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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
A4353 Intermittent urinary catheter, with insertion supplies HCPCS · Orthotic Devices dme
Classification DME › Orthotic Devices › Intermittent Urinary Catheter (CMS RBCS)
First observed 2021
National scale 1,253 services · est. ▼ 45.3% YoY · 386 FFS beneficiaries (CY2024, all-Medicare estimate) — 625 observed fee-for-service services
Medicare paid $9K · est. · $7.02 avg / service, national — $4K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

8

Named groups billing this code
Named-group all-Medicare svcs · est.

1,157

Scaled from 577 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-45.3%

All-Medicare est. · observed FFS -47.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,157 services

577 observed fee-for-service (50%) · ~580 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Top states — A4353 (CY2024)
AZ 805 TN 185 CA 110 MA 81 UT 39

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid
Named-group submitted charges
$17K
Named-group allowed amount
$5K
Named-group Medicare payments
$8K · est.
— $4K observed FFS
Avg charge / svc
$29
Avg allowed / svc
$9
Avg payment / svc
$7
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$10 8 groups · avg submitted charge / service $50
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers A4353 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 VALLEY UROGYNECOLOGY ASSOCIATES LTD PHOENIX AZ OBSTETRICS/GYNECOLOGY 4 184 $4,600 $25 46.0% (602) 788-1521
2 PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY LLC SCOTTSDALE AZ OBSTETRICS/GYNECOLOGY 2 162 $8,100 $50 40.5% (480) 656-0207
3 RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. SOUTH PITTSBURG TN NURSE PRACTITIONER 2 68 $680 $10 77.3% (423) 837-5801
4 MODOCUROGYN, PLLC MESA AZ NURSE PRACTITIONER 2 54 $1,620 $30 13.5% (480) 889-2654
5 BARTON MEDICAL FOUNDATION SOUTH LAKE TAHOE CA PHYSICIAN ASSISTANT 95 40 $640 $16 74.1% (530) 539-6620
That's the top 5 of 8 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →