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Market snapshot

99232 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99232 — Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes

Billing groups
10,599
Named-group FFS services
21,741,021
FFS of Medicare
49%
Services YoY
-2.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~44,431,139 services

21,741,021 observed fee-for-service (49%) · ~22,690,118 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; 6 states without payer-mix data excluded. How we scale

Top states — 99232 (CY2024)

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

Named-group submitted charges
$4.5B
Named-group allowed amount
$1.7B
Named-group Medicare payments
$1.3B
Avg charge / svc
$205
Avg allowed / svc
$76
Avg payment / svc
$60
Average charge per group
$51 10,599 groups · avg submitted charge / service $2,600
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Specialty market — Colorectal Surgery (Proctology): 2,593 services across 16 groups; top group 25%. See Colorectal Surgery (Proctology) across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99232 services, CY2024
#Physician group City St Specialty Providers 99232 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 AMER ALAME MD PC DEARBORN MI COLORECTAL SURGERY (PROCTOLOGY) 7 655 $81,875 $125 premium 0.1% (313) 333-7372
2 LM PRASAD M.D S.C PARK RIDGE IL COLORECTAL SURGERY (PROCTOLOGY) 3 344 $51,600 $150 premium 0.0% (847) 759-1110
3 MIDWEST HEMORRHOID TREATMENT CENTER LLC LEAWOOD KS COLORECTAL SURGERY (PROCTOLOGY) 2 312 $43,680 $140 premium 0.1% (913) 322-8859
4 ATL COLORECTAL SURGERY ATLANTA GA COLORECTAL SURGERY (PROCTOLOGY) 5 197 $35,034 $178 premium 0.0% 4045745820105
5 CNJ SPECIALTY SURGICAL ASSOCIATE EATONTOWN NJ COLORECTAL SURGERY (PROCTOLOGY) 6 149 $29,652 $199 premium 0.0% (732) 389-1331
6 NORTHWEST COLON AND RECTAL SURGERY, P.A. HOUSTON TX COLORECTAL SURGERY (PROCTOLOGY) 3 129 $20,253 $157 premium 0.0% (281) 583-1300
7 UNIVERSITY OF ROCHESTER SURGICAL ASSOCIATES ROCHESTER NY COLORECTAL SURGERY (PROCTOLOGY) 46 119 $39,865 $335 premium 0.0% (585) 275-1984
8 DOMINGO E GALLIANO JR PA PORT CHARLOTTE FL COLORECTAL SURGERY (PROCTOLOGY) 3 116 $15,892 $137 premium 0.0% (941) 625-3411
9 MIDWEST COLON AND RECTAL SURGERY INC CARMEL IN COLORECTAL SURGERY (PROCTOLOGY) 3 105 $21,210 $202 premium 0.0% (317) 844-5273
10 ALABAMA COLON AND RECTAL INSTITUTE, P.C. BIRMINGHAM AL COLORECTAL SURGERY (PROCTOLOGY) 4 90 $9,000 $100 premium 0.0% (205) 458-5000
11 COLON AND RECTAL ASSOCIATES, LTD ABINGTON PA COLORECTAL SURGERY (PROCTOLOGY) 6 86 $17,200 $200 premium 0.0% (215) 517-1250
12 SAHAI SURGICAL SPECIALISTS PLC CHANDLER AZ COLORECTAL SURGERY (PROCTOLOGY) 3 80 $11,600 $145 premium 0.0% (480) 646-8440
13 BERKS COLORECTAL SURGICAL ASSOCIATES WEST READING PA COLORECTAL SURGERY (PROCTOLOGY) 2 67 $8,375 $125 premium 0.0% (610) 375-6001
14 MANHATTAN COLORECTAL SURGEONS LLC NEW YORK NY COLORECTAL SURGERY (PROCTOLOGY) 2 50 $15,000 $300 premium 0.0% (212) 675-2997
15 THE SURGERY GROUP OF LOS ANGELES PC Los Angeles CA COLORECTAL SURGERY (PROCTOLOGY) 3 50 $4,078 $82 premium 0.0%
16 EVANSVILLE COLORECTAL SURGERY LLC NEWBURGH IN COLORECTAL SURGERY (PROCTOLOGY) 2 44 $9,196 $209 premium 0.0% (812) 999-3277

*"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 →