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Market snapshot

62223 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

62223 — Creation of brain fluid drainage shunt, ventriculo-peritoneal, -pleural, other terminus

Billing groups
40
Named-group FFS services
891
FFS of Medicare
49%
Services YoY
-9.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,776 services

891 observed fee-for-service (50%) · ~885 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 — 62223 (CY2024)
CA 293 OH 101 MD 89 NY 87 AZ 75

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
$614K
Named-group Medicare payments
$490K
Avg charge / svc
$5,374
Avg allowed / svc
$690
Avg payment / svc
$550
Average charge per group
$513 40 groups · avg submitted charge / service $22,900
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 62223 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 70 $602,697 $8,610 100.0% (507) 284-2511
2 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 63 $341,397 $5,419 84.0% (617) 732-5500
3 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 61 $111,022 $1,820 60.4% —
4 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 57 $328,246 $5,759 64.0% (410) 502-4340
5 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 41 $161,111 $3,930 100.0% (615) 322-5000
6 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 33 $178,728 $5,416 62.3% (214) 633-5555
7 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 32 $123,360 $3,855 10.9% (877) 827-7463
8 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 27 $91,557 $3,391 9.2% (949) 791-3370
9 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 26 $132,548 $5,098 68.4% (919) 684-8111
10 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 25 $80,525 $3,221 58.1% —
11 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 25 $116,970 $4,679 24.8% —
12 INDIANAPOLIS NEUROSURGICAL GROUP PC CARMEL IN NEUROSURGERY 50 24 $76,498 $3,187 68.6% (317) 396-1451
13 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 23 $146,489 $6,369 7.8% (310) 423-3277
14 VIVEK A MEHTA MD INC IRVINE CA CLINICAL PSYCHOLOGIST 7 19 $9,750 $513 6.5% (949) 344-3468
15 UCLA ASSOCIATED GENERAL SURGEONS LOS ANGELES CA GENERAL SURGERY 47 18 $124,200 $6,900 6.1% (310) 267-7838
16 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 18 $81,738 $4,541 41.9% (804) 828-9000
17 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROSURGERY 46 18 $125,925 $6,996 6.1% (310) 825-5111
18 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 16 $366,400 $22,900 18.4% (212) 746-5454
19 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA NEUROSURGERY 27 16 $74,128 $4,633 5.5% (714) 456-7004
20 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS IL PHYSICIAN ASSISTANT 3200 16 $86,656 $5,416 100.0% (214) 633-5555
21 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 15 $54,765 $3,651 14.9% —
22 UNIVERSITY AT BUFFALO NEUROSURGERY INC AMHERST NY PHYSICIAN ASSISTANT 71 15 $103,142 $6,876 17.2% (716) 218-1000
23 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 14 $41,832 $2,988 100.0% (318) 675-8700
24 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 14 $281,750 $20,125 16.1% (212) 263-9700
25 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD PHYSICIAN ASSISTANT 386 14 $47,166 $3,369 15.7% —
26 NEW YORK SPINE AND BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORAT STONY BROOK NY PHYSICIAN ASSISTANT 60 13 $104,780 $8,060 14.9% (631) 444-1213
27 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 13 $76,645 $5,896 100.0% (319) 678-8201
28 MIAMI NEUROSCIENCE CENTER LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 10 13 $78,858 $6,066 19.7% (786) 871-6800
29 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 13 $75,985 $5,845 50.0% (215) 662-2777
30 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 13 $62,283 $4,791 14.9% (212) 241-4812
31 CENTRAL CALIFORNIA FACULTY MEDICAL GROUP INC FRESNO CA EMERGENCY MEDICINE 252 12 $26,664 $2,222 4.1% (559) 459-6000
32 UCSF DEPT OF SURGERY SAN FRANCISCO CA GENERAL SURGERY 212 12 $64,832 $5,403 4.1% (415) 476-1000
33 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 12 $42,924 $3,577 31.6% (336) 713-9800
34 DUKE FORAGE ANSON NEUROSURGICAL LLP HENDERSON NV NEUROSURGERY 10 12 $135,907 $11,326 100.0% (702) 896-0940
35 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 12 $47,812 $3,984 18.2% (352) 265-8990
36 NAAB ROAD SURGICAL GROUP PC INDIANAPOLIS IN GENERAL SURGERY 16 11 $11,322 $1,029 31.4% (317) 338-7450
37 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 11 $26,241 $2,386 100.0% (913) 588-1227
38 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 11 $34,141 $3,104 16.7% (305) 689-5437
39 COAST NEUROSURGICAL ASSOCIATES A MEDICAL GROUP LONG BEACH CA NEUROSURGERY 5 11 $53,697 $4,882 3.8% (562) 595-7696
40 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 11 $35,163 $3,197 3.8% (310) 829-6789
41 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 11 $22,725 $2,066 100.0% (206) 364-0500

*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 →