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Market snapshot

57260 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

57260 — Plastic repair of vagina and tissue separating vagina, rectum, and bladder

Billing groups
118
Named-group FFS services
2,752
FFS of Medicare
49%
Services YoY
+3.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,440 services

2,752 observed fee-for-service (51%) · ~2,688 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 — 57260 (CY2024)
FL 373 TX 350 CA 286 AZ 259 PA 156

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

Named-group submitted charges
$6.9M
Named-group allowed amount
$1.5M
Named-group Medicare payments
$1.2M
Avg charge / svc
$2,520
Avg allowed / svc
$555
Avg payment / svc
$440
Average charge per group
$259 118 groups · avg submitted charge / service $12,489
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 57260 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 145 $379,258 $2,616 41.4% —
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 87 $268,062 $3,081 30.4% (415) 600-1020
3 PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY LLC SCOTTSDALE AZ OBSTETRICS/GYNECOLOGY 2 86 $73,182 $851 33.2% (480) 656-0207
4 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 76 $181,640 $2,390 48.7% (856) 424-3323
5 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 70 $123,760 $1,768 75.3% (501) 202-2093
6 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 67 $227,130 $3,390 55.8% (631) 628-5000
7 SOUTHEASTERN UROGYNECOLOGY AND PELVIC SURGERY LLC MOULTRIE GA NURSE PRACTITIONER 3 58 $141,578 $2,441 65.9% (229) 502-1020
8 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 55 $79,054 $1,437 14.7% (407) 200-2700
9 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 45 $147,994 $3,289 12.1% (561) 955-7100
10 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 43 $242,133 $5,631 29.9% —
11 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 40 $73,361 $1,834 30.1% —
12 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 39 $60,945 $1,563 13.6% (805) 349-8514
13 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 38 $133,440 $3,512 54.3% (314) 747-3000
14 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 37 $66,167 $1,788 10.6% (817) 920-0484
15 VALLEY UROGYNECOLOGY ASSOCIATES LTD PHOENIX AZ OBSTETRICS/GYNECOLOGY 4 35 $75,250 $2,150 13.5% (602) 788-1521
16 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 35 $95,200 $2,720 30.7% (434) 924-5959
17 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 34 $54,162 $1,593 36.2% (443) 481-1000
18 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 33 $262,416 $7,952 37.1% (608) 260-2900
19 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 33 $77,346 $2,344 28.9% —
20 JOSEPH GAUTA MD PA NAPLES FL OBSTETRICS/GYNECOLOGY 4 32 $80,000 $2,500 8.6% (239) 449-7979
21 SOUTHERN UROGYNECOLOGY LLC WEST COLUMBIA SC CERTIFIED NURSE MIDWIFE (CNM) 5 32 $72,450 $2,264 28.8% (803) 457-7000
22 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 32 $51,985 $1,625 40.5% (405) 751-5555
23 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 30 $68,351 $2,278 34.1% (770) 422-2004
24 NEW ENGLAND CENTER FOR UROGYNECOLOGY LLC WELLESLEY MA OBSTETRICS/GYNECOLOGY 3 29 $60,746 $2,095 21.8% (617) 340-6446
25 SWEDISHAMERICAN HOSPITAL ROCKFORD IL NURSE PRACTITIONER 390 27 $99,928 $3,701 25.0% (779) 696-7610
26 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 27 $41,101 $1,522 7.7% (713) 512-7500
27 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 27 $41,217 $1,527 100.0% —
28 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 26 $45,032 $1,732 34.7% (888) 484-3258
29 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 26 $17,251 $664 38.2% (502) 937-2209
