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Market snapshot

76080 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

76080 — Review by radiologist of abscess or sinus cavity study

Billing groups
53
Named-group FFS services
3,314
FFS of Medicare
49%
Services YoY
+5.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,753 services

3,314 observed fee-for-service (49%) · ~3,439 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 — 76080 (CY2024)
PA 766 MN 649 CA 466 IL 398 NJ 326

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

Named-group submitted charges
$449K
Named-group allowed amount
$80K
Named-group Medicare payments
$63K
Avg charge / svc
$135
Avg allowed / svc
$24
Avg payment / svc
$19
Average charge per group
$23 53 groups · avg submitted charge / service $346
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 76080 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 541 $89,265 $165 83.4% (507) 284-2511
2 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 187 $30,294 $162 76.0% (314) 747-3000
3 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 142 $12,638 $89 35.7% —
4 TOWER HEALTH MEDICAL GROUP WEST READING PA INTERNAL MEDICINE 590 131 $16,244 $124 17.1% (484) 628-5455
5 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 123 $12,300 $100 16.1% —
6 ANCILLARY SERVICES OF PRACTICE ASSOCIATES PA MORRISTOWN NJ DIAGNOSTIC RADIOLOGY 97 105 $9,030 $86 32.2% (973) 971-6866
7 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 103 $13,729 $133 47.5% —
8 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 98 $8,624 $88 56.6% (616) 363-7272
9 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 93 $8,277 $89 12.1% (215) 662-2777
10 SANFORD CLINIC SIOUX FALLS SD DIAGNOSTIC RADIOLOGY 276 91 $9,282 $102 39.6% (605) 328-8700
11 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 87 $7,308 $84 41.2% (402) 559-4000
12 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 80 $27,280 $341 59.3% (904) 953-2000
13 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 78 $5,434 $70 83.9% (206) 223-6600
14 COOPER UNIVERSITY RADIOLOGY PC CAMDEN NJ DIAGNOSTIC RADIOLOGY 68 77 $16,900 $219 23.6% —
15 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 73 $9,731 $133 15.7% (858) 455-9100
16 RADIOLOGY CONSULTANTS OF IOWA PLC CEDAR RAPIDS IA DIAGNOSTIC RADIOLOGY 72 73 $7,300 $100 28.0% (319) 364-0121
17 RADIOLOGY CONSULTANTS PC OMAHA NE DIAGNOSTIC RADIOLOGY 46 71 $6,177 $87 33.6% (402) 717-4760
18 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 66 $16,044 $243 30.4% (212) 263-9700
19 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 59 $4,451 $75 47.6% (701) 234-2000
20 RADIOLOGY ASSOCIATES OF NORTH TEXAS PA FORT WORTH TX DIAGNOSTIC RADIOLOGY 340 58 $6,032 $104 46.8% (817) 321-0470
21 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 58 $6,578 $113 100.0% (802) 847-0000
22 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 53 $18,350 $346 100.0% (501) 202-2093
23 ENDOVASCULAR AND INTERVENTIONAL ASSOCIATES INC N KINGSTOWN RI INTERVENTIONAL RADIOLOGY 2 52 $3,796 $73 59.8% (401) 295-8655
24 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILL PA PHYSICIAN ASSISTANT 403 49 $4,900 $100 6.4% (844) 542-2273
25 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 43 $1,007 $23 18.7% (605) 322-5180
26 NORTH SHORE-LIJ MEDICAL PC MANHASSET PA PHYSICIAN ASSISTANT 6294 39 $5,198 $133 5.1% —
