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Market snapshot

52354 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

52354 — Biopsy and/or destruction of growth of ureter or kidney using an endoscope

Billing groups
13
Named-group FFS services
370
FFS of Medicare
49%
Services YoY
+47.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~760 services

370 observed fee-for-service (49%) · ~390 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 — 52354 (CY2024)
TN 219 NY 136 TX 111 VA 96 MN 65

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

Named-group submitted charges
$1.1M
Named-group allowed amount
$159K
Named-group Medicare payments
$126K
Avg charge / svc
$2,980
Avg allowed / svc
$431
Avg payment / svc
$339
Average charge per group
$856 13 groups · avg submitted charge / service $4,600
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 52354 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MSKCC SURGERY GROUP NEW YORK NY PHYSICIAN ASSISTANT 373 75 $253,330 $3,378 55.1% (212) 639-2000
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 52 $217,966 $4,192 80.0% (507) 284-2511
3 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 43 $151,700 $3,528 100.0% (904) 953-2000
4 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 33 $75,847 $2,298 71.7% (410) 502-4340
5 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 31 $41,895 $1,351 51.7% —
6 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 23 $105,800 $4,600 16.9% (212) 746-5454
7 STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION EAST SETAUKET NY UROLOGY 37 21 $51,765 $2,465 15.4% (631) 444-6270
8 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 21 $23,940 $1,140 21.9% (757) 452-3599
9 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 17 $73,015 $4,295 12.5% (212) 263-9700
10 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 16 $61,578 $3,849 14.4% (713) 592-5433
11 LAS VEGAS UROLOGY LLP LAS VEGAS NV UROLOGY 50 14 $11,982 $856 100.0% (702) 233-0727
12 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 13 $21,245 $1,634 100.0% (319) 678-8201
13 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 11 $12,458 $1,133 18.3% —

*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 →