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Market snapshot

54200 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

54200 — Injection procedure to correct thickened penile tissue

Billing groups
12
Named-group FFS services
1,366
FFS of Medicare
49%
Services YoY
-5.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,734 services

1,366 observed fee-for-service (50%) · ~1,368 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 — 54200 (CY2024)
CA 987 GA 124 OR 110 DE 82 PA 75

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

Named-group submitted charges
$7.0M
Named-group allowed amount
$161K
Named-group Medicare payments
$122K
Avg charge / svc
$5,160
Avg allowed / svc
$118
Avg payment / svc
$89
Average charge per group
$242 12 groups · avg submitted charge / service $11,084
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 54200 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA UROLOGY 9 608 $6,739,072 $11,084 61.6% (310) 794-7700
2 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 130 $87,880 $676 13.2% (415) 476-1000
3 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 110 $40,203 $365 100.0% (503) 494-8311
4 BRANDYWINE UROLOGY CONSULTANTS PA WILMINGTON DE PHYSICIAN ASSISTANT 20 82 $21,730 $265 100.0% (302) 652-8990
5 UCI DEPARTMENT OF UROLOGY ORANGE CA UROLOGY 53 73 $38,106 $522 7.4% (714) 456-6054
6 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 72 $18,000 $250 7.3% 3108549898159
7 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 67 $23,115 $345 100.0% (407) 200-2700
8 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 62 $15,004 $242 100.0% (804) 330-9105
9 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 48 $25,344 $528 64.0% (570) 271-6144
10 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 45 $15,331 $341 100.0% (803) 744-4900
11 ORANGE COUNTY UROLOGY ASSOCIATES INC A MEDICAL GROUP LAGUNA HILLS CA UROLOGY 18 42 $16,551 $394 4.3% (949) 855-1101
12 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 27 $8,154 $302 36.0% —

*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 →