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Market snapshot

L8607 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

L8607 — Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies

Billing groups
8
Named-group FFS services
1,134
FFS of Medicare
49%
Services YoY
-5.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,363 services

1,134 observed fee-for-service (48%) · ~1,229 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 — L8607 (CY2024)

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

Named-group submitted charges
$110K
Named-group allowed amount
$56K
Named-group Medicare payments
$44K
Avg charge / svc
$97
Avg allowed / svc
$49
Avg payment / svc
$39
Average charge per group
$50 8 groups · avg submitted charge / service $1,602
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by L8607 services, CY2024
#Physician group City St Specialty Providers L8607 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 571 $34,260 $60 premium 86.0% (415) 600-1020
2 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 179 $8,950 $50 premium 100.0% (502) 629-2398
3 CAROLINA EAR NOSE AND THROAT-SINUS AND ALLERGY CENTER PA HICKORY NC OTOLARYNGOLOGY 19 130 $15,470 $119 premium 100.0% 8283222183266
4 PEAK ENT ASSOCIATES PROVO UT OTOLARYNGOLOGY 21 116 $11,600 $100 premium 100.0%
5 SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC SACRAMENTO CA OTOLARYNGOLOGY 34 93 $4,929 $53 premium 14.0% (916) 736-3399
6 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 18 $1,710 $95 premium 100.0% (212) 746-5454
7 OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY LLC COLUMBUS OH OTOLARYNGOLOGY 67 15 $13,500 $900 premium 55.6% (614) 366-3687
8 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 12 $19,230 $1,602 premium 44.4%

*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 →