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Market snapshot

95165 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95165 — Professional service for preparation and provision of 1 or more antigens

Billing groups
1,004
Named-group FFS services
3,403,654
FFS of Medicare
49%
Services YoY
-1.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,868,755 services

3,403,653 observed fee-for-service (50%) · ~3,465,102 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 — 95165 (CY2024)

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

Named-group submitted charges
$103.6M
Named-group allowed amount
$46.9M
Named-group Medicare payments
$35.1M
Avg charge / svc
$30
Avg allowed / svc
$14
Avg payment / svc
$10
Average charge per group
$3 1,004 groups · avg submitted charge / service $159
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Specialty market — Qualified Audiologist: 44,541 services across 28 groups; top group 15%. See Qualified Audiologist across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 95165 services, CY2024
#Physician group City St Specialty Providers 95165 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 EAR NOSE AND THROAT ASSOCIATES PC FORT WAYNE IN QUALIFIED AUDIOLOGIST 37 6,620 $198,600 $30 premium 7.9% (260) 426-8117
2 EAR NOSE AND THROAT ASSOCIATES OF BUTLER, LTD BUTLER PA QUALIFIED AUDIOLOGIST 4 6,560 $91,840 $14 premium 3.1% (724) 782-0028
3 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE SC QUALIFIED AUDIOLOGIST 158 5,370 $187,950 $35 premium 2.8% (704) 295-3414
4 ENT AND ALLERGY CENTER, PA FAYETTEVILLE AR QUALIFIED AUDIOLOGIST 5 4,740 $104,280 $22 premium 7.4%
5 HERMAN G LEONG M D P A VICTORIA TX QUALIFIED AUDIOLOGIST 3 2,261 $56,750 $25 premium 0.3% (361) 573-4331
6 MID MICHIGAN EAR NOSE AND THROAT PC EAST LANSING MI QUALIFIED AUDIOLOGIST 25 1,817 $57,180 $31 premium 1.9% (517) 324-4911
7 EAR NOSE AND THROAT CONSULTANTS OF NORTH MISSISSIPPI PLLC OXFORD MS QUALIFIED AUDIOLOGIST 10 1,610 $45,080 $28 premium 2.8% (662) 234-1337
8 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 1,527 $53,445 $35 premium 1.0% (704) 295-3414
9 TENNESSEE EAR, NOSE AND THROAT CONSULTANTS, PC KNOXVILLE TN QUALIFIED AUDIOLOGIST 26 1,137 $32,973 $29 premium 0.4% (865) 693-6065
10 NORTHWEST ENT ASSOCIATES PC MARIETTA GA QUALIFIED AUDIOLOGIST 14 1,078 $43,012 $40 premium 1.0% (770) 427-0368
11 ANNAPOLIS ENT SURGICAL CENTER LLC ANNAPOLIS MD QUALIFIED AUDIOLOGIST 45 1,070 $32,100 $30 premium 1.2% (410) 266-3900
12 DOWNRIVER ENT PC ALLEN PARK MI QUALIFIED AUDIOLOGIST 2 1,059 $15,885 $15 premium 1.1% (313) 381-8787
13 EAR, NOSE AND THROAT PHYSICIANS OF NORTH MISS., P.A TUPELO MS QUALIFIED AUDIOLOGIST 22 875 $35,884 $41 premium 1.5% (662) 840-7034
14 GEOFFREY SCOTT MD PA NORTH RICHLAND HILLS TX QUALIFIED AUDIOLOGIST 4 670 $16,750 $25 premium 0.1% (817) 595-3700
15 CENTERS FOR ADVANCED ENT CARE LLC BETHESDA VA QUALIFIED AUDIOLOGIST 102 635 $14,865 $23 premium 0.2% (301) 652-8847
16 ALAMANCE EAR NOSE AND THROAT LLP BURLINGTON NC QUALIFIED AUDIOLOGIST 13 625 $16,250 $26 premium 0.4% (336) 226-0660
17 CAPE ENT, P.A. LEWES DE QUALIFIED AUDIOLOGIST 4 612 $18,686 $31 premium 2.3% (302) 703-4025
18 ENT SURGERY GROUP PC CAMP HILL PA QUALIFIED AUDIOLOGIST 8 533 $11,445 $21 premium 0.3% (717) 761-4844
19 KINSTON HEAD AND NECK PHYSICIANS AND SURGEONS PA KINSTON NC QUALIFIED AUDIOLOGIST 9 520 $17,160 $33 premium 0.3% (252) 523-0687
20 EAR NOSE AND THROAT ASSOCIATES OF CHESTER COUNTY EXTON PA QUALIFIED AUDIOLOGIST 16 473 $26,488 $56 premium 0.2% (610) 363-2532
21 COLDEN EAR NOSE THROAT AND ALLERGY LLC NEWBURYPORT MA QUALIFIED AUDIOLOGIST 5 463 $19,446 $42 premium 0.5% (978) 997-1550
22 MIDWEST EAR INSTITUTE, P.C. INDIANAPOLIS IN QUALIFIED AUDIOLOGIST 6 416 $6,646 $16 premium 0.5% (317) 842-4901
23 MID MICHIGAN EAR NOSE AND THROAT PC EAST LANSING GA QUALIFIED AUDIOLOGIST 25 406 $12,420 $31 premium 0.4% (517) 324-4911
24 OTOLARYNGOLOGY HEAD AND NECK SURGERY ASSOCIATES KNOXVILLE TN QUALIFIED AUDIOLOGIST 15 405 $22,680 $56 premium 0.1% (865) 777-1727
25 SOUTHWEST OHIO ENT SPECIALISTS INC DAYTON OH QUALIFIED AUDIOLOGIST 43 385 $8,855 $23 premium 0.3% 9374962620437
26 PINNACLE ENT ALLIANCE LLC HAVERTOWN PA QUALIFIED AUDIOLOGIST 67 380 $11,960 $31 premium 0.2% 6104466900230
27 MANCHESTER EAR, NOSE AND THROAT CENTER LLC SOUTH WINDSOR CT QUALIFIED AUDIOLOGIST 3 380 $13,300 $35 premium 1.8% (860) 648-0860
28 CAPE ENT, P.A. LEWES MD QUALIFIED AUDIOLOGIST 4 374 $9,350 $25 premium 0.4% (302) 703-4025
29 ENT AND ALLERGY ASSOCIATES SC WAUSAU WI QUALIFIED AUDIOLOGIST 25 370 $15,540 $42 premium 4.2% (715) 847-2021
30 KEVIN LUNDE, M.D., P.A. PLANO TX QUALIFIED AUDIOLOGIST 3 360 $6,946 $19 premium 0.1% (972) 985-3223
31 OHIO HEAD AND NECK SURGEONS, INC CANTON OH QUALIFIED AUDIOLOGIST 10 315 $6,772 $22 premium 0.3% (330) 492-2844
32 EAR NOSE AND THROAT ASSOCIATES PC FORT WAYNE MO QUALIFIED AUDIOLOGIST 37 260 $7,800 $30 premium 0.3% (260) 426-8117
33 OTOLARYNGOLOGY HEAD AND NECK SURGERY ASSOCIATES KNOXVILLE MI QUALIFIED AUDIOLOGIST 15 235 $13,160 $56 premium 0.3% (865) 777-1727

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →