NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
52317 Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm 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 1,932 services ▲ 13.0% YoY · 1,685 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.3M · $664.48 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
26
Named-group FFS services
578
FFS of Medicare
49%
Services YoY
+13.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,171 services

578 observed fee-for-service (49%) · ~593 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 — 52317 (CY2024)

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$308K
Named-group Medicare payments
$243K
Avg charge / svc
$2,563
Avg allowed / svc
$533
Avg payment / svc
$420
Average charge per group
$700 26 groups · avg submitted charge / service $5,646
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 52317 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 52317 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 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 84 $227,028 $2,703 premium 78.5% (803) 395-3400
2 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 62 $134,686 $2,172 premium 44.3% (973) 971-5596
3 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 48 $136,055 $2,834 premium 17.5% (305) 273-4641
4 UROLOGY GROUP PA MIDLAND PARK NJ UROLOGY 8 42 $237,132 $5,646 premium 30.0% 2014447070216
5 PRECISION UROLOGY PLLC PHOENIX AZ INTERNAL MEDICINE 2 41 $149,517 $3,647 premium 19.7% (602) 844-2254
6 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 27 $52,893 $1,959 premium 52.9% (248) 477-0552
7 MAVERICK COUNTY HOSPITAL DISTRICT EAGLE PASS TX GENERAL SURGERY 25 22 $20,024 $910 premium 17.7% (830) 757-4900
8 TEXAS CENTER FOR UROLOGY LLP FORT WORTH TX PHYSICIAN ASSISTANT 14 19 $41,542 $2,186 premium 15.3% (817) 871-9069
9 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 17 $38,811 $2,283 premium 100.0% (317) 859-7222
10 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 16 $52,480 $3,280 premium 21.9% (212) 241-4812
11 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 15 $39,402 $2,627 premium 5.5% (904) 953-2000
12 HUGULEY MEDICAL ASSOCIATES, INC BURLESON TX FAMILY PRACTICE 45 15 $49,962 $3,331 premium 12.1% (817) 806-1143
13 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 14 $35,000 $2,500 premium 3.6% 3108549898159
14 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 14 $26,101 $1,864 premium 3.6% (760) 340-3911
15 SSR CONSULTANTS INC DORAL FL UROLOGY 2 14 $30,961 $2,212 premium 5.1% (305) 251-8650
16 CONSULTANTS IN UROLOGY STATEN ISLAND NY UROLOGY 2 14 $49,000 $3,500 premium 19.2% (718) 233-1300
17 NORTHWEST IOWA UROLOGISTS PC SPENCER MI UROLOGY 3 13 $10,363 $797 premium 25.5% (712) 262-6214
18 UCI DEPARTMENT OF UROLOGY ORANGE CA UROLOGY 53 12 $18,432 $1,536 premium 3.1% (714) 456-6054
19 LAKE SUMTER UROLOGY, LLC LADY LAKE NJ NURSE PRACTITIONER 4 12 $21,600 $1,800 premium 8.6% (352) 775-6899
20 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 11 $21,824 $1,984 premium 10.3%
21 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 11 $7,700 $700 premium 4.0% (321) 434-8878
22 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS ID PHYSICIAN ASSISTANT 267 11 $9,900 $900 premium 100.0% (208) 535-4343
23 SONORA COMMUNITY HOSPITAL SONORA CA PHYSICIAN ASSISTANT 139 11 $10,373 $943 premium 2.8%
24 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 11 $15,215 $1,383 premium 15.1% (914) 681-0600
25 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 11 $36,586 $3,326 premium 2.8% (877) 827-7463
26 MUNSON MEDICAL CENTER TRAVERSE CITY MI PHYSICIAN ASSISTANT 378 11 $9,068 $824 premium 21.6% (231) 935-8000

*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 →