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Market snapshot

57265 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

57265 — Repair of bulging of rectum and bladder into vaginal wall

Billing groups
61
Named-group FFS services
2,047
FFS of Medicare
49%
Services YoY
+12.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,085 services

2,047 observed fee-for-service (50%) · ~2,038 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 — 57265 (CY2024)
AZ 744 CA 457 FL 246 TX 202 MD 161

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

Named-group submitted charges
$4.8M
Named-group allowed amount
$1.2M
Named-group Medicare payments
$985K
Avg charge / svc
$2,350
Avg allowed / svc
$608
Avg payment / svc
$481
Average charge per group
$423 61 groups · avg submitted charge / service $8,730
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 57265 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UROGYNECOLOGY CONSULTANTS MEDICAL CORPORATION ROSEVILLE CA UNDEFINED PHYSICIAN TYPE (SPECIFY) 4 237 $326,257 $1,377 51.9% (916) 772-5533
2 WOMAN'S CENTER FOR ADVANCED PELVIC SURGERY PLLP MESA AZ NURSE PRACTITIONER 9 123 $237,888 $1,934 16.5% (480) 834-5111
3 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 108 $198,072 $1,834 14.5% (602) 843-1265
4 ILLINOIS UROGYNECOLOGY LTD PARK RIDGE IL OBSTETRICS/GYNECOLOGY 6 92 $173,180 $1,882 65.2% (847) 825-1590
5 GYNECOLOGIC AND RECONSTRUCTIVE SURGERY, LTD SAINT LOUIS MO OBSTETRICS/GYNECOLOGY 2 68 $154,496 $2,272 64.8% (314) 251-6000
6 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 67 $199,660 $2,980 33.2% —
7 STAR CLINIC LLC PEORIA AZ OBSTETRICS/GYNECOLOGY 8 64 $139,392 $2,178 8.6% (623) 271-8666
8 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 56 $181,328 $3,238 22.8% (954) 772-2136
9 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH FL OBSTETRICS/GYNECOLOGY 49 55 $178,677 $3,249 22.4% (561) 616-9988
10 VALLEY MEDICAL GROUP-RENTON RENTON WA FAMILY PRACTICE 440 49 $76,982 $1,571 72.1% (425) 656-4224
11 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 48 $98,212 $2,046 100.0% (502) 937-2209
12 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 43 $119,582 $2,781 26.7% (410) 761-1222
13 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 37 $160,432 $4,336 8.1% (415) 476-1000
14 FLORIDA PRACTITIONERS, LLC FORT LAUDERDALE FL PHYSICIAN ASSISTANT 57 35 $66,850 $1,910 14.2% (954) 229-8635
15 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 35 $14,789 $423 35.4% (605) 322-5180
16 RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. SOUTH PITTSBURG TN NURSE PRACTITIONER 2 34 $73,950 $2,175 50.0% (423) 837-5801
17 VALLEYWIDE SURGICAL SERVICES, LLC MESA AZ PHYSICIAN ASSISTANT 5 34 $71,382 $2,099 4.6% —
18 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 33 $126,250 $3,826 7.2% (626) 256-4673
19 VALLEY UROGYNECOLOGY ASSOCIATES LTD PHOENIX AZ OBSTETRICS/GYNECOLOGY 4 32 $75,200 $2,350 4.3% (602) 788-1521
20 PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY LLC SCOTTSDALE AZ OBSTETRICS/GYNECOLOGY 2 32 $40,428 $1,263 4.3% (480) 656-0207
21 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 32 $55,808 $1,744 19.9% (443) 481-1000
22 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 30 $80,388 $2,680 100.0% (303) 778-5797
23 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 29 $149,872 $5,168 72.5% (908) 273-4300
24 ARKANSAS UROGYNECOLOGY AND WOMENS HEALTH LLC LITTLE ROCK AR NURSE PRACTITIONER 6 29 $38,223 $1,318 100.0% (501) 480-8800
25 SUSAN CAPELLE MD PLLC MORGANTOWN WV NURSE PRACTITIONER 3 27 $67,500 $2,500 100.0% (304) 599-7075
26 MODOCUROGYN, PLLC MESA AZ NURSE PRACTITIONER 2 27 $45,900 $1,700 3.6% (480) 889-2654
27 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 22 $83,355 $3,789 21.0% (314) 747-3000
