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

52344 Repair of stricture of ureter 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 723 services ▲ 11.6% YoY · 633 beneficiaries (CY2024, Medicare FFS)

Medicare paid $181K · $249.79 avg / service, national

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

Billing groups

Named-group FFS services

491

FFS of Medicare

49%

Services YoY

+11.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~948 services

491 observed fee-for-service (52%) · ~457 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 — 52344 (CY2024)

NJ 201 AZ 132 TX 100 NC 56 SC 52

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

Named-group submitted charges

$1.7M

Named-group allowed amount

$160K

Named-group Medicare payments

$127K

Avg charge / svc

$3,484

Avg allowed / svc

$325

Avg payment / svc

$259

Average charge per group

$650–1,267

$1,267–1,885

$1,885–2,502

$2,502–3,120

$3,120–3,737

$3,737–4,355

$4,355–4,972

$4,972+

$650 14 groups · avg submitted charge / service $7,316

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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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 52344 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	52344 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	148	$1,082,714	$7,316	premium	73.6%	2014447070216
2	PRACTICE ASSOCIATES MEDICAL GROUP	MORRISTOWN	NJ	NURSE PRACTITIONER	1404	53	$72,451	$1,367	premium	26.4%	(973) 971-5596
3	MUSC COMMUNITY PHYSICIANS	ORANGEBURG	SC	NURSE PRACTITIONER	1307	52	$209,312	$4,025	premium	100.0%	(803) 395-3400
4	BEND MEMORIAL CLINIC PC	BEND	OR	PHYSICIAN ASSISTANT	233	40	$62,510	$1,563	premium	100.0%	(541) 382-2811
5	CAROLINA UROLOGY HEALTHCARE PLLC	CLINTON	NC	NURSE PRACTITIONER	3	32	$20,790	$650	premium	57.1%	(910) 590-3569
6	RALEIGH GENERAL HOSPITAL LLC	BECKLEY	WV	NURSE PRACTITIONER	27	31	$28,396	$916	premium	100.0%	(304) 252-0641
7	PINEHURST SURGICAL CLINIC PA	PINEHURST	NC	PHYSICIAN ASSISTANT	91	24	$37,100	$1,546	premium	42.9%	(910) 295-6831
8	MICHAEL P. ZAHALSKY, MD PA	CORAL SPRINGS	FL	UROLOGY	13	20	$24,320	$1,216	premium	100.0%	(954) 714-8200
9	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	18	$83,880	$4,660	premium	62.1%	(212) 263-9700
10	SCOTT LOGAN BROWN MD A PROFESSIONAL CORP	LA MESA	CA	UROLOGY	4	17	$13,379	$787	premium	100.0%	(619) 828-1000
11	CLEVELAND UROLOGY ASSOCIATES, INC	GARFIELD HEIGHTS	OH	UROLOGY	8	17	$20,672	$1,216	premium	100.0%	—
12	PRECISION UROLOGY PLLC	PHOENIX	AZ	INTERNAL MEDICINE	2	14	$20,482	$1,463	premium	10.6%	(602) 844-2254
13	LAS VEGAS UROLOGY LLP	LAS VEGAS	NV	UROLOGY	50	14	$11,294	$807	premium	100.0%	(702) 233-0727
14	NORTH SHORE-LIJ MEDICAL PC	MANHASSET	NY	PHYSICIAN ASSISTANT	6294	11	$23,111	$2,101	premium	37.9%	—

*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 →