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Market snapshot

53445 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

53445 — Insertion of inflatable urethra or bladder neck sphincter

Billing groups
22
Named-group FFS services
428
FFS of Medicare
49%
Services YoY
+1.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~879 services

428 observed fee-for-service (49%) · ~451 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 — 53445 (CY2024)
CA 77 TX 51 FL 46 MN 41 MA 40

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

Named-group submitted charges
$1.9M
Named-group allowed amount
$305K
Named-group Medicare payments
$241K
Avg charge / svc
$4,374
Avg allowed / svc
$712
Avg payment / svc
$564
Average charge per group
$1,483 22 groups · avg submitted charge / service $7,218
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 53445 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 41 $270,297 $6,593 100.0% (507) 284-2511
2 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 37 $215,798 $5,832 100.0% (800) 603-0558
3 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 37 $100,677 $2,721 100.0% —
4 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 26 $81,924 $3,151 65.0% —
5 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 25 $103,956 $4,158 67.6% (662) 349-1964
6 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 24 $35,592 $1,483 47.1% (214) 691-9377
7 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 22 $139,260 $6,330 100.0% —
8 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 21 $120,645 $5,745 100.0% (410) 502-4340
9 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 19 $43,643 $2,297 41.3% (407) 200-2700
10 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 17 $103,075 $6,063 100.0% (314) 747-3000
11 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 16 $86,064 $5,379 20.8% (650) 723-4000
12 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA UROLOGY 48 16 $81,494 $5,093 20.8% (310) 794-8492
13 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 15 $56,716 $3,781 29.4% (214) 633-5555
14 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 14 $57,020 $4,073 100.0% (860) 724-2579
15 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 14 $59,150 $4,225 100.0% —
16 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 13 $77,792 $5,984 50.0% (919) 684-8111
17 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 13 $26,650 $2,050 100.0% (757) 452-3599
18 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 12 $22,040 $1,837 26.1% —
19 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 12 $55,548 $4,629 23.5% (713) 266-9955
20 UROLOGY CENTERS OF ALABAMA, PC HOMEWOOD AL UROLOGY 61 12 $31,200 $2,600 100.0% (205) 930-0920
21 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 11 $24,222 $2,202 28.9% (317) 859-7222
22 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 11 $79,403 $7,218 100.0% (843) 792-1414

*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 →