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Market snapshot

69420 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

69420 — Incision, aspiration, and/or inflation of eardrum

Billing groups
113
Named-group FFS services
2,501
FFS of Medicare
49%
Services YoY
-7.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,928 services

2,501 observed fee-for-service (51%) · ~2,427 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 — 69420 (CY2024)
FL 400 TX 348 PA 273 SC 200 MD 195

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

Named-group submitted charges
$1.3M
Named-group allowed amount
$488K
Named-group Medicare payments
$370K
Avg charge / svc
$518
Avg allowed / svc
$195
Avg payment / svc
$148
Average charge per group
$180 113 groups · avg submitted charge / service $2,333
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 69420 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON SC OTOLARYNGOLOGY 76 73 $29,263 $401 36.5% (843) 766-7103
2 INDEPENDENCE EAR, NOSE AND THROAT LLC STUART FL PHYSICIAN ASSISTANT 9 61 $17,272 $283 15.2% (772) 888-1880
3 ARIZONA EAR NOSE AND THROAT PHYSICIANS PLLC SUN CITY WEST AZ OTOLARYNGOLOGY 3 54 $15,118 $280 50.5% (623) 975-1660
4 CENTRAL TEXAS SINUS AND ALLERGY, PLLC COLLEGE STATION TX OTOLARYNGOLOGY 7 51 $28,050 $550 14.7% (979) 764-3090
5 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 48 $41,952 $874 33.8% (908) 273-4300
6 MID-SOUTH EAR NOSE AND THROAT PC GERMANTOWN TN NURSE PRACTITIONER 32 48 $13,100 $273 25.3% (901) 755-5300
7 ANNAPOLIS ENT SURGICAL CENTER LLC ANNAPOLIS MD QUALIFIED AUDIOLOGIST 45 47 $25,025 $532 24.1% (410) 266-3900
8 SOUTHEAST TEXAS EAR, NOSE AND THROAT, LLP BEAUMONT TX OTOLARYNGOLOGY 14 47 $25,175 $536 13.5% (409) 212-8111
9 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 46 $24,090 $524 16.8% —
10 TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC HOUSTON TX OTOLARYNGOLOGY 122 43 $14,549 $338 12.4% (281) 492-7827
11 SONORAN EAR NOSE AND THROAT TUCSON AZ QUALIFIED AUDIOLOGIST 14 41 $11,924 $291 38.3% (520) 600-7970
12 JOHNS HOPKINS REGIONAL PHYSICIANS LLC LUTHERVILLE MD OTOLARYNGOLOGY 80 40 $21,566 $539 20.5% (443) 275-1337
13 COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES, PA MYRTLE BEACH SC OTOLARYNGOLOGY 7 39 $8,064 $207 19.5% (843) 449-6449
14 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 35 $27,322 $781 23.3% (914) 963-8588
15 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 34 $35,685 $1,050 17.6% (434) 924-5959
16 BLUE RIDGE E N T AND P S INC LYNCHBURG VA OTOLARYNGOLOGY 14 32 $11,220 $351 16.6% (434) 947-3993
17 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 32 $19,798 $619 16.8% (629) 255-2115
18 ALAMO ENT ASSOCIATES SAN ANTONIO TX OTOLARYNGOLOGY 4 32 $16,968 $530 9.2% (210) 545-0404
19 GREAT LAKES EAR NOSE AND THROAT SPECIALISTS PC PETOSKEY MI QUALIFIED AUDIOLOGIST 7 31 $19,460 $628 100.0% (231) 489-8151
