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Market snapshot

57240 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

57240 — Repair of bladder hernia into vaginal wall

Billing groups
58
Named-group FFS services
967
FFS of Medicare
49%
Services YoY
-4.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,896 services

967 observed fee-for-service (51%) · ~929 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 — 57240 (CY2024)
CA 150 TN 141 TX 119 IL 110 FL 102

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

Named-group submitted charges
$1.6M
Named-group allowed amount
$322K
Named-group Medicare payments
$255K
Avg charge / svc
$1,637
Avg allowed / svc
$333
Avg payment / svc
$264
Average charge per group
$418 58 groups · avg submitted charge / service $3,276
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 57240 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 49 $37,532 $766 100.0% (302) 744-4700
2 UROGYNECOLOGY OF OKLAHOMA, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 4 38 $41,800 $1,100 71.7% (405) 400-8188
3 HOLSTON MEDICAL GROUP PC BRISTOL TN NURSE PRACTITIONER 244 35 $44,555 $1,273 24.8% (423) 844-7000
4 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 31 $62,676 $2,022 42.5% (732) 362-3663
5 WOMENS HEALTHCARE ASSOCIATES LLC PORTLAND OR OBSTETRICS/GYNECOLOGY 105 30 $37,983 $1,266 73.2% (503) 734-3700
6 PALMETTO ADULT AND CHILDRENS UROLOGY PA N CHARLESTON SC UROLOGY 6 28 $26,410 $943 39.4% (843) 797-6600
7 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 25 $47,525 $1,901 24.5% (407) 896-1100
8 MODOCUROGYN, PLLC MESA AZ NURSE PRACTITIONER 2 24 $19,368 $807 51.1% (480) 889-2654
9 NORTH SHORE UROGYNECOLOGY LTD LAKE FOREST IL UROLOGY 2 23 $46,000 $2,000 20.9% (847) 234-1100
10 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC BROOKLYN NY PHYSICIAN ASSISTANT 1231 22 $32,802 $1,491 41.5% (718) 616-5356
11 WOMEN'S CANCER CENTER OF NEVADA INC LAS VEGAS NV GYNECOLOGICAL ONCOLOGY 6 20 $63,780 $3,189 100.0% (702) 693-6870
12 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 20 $45,500 $2,275 64.5% (717) 531-5638
13 SUBURBAN GYNECOLOGY LLC PLAINFIELD IL NURSE PRACTITIONER 5 20 $44,000 $2,200 18.2% (815) 717-8727
14 UROLOGY PARTNERS OF NORTH TEXAS, PLLC ARLINGTON TX UROLOGY 89 19 $28,778 $1,515 16.0% —
15 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 18 $51,862 $2,881 25.4% (803) 395-3400
16 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 18 $38,178 $2,121 34.0% (914) 682-0700
17 ALLAWAY AND PAROUSIS UROLOGY MD PA CUMBERLAND MD UROLOGY 5 18 $17,675 $982 38.3% (301) 724-0132
18 JOSEPH GAUTA MD PA NAPLES FL OBSTETRICS/GYNECOLOGY 4 17 $40,800 $2,400 16.7% (239) 449-7979
19 SOUTH FLORIDA WOMENS HEALTH ASSOCIATES INC DEERFIELD BEACH NJ OBSTETRICS/GYNECOLOGY 2 17 $20,574 $1,210 23.3% (954) 427-4966
20 SVMHS CLINICS SALINAS CA PHYSICIAN ASSISTANT 245 17 $16,239 $955 11.3% (831) 422-3636
21 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 16 $30,200 $1,888 15.7% (904) 953-2000
22 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 16 $34,080 $2,130 17.6% (434) 924-5959
23 OU HEALTH PARTNERS INC OKLAHOMA CITY CA PHYSICIAN ASSISTANT 1160 15 $33,275 $2,218 10.0% (405) 271-4311
24 VIRTUOSA PLLC LIVE OAK TX OBSTETRICS/GYNECOLOGY 4 15 $30,731 $2,049 12.6% (210) 878-0090
25 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 15 $19,527 $1,302 31.9% —