28 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 22 $35,794 $1,627 10.9% (713) 512-7500
29 MEDICAL EDUCATION ASSISTANCE CORPORATION JOHNSON CITY TN FAMILY PRACTICE 175 22 $45,100 $2,050 32.4% (423) 439-6464
30 UNIVERSITY OF MARYLAND OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA BALTIMORE MD OBSTETRICS/GYNECOLOGY 45 21 $38,850 $1,850 13.0% (410) 328-6640
31 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 19 $36,613 $1,927 27.9% (509) 946-4611
32 ALPINE MEDICAL GROUP SALT LAKE CITY UT INTERNAL MEDICINE 12 19 $23,484 $1,236 100.0% (801) 328-1260
33 ST AGNES HEALTHCARE INC BALTIMORE MD PHYSICIAN ASSISTANT 277 18 $49,482 $2,749 11.2% (667) 234-6000
34 WOUND CARE NC, PLLC RALEIGH NC PHYSICIAN ASSISTANT 4 18 $34,200 $1,900 14.4% (919) 881-8295
35 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 18 $83,844 $4,658 3.9% (415) 600-1020
36 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 18 $50,149 $2,786 60.0% —
37 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 17 $48,977 $2,881 26.6% (914) 682-0700
38 UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY OF KANSAS CITY LLC OVERLAND PARK KS NURSE PRACTITIONER 4 17 $27,922 $1,642 100.0% 9132623000103
39 ANANT LODHIA MD INC SACRAMENTO CA INTERNAL MEDICINE 2 17 $9,180 $540 3.7% (916) 381-1594
40 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 17 $47,566 $2,798 100.0% (803) 744-4900
41 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 17 $53,635 $3,155 12.1% —
42 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 17 $148,410 $8,730 26.6% (212) 263-9700
43 INLAND EMPIRE MULTISPECIALTY GROUP PC RIVERSIDE CA OBSTETRICS/GYNECOLOGY 6 17 $25,500 $1,500 3.7% (951) 354-2229
44 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 16 $52,234 $3,265 100.0% (406) 657-4000
45 BILLINGS CLINIC BILLINGS MN PHYSICIAN ASSISTANT 811 16 $52,039 $3,252 50.0% (406) 657-4000
46 GUNDERSEN LUTHERAN MEDICAL CENTER INC LA CROSSE MN PHYSICIAN ASSISTANT 901 16 $35,936 $2,246 50.0% (608) 783-7300
47 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 15 $50,085 $3,339 6.1% (407) 896-1100
48 UNIVERSITY ASSOCIATES IN OBSTETRICS AND GYNECOLOGY UNIVERSITY FACULTY STONY BROOK NY OBSTETRICS/GYNECOLOGY 113 15 $85,725 $5,715 23.4% (631) 444-7650
49 PHYSICIAN ASSISTANT SURGICAL ASSIST INC FOLSOM CA PHYSICIAN ASSISTANT 32 15 $30,900 $2,060 3.3% (916) 673-1990
50 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 15 $39,465 $2,631 48.4% (317) 859-7222
51 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM PHYSICIAN ASSISTANT 328 15 $26,873 $1,792 100.0% (505) 727-7090
52 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 15 $40,170 $2,678 14.3% (573) 882-2667
53 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 15 $64,335 $4,289 23.4% —
54 OREGON UROLOGY INSTITUTE PC SPRINGFIELD OR PHYSICIAN ASSISTANT 34 14 $41,790 $2,985 100.0% (541) 334-3350
55 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 13 $94,380 $7,260 100.0% (414) 421-8400
56 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 13 $38,220 $2,940 5.3% —
57 KAPIOLANI MEDICAL SPECIALISTS HONOLULU HI OBSTETRICS/GYNECOLOGY 105 13 $32,558 $2,504 52.0% (808) 983-6000
58 FWC UROGYNECOLOGY LLC WEST PALM BEACH FL PHYSICIAN ASSISTANT 14 12 $32,292 $2,691 4.9% (561) 655-5511
59 UROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE MS UROLOGY 60 12 $15,480 $1,290 52.2% (251) 433-1895
60 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 12 $32,220 $2,685 40.0% (856) 424-3323
61 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 11 $16,694 $1,518 2.4% (800) 954-8000
62 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 11 $22,719 $2,065 100.0% —
63 UROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE AL UROLOGY 60 11 $14,190 $1,290 100.0% (251) 433-1895

*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 →