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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
54405 Insertion of multicomponent inflatable penile implant 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 2,285 services ▲ 2.8% YoY · 2,283 beneficiaries (CY2024, Medicare FFS)
Medicare paid $7.0M · $3042.47 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
56
Named-group FFS services
1,335
FFS of Medicare
49%
Services YoY
+2.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,753 services

1,335 observed fee-for-service (48%) · ~1,418 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 — 54405 (CY2024)
FL 344 TX 224 CA 168 IN 165 TN 157

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

Named-group submitted charges
$4.5M
Named-group allowed amount
$1.0M
Named-group Medicare payments
$813K
Avg charge / svc
$3,388
Avg allowed / svc
$771
Avg payment / svc
$609
Average charge per group
$1,572 56 groups · avg submitted charge / service $7,716
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 54405 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 98 $182,417 $1,861 59.4% (317) 859-7222
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 82 $632,738 $7,716 100.0% (507) 284-2511
3 PAUL E PERITO MD PA CORAL GABLES FL PHYSICIAN ASSISTANT 2 78 $234,000 $3,000 22.7% (305) 444-2920
4 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 62 $114,442 $1,846 40.3% (410) 825-5454
5 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 57 $125,400 $2,200 42.2% (757) 452-3599
6 UROLOGY ASSOCIATES PC NASHVILLE TN UROLOGY 43 49 $98,000 $2,000 31.2% (615) 250-9200
7 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 39 $207,357 $5,317 73.6% —
8 UROLOGY PARTNERS OF NORTH TEXAS, PLLC ARLINGTON TX UROLOGY 89 37 $73,055 $1,974 16.5% —
9 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 35 $211,515 $6,043 15.6% (713) 592-5433
10 UROLOGY SPECIALIST GROUP LLC HIALEAH FL UROLOGY 5 32 $167,712 $5,241 9.3% (305) 822-7227
11 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 32 $65,352 $2,042 9.3% (352) 726-9707
12 COLORADO SPRINGS UROLOGICAL ASSOCIATES LLC COLORADO SPRINGS CO UROLOGY 20 29 $57,799 $1,993 69.0% (719) 531-7007
13 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 27 $47,061 $1,743 100.0% (502) 928-1050
14 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 25 $113,954 $4,558 50.0% (919) 684-8111
15 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 25 $61,450 $2,458 7.3% (407) 200-2700
16 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSE CA PHYSICIAN ASSISTANT 199 23 $62,545 $2,719 13.7% (408) 871-3400
17 UROPARTNERS LLC WESTCHESTER IL UROLOGY 130 22 $79,860 $3,630 43.1% (708) 486-0076
18 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA UROLOGY 9 22 $120,825 $5,492 13.1% (310) 794-7700
19 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 22 $138,790 $6,309 6.4% (904) 953-2000
20 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 21 $94,248 $4,488 12.7% (888) 484-3258
21 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 21 $126,000 $6,000 12.5% 3108549898159
22 SOUTHERN UROLOGY LLC OPELOUSAS LA UROLOGY 28 21 $47,250 $2,250 63.6% (337) 594-4025
23 UROLOGY ASSOCIATES OF CAPE COD, P.C. YARMOUTH PORT MA UROLOGY 8 20 $40,000 $2,000 58.8% (508) 771-9550
24 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 19 $64,589 $3,399 11.3% (916) 681-8852
25 UCI DEPARTMENT OF UROLOGY ORANGE CA UROLOGY 53 19 $68,324 $3,596 11.3% (714) 456-6054
26 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 19 $30,001 $1,579 8.5% (214) 691-9377
27 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 18 $33,966 $1,887 8.0% (512) 788-9688
28 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 18 $43,398 $2,411 5.2% —
29 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 16 $67,235 $4,202 10.2% (662) 349-1964
30 UROLOGY OF ST LOUIS INC SAINT LOUIS MO UROLOGY 112 16 $38,183 $2,386 40.0% (314) 567-6071
31 UROLOGY CENTERS OF ALABAMA, PC HOMEWOOD AL UROLOGY 61 16 $50,112 $3,132 55.2% (205) 930-0920
32 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 15 $77,314 $5,154 16.0% (800) 603-0558
33 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 15 $39,810 $2,654 100.0% (503) 494-8311
34 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 15 $40,350 $2,690 55.6% —
35 MUSC COMMUNITY PHYSICIANS ORANGEBURG GA NURSE PRACTITIONER 1307 14 $47,040 $3,360 18.9% (803) 395-3400
36 MISSISSIPPI UROLOGY CLINIC PLLC JACKSON MS PHYSICIAN ASSISTANT 14 14 $52,010 $3,715 100.0% (601) 353-9900
37 FLORIDA PHYSICIAN SPECIALISTS LLC JACKSONVILLE VA UROLOGY 36 14 $36,666 $2,619 10.4% (904) 483-2310
38 AUC UROLOGISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 28 14 $32,087 $2,292 23.7% (843) 347-2450
39 PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC POUGHKEEPSIE NY NURSE PRACTITIONER 131 14 $29,960 $2,140 26.4% —
40 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 13 $66,300 $5,100 32.5% (314) 747-3000
41 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 13 $32,669 $2,513 18.3% —
42 LAS VEGAS UROLOGY LLP LAS VEGAS NV UROLOGY 50 13 $20,438 $1,572 34.2% (702) 233-0727
43 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 12 $39,192 $3,266 44.4% —
44 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 12 $44,496 $3,708 8.9% (434) 924-5959
45 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 12 $31,824 $2,652 36.4% (318) 675-8700
46 IRONWOOD PHYSICIANS PC MESA AZ HEMATOLOGY/ONCOLOGY 114 12 $27,936 $2,328 12.8% (480) 981-1326
47 GRANGER MEDICAL CLINIC PC WEST VALLEY CITY UT PHYSICIAN ASSISTANT 193 12 $88,200 $7,350 100.0% (801) 965-3600
48 UROLOGY NEVADA LTD RENO NV PHYSICIAN ASSISTANT 25 12 $31,469 $2,622 31.6% (775) 322-7811
49 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 12 $19,896 $1,658 3.5% —
50 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 11 $25,938 $2,358 18.6% —
51 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 11 $53,691 $4,881 3.2% (954) 659-5000
52 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 11 $31,482 $2,862 22.0% (336) 713-9800
53 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 11 $40,133 $3,648 6.5% (800) 926-8273
54 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 11 $36,960 $3,360 18.6% (803) 744-4900
55 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 11 $51,909 $4,719 15.5% —
56 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 11 $27,504 $2,500 100.0% (206) 364-0500

*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 →