26 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 14 $30,561 $2,183 9.3% (858) 455-9100
27 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 14 $26,581 $1,899 11.8% —
28 UNIVERSITY UROGYNECOLOGY ASSOCIATION PC VOORHEES NJ OBSTETRICS/GYNECOLOGY 9 14 $20,300 $1,450 19.2% (856) 325-6622
29 HEALTH SERVICES OF CENTRAL GEORGIA MACON GA NURSE PRACTITIONER 286 13 $32,136 $2,472 52.0% (478) 738-0404
30 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 13 $20,189 $1,553 10.9% (512) 788-9688
31 LINCOLN OB-GYN P.C. LINCOLN NE OBSTETRICS/GYNECOLOGY 7 13 $21,400 $1,646 100.0% (402) 483-7641
32 FEMALE PELVIC MEDICINE INSTITUTE OF VIRGINIA PC MIDLOTHIAN VA NURSE PRACTITIONER 2 13 $11,600 $892 14.3% (804) 523-2533
33 UROLOGY OF ST LOUIS INC SAINT LOUIS MO UROLOGY 112 13 $23,888 $1,838 54.2% (314) 567-6071
34 AMARILLO UROLOGY ASSOCIATES LLP AMARILLO TX UROLOGY 15 13 $12,699 $977 10.9% (806) 355-9447
35 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 13 $28,077 $2,160 18.3% (864) 587-3000
36 SUMMA PHYSICIANS LLC AKRON OH NURSE PRACTITIONER 677 13 $15,925 $1,225 23.6% —
37 MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC TOLEDO OH NURSE PRACTITIONER 341 13 $12,353 $950 23.6% (419) 251-3180
38 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 13 $42,588 $3,276 23.6% —
39 THE WOMENS CENTER PC CONYERS GA OBSTETRICS/GYNECOLOGY 5 12 $21,000 $1,750 48.0% —
40 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 12 $13,272 $1,106 8.5% (662) 349-1964
41 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD CT PHYSICIAN ASSISTANT 419 12 $25,200 $2,100 100.0% (203) 276-4644
42 EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI NURSE PRACTITIONER 694 12 $14,624 $1,219 52.2% (517) 484-4033
43 SOUTHERN UROGYNECOLOGY LLC WEST COLUMBIA SC CERTIFIED NURSE MIDWIFE (CNM) 5 12 $37,584 $3,132 16.9% (803) 457-7000
44 UROLOGY ASSOCIATES OF THE CENTRAL COAST SAN LUIS OBISPO CA PHYSICIAN ASSISTANT 13 12 $14,352 $1,196 8.0% —
45 BERT E GEER DO PC COOKEVILLE TN NURSE PRACTITIONER 6 12 $14,568 $1,214 8.5% (931) 528-9047
46 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH FL OBSTETRICS/GYNECOLOGY 49 12 $27,812 $2,318 11.8% (561) 616-9988
47 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 12 $21,660 $1,805 13.2% (757) 452-3599
48 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 11 $21,285 $1,935 15.1% (856) 247-7260
49 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 11 $23,001 $2,091 100.0% (919) 684-8111
50 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 11 $15,230 $1,385 47.8% (248) 898-5058
51 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 11 $5,888 $535 50.0% (502) 937-2209
52 ST VINCENT HOSPITAL SANTA FE LA PHYSICIAN ASSISTANT 313 11 $23,298 $2,118 100.0% —
53 PROVIDENCE HEALTH AND SERVICES OREGON MEDFORD OR PHYSICIAN ASSISTANT 164 11 $4,602 $418 26.8% —
54 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 11 $7,125 $648 12.1% —
55 HUNTERDON SPECIALTY CARE FLEMINGTON PA NURSE PRACTITIONER 97 11 $25,184 $2,289 35.5% (908) 237-4080
56 THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON ANNISTON AL NURSE PRACTITIONER 38 11 $10,808 $982 100.0% (256) 235-8922
57 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 11 $29,762 $2,706 100.0% (802) 847-0000
58 STAR CLINIC LLC PEORIA AZ OBSTETRICS/GYNECOLOGY 8 11 $16,753 $1,523 23.4% (623) 271-8666

*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 →