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Market snapshot

58542 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

58542 — Partial removal of uterus, tubes, and/or ovaries with retention of cervix using an endoscope, 250.0 g or less

Billing groups
44
Named-group FFS services
1,057
FFS of Medicare
49%
Services YoY
+2.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,113 services

1,057 observed fee-for-service (50%) · ~1,056 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 — 58542 (CY2024)
NY 187 CA 176 FL 154 NJ 142 TX 95

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

Named-group submitted charges
$2.7M
Named-group allowed amount
$399K
Named-group Medicare payments
$318K
Avg charge / svc
$2,587
Avg allowed / svc
$378
Avg payment / svc
$301
Average charge per group
$683 44 groups · avg submitted charge / service $13,000
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 58542 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 59 $145,350 $2,464 33.5% —
2 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 57 $81,000 $1,421 40.1% (732) 362-3663
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 46 $170,755 $3,712 24.6% —
4 VALLEY PHYSICIAN SERVICES PC HOBOKEN NY NURSE PRACTITIONER 606 44 $18,172 $413 23.5% (800) 825-5391
5 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 44 $131,077 $2,979 31.0% (800) 825-5391
6 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 43 $101,523 $2,361 72.9% (317) 859-7222
7 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE PA NURSE PRACTITIONER 1878 40 $88,950 $2,224 51.3% (732) 362-3663
8 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 40 $55,924 $1,398 100.0% (843) 652-8450
9 UROGYNECOLOGY OF SAN ANTONIO PLLC BOERNE TX OBSTETRICS/GYNECOLOGY 2 40 $76,747 $1,919 42.1% (830) 355-2343
10 UROLOGY SPECIALISTS CHARTERED SIOUX FALLS SD DIAGNOSTIC RADIOLOGY 45 36 $99,972 $2,777 100.0% (605) 336-0635
11 SOUTHEAST UROGYN LLC FLOWOOD MS OBSTETRICS/GYNECOLOGY 9 33 $86,790 $2,630 100.0% (601) 948-6540
12 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 27 $274,995 $10,185 14.4% (212) 263-9700
13 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 25 $48,037 $1,921 14.2% (858) 455-9100
14 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 25 $22,864 $915 16.2% (321) 434-8878
15 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 24 $66,652 $2,777 16.9% (856) 433-2535
16 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 23 $51,954 $2,259 62.2% (952) 993-3123
17 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 23 $59,800 $2,600 29.5% (856) 424-3323
18 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH FL OBSTETRICS/GYNECOLOGY 49 23 $74,658 $3,246 14.9% (561) 616-9988
19 JOSEPH GAUTA MD PA NAPLES FL OBSTETRICS/GYNECOLOGY 4 22 $66,000 $3,000 14.3% (239) 449-7979
20 VIRGINIA PHYSICIANS FOR WOMEN, LTD NORTH CHESTERFIELD VA OBSTETRICS/GYNECOLOGY 45 20 $14,100 $705 64.5% (804) 897-2100
21 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 17 $59,923 $3,525 100.0% (314) 747-3000
22 SUBURBAN GYNECOLOGY LLC PLAINFIELD IL NURSE PRACTITIONER 5 17 $38,233 $2,249 56.7% (815) 717-8727
23 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 16 $26,598 $1,662 9.1% (805) 349-8514
24 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 16 $24,286 $1,518 100.0% (302) 744-4700
25 SEVEN HILLS OB-GYN ASSOCIATES LLC INDIANAPOLIS IN OBSTETRICS/GYNECOLOGY 92 16 $33,600 $2,100 27.1% (317) 865-3600
26 GREAT LAKES PHYSICIAN PC CHEEKTOWAGA NY PHYSICIAN ASSISTANT 69 15 $26,850 $1,790 8.0% (716) 844-5000
27 LAKELAND REGIONAL HEALTH SYSTEMS INC LAKELAND FL PHYSICIAN ASSISTANT 493 15 $31,425 $2,095 9.7% (863) 603-6565
28 UROLOGY ASSOCIATES OF THE CENTRAL COAST SAN LUIS OBISPO CA PHYSICIAN ASSISTANT 13 15 $24,810 $1,654 8.5% —
29 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 15 $33,024 $2,202 8.5% (415) 600-1020
30 STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION EAST SETAUKET NY UROLOGY 37 15 $97,500 $6,500 8.0% (631) 444-6270
31 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 15 $32,525 $2,168 19.2% —
32 SVMHS CLINICS SALINAS CA PHYSICIAN ASSISTANT 245 14 $17,481 $1,249 8.0% (831) 422-3636
33 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 14 $22,946 $1,639 100.0% (405) 254-9690
34 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 14 $42,926 $3,066 37.8% (612) 863-6960
35 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 13 $22,425 $1,725 8.4% (305) 273-4641
36 ELIZABETH A. HUTSON M.D. LTD SPARKS NV NURSE PRACTITIONER 9 13 $50,700 $3,900 100.0% (775) 432-1343
37 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD CT PHYSICIAN ASSISTANT 419 13 $8,877 $683 100.0% (203) 276-4644
38 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 13 $26,650 $2,050 30.2% (910) 341-1540
39 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 13 $27,859 $2,143 52.0% —
40 COLORADO SURGICAL AFFILIATES LLC GRAND JUNCTION CO PHYSICIAN ASSISTANT 53 13 $54,791 $4,215 100.0% (970) 243-0900
41 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 13 $28,444 $2,188 100.0% (615) 269-4545
42 WOMENS CARE FLORIDA LLC TAMPA FL OBSTETRICS/GYNECOLOGY 334 12 $33,345 $2,779 7.8% (813) 961-7440
43 LONE STAR OB/GYN ASSOCIATES, P.A. SAN ANTONIO TX OBSTETRICS/GYNECOLOGY 9 12 $31,200 $2,600 12.6% (210) 615-6505
44 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 12 $27,504 $2,292 27.9% (910) 662-6000
45 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 11 $32,043 $2,913 35.5% —
46 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 11 $143,000 $13,000 5.9% (212) 241-4812

*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 →