NEVVI Medicare utilization intelligence
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Market snapshot

58558 in NY CY2024

Medicare Part B FFS · CY2024 · as published by CMS

58558 — Biopsy of lining of uterus and/or removal of polyp using an endoscope

Billing groups
18
Named-group FFS services
494
FFS of Medicare
47%
Services YoY
-21.4%
FFS enrollment -2.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,032 services

494 observed fee-for-service (48%) · ~538 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

Named-group submitted charges
$2.9M
Named-group allowed amount
$377K
Named-group Medicare payments
$299K
Avg charge / svc
$5,928
Avg allowed / svc
$763
Avg payment / svc
$606
Average charge per group
$800 18 groups · avg submitted charge / service $14,367
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 58558 services, CY2024
#Physician group City Specialty Providers 58558 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET PHYSICIAN ASSISTANT 6294 72 $203,904 $2,832 premium 9.7%
2 NEW YORK UNIVERSITY NEW YORK DIAGNOSTIC RADIOLOGY 5704 72 $1,034,424 $14,367 premium 9.7% (212) 263-9700
3 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK INTERNAL MEDICINE 2053 44 $289,300 $6,575 premium 5.9% (212) 746-5454
4 VERITAS MEDICAL CARE LLC BRENTWOOD GYNECOLOGICAL ONCOLOGY 2 41 $298,219 $7,274 premium 5.5% (631) 273-3712
5 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK PHYSICIAN ASSISTANT 2818 38 $205,988 $5,421 premium 5.1% (212) 241-4812
6 MAIQUEL CARRASCO OBGYN PC NEW YORK OBSTETRICS/GYNECOLOGY 2 26 $80,600 $3,100 premium 3.5% (212) 772-3722
7 SANDR WE CARE MEDICAL PC BROOKLYN OBSTETRICS/GYNECOLOGY 2 25 $75,000 $3,000 premium 3.4% (718) 743-5300
8 ADVANCED GYNECOLOGY AND SURGERY PLLC BROOKLYN OBSTETRICS/GYNECOLOGY 2 24 $48,000 $2,000 premium 3.2% (718) 332-6525
9 UNIVERSITY ASSOCIATES IN OBSTETRICS AND GYNECOLOGY UNIVERSITY FACULTY STONY BROOK OBSTETRICS/GYNECOLOGY 113 22 $110,330 $5,015 premium 3.0% (631) 444-7650
10 HORIZON MEDICAL GROUP PC CHESTER GASTROENTEROLOGY 69 21 $16,800 $800 premium 2.8% (845) 469-4211
11 ALECIA M. GIOVINAZZO MD LLC STATEN ISLAND OBSTETRICS/GYNECOLOGY 2 19 $84,274 $4,435 premium 2.6% (718) 494-2690
12 NORTH SHORE LIJ OB GYN PC ISLANDIA OBSTETRICS/GYNECOLOGY 15 17 $127,143 $7,479 premium 2.3% (631) 292-6747
13 BETHPAGE MEDICAL PLLC NEW YORK OBSTETRICS/GYNECOLOGY 11 15 $82,924 $5,528 premium 2.0% (212) 629-1000
14 DR GREGORY SHIFRIN OB/GYN PC BROOKLYN OBSTETRICS/GYNECOLOGY 4 13 $65,000 $5,000 premium 1.8% (718) 743-0505
15 ADVANCED PHYSICIANS P C FOREST HILLS OBSTETRICS/GYNECOLOGY 7 12 $60,180 $5,015 premium 1.6% (718) 360-9550
16 SQUARE CARE MEDICAL GROUP LLP WOODBURY OBSTETRICS/GYNECOLOGY 70 11 $60,632 $5,512 premium 1.5% (516) 496-3900
17 VALLEY PHYSICIAN SERVICES PC HOBOKEN NURSE PRACTITIONER 606 11 $9,119 $829 premium 1.5% (800) 825-5391
18 AMBOY MEDICAL PRACTICE PC STATEN ISLAND INTERNAL MEDICINE 180 11 $76,505 $6,955 premium 1.5% (718) 818-1058

*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 →