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

52276 Incision of 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 688 services ▲ 13.9% YoY · 644 beneficiaries (CY2024, Medicare FFS)

Medicare paid $267K · $388.48 avg / service, national

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

Billing groups

Named-group FFS services

214

FFS of Medicare

49%

Services YoY

+13.9%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~412 services

214 observed fee-for-service (52%) · ~198 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 — 52276 (CY2024)

NJ 115 MD 98 CA 74 FL 42 NV 39

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

Named-group submitted charges

$278K

Named-group allowed amount

$47K

Named-group Medicare payments

$38K

Avg charge / svc

$1,300

Avg allowed / svc

$222

Avg payment / svc

$177

Average charge per group

$510–759

$759–1,007

$1,007–1,256

$1,256–1,504

$1,504–1,753

$1,753–2,001

$2,001–2,250

$2,250+

$510 13 groups · avg submitted charge / service $2,722

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 52276 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	52276 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	MCLEOD PHYSICIAN ASSOCIATES II	FLORENCE	SC	PHYSICIAN ASSISTANT	534	26	$29,003	$1,115	premium	66.7%	—
2	MAYO CLINIC ARIZONA	PHOENIX	AZ	PHYSICIAN ASSISTANT	1635	25	$46,574	$1,863	premium	100.0%	(800) 603-0558
3	SHANNON CLINIC	SAN ANGELO	TX	NURSE PRACTITIONER	515	20	$26,042	$1,302	premium	55.6%	(325) 747-1511
4	SUMMIT MEDICAL GROUP PA	BERKELEY HEIGHTS	NJ	PHYSICIAN ASSISTANT	1183	18	$42,282	$2,349	premium	15.7%	(908) 273-4300
5	LAKE SUMTER UROLOGY, LLC	LADY LAKE	NJ	NURSE PRACTITIONER	4	18	$9,180	$510	premium	15.7%	(352) 775-6899
6	HARNE,SONG AND WOO, M.D.,P.A.	FOREST HILL	MD	UROLOGY	3	16	$13,600	$850	premium	16.3%	(410) 879-4879
7	BEND MEMORIAL CLINIC PC	BEND	OR	PHYSICIAN ASSISTANT	233	16	$15,072	$942	premium	57.1%	(541) 382-2811
8	UROLOGY GROUP PC	GERMANTOWN	TN	UROLOGY	17	15	$14,700	$980	premium	100.0%	(901) 767-8158
9	CHESAPEAKE UROLOGY ASSOCIATES LLC	BALTIMORE	CA	UROLOGY	160	15	$18,540	$1,236	premium	20.3%	(410) 825-5454
10	SMH PHYSICIAN SERVICES INC	SARASOTA	FL	PHYSICIAN ASSISTANT	766	12	$6,720	$560	premium	28.6%	—
11	PRACTICE ASSOCIATES MEDICAL GROUP	MORRISTOWN	NJ	NURSE PRACTITIONER	1404	11	$10,769	$979	premium	9.6%	(973) 971-5596
12	PARKVIEW HEALTH SYSTEM INC	FORT WAYNE	IN	NURSE PRACTITIONER	1310	11	$15,807	$1,437	premium	100.0%	(260) 425-5900
13	MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC	LA CROSSE	WI	FAMILY PRACTICE	547	11	$29,942	$2,722	premium	100.0%	(608) 785-0940

*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 →