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Market snapshot

55867 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

55867 — Simple surgical subtotal removal of prostate using laparoscope

Billing groups
44
Named-group FFS services
1,232
FFS of Medicare
49%
Services YoY
+37.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,384 services

1,232 observed fee-for-service (52%) · ~1,152 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 — 55867 (CY2024)
CA 263 TX 160 MD 123 CO 101 UT 77

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

Named-group submitted charges
$3.6M
Named-group allowed amount
$1.0M
Named-group Medicare payments
$799K
Avg charge / svc
$2,889
Avg allowed / svc
$818
Avg payment / svc
$648
Average charge per group
$472 44 groups · avg submitted charge / service $8,000
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 55867 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 107 $357,499 $3,341 87.0% (410) 825-5454
2 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 89 $191,346 $2,150 88.1% —
3 NORTH IDAHO UROLOGY PLLC COEUR D ALENE ID UROLOGY 9 69 $113,292 $1,642 100.0% (208) 667-0621
4 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 67 $169,834 $2,535 25.5% (415) 600-1020
5 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 65 $116,462 $1,792 40.6% (214) 633-5555
6 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 57 $204,003 $3,579 21.7% (800) 872-2273
7 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 47 $255,490 $5,436 100.0% —
8 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 39 $216,996 $5,564 100.0% (908) 273-4300
9 TENNESSEE UROLOGY ASSOCIATES, PLLC KNOXVILLE TN UROLOGY 27 38 $95,336 $2,509 62.3% (865) 691-3061
10 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 36 $76,644 $2,129 50.0% —
11 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 29 $68,913 $2,376 37.7% (801) 261-8346
12 SPOKANE UROLOGY PLLC SPOKANE WA PHYSICIAN ASSISTANT 25 27 $54,241 $2,009 48.2% (509) 747-3147
13 UROLOGICAL ASSOCIATES PC MOLINE IA UROLOGY 16 26 $74,124 $2,851 100.0% (563) 359-2997
14 IHC HEALTH SERVICES INC MURRAY CA PHYSICIAN ASSISTANT 3944 25 $17,675 $707 9.5% (801) 261-8346
15 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 24 $59,569 $2,482 100.0% (919) 684-8111
16 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 24 $65,940 $2,748 53.3% (610) 579-3577
17 AMARILLO UROLOGY ASSOCIATES LLP AMARILLO TX UROLOGY 15 22 $55,460 $2,521 13.8% (806) 355-9447
18 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 22 $47,692 $2,168 28.6% (801) 581-2121
19 TOWER UROLOGY INC LOS ANGELES AZ UROLOGY 13 20 $160,000 $8,000 100.0% 3108549898159
20 SUTTER BAY MEDICAL FOUNDATION PALO ALTO OK INTERNAL MEDICINE 3716 19 $75,840 $3,992 32.2% (415) 600-1020
21 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 17 $93,083 $5,475 10.6% —
22 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS IN PHYSICIAN ASSISTANT 2390 16 $34,589 $2,162 100.0% —
23 UROLOGICAL ASSOCIATES PC MOLINE CA UROLOGY 16 16 $19,604 $1,225 6.1% (563) 359-2997
24 NORTHWEST HOSPITAL CENTER INC RANDALLSTOWN MD PHYSICIAN ASSISTANT 93 16 $10,320 $645 13.0% (410) 701-4434
25 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 16 $58,053 $3,628 28.6% (206) 364-0500
26 ARCH HEALTH PARTNERS INC POWAY CA PHYSICIAN ASSISTANT 161 15 $42,575 $2,838 5.7% (858) 485-0050
27 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 15 $29,175 $1,945 25.4% —
28 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 15 $39,405 $2,627 36.6% —
29 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 15 $75,000 $5,000 100.0% (212) 241-4812
30 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 14 $36,778 $2,627 5.3% (760) 340-3911
31 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 14 $36,400 $2,600 34.1% (804) 330-9105
32 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 13 $41,496 $3,192 23.2% (206) 223-6600
33 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 13 $42,449 $3,265 18.1% (239) 291-6970
34 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 13 $38,901 $2,992 36.1% (843) 652-8450
35 PROVIDENCE MEDICAL FOUNDATION FULLERTON MO PHYSICIAN ASSISTANT 1455 12 $40,176 $3,348 100.0% (714) 871-3006
36 FLORIDA UROLOGY CENTER PA ORMOND BEACH FL UROLOGY 11 12 $36,000 $3,000 16.7% —
37 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 12 $38,900 $3,242 19.7% (662) 349-1964
38 LOWCOUNTRY UROLOGY CLINICS, PA CHARLESTON SC UROLOGY 14 12 $48,000 $4,000 33.3% (843) 766-4070
39 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD PHYSICIAN ASSISTANT 559 12 $22,262 $1,855 100.0% (605) 755-7200
40 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 12 $5,664 $472 11.9% (303) 778-5797
41 MERCY CLINIC JOPLIN LLC JOPLIN OK NURSE PRACTITIONER 289 12 $33,394 $2,783 20.3% (417) 556-6056
42 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 11 $36,828 $3,348 4.2% (714) 871-3006
43 WICHITA UROLOGY GROUP PA WICHITA KS UROLOGY 30 11 $13,750 $1,250 100.0% (316) 636-6100
44 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 11 $61,325 $5,575 4.2% (415) 476-1000
45 ROCKFORD UROLOGICAL ASSOCIATES LTD ROCKFORD IL UROLOGY 14 11 $33,000 $3,000 100.0% (815) 398-4057
46 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 11 $48,792 $4,436 15.3% (561) 955-7100
47 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 11 $36,762 $3,342 30.6% (864) 587-3000
48 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 11 $7,177 $652 100.0% (503) 239-6673
49 UROLOGY ASSOCIATES OF CAPE COD, P.C. YARMOUTH PORT MA UROLOGY 8 11 $22,440 $2,040 45.8% (508) 771-9550

*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 →