20 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 31 $11,220 $362 29.8% —
21 EAR NOSE AND THROAT ASSOCIATES OF SAN DIEGO A MEDICAL CORP LA MESA CA OTOLARYNGOLOGY 10 31 $9,610 $310 16.3% (619) 464-3353
22 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 30 $34,780 $1,159 31.9% —
23 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 30 $11,795 $393 7.5% (305) 595-6200
24 EAR NOSE AND THROAT CONSULTANTS OF NORTH MISSISSIPPI PLLC OXFORD MS QUALIFIED AUDIOLOGIST 10 28 $11,645 $416 44.4% (662) 234-1337
25 PRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC GREENVILLE SC OTOLARYNGOLOGY 21 28 $12,535 $448 14.0% (864) 572-7001
26 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 27 $13,192 $489 14.2% (805) 349-8514
27 MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC PADUCAH KY NURSE PRACTITIONER 142 27 $8,802 $326 100.0% —
28 CENTRAL ARKANSAS EAR NOSE AND THROAT CLINIC CONWAY AR OTOLARYNGOLOGY 2 26 $13,000 $500 32.5% (501) 327-3929
29 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON CA INTERNAL MEDICINE 332 25 $26,332 $1,053 13.2% (925) 462-7060
30 OTOLARYNGOLOGY AND HEAD AND NECK SURGERY ASSOCIATES, LLP TEXARKANA TX OTOLARYNGOLOGY 3 25 $17,950 $718 7.2% (903) 793-0691
31 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 25 $11,792 $472 13.2% (731) 422-0213
32 FLORIDA OTOLARYNGOLOGY GROUP, P.A. ORLANDO FL OTOLARYNGOLOGY 12 24 $7,020 $292 6.0% (407) 351-0675
33 ENT SURGERY GROUP PC CAMP HILL PA QUALIFIED AUDIOLOGIST 8 24 $7,696 $321 8.8% (717) 761-4844
34 MOUNTAIN EAR NOSE AND THROAT ASSOCIATES PA SYLVA NC PHYSICIAN ASSISTANT 9 24 $10,500 $438 39.3% (828) 586-7474
35 SOUTH HILLS ENT ASSOCIATION BETHEL PARK PA QUALIFIED AUDIOLOGIST 8 23 $6,270 $273 8.4% 4128317570325
36 LAWRENCE OTOLARYNGOLOGY ASSOCIATES, LLC LAWRENCE KS OTOLARYNGOLOGY 12 23 $14,538 $632 48.9% (785) 841-1107
37 ENT AND ALLERGY ASSOCIATES LLP YONKERS NJ OTOLARYNGOLOGY 429 23 $16,073 $699 16.2% (914) 963-8588
38 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 23 $11,830 $514 100.0% (202) 429-2401
39 ST. MARY'S HIMG, LLC HUNTINGTON WV NURSE PRACTITIONER 78 22 $11,452 $521 100.0% (304) 528-4600
40 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 21 $12,192 $581 22.3% —
41 CENTERS FOR ADVANCED ENT CARE LLC BETHESDA MD QUALIFIED AUDIOLOGIST 102 21 $9,555 $455 10.8% (301) 652-8847
42 TEXAS ENT AND ALLERGY ASSOCIATES, LLP COLLEGE STATION TX OTOLARYNGOLOGY 12 21 $8,904 $424 6.0% (979) 693-6000
43 SOUTHWEST MISSISSIPPI EAR NOSE AND THROAT CLINIC PA MCCOMB MS NURSE PRACTITIONER 4 21 $6,300 $300 33.3% (601) 684-1250
44 DIAGNOSTIC RADIOLOGY CONSULTANTS PA CHATTANOOGA TN DIAGNOSTIC RADIOLOGY 19 20 $11,748 $587 10.5% (423) 648-2395
45 ASSOCIATES IN OTOLARYNGOLOGY OF NJ, LLC WEST ORANGE NJ QUALIFIED AUDIOLOGIST 14 20 $8,000 $400 14.1% (973) 243-0600
