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Market snapshot

76831 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

76831 — Ultrasound scan of uterus and uterine cavity

Billing groups
13
Named-group FFS services
340
FFS of Medicare
49%
Services YoY
+1.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~724 services

340 observed fee-for-service (47%) · ~384 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 — 76831 (CY2024)

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

Named-group submitted charges
$151K
Named-group allowed amount
$39K
Named-group Medicare payments
$30K
Avg charge / svc
$443
Avg allowed / svc
$114
Avg payment / svc
$89
Average charge per group
$234 13 groups · avg submitted charge / service $1,035
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 76831 services, CY2024
#Physician group City St Specialty Providers 76831 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 84 $36,960 $440 premium 53.8% (631) 751-3000
2 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 36 $26,175 $727 premium 41.9% (305) 273-4641
3 WOMENS CARE FLORIDA LLC TAMPA FL OBSTETRICS/GYNECOLOGY 334 34 $14,008 $412 premium 39.5% (813) 961-7440
4 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 34 $7,956 $234 premium 50.7%
5 MALAMA IMAGING LLC AIEA HI OBSTETRICS/GYNECOLOGY 2 24 $7,115 $296 premium 100.0% (808) 486-6000
6 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 23 $10,327 $449 premium 100.0% (800) 825-5391
7 HERA SAMBAZIOTIS MD MPH AND MARTINA FRANDINA MD, OBSTETRICS AND GYNECO NEW HYDE PARK NY OBSTETRICS/GYNECOLOGY 4 19 $5,225 $275 premium 12.2% (516) 437-2020
8 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 16 $5,600 $350 premium 18.6%
9 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 16 $16,560 $1,035 premium 10.3% (866) 633-8255
10 MID-ATLANTIC WOMENS CARE PLC NORFOLK VA OBSTETRICS/GYNECOLOGY 153 15 $5,580 $372 premium 100.0% (757) 466-6350
11 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 14 $8,316 $594 premium 9.0%
12 MCDONALD MURRMANN CENTER FOR WOMENS HEALTH GERMANTOWN TN NURSE PRACTITIONER 6 13 $3,900 $300 premium 100.0% (901) 752-4000
13 TOGETHER WOMEN'S HEALTH MEDICAL GROUP, P.C. ROYAL OAK MI OBSTETRICS/GYNECOLOGY 70 12 $3,000 $250 premium 100.0% (248) 584-7600

*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 →