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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
69145 Removal of growth in soft tissue of ear canal CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,417 services ▲ 46.4% YoY · 887 beneficiaries (CY2024, Medicare FFS)
Medicare paid $587K · $414.34 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
377
FFS of Medicare
49%
Services YoY
+46.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~752 services

377 observed fee-for-service (50%) · ~375 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 — 69145 (CY2024)

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

Named-group submitted charges
$447K
Named-group allowed amount
$188K
Named-group Medicare payments
$145K
Avg charge / svc
$1,187
Avg allowed / svc
$498
Avg payment / svc
$385
Average charge per group
$450 7 groups · avg submitted charge / service $2,300
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 69145 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 69145 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 NEUROLOGICAL ASSOCIATES OF TUCSON TUCSON AZ OTOLARYNGOLOGY 60 218 $269,192 $1,235 premium 86.2% (520) 795-7750
2 NORTH CAMPBELL ENT ASSOCIATES TUCSON AZ OTOLARYNGOLOGY 2 35 $15,750 $450 premium 13.8% (520) 795-1581
3 AHAVA MEDICAL AND REHABILITATION CENTER, LLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 141 32 $24,000 $750 premium 38.1% 71895188002102
4 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 25 $40,075 $1,603 premium 29.8% (914) 963-8588
5 ENT AND ALLERGY ASSOCIATES LLP YONKERS NJ OTOLARYNGOLOGY 429 21 $26,335 $1,254 premium 52.5% (914) 963-8588
6 CHRISTOPHER M SHAARI MD PC HACKENSACK NJ OTOLARYNGOLOGY 2 19 $28,000 $1,474 premium 47.5% (201) 342-8060
7 JAMES LI MD PLLC FLUSHING NY PHYSICIAN ASSISTANT 2 14 $32,200 $2,300 premium 16.7%
8 CHINATOWN TRUE CARE MEDICAL PLLC BROOKLYN NY NURSE PRACTITIONER 246 13 $11,851 $912 premium 15.5% (718) 871-8255

*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 →