46 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 20 $13,797 $690 40.0% (765) 962-8551
47 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON AR OTOLARYNGOLOGY 76 20 $7,058 $353 25.0% (843) 766-7103
48 UPMC COMMUNITY MEDICINE INC PITTSBURGH PA FAMILY PRACTICE 749 20 $12,925 $646 7.3% (412) 281-0322
49 BALANCE AND EAR CENTER, INC RICHMOND VA QUALIFIED AUDIOLOGIST 4 19 $6,180 $325 9.8% (804) 288-3277
50 HOT SPRINGS CLINIC OF OTOLARYNGOLOGY PA HOT SPRINGS NATIONAL PARK AR OTOLARYNGOLOGY 2 19 $7,210 $379 23.8% (501) 624-5422
51 ASHEVILLE EAR NOSE AND THROAT SURGEONS, PA ASHEVILLE NC OTOLARYNGOLOGY 17 19 $8,288 $436 31.1% (828) 254-3517
52 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 19 $9,683 $510 38.0% —
53 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 19 $17,581 $925 12.7% (212) 271-4364
54 COASTAL CAROLINA ENT DO PA WHITEVILLE NC OTOLARYNGOLOGY 6 18 $5,145 $286 29.5% (910) 914-0540
55 CHRISTOPHER M SHAARI MD PC HACKENSACK NJ OTOLARYNGOLOGY 2 18 $28,500 $1,583 12.7% (201) 342-8060
56 ENGLEWOOD EAR NOSE AND THROAT PC ENGLEWOOD NJ OTOLARYNGOLOGY 8 18 $30,195 $1,678 12.7% (201) 816-9800
57 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 18 $8,075 $449 6.6% —
58 WEST COAST EAR, NOSE AND THROAT, INC CLEARWATER FL OTOLARYNGOLOGY 22 18 $7,498 $417 4.5% (727) 791-1368
59 SPACE COAST EAR NOSE AND THROAT ASSOCIATES MELBOURNE FL OTOLARYNGOLOGY 2 18 $4,374 $243 4.5% (321) 676-2353
60 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 18 $11,706 $650 100.0% (206) 364-0500
61 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 17 $7,886 $464 16.3% —
62 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO CA OTOLARYNGOLOGY 16 17 $9,225 $543 8.9% (949) 364-4361
63 ENT ASSOCIATES OF ALABAMA PC BIRMINGHAM AL OTOLARYNGOLOGY 43 16 $4,400 $275 35.6% (205) 212-3540
64 BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA PHYSICIAN ASSISTANT 276 16 $9,872 $617 41.0% (413) 447-2695
65 THE MONROE CLINIC, INC. MONROE WI NURSE PRACTITIONER 197 16 $15,084 $943 100.0% (608) 324-2000
66 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 16 $6,784 $424 15.4% (419) 423-5492
67 ENT SOUTH, PC DOTHAN AL NURSE PRACTITIONER 4 15 $4,392 $293 33.3% (334) 793-6673
68 ROMAN J. DYKUN, MD WOODSTOCK IL OTOLARYNGOLOGY 6 15 $7,680 $512 16.0% (815) 338-4600
69 MARK S. ROBERTSON, P.C. ALBANY OR OTOLARYNGOLOGY 2 15 $4,800 $320 100.0% (541) 967-0404
70 EAR NOSE AND THROAT SPECIALISTS OF NORTHERN VA SPRINGFIELD VA QUALIFIED AUDIOLOGIST 17 15 $5,200 $347 7.8% (703) 644-7800
71 BOSCO E NORONHA MD,PC INDIANA PA OTOLARYNGOLOGY 2 15 $4,200 $280 5.5% (724) 349-5440
72 WHITE COUNTY MEDICAL CENTER SEARCY AR NURSE PRACTITIONER 187 15 $2,696 $180 18.8% (501) 278-2800
73 ETMC PHYSICIAN GROUP, INC. TYLER TX NURSE PRACTITIONER 373 15 $9,350 $623 4.3% (903) 590-5611
74 ALBANY ENT AND ALLERGY SERVICES PC ALBANY NY PHYSICIAN ASSISTANT 48 15 $5,750 $383 10.0% (518) 701-2000
