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Market snapshot

55875 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

55875 — Insertion of needle or tube into prostate for radiation therapy

Billing groups
47
Named-group FFS services
1,164
FFS of Medicare
49%
Services YoY
-9.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,355 services

1,164 observed fee-for-service (49%) · ~1,191 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 — 55875 (CY2024)
CA 883 NY 196 FL 188 OH 180 DE 139

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

Named-group submitted charges
$4.0M
Named-group allowed amount
$911K
Named-group Medicare payments
$723K
Avg charge / svc
$3,417
Avg allowed / svc
$782
Avg payment / svc
$621
Average charge per group
$1,500 47 groups · avg submitted charge / service $7,883
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 55875 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 85 $274,166 $3,225 9.6% (650) 723-4000
2 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 55 $151,952 $2,763 29.3% (813) 745-4673
3 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 55 $240,625 $4,375 30.6% —
4 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA UROLOGY 48 52 $264,160 $5,080 5.9% (310) 794-8492
5 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 49 $175,668 $3,585 76.6% (410) 825-5454
6 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 44 $194,524 $4,421 100.0% (507) 284-2511
7 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 41 $102,500 $2,500 100.0% —
8 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 37 $128,760 $3,480 34.9% (601) 264-6000
9 MEMORIAL RADIATION ONCOLOGY GROUP NEW YORK NY RADIATION ONCOLOGY 90 34 $190,740 $5,610 17.3% (212) 639-2000
10 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 33 $110,913 $3,361 17.6% (239) 343-9888
11 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 31 $244,373 $7,883 15.8% (212) 263-9700
12 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 30 $142,440 $4,748 100.0% (608) 287-2050
13 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 30 $87,000 $2,900 100.0% (812) 450-6700
14 RADIATION ONCOLOGY ASSOCIATES PC FAIRFAX VA RADIATION ONCOLOGY 23 26 $58,500 $2,250 26.0% (571) 472-0606
15 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 25 $63,590 $2,544 2.8% —
16 WESTERN RADIATION ONCOLOGY INC VIRGINIA BEACH OH RADIATION ONCOLOGY 4 25 $80,082 $3,203 13.9% (650) 940-7280
17 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 23 $86,756 $3,772 2.6% (415) 600-1020
18 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 22 $37,730 $1,715 51.2% (248) 898-5058
19 BANNER CANCER CENTER SPECIALISTS LLC GILBERT AZ PHYSICIAN ASSISTANT 331 22 $44,066 $2,003 25.9% (480) 256-6444
20 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 21 $88,457 $4,212 16.9% (713) 592-5433
21 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 21 $41,055 $1,955 100.0% (515) 343-1000
22 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 21 $64,050 $3,050 2.4% (877) 827-7463
23 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN OH PHYSICIAN ASSISTANT 1996 21 $91,875 $4,375 11.7% (304) 598-4865
24 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 21 $35,574 $1,694 48.8% (248) 477-0552
25 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 20 $118,944 $5,947 17.2% (404) 778-7525
26 GORDON GRADO MD INC SCOTTSDALE AZ RADIATION ONCOLOGY 6 20 $31,160 $1,558 23.5% (480) 614-6300
27 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 19 $61,446 $3,234 19.0% (804) 828-9000
28 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 19 $45,923 $2,417 100.0% (803) 744-4900
29 UTAH CANCER SPECIALISTS PC SALT LAKE CITY UT MEDICAL ONCOLOGY 48 19 $37,336 $1,965 29.2% (385) 282-2125
30 TETON COUNTY HOSPITAL DISTRICT JACKSON WY PHYSICIAN ASSISTANT 111 17 $33,830 $1,990 100.0% (307) 733-3636
31 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 17 $53,193 $3,129 30.4% (309) 683-5050
32 BRANDYWINE UROLOGY CONSULTANTS PA WILMINGTON DE PHYSICIAN ASSISTANT 20 17 $55,034 $3,237 12.2% (302) 652-8990
33 INTEGRATED MEDICAL PROFESSIONALS PLLC SEAFORD NY UROLOGY 98 16 $89,760 $5,610 8.2% (516) 520-8080
34 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 15 $28,425 $1,895 1.7% (925) 296-9720
35 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSE CA PHYSICIAN ASSISTANT 199 15 $38,374 $2,558 1.7% (408) 871-3400
36 POTOMAC UROLOGY CENTER, LLC WOODBRIDGE VA UROLOGY 17 15 $72,306 $4,820 15.0% (703) 680-2111
37 GILBERT LEDERMAN MD PC NEW YORK NY RADIATION ONCOLOGY 3 14 $39,946 $2,853 7.1% (212) 246-4237
38 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 14 $43,540 $3,110 7.1% (212) 241-4812
39 TRI STATE UROLOGIC SERVICES PSC INC CINCINNATI OH UROLOGY 74 13 $34,203 $2,631 7.2% (513) 841-7750
40 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 12 $27,852 $2,321 9.7% —
41 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 12 $32,280 $2,690 12.0% (434) 924-5959
42 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 11 $24,156 $2,196 8.9% (254) 724-2663
43 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 11 $24,846 $2,259 5.9% (239) 291-6970
44 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 11 $20,305 $1,846 42.3% (402) 559-4000
45 TEXOMA UROLOGY CENTER WICHITA FALLS TX UROLOGY 5 11 $16,500 $1,500 8.9% (940) 689-8765
46 BLESSING HOSPITAL QUINCY IL NURSE PRACTITIONER 401 11 $24,895 $2,263 19.6% (217) 223-8400
47 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 11 $23,100 $2,100 11.0% (804) 330-9105

*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 →