30 UROGYNECOLOGY OF OKLAHOMA, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 4 24 $39,960 $1,665 30.4% (405) 400-8188
31 UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY OF KANSAS CITY LLC OVERLAND PARK KS NURSE PRACTITIONER 4 24 $34,770 $1,449 18.9% 9132623000103
32 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 23 $43,723 $1,901 29.1% (918) 502-4720
33 ARKANSAS UROGYNECOLOGY AND WOMENS HEALTH LLC LITTLE ROCK AR NURSE PRACTITIONER 6 23 $28,845 $1,254 24.7% (501) 480-8800
34 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 23 $56,120 $2,440 20.7% (803) 744-4900
35 UCSF HEALTH MEDICAL FOUNDATION REDWOOD CITY CA OBSTETRICS/GYNECOLOGY 39 22 $56,738 $2,579 7.7% (650) 701-1882
36 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY CA NURSE PRACTITIONER 1815 22 $41,195 $1,872 7.7% (913) 588-1227
37 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND WA PHYSICIAN ASSISTANT 588 22 $44,484 $2,022 27.8% —
38 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 22 $44,407 $2,018 29.3% (765) 962-8551
39 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 21 $53,445 $2,545 15.6% (732) 362-3663
40 GYNECOLOGIC AND RECONSTRUCTIVE SURGERY, LTD SAINT LOUIS MO OBSTETRICS/GYNECOLOGY 2 21 $45,045 $2,145 30.0% (314) 251-6000
41 GUNDERSEN LUTHERAN MEDICAL CENTER INC LA CROSSE WI PHYSICIAN ASSISTANT 901 21 $262,275 $12,489 23.6% (608) 783-7300
42 MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC TOLEDO OH NURSE PRACTITIONER 341 21 $22,142 $1,054 14.6% (419) 251-3180
43 KANSAS CITY WOMENS CLINIC GROUP LLC OVERLAND PARK KS OBSTETRICS/GYNECOLOGY 2 21 $54,990 $2,619 16.5% (913) 498-6000
44 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 21 $46,172 $2,199 15.6% (856) 433-2535
45 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 20 $25,100 $1,255 25.3% (206) 223-6600
46 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 20 $67,005 $3,350 5.4% (904) 953-2000
47 CAPITAL WOMENS CARE LLC ROCKVILLE MD OBSTETRICS/GYNECOLOGY 284 20 $50,000 $2,500 21.3% (301) 424-1696
48 MID-ATLANTIC WOMENS CARE PLC NORFOLK VA OBSTETRICS/GYNECOLOGY 153 19 $45,600 $2,400 16.7% (757) 466-6350
49 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 19 $80,956 $4,261 17.1% (843) 792-1414
50 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON NC PHYSICIAN ASSISTANT 1692 19 $81,163 $4,272 15.0% (843) 792-1414
51 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 19 $38,354 $2,019 40.4% (515) 343-1000
52 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 18 $49,284 $2,738 6.3% —
53 CLS HEALTH PLLC WEBSTER TX NURSE PRACTITIONER 172 18 $43,434 $2,413 5.1% (281) 724-1860
54 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 18 $77,724 $4,318 13.3% (908) 273-4300
55 ETMC PHYSICIAN GROUP, INC. TYLER TX NURSE PRACTITIONER 373 18 $37,921 $2,107 5.1% (903) 590-5611
56 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 18 $49,321 $2,740 6.3% (626) 256-4673
57 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 18 $61,408 $3,412 41.9% (205) 934-3460
58 DIMENSIONS HEALTHCARE ASSOCIATES, INC UPPER MARLBORO MD PHYSICIAN ASSISTANT 216 18 $44,262 $2,459 19.1% (240) 677-3000
59 ATLANTICARE PHYSICIAN GROUP PA EGG HARBOR TOWNSHIP NJ NURSE PRACTITIONER 507 17 $28,696 $1,688 12.6% —
60 SPENCER MUNICIPAL HOSPITAL SPENCER IA NURSE PRACTITIONER 89 17 $7,427 $437 36.2% (712) 580-2225
61 LIFELINE MEDICAL ASSOCIATES LLC DENVILLE NJ OBSTETRICS/GYNECOLOGY 150 17 $66,300 $3,900 12.6% —
62 THE AUSTIN DIAGNOSTIC CLINIC PLLC AUSTIN TX NEPHROLOGY 86 17 $43,830 $2,578 4.9% (512) 447-2211
63 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 16 $46,528 $2,908 14.8% (847) 459-1160
64 PINEHURST SURGICAL CLINIC PA PINEHURST NC PHYSICIAN ASSISTANT 91 16 $48,224 $3,014 12.6% (910) 295-6831
65 BRADLEY GYNECOLOGY PC BISMARCK ND NURSE PRACTITIONER 8 16 $30,304 $1,894 100.0% (701) 751-2272
