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Market snapshot

51040 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

51040 — Incision of bladder with drainage

Billing groups
9
Named-group FFS services
138
FFS of Medicare
49%
Services YoY
+17.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~267 services

138 observed fee-for-service (52%) · ~129 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 — 51040 (CY2024)

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

Named-group submitted charges
$286K
Named-group allowed amount
$36K
Named-group Medicare payments
$29K
Avg charge / svc
$2,071
Avg allowed / svc
$262
Avg payment / svc
$209
Average charge per group
$701 9 groups · avg submitted charge / service $5,611
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 51040 services, CY2024
#Physician group City St Specialty Providers 51040 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 CAPE GIRARDEAU UROLOGY ASSOCIATES INC CAPE GIRARDEAU MO UROLOGY 12 29 $48,851 $1,685 premium 37.7% (573) 334-7748
2 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 21 $14,722 $701 premium 100.0% (801) 581-2121
3 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 17 $95,387 $5,611 premium 60.7% (908) 273-4300
4 MONTEFIORE MOUNT VERNON HOSPITAL MOUNT VERNON NY PSYCHIATRY 19 14 $14,000 $1,000 premium 100.0% (914) 664-8000
5 REGIONAL WEST PHYSICIANS CLINIC SCOTTSBLUFF OR NURSE PRACTITIONER 135 12 $12,328 $1,027 premium 100.0% (308) 632-2215
6 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 12 $15,066 $1,256 premium 35.3%
7 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 11 $18,997 $1,727 premium 45.8% (410) 502-4340
8 UROLOGY GROUP PA MIDLAND PARK NJ UROLOGY 8 11 $45,023 $4,093 premium 39.3% 2014447070216
9 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 11 $21,384 $1,944 premium 45.8% (601) 264-6000

*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 →