Medicare procedure market data by CPT code & state

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Market snapshot

FL CY2024

Medicare Part B FFS · CY2024 · as published by CMS

52283 Steroid injection into urethra stricture 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 52 services ▲ 116.7% YoY · 49 beneficiaries (CY2024, Medicare FFS)

Medicare paid $11K · $219.06 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window · National figures — the FL market is below

Market analyticsPlatform Methods →

The full market analysis for this code & state — the shapes are yours; the numbers unlock with Platform.

The read

What am I looking at, in one breath?

The read Platform

In Florida, 1 group bills 52283 — 13 fee-for-service services.

The orienting line is free; the comparative synthesis — growth rank, concentration, and $/service against the national figure — unlocks with Platform.

The snapshot

The honest, real numbers — free, always.

Billing groups

Named groups billing this code in FL

Named-group FFS services

Attributable volume · fee-for-service

FFS of Medicare

43%

Payer-mix frame

Named-group coverage

54%

Of Florida’s disclosed Part B services (2024). The rest is billed by clinicians whose volume isn’t attributed to any group — they belong to several groups, or none. How attribution works →

Services · year over year

Services YoY

—

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~30 services

13 observed fee-for-service (43%) · ~17 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

The market

How big, moving which way, worth how much.

Billed → allowed → paid

Named-group submitted charges

$5K

Named-group allowed amount

$2K

Named-group Medicare payments

$1K

Avg charge / svc

$409

Avg allowed / svc

$124

Avg payment / svc

$98

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Per-service vs national + the payments trend unlock with Platform

12-year trend

The full twelve-year services and payments series, per-year values.

The structure

Who's in this market and how it's shaped.

Market structure

Concentration is not shown for markets under 11 billing groups.

The opportunity

So where do I act?

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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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 52283 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	Specialty activate to sort	Providers activate to sort	52283 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	SMH PHYSICIAN SERVICES INC	SARASOTA	PHYSICIAN ASSISTANT	766	13	$5,317	$409	premium	100.0%	—

*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 →