75 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 15 $9,105 $607 46.9% (762) 235-3340
76 EAR, NOSE AND THROAT PHYSICIANS OF NORTH MISS., P.A TUPELO MS QUALIFIED AUDIOLOGIST 22 14 $7,786 $556 22.2% (662) 840-7034
77 WARREN OTOLOGIC GROUP, INC WARREN OH NURSE PRACTITIONER 7 14 $3,995 $285 13.5% (330) 856-4000
78 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 14 $4,611 $329 7.3% —
79 WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS INC BELLEVILLE IL RADIATION ONCOLOGY 155 14 $7,600 $543 14.9% (314) 362-7200
80 THE ENT AND ALLERGY CENTERS OF TEXAS, PLLC MCKINNEY TX OTOLARYNGOLOGY 54 14 $6,375 $455 4.0% (972) 984-1050
81 ACCENT PHYSICIAN SPECIALISTS PA GAINESVILLE FL PHYSICIAN ASSISTANT 16 14 $7,616 $544 3.5% 3523729414265
82 RED RIVER ASSOCIATES LLC ALEXANDRIA LA NURSE PRACTITIONER 11 14 $9,282 $663 13.3% —
83 SUMTER EAR NOSE THROAT AND FACIAL PLASTIC SURGERY LLC SUMTER SC OTOLARYNGOLOGY 2 14 $4,200 $300 7.0% (803) 778-5970
84 OWENSBORO HEALTH MEDICAL GROUP INC OWENSBORO OH NURSE PRACTITIONER 467 14 $8,100 $579 13.5% —
85 TEXAS EAR, NOSE AND THROAT SPECIALISTS, L.L.P. BEDFORD TX OTOLARYNGOLOGY 10 13 $5,987 $461 3.7% (817) 540-3121
86 CAPITOL BREATHE FREE SINUS AND ALLERGY CENTERS FREDERICK MD OTOLARYNGOLOGY 2 13 $9,055 $697 6.7% (805) 728-5728
87 COLORADO SPRINGS EAR ASSOCIATES COLORADO SPRINGS CO QUALIFIED AUDIOLOGIST 8 13 $6,630 $510 50.0% (719) 667-1327
88 SOUTHWESTERN COLORADO EAR NOSE AND THROAT DURANGO CO PHYSICIAN ASSISTANT 7 13 $7,747 $596 50.0% (970) 385-7272
89 ROANOKE VALLEY ENT AND ALLERGY PC ROANOKE VA PHYSICIAN ASSISTANT 5 13 $6,825 $525 6.7% (540) 968-7368
90 CAROLINA EYE AND EAR ASSOCIATES LLC COLUMBIA SC OPHTHALMOLOGY 3 13 $5,525 $425 6.5% (803) 744-2700
91 SHOHET EAR ASSOCIATES MEDICAL GROUP INC NEWPORT BEACH PA QUALIFIED AUDIOLOGIST 11 13 $5,350 $412 4.8% (949) 631-4327
92 CHESAPEAKE BAY ENT PC BELLE HAVEN VA PHYSICIAN ASSISTANT 9 13 $6,154 $473 6.7% (757) 442-7040
93 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 12 $6,650 $554 33.3% (314) 747-3000
94 CROSS TIMBERS ENT, PLLC ARLINGTON TX OTOLARYNGOLOGY 14 12 $4,729 $394 3.4% (817) 261-3000
95 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 12 $4,914 $410 11.2% (480) 847-1193
96 HEAD AND NECK SURGERY OF KANSAS CITY P A OVERLAND PARK KS OTOLARYNGOLOGY 11 12 $3,375 $281 25.5% (913) 599-4800
97 UNIVERSITY OTOLARYNGOLOGISTS INC COLUMBUS OH OTOLARYNGOLOGY 58 12 $3,780 $315 11.5% (614) 538-2424
98 RUTLAND HOSPITAL, INC. RUTLAND NH NURSE PRACTITIONER 189 12 $4,788 $399 100.0% (802) 775-7111
99 THE REHABILITATION CENTER THERAPEUTIC SOLUTIONS FOR CHILDREN AND ADUL SHERMAN TX FAMILY PRACTICE 19 12 $5,708 $476 3.4% —
100 F PARKER THORNTON MD LLC SHAWNEE MISSION KS OTOLARYNGOLOGY 2 12 $4,858 $405 25.5% (913) 261-2223

Showing the top 100 of 113 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →