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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
57120 Suture closure of vagina and vaginal opening 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 1,013 services ▲ 16.0% YoY · 1,011 beneficiaries (CY2024, Medicare FFS)
Medicare paid $240K · $237.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
42
Named-group FFS services
730
FFS of Medicare
49%
Services YoY
+16.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,468 services

730 observed fee-for-service (50%) · ~738 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 — 57120 (CY2024)
CA 85 TX 82 PA 78 AZ 71 IL 64

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

Named-group submitted charges
$1.1M
Named-group allowed amount
$211K
Named-group Medicare payments
$167K
Avg charge / svc
$1,559
Avg allowed / svc
$289
Avg payment / svc
$229
Average charge per group
$562 42 groups · avg submitted charge / service $4,119
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 57120 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 57 $103,705 $1,819 69.5% —
2 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 43 $54,481 $1,267 50.6% (858) 455-9100
3 RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. SOUTH PITTSBURG TN NURSE PRACTITIONER 2 37 $45,325 $1,225 74.0% (423) 837-5801
4 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 31 $17,416 $562 55.4% (321) 434-8878
5 MERITAS HEALTH CORPORATION NORTH KANSAS CITY MO NEUROLOGY 498 31 $22,274 $719 73.8% (816) 472-5157
6 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 25 $37,700 $1,508 30.5% (254) 724-2663
7 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 24 $83,337 $3,472 57.1% (319) 678-8201
8 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 20 $21,520 $1,076 62.5% (509) 946-4611
9 GUTHRIE MEDICAL GROUP PC SAYRE MA PHYSICIAN ASSISTANT 804 17 $29,725 $1,749 30.9% (570) 888-5858
10 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 17 $16,592 $976 100.0% (443) 481-1000
11 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 16 $21,376 $1,336 18.8% (925) 296-9720
12 WOMAN'S CENTER FOR ADVANCED PELVIC SURGERY PLLP MESA AZ NURSE PRACTITIONER 9 16 $18,412 $1,151 22.5% (480) 834-5111
13 FLETCHER HOSPITAL INC HENDERSONVILLE NC PHYSICIAN ASSISTANT 290 16 $26,304 $1,644 29.1% —
14 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 16 $20,320 $1,270 41.0% (859) 578-5880
15 BRONSON METHODIST HOSPITAL KALAMAZOO MI PHYSICIAN ASSISTANT 728 16 $41,344 $2,584 37.2% —
16 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 15 $23,853 $1,590 100.0% (701) 234-2000
17 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 15 $22,005 $1,467 100.0% (317) 859-7222
18 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 15 $20,970 $1,398 100.0% (770) 422-2004
19 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 15 $40,380 $2,692 23.4% —
20 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 15 $26,700 $1,780 19.2% —
21 UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY OH PHYSICAL MEDICINE AND REHABILITATION 93 15 $21,498 $1,433 57.7% (801) 587-6336
22 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH FL OBSTETRICS/GYNECOLOGY 49 14 $26,205 $1,872 25.0% (561) 616-9988
23 GREATER BOSTON UROLOGY LLC FRAMINGHAM MA UROLOGY 42 14 $19,320 $1,380 25.5% —
24 BOZEMAN HEALTH DEACONESS HOSPITAL BOZEMAN MT PHYSICIAN ASSISTANT 305 13 $20,199 $1,554 100.0% (406) 414-4800
25 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH PA OBSTETRICS/GYNECOLOGY 49 13 $13,494 $1,038 16.7% (561) 616-9988
26 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 12 $19,398 $1,616 16.9% (800) 603-0558
27 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 12 $7,800 $650 16.9% (602) 843-1265
28 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 12 $13,836 $1,153 30.8% (502) 928-1050
29 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 12 $20,400 $1,700 15.4% —
30 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 12 $20,608 $1,717 21.8% (508) 973-5919
31 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 12 $19,692 $1,641 37.5% —
32 OREGON UROLOGY INSTITUTE PC SPRINGFIELD OR PHYSICIAN ASSISTANT 34 11 $18,304 $1,664 100.0% (541) 334-3350
33 MISSISSIPPI UROLOGY CLINIC PLLC JACKSON MS PHYSICIAN ASSISTANT 14 11 $14,465 $1,315 100.0% (601) 353-9900
34 UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY OF KANSAS CITY LLC OVERLAND PARK KS NURSE PRACTITIONER 4 11 $10,444 $949 100.0% 9132623000103
35 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 11 $16,401 $1,491 28.2% (859) 257-1412
36 MCHS HOSPITALS INC MARSHFIELD MI NURSE PRACTITIONER 1179 11 $45,309 $4,119 25.6% —
37 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 11 $12,848 $1,168 42.3% —
38 FLORIDA WOMAN CARE LLC ORLANDO FL OBSTETRICS/GYNECOLOGY 604 11 $17,952 $1,632 19.6% (407) 857-2502
39 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 11 $20,900 $1,900 22.9% (434) 924-5959
40 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 11 $22,000 $2,000 26.2% (573) 882-2667
41 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 11 $11,968 $1,088 12.9% (415) 600-1020
42 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 11 $34,089 $3,099 100.0% (864) 587-3000
43 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 11 $17,529 $1,594 14.1% —

*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 →