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Market snapshot

58340 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

58340 — Insertion of tube and introduction of contrast for x-ray of uterus and fallopian tubes

Billing groups
14
Named-group FFS services
329
FFS of Medicare
49%
Services YoY
-7.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~708 services

329 observed fee-for-service (46%) · ~379 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 — 58340 (CY2024)

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

Named-group submitted charges
$229K
Named-group allowed amount
$75K
Named-group Medicare payments
$57K
Avg charge / svc
$695
Avg allowed / svc
$229
Avg payment / svc
$174
Average charge per group
$300 14 groups · avg submitted charge / service $1,510
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 58340 services, CY2024
#Physician group City St Specialty Providers 58340 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 75 $72,000 $960 premium 51.7% (631) 751-3000
2 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 36 $19,561 $543 premium 36.7% (305) 273-4641
3 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 35 $13,090 $374 premium 51.5%
4 WOMENS CARE FLORIDA LLC TAMPA FL OBSTETRICS/GYNECOLOGY 334 34 $19,290 $567 premium 34.7% (813) 961-7440
5 MALAMA IMAGING LLC AIEA HI OBSTETRICS/GYNECOLOGY 2 23 $8,953 $389 premium 100.0% (808) 486-6000
6 HERA SAMBAZIOTIS MD MPH AND MARTINA FRANDINA MD, OBSTETRICS AND GYNECO NEW HYDE PARK NY OBSTETRICS/GYNECOLOGY 4 19 $6,783 $357 premium 13.1% (516) 437-2020
7 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 16 $12,000 $750 premium 16.3%
8 MID-ATLANTIC WOMENS CARE PLC NORFOLK VA OBSTETRICS/GYNECOLOGY 153 15 $10,845 $723 premium 100.0% (757) 466-6350
9 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 15 $22,647 $1,510 premium 10.3% (866) 633-8255
10 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 13 $17,303 $1,331 premium 9.0%
11 MCDONALD MURRMANN CENTER FOR WOMENS HEALTH GERMANTOWN TN NURSE PRACTITIONER 6 12 $3,960 $330 premium 100.0% (901) 752-4000
12 WOMEN'S CONTEMPORARY HEALTH CENTER, PLLC FORT MYERS FL NURSE PRACTITIONER 4 12 $3,600 $300 premium 12.2% (239) 333-3345
13 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 12 $12,024 $1,002 premium 100.0% (800) 825-5391
14 TOGETHER WOMEN'S HEALTH MEDICAL GROUP, P.C. ROYAL OAK MI OBSTETRICS/GYNECOLOGY 70 12 $6,600 $550 premium 100.0% (248) 584-7600

*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 →