66 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 16 $42,608 $2,663 100.0% (304) 598-4865
67 TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT PHYSICIAN ASSISTANT 591 16 $34,912 $2,182 41.0% (860) 714-3500
68 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 15 $3,885 $259 4.0% (321) 434-8878
69 ASSOCIATES IN OBSTETRICS AND GYNECOLOGY PC COLORADO SPRINGS CO OBSTETRICS/GYNECOLOGY 3 15 $20,880 $1,392 26.3% (719) 667-2344
70 COMMONSPIRIT KANSAS INC GARDEN CITY PA NURSE PRACTITIONER 74 15 $22,500 $1,500 9.6% (620) 272-2222
71 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 15 $40,980 $2,732 11.8% (336) 713-9800
72 BERT E GEER DO PC COOKEVILLE TN NURSE PRACTITIONER 6 15 $22,380 $1,492 20.8% (931) 528-9047
73 UROGYNECOLOGY OF SAN ANTONIO PLLC BOERNE TX OBSTETRICS/GYNECOLOGY 2 15 $24,836 $1,656 4.3% (830) 355-2343
74 WOMEN'S HEALTH CARE, P.C. NEWBURGH IN OBSTETRICS/GYNECOLOGY 24 15 $32,221 $2,148 20.0% (812) 858-4620
75 MCPC-12 LLC PINEHURST NC OBSTETRICS/GYNECOLOGY 30 14 $49,280 $3,520 11.0% —
76 BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC PHOENIX AZ PHYSICIAN ASSISTANT 349 14 $49,137 $3,510 5.4% (602) 839-3927
77 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION NORFOLK VA OBSTETRICS/GYNECOLOGY 224 14 $24,780 $1,770 12.3% (757) 446-7900
78 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 14 $23,772 $1,698 20.6% (502) 928-1050
79 GENESIS OB GYN PLLC ORO VALLEY AZ OBSTETRICS/GYNECOLOGY 112 14 $23,729 $1,695 5.4% (520) 545-0573
80 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 14 $48,368 $3,455 10.5% (978) 741-4133
81 PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC POUGHKEEPSIE NY NURSE PRACTITIONER 131 14 $49,840 $3,560 11.7% —
82 UNIVERSITY OF UTAH SPECIALTY SERVICES SALT LAKE CITY OH PHYSICAL MEDICINE AND REHABILITATION 93 14 $29,202 $2,086 9.7% (801) 587-6336
83 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 14 $25,158 $1,797 11.0% (919) 350-7270
84 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 13 $23,421 $1,802 16.5% (509) 946-4611
85 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 13 $63,830 $4,910 10.8% (212) 305-8559
86 WOMENS HEALTHCARE ASSOCIATES LLC PORTLAND OR OBSTETRICS/GYNECOLOGY 105 13 $11,012 $847 50.0% (503) 734-3700
87 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 13 $23,621 $1,817 4.5% (925) 296-9720
88 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 13 $34,164 $2,628 10.8% (914) 682-0700
89 COLORADO SURGICAL AFFILIATES LLC GRAND JUNCTION CO PHYSICIAN ASSISTANT 53 13 $37,148 $2,858 22.8% (970) 243-0900
90 PROVIDENCE HEALTH AND SERVICES OREGON MEDFORD OR PHYSICIAN ASSISTANT 164 13 $34,476 $2,652 50.0% —
91 MODOCUROGYN, PLLC MESA AZ NURSE PRACTITIONER 2 13 $19,500 $1,500 5.0% (480) 889-2654
92 ADVANCED UROGYNECOLOGIC CARE PLLC SKOKIE IL CERTIFIED NURSE MIDWIFE (CNM) 2 13 $35,334 $2,718 12.0% (224) 251-7387
93 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 13 $36,903 $2,839 11.7% (864) 587-3000
94 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 13 $26,272 $2,021 100.0% —
95 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 13 $18,278 $1,406 11.7% (843) 652-8450
96 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 13 $109,694 $8,438 10.8% (212) 263-9700
97 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 13 $31,226 $2,402 16.5% —
98 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 12 $29,640 $2,470 8.9% (856) 247-7260
99 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD CT PHYSICIAN ASSISTANT 419 12 $27,180 $2,265 30.8% (203) 276-4644
100 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 12 $43,590 $3,632 100.0% (507) 284-2511

Showing the top 100 of 118 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →