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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope CPT · Other Organ Systems procedure
Classification Procedure › Other Organ Systems › Cystourethroscopy (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,518 services ▼ 10.4% YoY · 1,330 beneficiaries (CY2024, Medicare FFS)
Medicare paid $498K · $327.87 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
27
Named-group FFS services
676
FFS of Medicare
49%
Services YoY
-10.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,334 services

676 observed fee-for-service (51%) · ~658 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 — 52001 (CY2024)
FL 465 NJ 180 MD 180 CA 108 TX 84

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

Named-group submitted charges
$849K
Named-group allowed amount
$207K
Named-group Medicare payments
$164K
Avg charge / svc
$1,256
Avg allowed / svc
$306
Avg payment / svc
$242
Average charge per group
$279 27 groups · avg submitted charge / service $2,846
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 52001 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 107 $223,523 $2,089 59.4% (908) 273-4300
2 HUGULEY MEDICAL ASSOCIATES, INC BURLESON TX FAMILY PRACTICE 45 60 $71,544 $1,192 71.4% (817) 806-1143
3 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 45 $47,835 $1,063 25.0% (973) 971-5596
4 TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA NURSE PRACTITIONER 383 41 $33,005 $805 62.1% —
5 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 40 $62,680 $1,567 37.0% (916) 681-8852
6 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH FL OBSTETRICS/GYNECOLOGY 49 28 $28,139 $1,005 6.0% (561) 616-9988
7 SUBURBAN UROLOGIC ASSOCIATES PC MONROEVILLE PA PHYSICIAN ASSISTANT 9 25 $17,100 $684 37.9% (412) 372-6330
8 PROVIDENCE MEDICAL INSTITUTE TORRANCE CA INTERNAL MEDICINE 339 25 $20,500 $820 23.1% (310) 303-7496
9 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 24 $24,259 $1,011 64.9% —
10 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 24 $18,096 $754 54.5% (602) 843-1265
11 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSE CA PHYSICIAN ASSISTANT 199 23 $34,746 $1,511 21.3% (408) 871-3400
12 DR THOMAS C SUITS MD PA STUART FL UROLOGY 2 23 $19,550 $850 4.9% (772) 220-9871
13 ANDERSON PHYSICIAN ALLIANCE INC MERIDIAN MS NURSE PRACTITIONER 70 17 $13,614 $801 32.1% (601) 553-6399
14 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 17 $19,925 $1,172 100.0% (762) 235-3340
15 LAKEWOOD UROLOGY LIMITED LIABILITY COMPANY HAMILTON NJ UROLOGY 7 16 $40,567 $2,535 8.9% (609) 581-5900
16 SOUTHERN UROLOGY LLC OPELOUSAS LA UROLOGY 28 15 $15,000 $1,000 100.0% (337) 594-4025
17 GREAT LAKES PHYSICIAN PC CHEEKTOWAGA NY PHYSICIAN ASSISTANT 69 14 $11,200 $800 35.0% (716) 844-5000
18 UROLOGIC SURGERY OF NWI PC VALPARAISO IN PHYSICIAN ASSISTANT 2 14 $10,486 $749 51.9% (219) 286-6888
19 HILTON HEAD REGIONAL PHYSICIAN GROUP LLC BLUFFTON SC PHYSICIAN ASSISTANT 106 13 $36,998 $2,846 35.1% (843) 682-7480
20 FLORIDA PHYSICIAN SPECIALISTS LLC JACKSONVILLE MO UROLOGY 36 13 $18,200 $1,400 100.0% (904) 483-2310
21 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 12 $12,264 $1,022 2.6% (407) 896-1100
22 NORMAN UROLOGY ASSOCIATES PC NORMAN OK PHYSICIAN ASSISTANT 10 12 $9,620 $802 32.4% (405) 360-9966
23 FLORIDA PHYSICIAN SPECIALISTS LLC JACKSONVILLE FL UROLOGY 36 12 $16,800 $1,400 2.6% (904) 483-2310
24 ST. DOMINIC MEDICAL ASSOCIATES LLC MADISON MS NURSE PRACTITIONER 124 12 $11,292 $941 22.6% —
25 PREMIER MEDICAL GROUP, LLC BLOOMINGTON CO NURSE PRACTITIONER 10 11 $3,068 $279 100.0% (309) 663-9424
26 TEXOMA UROLOGY CENTER WICHITA FALLS TX UROLOGY 5 11 $6,600 $600 13.1% (940) 689-8765
27 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 11 $7,956 $723 2.4% (352) 726-9707
28 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AR HEMATOLOGY/ONCOLOGY 333 11 $14,652 $1,332 100.0% (260) 484-8830

*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 →