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Market snapshot

97606 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

97606 — Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm

Billing groups
23
Named-group FFS services
687
FFS of Medicare
49%
Services YoY
-23.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,465 services

687 observed fee-for-service (47%) · ~778 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 — 97606 (CY2024)

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

Named-group submitted charges
$148K
Named-group allowed amount
$18K
Named-group Medicare payments
$14K
Avg charge / svc
$216
Avg allowed / svc
$26
Avg payment / svc
$21
Average charge per group
$47 23 groups · avg submitted charge / service $914
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 97606 services, CY2024
#Physician group City St Specialty Providers 97606 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 89 $5,905 $66 premium 64.5% (202) 429-2401
2 WEST FLORIDA PHYSICIAN NETWORK, LLC BRADENTON FL NURSE PRACTITIONER 46 70 $7,340 $105 premium 16.5% (941) 465-4800
3 DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI PHYSICIAN ASSISTANT 192 54 $5,538 $103 premium 72.0%
4 SOUTH FLORIDA PREMIER SURGERY LLC DELRAY BEACH FL GENERAL SURGERY 7 42 $22,925 $546 premium 9.9% (305) 708-4488
5 CHRISTUS TRINITY CLINIC TYLER AZ NURSE PRACTITIONER 1495 41 $7,093 $173 premium 100.0% (903) 606-5560
6 HALIFAX HEALTHCARE SYSTEMS INC DAYTONA BCH FL NURSE PRACTITIONER 337 40 $2,240 $56 premium 9.4% (386) 254-4000
7 JOSEPH M STILL BURN CENTERS, INC AUGUSTA GA PHYSICIAN ASSISTANT 46 39 $35,646 $914 premium 70.9% (706) 863-9595
8 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 31 $18,724 $604 premium 33.3%
9 GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC TAMPA FL PHYSICIAN ASSISTANT 31 31 $3,372 $109 premium 7.3% (813) 877-1415
10 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 27 $2,376 $88 premium 100.0% (502) 937-2209
11 HEALTHONE CLINIC SERVICES ORTHOPEDIC SPECIALISTS LLC ENGLEWOOD CO PHYSICIAN ASSISTANT 78 23 $2,674 $116 premium 50.0% (303) 209-2503
12 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 23 $5,253 $228 premium 50.0% (720) 777-1234
13 ANTHONY N DARDANO DO PA BOCA RATON FL NURSE PRACTITIONER 2 22 $10,978 $499 premium 5.2% (561) 361-0065
14 MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC TOLEDO MI NURSE PRACTITIONER 341 21 $987 $47 premium 28.0% (419) 251-3180
15 UNITED REGIONAL PHYSICIAN GROUP WICHITA FALLS TX NURSE PRACTITIONER 101 19 $2,147 $113 premium 38.0% (940) 766-3320
16 SHARIF SURGICAL PLLC FORT WORTH TX PHYSICIAN ASSISTANT 2 19 $4,220 $222 premium 38.0% (817) 332-0786
17 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 16 $1,664 $104 premium 29.1% (770) 219-7777
18 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 15 $1,590 $106 premium 100.0% (501) 202-2093
19 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 14 $1,302 $93 premium 3.3% (786) 662-0600
20 UPSTATE ORTHOPEDICS, LLP CAMILLUS NY ORTHOPEDIC SURGERY 34 14 $2,170 $155 premium 15.1% (315) 551-6000
21 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 14 $2,116 $151 premium 3.3% (352) 265-8990
22 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO PHYSICIAN ASSISTANT 251 12 $1,109 $92 premium 100.0% (417) 875-3000
23 DLP MARIA PARHAM PHYSICIAN PRACTICES LLC HENDERSON IL NURSE PRACTITIONER 52 11 $924 $84 premium 100.0%

*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 →