Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

52260 Dilation of bladder using an endoscope under general or spinal anesthesia 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 1,106 services ▼ 7.5% YoY · 939 beneficiaries (CY2024, Medicare FFS)

Medicare paid $347K · $314.00 avg / service, national

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

Billing groups

Named-group FFS services

471

FFS of Medicare

49%

Services YoY

-7.5%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~907 services

471 observed fee-for-service (52%) · ~436 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 — 52260 (CY2024)

GA 333 MS 295 TN 123 CA 70 OH 70

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

Named-group submitted charges

$353K

Named-group allowed amount

$84K

Named-group Medicare payments

$65K

Avg charge / svc

$749

Avg allowed / svc

$179

Avg payment / svc

$139

Average charge per group

$419–552

$552–686

$686–819

$819–953

$953–1,086

$1,086–1,220

$1,220–1,353

$1,353+

$419 12 groups · avg submitted charge / service $1,800

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 52260 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	52260 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	ADVANCED UROLOGY OF GA-EAST, PC	SNELLVILLE	GA	UROLOGY	17	108	$81,986	$759	premium	32.4%	(678) 344-8900
2	SOUTHEAST UROGYN LLC	FLOWOOD	MS	OBSTETRICS/GYNECOLOGY	9	69	$43,470	$630	premium	23.4%	(601) 948-6540
3	UROLOGY GROUP PC	GERMANTOWN	TN	UROLOGY	17	59	$46,020	$780	premium	48.0%	(901) 767-8158
4	HATTIESBURG CLINIC PA	HATTIESBURG	MS	FAMILY PRACTICE	530	58	$46,893	$809	premium	19.7%	(601) 264-6000
5	SOUTH FLORIDA WOMENS HEALTH ASSOCIATES INC	DEERFIELD BEACH	NJ	OBSTETRICS/GYNECOLOGY	2	43	$18,001	$419	premium	79.6%	(954) 427-4966
6	UROGYNECOLOGY ASSOCIATES LLC	FLOWOOD	MS	NURSE PRACTITIONER	3	37	$21,668	$586	premium	12.5%	(769) 243-6141
7	WAKE FOREST UNIVERSITY HEALTH SCIENCES	WINSTON SALEM	NC	PHYSICIAN ASSISTANT	2609	29	$21,605	$745	premium	100.0%	(336) 713-9800
8	ASBERY AND ASSOCIATES OB GYN LLC	MOUNT VERNON	IL	OBSTETRICS/GYNECOLOGY	9	17	$17,952	$1,056	premium	100.0%	(618) 244-5500
9	STANFORD HEALTH CARE	STANFORD	CA	DIAGNOSTIC RADIOLOGY	3039	15	$18,465	$1,231	premium	21.4%	(650) 723-4000
10	SOUTHERN UROGYNECOLOGY LLC	WEST COLUMBIA	SC	CERTIFIED NURSE MIDWIFE (CNM)	5	13	$8,725	$671	premium	100.0%	(803) 457-7000
11	LAWRENCE PHYSICIANS LLC	LAWRENCE	KS	PHYSICIAN ASSISTANT	219	12	$8,244	$687	premium	100.0%	—
12	LAKEWOOD UROLOGY LIMITED LIABILITY COMPANY	HAMILTON	NJ	UROLOGY	7	11	$19,800	$1,800	premium	20.4%	(609) 581-5900

*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 →