Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

51595 Removal of bladder and lymph nodes on both sides of pelvis with transplantation of ureters to small or large bowel with creation of urinary opening 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 313 services ▼ 23.5% YoY · 313 beneficiaries (CY2024, Medicare FFS)

Medicare paid $541K · $1729.65 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

178

FFS of Medicare

49%

Services YoY

-23.5%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~371 services

178 observed fee-for-service (48%) · ~193 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 — 51595 (CY2024)

FL 40 MA 31 NY 29 WI 26 CA 23

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

$382K

Named-group Medicare payments

$306K

Avg charge / svc

$16,638

Avg allowed / svc

$2,146

Avg payment / svc

$1,719

Average charge per group

$4,238–7,206

$7,206–10,174

$10,174–13,142

$13,142–16,110

$16,110–19,078

$19,078–22,046

$22,046–25,015

$25,015+

$4,238 12 groups · avg submitted charge / service $31,261

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 51595 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	51595 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	H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC	TAMPA	FL	PHYSICIAN ASSISTANT	1103	27	$213,806	$7,919	premium	67.5%	(813) 745-4673
2	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	20	$474,320	$23,716	premium	100.0%	(507) 284-2511
3	MSKCC SURGERY GROUP	NEW YORK	NY	PHYSICIAN ASSISTANT	373	15	$379,500	$25,300	premium	51.7%	(212) 639-2000
4	MAYO CLINIC ARIZONA	PHOENIX	AZ	PHYSICIAN ASSISTANT	1635	14	$321,355	$22,954	premium	100.0%	(800) 603-0558
5	WEILL MEDICAL COLLEGE OF CORNELL	NEW YORK	NY	INTERNAL MEDICINE	2053	14	$350,000	$25,000	premium	48.3%	(212) 746-5454
6	UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL	CHARLESTON	SC	PHYSICIAN ASSISTANT	1692	14	$437,660	$31,261	premium	100.0%	(843) 792-1414
7	SUMMIT MEDICAL GROUP PA	BERKELEY HEIGHTS	NJ	PHYSICIAN ASSISTANT	1183	14	$173,723	$12,409	premium	100.0%	(908) 273-4300
8	MOUNT SINAI MEDICAL CENTER UROLOGY LLC	MIAMI BEACH	FL	NURSE PRACTITIONER	25	13	$101,244	$7,788	premium	32.5%	(305) 674-2499
9	IU HEALTH MEDICAL GROUP, LLC	INDIANAPOLIS	IN	NURSE PRACTITIONER	4250	12	$128,425	$10,702	premium	100.0%	(888) 484-3258
10	UROLOGY CLINICS OF NORTH TEXAS, PLLC	DALLAS	TX	UROLOGY	72	12	$50,856	$4,238	premium	52.2%	(214) 691-9377
11	UROLOGY OF VIRGINIA, PLLC	VIRGINIA BEACH	VA	PHYSICIAN ASSISTANT	75	12	$71,400	$5,950	premium	100.0%	(757) 452-3599
12	PHYSICIANS REFERRAL SERVICE	HOUSTON	TX	NURSE PRACTITIONER	2696	11	$259,272	$23,570	premium	47.8%	(713) 592-5433

*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 →