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Market snapshot

62252 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

62252 — Reprogramming of cerebrospinal fluid shunt

Billing groups
54
Named-group FFS services
2,233
FFS of Medicare
49%
Services YoY
-1.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,353 services

2,233 observed fee-for-service (51%) · ~2,120 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 — 62252 (CY2024)
CA 716 TX 351 VA 311 MD 297 MA 238

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

Named-group submitted charges
$921K
Named-group allowed amount
$141K
Named-group Medicare payments
$108K
Avg charge / svc
$412
Avg allowed / svc
$63
Avg payment / svc
$48
Average charge per group
$98 54 groups · avg submitted charge / service $1,560
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 62252 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 176 $42,240 $240 73.9% (617) 732-5500
2 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 174 $86,304 $496 58.6% (410) 502-4340
3 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 125 $21,375 $171 17.5% (877) 827-7463
4 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 97 $44,135 $455 88.2% (203) 688-4242
5 NEW YORK SPINE AND BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORAT STONY BROOK NY PHYSICIAN ASSISTANT 60 96 $96,000 $1,000 41.4% (631) 444-1213
6 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 92 $143,520 $1,560 43.0% —
7 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES SANTA MONICA CA OBSTETRICS/GYNECOLOGY 80 89 $50,812 $571 12.4% (310) 319-5098
8 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 88 $19,888 $226 73.3% (602) 406-6017
9 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 67 $50,250 $750 100.0% (507) 284-2511
10 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA NEUROSURGERY 27 65 $13,195 $203 9.1% (714) 456-7004
11 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROSURGERY 46 61 $34,712 $569 8.5% (310) 825-5111
12 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 56 $9,792 $175 26.2% —
13 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 56 $21,448 $383 16.0% (214) 633-5555
14 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 55 $13,300 $242 15.7% (210) 575-8289
15 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 51 $7,273 $143 100.0% (206) 364-0500
16 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 49 $12,887 $263 15.8% (804) 828-9000
17 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 47 $19,646 $418 6.6% (310) 829-6789
18 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 44 $28,160 $640 100.0% (314) 747-3000
19 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 37 $13,098 $354 23.1% (919) 684-8111
20 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 35 $8,155 $233 21.9% (704) 384-8200
21 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 34 $7,480 $220 15.9% (614) 293-8000
22 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 33 $4,569 $138 100.0% (701) 234-2000
23 UNIVERSITY OF UTAH SURGICAL SERVICES SALT LAKE CITY WY PHYSICIAN ASSISTANT 45 31 $7,008 $226 100.0% (801) 585-7575
24 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 29 $4,060 $140 42.0% (843) 652-8450
25 SEMMES-MURPHEY CLINIC PC MEMPHIS TN NEUROSURGERY 65 29 $8,700 $300 67.4% (901) 522-7700
26 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 27 $7,506 $278 100.0% (734) 763-5459
27 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK MA PHYSICIAN ASSISTANT 2818 27 $18,900 $700 11.3% (212) 241-4812
28 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE FL NURSE PRACTITIONER 1442 26 $6,474 $249 16.9% (502) 629-2398
29 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 26 $4,914 $189 7.4% (817) 878-5333
30 SOUTHERN COUNTIES NEUROSURGICAL ASSOCIATES MEDICAL GROUP, INC PASADENA CA NEUROSURGERY 2 25 $5,625 $225 3.5% (626) 535-9552
31 BADR MEDICAL CORPORATION GLENDALE CA NURSE PRACTITIONER 5 22 $3,300 $150 3.1% (818) 827-3898
32 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 21 $3,675 $175 8.8% (508) 334-1000
33 THOMAS DERMATOLOGY LAS VEGAS NV PHYSICIAN ASSISTANT 34 20 $5,840 $292 52.6% (702) 430-5333
34 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 20 $7,361 $368 8.6% (212) 746-5454
35 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 20 $7,474 $374 29.0% (843) 792-1414
36 GRAND STRAND SPECIALTY ASSOCIATES, LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 32 20 $5,328 $266 29.0% (843) 692-1000
37 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 18 $1,763 $98 11.7% (850) 416-2400
38 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 16 $4,096 $256 2.2% (714) 871-3006
39 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 16 $3,200 $200 13.3% (602) 406-3181
40 NEUROLOGICAL ASSOCIATES OF TUCSON TUCSON AZ OTOLARYNGOLOGY 60 16 $3,472 $217 13.3% (520) 795-7750
41 DELAWARE NEUROSURGICAL GROUP, PA NEWARK DE PHYSICIAN ASSISTANT 24 16 $9,118 $570 100.0% (302) 366-7671
42 LEGACY CLINICS LLC PORTLAND IN PHYSICIAN ASSISTANT 717 16 $6,256 $391 28.1% (503) 413-8988
43 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 15 $5,265 $351 6.5% —
44 INDIANAPOLIS NEUROSURGICAL GROUP PC CARMEL IN NEUROSURGERY 50 15 $5,865 $391 26.3% (317) 396-1451
45 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 14 $5,306 $379 2.0% (916) 681-8852
46 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 14 $3,829 $274 100.0% (319) 678-8201
47 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 14 $4,130 $295 100.0% (405) 271-4311
48 INDIANA NEUROLOGY AND PAIN CENTER LLC INDIANAPOLIS IN PHYSICIAN ASSISTANT 12 14 $5,474 $391 24.6% (317) 939-6100
49 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 14 $4,094 $292 5.9% (617) 724-0287
50 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 14 $3,052 $218 32.6% (615) 269-4545
51 ST. DOMINIC MEDICAL ASSOCIATES LLC MADISON MS NURSE PRACTITIONER 124 14 $2,576 $184 51.9% —
52 SESHADRI RAJU, M.D., PA. JACKSON MS NURSE PRACTITIONER 9 13 $2,392 $184 48.1% (601) 939-4230
53 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 13 $2,665 $205 29.5% —
54 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 11 $4,092 $372 5.1% —

*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 →