NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems Calculus Removal - Urinary (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,775 services ▼ 5.1% YoY · 1,700 beneficiaries (CY2024, Medicare FFS)
Medicare paid $650K · $366.33 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
36
Named-group FFS services
1,197
FFS of Medicare
49%
Services YoY
-5.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,334 services

1,197 observed fee-for-service (51%) · ~1,137 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 — 52315 (CY2024)

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

Named-group submitted charges
$2.2M
Named-group allowed amount
$525K
Named-group Medicare payments
$415K
Avg charge / svc
$1,811
Avg allowed / svc
$439
Avg payment / svc
$347
Average charge per group
$278 36 groups · avg submitted charge / service $4,625
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 52315 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 52315 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 UROLOGY GROUP PA MIDLAND PARK NJ UROLOGY 8 134 $459,458 $3,429 premium 32.9% 2014447070216
2 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NY NURSE PRACTITIONER 1878 93 $146,029 $1,570 premium 39.4% (732) 362-3663
3 CAROLINA UROLOGY PARTNERS PLLC HUNTERSVILLE SC UROLOGY 37 71 $99,400 $1,400 premium 54.6% (704) 766-1147
4 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 70 $146,650 $2,095 premium 17.2% (908) 273-4300
5 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 64 $199,360 $3,115 premium 15.7%
6 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 53 $70,013 $1,321 premium 44.5% (410) 502-4340
7 UNIVERSITY OF TOLEDO PHYSICIANS LLC TOLEDO OH PHYSICIAN ASSISTANT 405 48 $44,866 $935 premium 72.7% (419) 383-5550
8 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 48 $80,640 $1,680 premium 20.3% (212) 241-4812
9 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 35 $50,295 $1,437 premium 36.1% (713) 566-5000
10 GRANGER MEDICAL CLINIC PC WEST VALLEY CITY UT PHYSICIAN ASSISTANT 193 35 $40,705 $1,163 premium 76.1% (801) 965-3600
11 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 35 $50,260 $1,436 premium 100.0% (601) 815-4775
12 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 32 $50,030 $1,563 premium 7.9% (732) 362-3663
13 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 30 $82,170 $2,739 premium 12.7%
14 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 29 $56,394 $1,945 premium 22.3% (803) 395-3400
15 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 29 $85,985 $2,965 premium 61.7% (772) 223-5665
16 TRI-CITY UROLOGY ASSOCIATES PC SAGINAW MI UROLOGY 3 27 $7,509 $278 premium 35.1% (989) 791-4020
17 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 26 $32,006 $1,231 premium 33.8% (734) 763-5459
18 PINEHURST SURGICAL CLINIC PA PINEHURST NC PHYSICIAN ASSISTANT 91 24 $43,224 $1,801 premium 48.0% (910) 295-6831
19 STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION EAST SETAUKET NY UROLOGY 37 23 $39,951 $1,737 premium 9.7% (631) 444-6270
20 AUGUSTA MEDICAL GROUP FISHERSVILLE VA PHYSICIAN ASSISTANT 424 22 $9,218 $419 premium 100.0% (540) 332-5595
21 MEDICAL FACULTY ASSOCIATES, INC WASHINGTON IL PHYSICIAN ASSISTANT 685 21 $27,531 $1,311 premium 100.0% (202) 715-4000
22 LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR CARDIOVASCULAR DISEASE (CARDIOLOGY) 194 20 $16,316 $816 premium 100.0% (503) 413-7022
23 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 19 $27,037 $1,423 premium 14.6% (803) 744-4900
24 GENESISCARE USA OF FLORIDA LLC CAPE CORAL FL UROLOGY 175 18 $26,404 $1,467 premium 38.3%
25 PHYSICIANS GROUP OF SOUTHEASTERN OHIO INC ZANESVILLE OH FAMILY PRACTICE 61 18 $27,090 $1,505 premium 27.3% (740) 455-3304
26 MUSC COMMUNITY PHYSICIANS ORANGEBURG GA NURSE PRACTITIONER 1307 16 $22,768 $1,423 premium 100.0% (803) 395-3400
27 MAVERICK COUNTY HOSPITAL DISTRICT EAGLE PASS TX GENERAL SURGERY 25 16 $7,168 $448 premium 16.5% (830) 757-4900
28 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 15 $27,210 $1,814 premium 14.3% (916) 681-8852
29 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 15 $26,505 $1,767 premium 50.0% (615) 612-2146
30 TEXOMACARE SPECIALTY PHYSICIANS DENISON TX INTERVENTIONAL CARDIOLOGY 37 14 $13,006 $929 premium 14.4% (903) 465-3624
31 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 14 $12,320 $880 premium 100.0%
32 UCI DEPARTMENT OF UROLOGY ORANGE CA UROLOGY 53 13 $15,821 $1,217 premium 12.4% (714) 456-6054
33 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 13 $60,125 $4,625 premium 5.5% (866) 633-8255
34 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 13 $12,350 $950 premium 16.9% (248) 477-0552
35 PRECISION UROLOGY PLLC PHOENIX AZ INTERNAL MEDICINE 2 11 $21,710 $1,974 premium 100.0% (602) 844-2254
36 SURGICAL ASSOCIATES NORTHWEST PC FEDERAL WAY WA UROLOGY 11 11 $8,800 $800 premium 100.0% (253) 927-1882
37 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 11 $11,792 $1,072 premium 23.9% (801) 261-8346
38 SMH PHYSICIAN SERVICES INC SARASOTA SC PHYSICIAN ASSISTANT 766 11 $9,383 $853 premium 8.5%

*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 →