27 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 36 $4,968 $138 7.7% (415) 600-1020
28 RADIOLOGY ASSOCIATES OF ALBUQUERQUE PA ALBUQUERQUE NM DIAGNOSTIC RADIOLOGY 101 32 $2,976 $93 62.7% (505) 332-5827
29 GRAND TRAVERSE RADIOLOGISTS PC TRAVERSE CITY MI DIAGNOSTIC RADIOLOGY 32 31 $2,449 $79 17.9% (231) 935-5000
30 TEXAS RADIOLOGY ASSOCIATES LLP PLANO TX DIAGNOSTIC RADIOLOGY 153 30 $8,760 $292 24.2% (469) 814-2000
31 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 29 $2,730 $94 6.2% (800) 926-8273
32 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 28 $3,920 $140 7.0% —
33 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 28 $1,820 $65 11.4% —
34 PALM VALLEY MULTI-SPECIALTY MEDICAL GROUP PC PALM DESERT CA PHYSICIAN ASSISTANT 16 27 $2,800 $104 5.8% (760) 760-4343
35 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 25 $5,575 $223 23.8% —
36 UNMC PHYSICIANS OMAHA TX PHYSICIAN ASSISTANT 1514 23 $1,932 $84 18.5% (402) 559-4000
37 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE WI NURSE PRACTITIONER 799 23 $5,405 $235 21.9% (715) 838-5222
38 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD OH PHYSICIAN ASSISTANT 419 22 $3,310 $150 39.3% (203) 276-4644
39 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 21 $6,720 $320 19.1% (800) 603-0558
40 FAIRFAX RADIOLOGICAL CONSULTANTS ALEXANDRIA VA DIAGNOSTIC RADIOLOGY 150 20 $2,714 $136 100.0% (703) 698-4444
41 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA NY DIAGNOSTIC RADIOLOGY 398 20 $3,408 $170 9.2% (215) 955-6161
42 NORTHWEST IOWA HOSPITAL CORPORATION SIOUX CITY SD NURSE PRACTITIONER 117 20 $1,158 $58 8.7% (712) 279-3500
43 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 20 $3,320 $166 5.0% (217) 544-6464
44 UNMC PHYSICIANS OMAHA AZ PHYSICIAN ASSISTANT 1514 19 $1,596 $84 17.3% (402) 559-4000
45 IMAGING ASSOCIATES OF NEW MEXICO LLC SAN ANTONIO NM DIAGNOSTIC RADIOLOGY 152 19 $4,349 $229 37.3% (424) 290-8004
46 RADIOLOGISTS OF NORTH IOWA PC MASON CITY IA DIAGNOSTIC RADIOLOGY 14 18 $1,710 $95 6.9% (641) 424-0102
47 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY IA NURSE PRACTITIONER 1228 18 $1,170 $65 6.9% —
48 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 17 $2,125 $125 100.0% (864) 255-1901
49 SOUTH SHORE RADIOLOGICAL ASSOCIATES INC SOUTH WEYMOUTH MA DIAGNOSTIC RADIOLOGY 36 16 $1,360 $85 100.0% (781) 340-8000
50 CHARLOTTE RADIOLOGY PA CHARLOTTE NC DIAGNOSTIC RADIOLOGY 218 16 $2,352 $147 100.0% (704) 362-1945
51 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILL NJ PHYSICIAN ASSISTANT 403 16 $1,600 $100 4.9% (844) 542-2273
52 USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE ND NURSE PRACTITIONER 353 15 $1,131 $75 12.1% (251) 471-7000
53 MORI BEAN AND BROOKS INC ORANGE PARK FL DIAGNOSTIC RADIOLOGY 947 15 $4,920 $328 11.1% (904) 399-5550
54 AVERA MCKENNAN SIOUX FALLS WA NURSE PRACTITIONER 964 15 $352 $23 16.1% (605) 322-5180
55 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 14 $1,148 $82 29.2% (410) 663-8100
56 LEXINGTON RADIOLOGY ASSOCIATES WEST COLUMBIA MI DIAGNOSTIC RADIOLOGY 32 13 $1,144 $88 7.5% (803) 791-2365
57 DIAGNOSTIC IMAGING ASSOCIATES, P.C. DES MOINES TX DIAGNOSTIC RADIOLOGY 21 13 $1,469 $113 10.5% (515) 643-2667
58 IHC HEALTH SERVICES INC MURRAY AZ PHYSICIAN ASSISTANT 3944 13 $1,030 $79 11.8% (801) 261-8346
59 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 12 $1,380 $115 35.3% (203) 688-4242

*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 →