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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
53440 Creation of sling around urethra in male to control leakage CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 227 services ▲ 65.7% YoY · 227 beneficiaries (CY2024, Medicare FFS)
Medicare paid $484K · $2132.89 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
9
Named-group FFS services
130
FFS of Medicare
49%
Services YoY
+65.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~269 services

130 observed fee-for-service (48%) · ~139 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 — 53440 (CY2024)

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

Named-group submitted charges
$383K
Named-group allowed amount
$91K
Named-group Medicare payments
$71K
Avg charge / svc
$2,945
Avg allowed / svc
$703
Avg payment / svc
$549
Average charge per group
$1,950 9 groups · avg submitted charge / service $6,095
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 53440 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 53440 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 OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 22 $48,488 $2,204 premium 61.1% (317) 859-7222
2 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 19 $40,888 $2,152 premium 52.8% (804) 330-9105
3 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 15 $34,320 $2,288 premium 39.5% (407) 200-2700
4 UROLOGY CENTERS OF ALABAMA, PC HOMEWOOD AL UROLOGY 61 14 $35,000 $2,500 premium 100.0% (205) 930-0920
5 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 13 $34,827 $2,679 premium 54.2% (541) 382-2811
6 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 13 $65,125 $5,010 premium 100.0% (800) 603-0558
7 UROLOGY ASSOCIATES OF CHARLESTON LLC MT PLEASANT SC UROLOGY 10 12 $23,400 $1,950 premium 100.0% (843) 884-8045
8 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 11 $67,043 $6,095 premium 28.9% (904) 953-2000
9 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NC PHYSICIAN ASSISTANT 2818 11 $33,770 $3,070 premium 100.0% (212) 241-4812

*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 →