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Market snapshot

52330 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

52330 — Manipulation of stone in ureter using an endoscope

Billing groups
17
Named-group FFS services
472
FFS of Medicare
49%
Services YoY
+1.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~880 services

472 observed fee-for-service (54%) · ~408 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 — 52330 (CY2024)

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

Named-group submitted charges
$1.2M
Named-group allowed amount
$122K
Named-group Medicare payments
$96K
Avg charge / svc
$2,508
Avg allowed / svc
$258
Avg payment / svc
$203
Average charge per group
$508 17 groups · avg submitted charge / service $4,550
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 52330 services, CY2024
#Physician group City St Specialty Providers 52330 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 UROLOGY GROUP PA MIDLAND PARK NJ UROLOGY 8 154 $484,470 $3,146 premium 71.0% 2014447070216
2 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AR HEMATOLOGY/ONCOLOGY 333 63 $115,857 $1,839 premium 100.0% (260) 484-8830
3 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 46 $152,030 $3,305 premium 21.2% (908) 273-4300
4 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 21 $95,550 $4,550 premium 100.0% (212) 241-4812
5 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 19 $43,130 $2,270 premium 40.4% (305) 273-4641
6 UROLOGY ASSOCIATES OF NORTH CENTRAL OHIO, INC. MANSFIELD OH PHYSICIAN ASSISTANT 2 17 $42,500 $2,500 premium 60.7% (419) 756-4999
7 LAKEWOOD UROLOGY LIMITED LIABILITY COMPANY HAMILTON NJ UROLOGY 7 17 $42,500 $2,500 premium 7.8% (609) 581-5900
8 MICHIGAN INSTITUTE OF UROLOGY PC SAINT CLAIR SHORES MI UROLOGY 84 17 $31,500 $1,853 premium 100.0% (586) 771-4820
9 NEW ENGLAND UROLOGY BEVERLY MA NURSE PRACTITIONER 2 16 $23,400 $1,462 premium 100.0% (978) 232-9400
10 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 15 $7,620 $508 premium 51.7% (214) 691-9377
11 NOVA MEDICAL SERVICES-UROLOGY DIVISION LLC MIAMI FL NURSE PRACTITIONER 14 14 $33,643 $2,403 premium 29.8% (786) 715-9183
12 TEXOMA UROLOGY CENTER WICHITA FALLS TX UROLOGY 5 14 $19,600 $1,400 premium 48.3% (940) 689-8765
13 UROLOGICAL SERVICES, PLLC FLINT IN UROLOGY 12 12 $10,800 $900 premium 100.0% (810) 232-8888
14 GREEN CLINIC LLC RUSTON LA NURSE PRACTITIONER 33 12 $31,941 $2,662 premium 50.0% (318) 255-3690
15 SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC WEST BURLINGTON IA NURSE PRACTITIONER 293 12 $7,488 $624 premium 100.0% (319) 768-1000
16 NEBRASKA UROLOGY PC LINCOLN NE UROLOGY 20 12 $33,672 $2,806 premium 100.0% (402) 489-8888
17 CENTRAL OHIO UROLOGY GROUP, LLC. GAHANNA OH UROLOGY 45 11 $8,290 $754 premium 39.3% (614) 396-2684

*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 →