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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
50605 Insertion of stent in ureter 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 1,054 services ▼ 35.2% YoY · 1,054 beneficiaries (CY2024, Medicare FFS)
Medicare paid $383K · $363.72 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
28
Named-group FFS services
908
FFS of Medicare
49%
Services YoY
-35.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,877 services

908 observed fee-for-service (48%) · ~969 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 — 50605 (CY2024)
OH 186 CA 133 TX 80 UT 73 GA 70

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

Named-group submitted charges
$3.0M
Named-group allowed amount
$413K
Named-group Medicare payments
$330K
Avg charge / svc
$3,347
Avg allowed / svc
$455
Avg payment / svc
$363
Average charge per group
$1,924 28 groups · avg submitted charge / service $7,880
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 50605 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 94 $354,350 $3,770 70.7% (877) 827-7463
2 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 80 $220,320 $2,754 100.0% (214) 633-5555
3 CANYON SURGICAL ASSOCIATES, LLC MURRAY UT GENERAL SURGERY 5 73 $158,276 $2,168 100.0% (801) 507-9600
4 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 70 $244,580 $3,494 100.0% (404) 367-3210
5 UNIVERSITY OF TOLEDO PHYSICIANS LLC TOLEDO OH PHYSICIAN ASSISTANT 405 69 $163,911 $2,376 37.1% (419) 383-5550
6 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 56 $363,776 $6,496 100.0% —
7 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 51 $150,858 $2,958 27.4% (513) 584-1000
8 OSU SURGERY, LLC COLUMBUS OH PHYSICIAN ASSISTANT 204 51 $176,205 $3,455 27.4% (614) 293-2101
9 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 48 $134,799 $2,808 100.0% (402) 559-4000
10 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 43 $122,120 $2,840 100.0% —
11 ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER INDIANAPOLIS IN INTERNAL MEDICINE 285 20 $52,324 $2,616 62.5% (317) 338-7760
12 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 18 $34,634 $1,924 100.0% (507) 284-2511
13 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 17 $50,433 $2,967 100.0% (701) 234-2000
14 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 17 $85,158 $5,009 100.0% (860) 724-2579
15 ARIZONA TRANSPLANT ASSOCIATES PC PHOENIX AZ GENERAL SURGERY 5 16 $43,616 $2,726 57.1% (602) 253-2262
16 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 15 $91,155 $6,077 51.7% —
17 HENRICO SURGICAL SPECIALISTS LLC RICHMOND VA GENERAL SURGERY 27 15 $59,425 $3,962 100.0% (804) 285-9416
18 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 15 $46,934 $3,129 100.0% (303) 778-5797
19 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 15 $42,118 $2,808 100.0% (407) 200-2700
20 ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND NEW ORLEANS LA INTERNAL MEDICINE 412 15 $36,804 $2,454 55.6% —
21 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NY NURSE PRACTITIONER 990 14 $90,944 $6,496 48.3% —
22 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE WI NURSE PRACTITIONER 3045 13 $37,622 $2,894 21.7% (847) 459-1160
23 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 12 $36,360 $3,030 44.4% (504) 842-3000
24 MULTICARE HEALTH SYSTEM GIG HARBOR IN NURSE PRACTITIONER 2289 12 $31,569 $2,631 37.5% —
25 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 12 $94,560 $7,880 20.0% (414) 421-8400
26 ST. JOHN PHYSICIANS, INC. TULSA OK NURSE PRACTITIONER 263 12 $35,288 $2,941 100.0% —
27 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 12 $34,500 $2,875 100.0% (601) 815-4775
28 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 12 $24,656 $2,055 100.0% —
29 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE WI PHYSICIAN ASSISTANT 1369 11 $21,901 $1,991 18.3% (505) 841-1234

*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 →