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Market snapshot

55520 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

55520 — Removal of growth of sperm cord

Billing groups
15
Named-group FFS services
358
FFS of Medicare
49%
Services YoY
+40.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~654 services

358 observed fee-for-service (55%) · ~296 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 — 55520 (CY2024)

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

Named-group submitted charges
$632K
Named-group allowed amount
$104K
Named-group Medicare payments
$82K
Avg charge / svc
$1,766
Avg allowed / svc
$290
Avg payment / svc
$230
Average charge per group
$706 15 groups · avg submitted charge / service $3,496
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 55520 services, CY2024
#Physician group City St Specialty Providers 55520 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP INC LAGUNA HILLS CA GENERAL SURGERY 22 77 $54,336 $706 premium 30.6% (949) 457-7900
2 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 35 $105,507 $3,014 premium 18.7%
3 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 34 $89,292 $2,626 premium 100.0%
4 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 31 $49,980 $1,612 premium 16.6% (732) 362-3663
5 CHEVY CHASE SURGICAL ASSOCIATES, P.C. CHEVY CHASE MD GENERAL SURGERY 5 26 $44,500 $1,712 premium 35.1% (301) 656-6700
6 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 24 $83,910 $3,496 premium 32.9%
7 BEAUFORT COUNTY MEMORIAL HOSPITAL BEAUFORT SC PHYSICIAN ASSISTANT 204 22 $29,970 $1,362 premium 100.0% (843) 522-5983
8 PIEDMONT ATHENS SPECIALTY CARE LLC ATHENS GA PHYSICIAN ASSISTANT 115 16 $27,183 $1,699 premium 100.0% (706) 475-7000
9 UNIVERSITY SURGEONS OF ORANGE A MEDICAL GROUP ORANGE CA GENERAL SURGERY 120 15 $34,323 $2,288 premium 6.0% (714) 634-5549
10 COOPER CARE ALLIANCE, PC TURNERSVILLE NJ FAMILY PRACTICE 117 14 $23,370 $1,669 premium 7.5% (856) 536-1515
11 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 14 $19,124 $1,366 premium 100.0%
12 GOLDEN VALLEY HEALTH CENTERS MODESTO CA FAMILY PRACTICE 115 13 $19,500 $1,500 premium 5.2% (209) 722-4842
13 NORTH BROWARD HOSPITAL DISTRICT FORT LAUDERDALE FL NURSE PRACTITIONER 181 13 $25,858 $1,989 premium 100.0% (954) 763-6655
14 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 12 $9,425 $785 premium 100.0%
15 MEDICAL PRACTICES OF ANTIETAM, LLC HAGERSTOWN MD PHYSICIAN ASSISTANT 231 12 $15,840 $1,320 premium 16.2%

*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 →