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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
51710 Complicated change of bladder tube 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 3,845 services ▲ 7.9% YoY · 1,165 beneficiaries (CY2024, Medicare FFS)
Medicare paid $377K · $98.04 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
37
Named-group FFS services
2,486
FFS of Medicare
49%
Services YoY
+7.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,806 services

2,486 observed fee-for-service (52%) · ~2,320 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 — 51710 (CY2024)

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

Named-group submitted charges
$1.0M
Named-group allowed amount
$309K
Named-group Medicare payments
$237K
Avg charge / svc
$417
Avg allowed / svc
$124
Avg payment / svc
$95
Average charge per group
$100 37 groups · avg submitted charge / service $1,487
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 51710 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 51710 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 PRITHIPAL S SETHI MD INC FREMONT CA UROLOGY 2 155 $46,500 $300 premium 16.7% (510) 340-9498
2 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 150 $35,100 $234 premium 40.7% (518) 262-3277
3 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 130 $60,986 $469 premium 25.8% (973) 971-5596
4 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 130 $77,671 $597 premium 35.2%
5 COMPREHENSIVE UROLOGY MEDICAL GROUP LOS ANGELES CA UROLOGY 6 121 $19,049 $157 premium 13.1% (310) 278-8330
6 UROLOGY GROUP PA MIDLAND PARK NJ UROLOGY 8 120 $121,080 $1,009 premium 23.9% 2014447070216
7 ADULT AND PEDIATRIC UROLOGY OF HOUSTON, LLP PASADENA TX UROLOGY 4 119 $35,700 $300 premium 43.4% (713) 477-8600
8 ADVANCED UROLOGY ASSOCIATES ENTERPRISES SHREWSBURY NJ UROLOGY 18 106 $81,302 $767 premium 21.1% (732) 741-5923
9 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 102 $45,484 $446 premium 11.0%
10 TRI-VALLEY UROLOGY MEDICAL GROUP MURRIETA CA UROLOGY 9 101 $29,004 $287 premium 10.9% (951) 698-1901
11 SPRING CREEK UROLOGY SPECIALISTS LLC CONROE TX UROLOGY 4 92 $34,500 $375 premium 33.6%
12 VALLEY MEDICAL GROUP-RENTON RENTON WA FAMILY PRACTICE 440 84 $8,437 $100 premium 100.0% (425) 656-4224
13 SHERIF ABOSEIF MD INC OXNARD CA UROLOGY 3 79 $28,598 $362 premium 8.5% (805) 973-5902
14 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 77 $27,760 $361 premium 100.0% (801) 581-2121
15 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 75 $19,650 $262 premium 53.6% (781) 983-9088
16 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 72 $34,560 $480 premium 7.8% (714) 871-3006
17 KEARNEY UROLOGY CENTER P.C. KEARNEY NE UROLOGY 4 72 $14,773 $205 premium 65.5% (308) 237-7719
18 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 61 $25,473 $418 premium 13.8% (239) 291-6970
19 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 49 $20,482 $418 premium 25.3% (314) 645-6450
20 ARIZONA UROLOGY SPECIALISTS PLLC MESA AZ UROLOGY 81 45 $21,600 $480 premium 30.2% (602) 222-1900
21 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 42 $12,768 $304 premium 100.0% (410) 825-5454
22 NORTHEAST UROLOGIC SURGERY, PC NORTH ANDOVER NH UROLOGY 12 41 $9,430 $230 premium 100.0% 9786863877226
23 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 39 $20,514 $526 premium 100.0% (615) 322-5000
24 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 39 $28,265 $725 premium 31.0% (860) 724-2579
25 MARY GESSNER-PETERSON MEDICAL GROUP INC ALPINE CA PHYSICIAN ASSISTANT 4 39 $4,875 $125 premium 4.2% (978) 994-1766
26 NORTHEAST UROLOGIC SURGERY, PC NORTH ANDOVER MA UROLOGY 12 34 $7,820 $230 premium 24.3% 9786863877226
27 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 34 $16,188 $476 premium 9.2%
28 LAKEWOOD UROLOGY LIMITED LIABILITY COMPANY HAMILTON NJ UROLOGY 7 32 $15,360 $480 premium 6.4% (609) 581-5900
29 UROLOGY GROUP OF WESTERN NEW ENGLAND, P.C. SPRINGFIELD MA UROLOGY 11 31 $17,050 $550 premium 22.1% (413) 785-5321
30 POTOMAC UROLOGY CENTER, LLC WOODBRIDGE VA UROLOGY 17 31 $14,353 $463 premium 30.4% (703) 680-2111
31 MONTEFIORE MOUNT VERNON HOSPITAL MOUNT VERNON NY PSYCHIATRY 19 30 $7,500 $250 premium 8.1% (914) 664-8000
32 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 26 $38,662 $1,487 premium 5.2% (908) 273-4300
33 ANNE ARUNDEL UROLOGY, PA ANNAPOLIS NY UROLOGY 31 25 $7,500 $300 premium 6.8% (410) 266-8049
34 CADUCEUS PHYSICIANS MEDICAL GROUP YORBA LINDA CA FAMILY PRACTICE 23 24 $9,288 $387 premium 2.6% (714) 577-6031
35 CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A. WELLINGTON FL PHYSICIAN ASSISTANT 27 21 $10,892 $519 premium 4.8% (561) 803-8616
36 BARNABAS HEALTH MEDICAL GROUP, PC NEWARK NJ PSYCHIATRY 254 21 $9,555 $455 premium 4.2% (973) 926-7814
37 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 20 $7,360 $368 premium 27.0% (317) 859-7222
38 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 17 $11,016 $648 premium 23.3% (704) 384-8200

*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 →