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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
50205 Biopsy of kidney CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 410 services ▲ 9.3% YoY · 404 beneficiaries (CY2024, Medicare FFS)
Medicare paid $102K · $248.85 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
6
Named-group FFS services
390
FFS of Medicare
49%
Services YoY
+9.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~812 services

390 observed fee-for-service (48%) · ~422 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 — 50205 (CY2024)

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

Named-group submitted charges
$998K
Named-group allowed amount
$120K
Named-group Medicare payments
$96K
Avg charge / svc
$2,559
Avg allowed / svc
$307
Avg payment / svc
$245
Average charge per group
$1,788 6 groups · avg submitted charge / service $4,620
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 50205 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 50205 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 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 201 $359,450 $1,788 premium 100.0% (800) 603-0558
2 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 60 $167,940 $2,799 premium 84.5% (877) 827-7463
3 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 54 $249,480 $4,620 premium 100.0% (212) 305-8559
4 OSU SURGERY, LLC COLUMBUS OH PHYSICIAN ASSISTANT 204 37 $96,200 $2,600 premium 100.0% (614) 293-2101
5 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 27 $88,641 $3,283 premium 100.0% (205) 934-3460
6 UNIVERSITY SURGEONS OF ORANGE A MEDICAL GROUP ORANGE CA GENERAL SURGERY 120 11 $36,487 $3,317 premium 15.5% (714) 634-5549

*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 →