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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
51726 Complex measurement of pressure of urine flow in bladder 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 943 services ▼ 6.7% YoY · 927 beneficiaries (CY2024, Medicare FFS)
Medicare paid $183K · $193.92 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
22
Named-group FFS services
705
FFS of Medicare
49%
Services YoY
-6.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,533 services

705 observed fee-for-service (46%) · ~828 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 — 51726 (CY2024)

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

Named-group submitted charges
$751K
Named-group allowed amount
$184K
Named-group Medicare payments
$141K
Avg charge / svc
$1,065
Avg allowed / svc
$262
Avg payment / svc
$200
Average charge per group
$88 22 groups · avg submitted charge / service $1,929
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 51726 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 51726 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 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 254 $413,512 $1,628 premium 95.1% (507) 284-2511
2 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE NY UROLOGY 60 53 $34,930 $659 premium 53.5% (315) 478-4185
3 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 38 $52,440 $1,380 premium 71.7% (800) 603-0558
4 IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP A P C EL CENTRO CA FAMILY PRACTICE 23 37 $18,500 $500 premium 31.4% (760) 353-6363
5 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 31 $42,935 $1,385 premium 31.3% (631) 628-5000
6 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 28 $15,940 $569 premium 40.6% (214) 691-9377
7 TOLEDO CLINIC INCORPORATED TOLEDO OH NURSE PRACTITIONER 217 27 $5,643 $209 premium 41.5% (419) 874-3246
8 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 27 $6,750 $250 premium 61.4% (434) 924-5959
9 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 27 $34,593 $1,281 premium 39.1% (214) 633-5555
10 OPTUM MEDICAL CARE PC MOUNT KISCO DC INTERNAL MEDICINE 1040 16 $5,671 $354 premium 100.0% (914) 241-1050
11 COLORADO SPRINGS UROLOGICAL ASSOCIATES LLC COLORADO SPRINGS CO UROLOGY 20 16 $12,000 $750 premium 100.0% (719) 531-7007
12 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 15 $19,096 $1,273 premium 28.3% (602) 843-1265
13 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 15 $9,805 $654 premium 100.0% (410) 825-5454
14 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 15 $5,635 $376 premium 15.2%
15 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 14 $5,432 $388 premium 100.0% (919) 684-8111
16 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 14 $8,890 $635 premium 100.0% (717) 782-2100
17 TEXAS CENTER FOR UROLOGY LLP FORT WORTH TX PHYSICIAN ASSISTANT 14 14 $7,000 $500 premium 20.3% (817) 871-9069
18 LAS VEGAS UROLOGY LLP LAS VEGAS NV UROLOGY 50 14 $8,284 $592 premium 100.0% (702) 233-0727
19 UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC MINNEAPOLIS MN DIAGNOSTIC RADIOLOGY 620 13 $25,077 $1,929 premium 4.9% (612) 672-7422
20 ARKANSAS UROLOGY, P.A. RUSSELLVILLE AR UROLOGY 37 13 $5,850 $450 premium 41.9% (501) 219-8900
21 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 13 $1,149 $88 premium 100.0% (802) 847-0000
22 OSU UROLOGY, LLC COLUMBUS OH UROLOGY 37 11 $11,550 $1,050 premium 16.9% (614) 293-8155

*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 →