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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
58575 Removal of uterus for removal of growth using an endoscope CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems (CMS RBCS)
First observed 2018
National scale 209 services ▼ 6.7% YoY · 209 beneficiaries (CY2024, Medicare FFS)
Medicare paid $252K · $1206.63 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
171
FFS of Medicare
49%
Services YoY
-6.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~330 services

171 observed fee-for-service (52%) · ~159 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 — 58575 (CY2024)

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

Named-group submitted charges
$851K
Named-group allowed amount
$271K
Named-group Medicare payments
$215K
Avg charge / svc
$4,975
Avg allowed / svc
$1,582
Avg payment / svc
$1,255
Average charge per group
$3,833 7 groups · avg submitted charge / service $8,520
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 58575 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 58575 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 85 $325,777 $3,833 premium 100.0%
2 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 25 $133,442 $5,338 premium 100.0%
3 KINGS PHYSICIAN SERVICES PC BROOKLYN NY PHYSICIAN ASSISTANT 664 13 $110,760 $8,520 premium 100.0%
4 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE CT NURSE PRACTITIONER 669 12 $57,930 $4,828 premium 100.0% (321) 434-8878
5 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 12 $65,971 $5,498 premium 100.0%
6 VALLEY OBSTETRICS AND GYNECOLOGY, PC PROVO UT OBSTETRICS/GYNECOLOGY 48 12 $58,800 $4,900 premium 100.0% (801) 374-1801
7 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 12 $98,068 $8,172 premium 100.0% (415) 600-1020

*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 →