (415) 600-1020
73 BSA PHYSICIANS GROUP INC AMARILLO TX HOSPITALIST 118 11 $16,951 $1,541 4.9% (806) 359-4673
74 BJSPH PHYSICIAN BILLING SERVICES, LLC SAINT PETERS MO GENERAL SURGERY 6 11 $22,836 $2,076 24.4% (636) 916-7100
75 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 11 $23,100 $2,100 3.3% (904) 396-1725
76 LV SURGERY ASSOCIATES PLLC LAS VEGAS NV GENERAL SURGERY 24 11 $16,500 $1,500 100.0% (702) 258-7788
77 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 11 $13,631 $1,239 12.6% (843) 652-8450
78 ESSEX SURGICAL ASSOCIATES, PC BEVERLY NY GENERAL SURGERY 7 11 $23,363 $2,124 5.4% (978) 922-9226
79 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 11 $16,500 $1,500 100.0% (252) 355-4357
80 SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM SITKA CA NURSE PRACTITIONER 373 11 $20,391 $1,854 3.2% (907) 966-8611
81 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 11 $20,570 $1,870 12.5% —

*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 →