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Market snapshot

99153 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99153 — Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes

Billing groups
569
Named-group FFS services
123,273
FFS of Medicare
49%
Services YoY
-8.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~250,909 services

123,273 observed fee-for-service (49%) · ~127,636 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 — 99153 (CY2024)
CA 27,095 FL 23,985 TX 19,146 AZ 18,604 MI 11,080

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

Named-group submitted charges
$5.5M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$1.1M
Avg charge / svc
$45
Avg allowed / svc
$12
Avg payment / svc
$9
Average charge per group
$10 569 groups · avg submitted charge / service $500
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Specialty market — Vascular Surgery: 18,808 services across 54 groups; top group 13%. See Vascular Surgery across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99153 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 VASCULAR SURGERY ASSOCIATES LLC TOWSON MD VASCULAR SURGERY 15 2,300 $41,387 $18 — 21.4% (410) 825-4928
2 SOUTHERN CONNECTICUT VASCULAR CENTER LLC STRATFORD CT VASCULAR SURGERY 36 1,483 $81,565 $55 — 58.2% (203) 210-6340
3 HORIZON SURGICAL GROUP PA FREDERICK MD VASCULAR SURGERY 8 1,195 $36,220 $30 — 11.1% (240) 529-1414
4 GENERAL VASCULAR SURGERY MEDICAL GROUP INC SAN LEANDRO CA VASCULAR SURGERY 5 1,011 $32,787 $32 30.2% 3.7% (510) 347-4700
5 OREGON VASCULAR SPECIALISTS LLC BEND OR VASCULAR SURGERY 12 895 $29,544 $33 — 49.4% (541) 313-8111
6 VHC PC BATTLE CREEK MI VASCULAR SURGERY 3 767 $13,280 $17 — 6.9% (269) 979-6310
7 SAMER SAIEDY MD PA HAVRE DE GRACE MD VASCULAR SURGERY 15 632 $15,800 $25 — 5.9% (410) 942-1000
8 COASTAL SURGICAL SPECIALISTS P A NEW BERN NC VASCULAR SURGERY 4 547 $10,940 $20 — 12.8% (252) 638-8118
9 VASCULAR CARE GROUP LLC HYANNIS MA VASCULAR SURGERY 27 497 $28,328 $57 — 11.3% (508) 775-1984
10 SAVANNAH VASCULAR INSTITUTE, LLC SAVANNAH GA VASCULAR SURGERY 21 483 $12,075 $25 — 9.1% (912) 352-8346
11 VASCULAR AND THORACIC ASSOCIATES OF LOS ANGELES LYNWOOD CA VASCULAR SURGERY 2 475 $7,737 $16 14.2% 1.8% (562) 698-0271
12 VASCULAR SPECIALISTS LLC TINLEY PARK IL VASCULAR SURGERY 6 473 $11,352 $24 — 7.5% 8158244406128
13 POLYXENE GAZETAS KOKINOS MD PC CAMPBELL CA VASCULAR SURGERY 5 456 $13,680 $30 13.6% 1.7% (408) 376-3626
14 MID MICHIGAN VASCULAR SURGERY, P.C. SAGINAW MI VASCULAR SURGERY 6 384 $34,560 $90 — 3.5% (989) 790-2600
15 VASCULAR HEALTH CLINICS PLLC MIDLAND MI VASCULAR SURGERY 4 373 $9,876 $26 — 3.4% (989) 254-6427
16 VASCULAR ASSOCIATES OF SARASOTA SARASOTA FL VASCULAR SURGERY 13 365 $8,030 $22 — 1.5% (941) 371-6565
17 SONORAN VEIN AND ENDOVASCULAR LLC PEORIA AZ VASCULAR SURGERY 6 362 $7,714 $21 — 1.9% —
18 POLYXENE GAZETAS KOKINOS MD PC CAMPBELL NY VASCULAR SURGERY 5 355 $10,650 $30 — 4.1% (408) 376-3626
19 NEW YORK VASCULAR GROUP PLLC CORNWALL NY VASCULAR SURGERY 3 317 $15,850 $50 — 3.7% (203) 210-6340
20 VASCULAR CARE SPECIALISTS OF LOS ANGELES MONTEREY PARK CA VASCULAR SURGERY 2 287 $34,440 $120 8.6% 1.1% (626) 269-9993
21 DAKOTA VASCULAR PROF LLC SIOUX FALLS SD VASCULAR SURGERY 6 286 $9,443 $33 — 9.0% (605) 306-6100
22 REISS KANG JAYANETTI PEREDA GALINANES, MD, PA SOUTH MIAMI FL VASCULAR SURGERY 5 286 $8,891 $31 — 1.2% (305) 668-1660
23 MISSION SURGICAL CLINIC INC CORONA CA VASCULAR SURGERY 5 283 $8,753 $31 8.5% 1.0% (951) 278-8870
24 WESTERN VASCULAR INSTITUTE PLLC MESA AZ VASCULAR SURGERY 8 281 $4,496 $16 — 1.5% (480) 668-5000
