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Market snapshot

50715 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

50715 — Release of scar tissue at ureter

Billing groups
20
Named-group FFS services
624
FFS of Medicare
49%
Services YoY
+17.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,288 services

624 observed fee-for-service (48%) · ~664 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 — 50715 (CY2024)

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

Named-group submitted charges
$3.8M
Named-group allowed amount
$632K
Named-group Medicare payments
$503K
Avg charge / svc
$6,144
Avg allowed / svc
$1,012
Avg payment / svc
$806
Average charge per group
$900 20 groups · avg submitted charge / service $22,327
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 50715 services, CY2024
#Physician group City St Specialty Providers 50715 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 JAWAD A SHAH MD PC FLINT TX NURSE PRACTITIONER 92 93 $1,123,812 $12,084 premium 43.7%
2 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 88 $323,576 $3,677 premium 31.5%
3 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 62 $169,250 $2,730 premium 68.9% (312) 563-2875
4 CAROLINA COLORECTAL SURGERY, PC RALEIGH NC PHYSICIAN ASSISTANT 2 43 $154,585 $3,595 premium 45.7% (919) 784-6600
5 SOUTH FLORIDA CENTER FOR GYNECOLOGIC ONCOLOGY P A BOCA RATON FL GYNECOLOGICAL ONCOLOGY 2 40 $168,000 $4,200 premium 78.4% (561) 997-8991
6 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 38 $162,456 $4,275 premium 40.4% (910) 662-6000
7 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 34 $263,797 $7,759 premium 12.2% (626) 256-4673
8 CNJ SPECIALTY SURGICAL ASSOCIATE EATONTOWN NJ COLORECTAL SURGERY (PROCTOLOGY) 6 25 $299,993 $12,000 premium 67.6% (732) 389-1331
9 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 25 $82,403 $3,296 premium 100.0%
10 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES CA HEMATOLOGY/ONCOLOGY 51 23 $166,320 $7,231 premium 8.2% (213) 977-1214
11 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 20 $81,890 $4,094 premium 7.2% (925) 296-9720
12 PROVIDENCE MEDICAL INSTITUTE TORRANCE CA INTERNAL MEDICINE 339 20 $18,000 $900 premium 7.2% (310) 303-7496
13 WOMEN'S HEALTHCARE ASSOCIATES OF OAKLAND PLLC LAKE ORION MI OBSTETRICS/GYNECOLOGY 7 20 $70,400 $3,520 premium 100.0% (248) 693-0543
14 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 18 $134,952 $7,497 premium 6.5% (310) 829-6789
15 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 14 $174,150 $12,439 premium 26.9% (631) 628-5000
16 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 13 $46,735 $3,595 premium 13.8% (919) 350-7270
17 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 13 $290,250 $22,327 premium 25.0% (212) 241-4812
18 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 12 $20,856 $1,738 premium 23.1%
19 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 12 $57,200 $4,767 premium 32.4% (908) 273-4300
20 DOMINGO E GALLIANO JR PA PORT CHARLOTTE FL COLORECTAL SURGERY (PROCTOLOGY) 3 11 $25,135 $2,285 premium 21.6% (941) 625-3411

*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 →