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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
50437 Dilation of existing opening into urinary tract and creation of new access into urine collecting system of kidney using imaging guidance CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems (CMS RBCS)
First observed 2019
National scale 1,596 services ▲ 28.2% YoY · 1,455 beneficiaries (CY2024, Medicare FFS)
Medicare paid $258K · $161.91 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
33
Named-group FFS services
1,220
FFS of Medicare
49%
Services YoY
+28.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,248 services

1,220 observed fee-for-service (54%) · ~1,028 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 — 50437 (CY2024)

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
$157K
Named-group Medicare payments
$126K
Avg charge / svc
$969
Avg allowed / svc
$129
Avg payment / svc
$103
Average charge per group
$283 33 groups · avg submitted charge / service $3,188
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 50437 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 50437 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 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 254 $165,035 $650 premium 53.0% (410) 825-5454
2 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 139 $102,982 $741 premium 62.3% (212) 241-4812
3 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 99 $156,024 $1,576 premium 100.0%
4 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 64 $87,360 $1,365 premium 28.7%
5 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 58 $71,370 $1,231 premium 63.0% (214) 633-5555
6 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 37 $20,321 $549 premium 75.5% (757) 452-3599
7 GREATER BOSTON UROLOGY LLC FRAMINGHAM MD UROLOGY 42 34 $22,950 $675 premium 7.1%
8 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 32 $24,032 $751 premium 6.7% (410) 761-1222
9 UCI DEPARTMENT OF UROLOGY ORANGE CA UROLOGY 53 31 $34,627 $1,117 premium 18.6% (714) 456-6054
10 ADVANCED UROLOGY PLLC EVERGREEN CO UROLOGY 61 30 $18,378 $613 premium 60.0% (303) 985-2550
11 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 26 $20,007 $770 premium 41.9% (317) 859-7222
12 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 26 $39,706 $1,527 premium 41.9%
13 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 26 $23,199 $892 premium 100.0% (202) 429-2401
14 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 25 $19,350 $774 premium 100.0% (206) 364-0500
15 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM IL PHYSICIAN ASSISTANT 3051 24 $26,312 $1,096 premium 38.7% (919) 684-8111
16 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 23 $27,803 $1,209 premium 13.8% (800) 926-8273
17 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 23 $18,377 $799 premium 13.8%
18 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 22 $14,124 $642 premium 23.9% (254) 724-2663
19 FIRST UROLOGY PSC LOUISVILLE IN UROLOGY 55 22 $6,232 $283 premium 35.5% (812) 282-3899
20 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 20 $63,760 $3,188 premium 9.0% (212) 263-9700
21 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 19 $17,043 $897 premium 38.8% (336) 713-9800
22 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 17 $17,352 $1,021 premium 100.0% (319) 678-8201
23 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 16 $17,204 $1,075 premium 32.7% (919) 684-8111
24 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 15 $15,969 $1,065 premium 100.0% (404) 778-7525
25 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 14 $11,850 $846 premium 51.9%
26 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 13 $13,715 $1,055 premium 48.1%
27 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 13 $10,325 $794 premium 100.0% (503) 494-8311
28 UROLOGY ASSOCIATES PC NASHVILLE TN UROLOGY 43 13 $7,345 $565 premium 100.0% (615) 250-9200
29 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 13 $21,747 $1,673 premium 100.0% (205) 934-3460
30 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM TX PHYSICIAN ASSISTANT 3051 12 $13,156 $1,096 premium 13.0% (919) 684-8111
31 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 12 $16,908 $1,409 premium 50.0% (908) 273-4300
32 RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY NEW BRUNSWICK NJ PHYSICIAN ASSISTANT 192 12 $18,648 $1,554 premium 50.0% (732) 828-3000
33 SIU PHYSICIANS AND SURGEONS INC SPRINGFIELD IL NURSE PRACTITIONER 321 12 $21,120 $1,760 premium 19.4% (217) 545-8000
34 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 12 $9,120 $760 premium 24.5% (804) 330-9105
35 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 12 $8,988 $749 premium 100.0% (407) 200-2700

*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 →