25 KEVIN M CASEY MD APMC SANTA BARBARA CA VASCULAR SURGERY 4 240 $5,760 $24 7.2% 0.9% 8054568890127
26 BAY SURGICAL SPECIALISTS, PA ST PETERSBURG FL VASCULAR SURGERY 8 224 $6,944 $31 — 0.9% 7278218101303
27 PACIFIC VASCUCARE, INC. LOS ANGELES CA VASCULAR SURGERY 4 219 $7,665 $35 6.5% 0.8% (213) 201-0850
28 VASCULAR CT PLLC DARIEN CT VASCULAR SURGERY 5 213 $12,058 $57 — 8.4% (203) 548-7858
29 ALVAREZ MD AND LEARY MD PC WEST SENECA NY VASCULAR SURGERY 6 193 $2,895 $15 — 2.3% (716) 671-8393
30 THOMAS M KERR MD PA TAMPA FL VASCULAR SURGERY 9 189 $3,969 $21 — 0.8% (813) 348-9088
31 VASCULAR WELLNESS INSTITUTE, LLC. BRADENTON FL VASCULAR SURGERY 2 188 $3,384 $18 — 0.8% (941) 795-6370
32 VASCULAR ASSOCIATES OF SOUTH ALABAMA LLC MOBILE MS VASCULAR SURGERY 6 180 $4,500 $25 — 4.2% (251) 410-8272
33 VEIN AND VASCULAR EXPERTS PLLC LAKELAND FL VASCULAR SURGERY 5 179 $2,884 $16 — 0.7% (863) 937-3139
34 RHODE ISLAND VASCULAR CENTER, LLC NEW LONDON RI VASCULAR SURGERY 6 167 $8,350 $50 — 100.0% (860) 772-0380
35 VASCULAR SURGERY ASSOCIATES LLC TOWSON PA VASCULAR SURGERY 15 145 $2,610 $18 — 10.9% (410) 825-4928
36 VASCULAR CENTER OF NAPLES INC NAPLES FL VASCULAR SURGERY 5 129 $3,793 $29 — 0.5% (239) 431-5884
37 SOUTH BAY VASCULAR SURGERY INC TORRANCE CA VASCULAR SURGERY 4 124 $5,084 $41 3.7% 0.5% (310) 373-6864
38 ALYESKA VASCULAR SURGERY, LLC ANCHORAGE AL VASCULAR SURGERY 14 119 $7,476 $63 — 5.7% (907) 562-8346
39 VEGAS VASCULAR SPECIALISTS PLLC LAS VEGAS NV VASCULAR SURGERY 9 114 $13,300 $117 — 8.6% (702) 565-8346
40 UNIVERSITY VASCULAR ASSOCIATES INC LOS ANGELES CA VASCULAR SURGERY 6 107 $2,782 $26 3.2% 0.4% (310) 209-2011
41 VELLORE R RAMAKRISHNAN M.D., P.C. LIVONIA MI VASCULAR SURGERY 3 106 $5,300 $50 — 1.0% (734) 462-8401
42 NORTH ATLANTA VASCULAR CLINIC PC SUWANEE GA VASCULAR SURGERY 4 103 $2,575 $25 — 1.9% (770) 771-5260
43 ANDERSON HEART LLC ANDERSON SC VASCULAR SURGERY 4 99 $4,257 $43 — 6.6% (864) 261-7474
44 VASCULAR SURGERY ASSOCIATES PLLC CHICAGO RIDGE IL VASCULAR SURGERY 7 90 $2,760 $31 — 1.4% (708) 346-9533
45 COASTAL VASCULAR CENTER PC OXNARD CA VASCULAR SURGERY 4 87 $5,299 $61 2.6% 0.3% (805) 983-6233
46 KEVIN M CASEY MD APMC SANTA BARBARA OR VASCULAR SURGERY 4 75 $1,810 $24 — 4.1% 8054568890127
47 PINELLAS VASCULAR LLC ST PETERSBURG FL VASCULAR SURGERY 4 75 $2,716 $36 — 0.3% (727) 998-3467
48 PREMIER VASCULAR LLC MACON GA VASCULAR SURGERY 3 68 $2,894 $43 — 1.3% (478) 895-0138
49 AMERICAN VASCULAR SPECIALISTS LLC MESA AZ VASCULAR SURGERY 3 66 $1,438 $22 — 0.4% (480) 912-6262
50 UNITED SURGICAL ASSOCIATES PSC LEXINGTON KY VASCULAR SURGERY 10 66 $1,584 $24 — 2.4% (859) 278-4960
51 VASCULAR ASSOCIATES OF SOUTH ALABAMA LLC MOBILE AL VASCULAR SURGERY 6 64 $1,600 $25 — 3.0% (251) 410-8272
52 JERRY KIM MD INC POMONA CA VASCULAR SURGERY 3 60 $1,853 $31 1.8% 0.2% (909) 973-1148
53 SAN ANTONIO VASCULAR AND ENDOVASCULAR CLINIC PLLC SAN ANTONIO TX VASCULAR SURGERY 6 53 $1,132 $21 — 0.3% (210) 610-7283
54 NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC NEW HYDE PARK NY VASCULAR SURGERY 46 50 $1,798 $36 — 0.6% (516) 328-9800
55 FRESENIUS VASCULAR CARE MONTGOMERY LLLP MONTGOMERY AL VASCULAR SURGERY 4 48 $1,360 $28 — 2.3% (334) 593-7434
56 SAVANNAH VASCULAR INSTITUTE, LLC SAVANNAH SC VASCULAR SURGERY 21 47 $1,175 $25 — 3.1% (912) 352-8346
57 RIZWAN H BUKHARI MD PA MESQUITE TX VASCULAR SURGERY 2 47 $787 $17 — 0.2% (972) 885-8346
58 RIVER CITY VASCULAR SPECIALISTS LLC COLUMBUS GA VASCULAR SURGERY 3 45 $450 $10 — 0.8% (706) 984-7000
59 AMERICAN ACCESS CARE OF MIAMI, LLC MIAMI FL VASCULAR SURGERY 6 36 $1,152 $32 — 0.2% (305) 670-1044

*"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 →