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Market snapshot

69436 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

69436 — Incision of eardrum with placement of eardrum tube under general anesthesia

Billing groups
41
Named-group FFS services
684
FFS of Medicare
49%
Services YoY
-2.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,371 services

684 observed fee-for-service (50%) · ~687 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 — 69436 (CY2024)

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

Named-group submitted charges
$419K
Named-group allowed amount
$116K
Named-group Medicare payments
$91K
Avg charge / svc
$613
Avg allowed / svc
$169
Avg payment / svc
$132
Average charge per group
$239 41 groups · avg submitted charge / service $2,080
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 69436 services, CY2024
#Physician group City St Specialty Providers 69436 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MEDICAL FOUNDATION INC MERIDIAN MS DIAGNOSTIC RADIOLOGY 198 33 $27,264 $826 premium 40.7% (601) 484-6700
2 CAPE ENT, P.A. LEWES DE QUALIFIED AUDIOLOGIST 4 33 $13,618 $413 premium 37.9% (302) 703-4025
3 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 32 $11,760 $367 premium 10.2%
4 BERKS E.N.T. SURGICAL ASSOCIATES, INC. WYOMISSING PA OTOLARYNGOLOGY 4 29 $10,500 $362 premium 9.2% (610) 376-9728
5 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 28 $19,461 $695 premium 9.0% (904) 396-1725
6 EAR NOSE AND THROAT ASSOCIATES MD PA FORT MYERS FL OTOLARYNGOLOGY 6 27 $12,984 $481 premium 8.7% (239) 939-2621
7 JTDM FAMILY PRACTICE LLC SAINT MARYS OH NURSE PRACTITIONER 46 24 $8,720 $363 premium 17.9% (419) 394-9522
8 ENT OF OKLAHOMA PLLC LAWTON OK OTOLARYNGOLOGY 5 23 $12,353 $537 premium 31.9% (580) 531-0022
9 CLEARFIELD JEFFERSON HEAD AND NECK SURGICAL ASSOCIATES, INC. DU BOIS PA NURSE PRACTITIONER 2 20 $10,230 $512 premium 6.3% (814) 375-0455
10 DEACONESS ILLINOIS SPECIALTY CLINIC, INC. MARION IL PHYSICIAN ASSISTANT 127 17 $15,733 $925 premium 43.6% (618) 998-7000
11 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 17 $7,974 $469 premium 5.0%
12 HAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC HAMPTON VA PHYSICIAN ASSISTANT 23 16 $6,293 $393 premium 19.3% (757) 825-2500
13 MID-SOUTH EAR NOSE AND THROAT PC GERMANTOWN TN NURSE PRACTITIONER 32 16 $8,500 $531 premium 14.8% (901) 755-5300
14 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 16 $6,565 $410 premium 11.9% (419) 423-5492
15 SOUTHWEST WYOMING ENT INC EVANSTON WY NURSE PRACTITIONER 2 16 $17,940 $1,121 premium 51.6% (307) 789-8721
16 DOWLING AND CALDWELL MD PC GADSDEN AL OTOLARYNGOLOGY 2 15 $8,030 $535 premium 5.8% (256) 543-9302
17 EAR,NOSE AND THROAT SPECIALISTS, L.L.C. WEST MONROE LA NURSE PRACTITIONER 3 15 $9,130 $609 premium 44.1% (318) 322-9882
18 EASTERN SHORE ENT AND ALLERGY SALISBURY MD OTOLARYNGOLOGY 10 15 $6,490 $433 premium 17.0% (410) 742-1567
19 TOLEDO CLINIC INCORPORATED TOLEDO OH NURSE PRACTITIONER 217 15 $8,064 $538 premium 11.2% (419) 874-3246
20 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 15 $9,270 $618 premium 4.8% (570) 271-6144
21 CHAMPION PHYSICAL THERAPY LLC HALLS KNOXVILLE TN ORTHOPEDIC SURGERY 277 15 $3,580 $239 premium 13.9% (865) 377-3176
22 SHEA CLINIC MEMPHIS TN OTOLARYNGOLOGY 8 14 $6,840 $489 premium 13.0% (901) 761-9720
23 JOHNS HOPKINS REGIONAL PHYSICIANS LLC LUTHERVILLE MD OTOLARYNGOLOGY 80 14 $11,694 $835 premium 15.9% (443) 275-1337
24 BALANCE AND EAR CENTER, INC RICHMOND VA QUALIFIED AUDIOLOGIST 4 13 $5,099 $392 premium 15.7% (804) 288-3277
25 NORTH ALABAMA ENT ASSOCIATES HUNTSVILLE AL OTOLARYNGOLOGY 26 13 $5,738 $441 premium 5.1% (256) 536-9300
26 OROHEALTH CORPORATION A NON PROFIT HEALTHCARE SYSTEM OROVILLE CA INTERNAL MEDICINE 124 13 $13,154 $1,012 premium 100.0% (530) 532-8654
27 NORTHERN OHIO MEDICAL SPECIALISTS, LLC SANDUSKY OH NURSE PRACTITIONER 294 13 $12,695 $977 premium 9.7% (419) 626-6161
28 STILLWATER MEDICAL CENTER AUTHORITY STILLWATER OK PHYSICIAN ASSISTANT 166 13 $6,140 $472 premium 18.1% (405) 372-1480
29 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 13 $8,082 $622 premium 4.2% (561) 391-3333
30 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 12 $5,763 $480 premium 16.7%
31 ATLANTIC ENT ASSOCIATES PA TOMS RIVER NJ OTOLARYNGOLOGY 2 12 $21,600 $1,800 premium 31.6% (762) 557-4480
32 WOOSTER ENT ASSOCIATES INC MILLERSBURG OH OTOLARYNGOLOGY 6 12 $7,600 $633 premium 9.0% (330) 264-9699
33 KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY NURSE PRACTITIONER 392 12 $9,040 $753 premium 28.6% (606) 325-6888
34 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 12 $4,998 $416 premium 28.6% (502) 928-1050
35 UNION ASSOCIATED PHYSICIANS CLINIC, LLC TERRE HAUTE IN NURSE PRACTITIONER 229 12 $4,656 $388 premium 3.5% (812) 232-0564
36 MIDWEST EAR NOSE AND THROAT SURGERY PSC EVANSVILLE IN OTOLARYNGOLOGY 13 12 $9,000 $750 premium 3.5% 8124732060219
37 DECATUR ENT ASSOCIATES PC DECATUR AL OTOLARYNGOLOGY 5 12 $9,311 $776 premium 4.7% (256) 355-6200
38 LANCASTER EAR NOSE AND THROAT LLC LANCASTER PA OTOLARYNGOLOGY 4 12 $5,200 $433 premium 3.8% (717) 517-9083
39 ENT ASSOCIATES OF ALABAMA PC BIRMINGHAM AL OTOLARYNGOLOGY 43 11 $4,642 $422 premium 4.3% (205) 212-3540
40 GLENS FALLS HOSPITAL INC GLENS FALLS NY PHYSICIAN ASSISTANT 170 11 $22,875 $2,080 premium 45.8% (518) 926-1000
41 KENNETH L GWINN MD PC MACOMB MI NURSE PRACTITIONER 6 11 $10,455 $950 premium 44.0% (586) 799-1212

*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 →