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Market snapshot

Q4159 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q4159 — Affinity, per square centimeter

Billing groups
10
Named-group FFS services
8,103
FFS of Medicare
49%
Services YoY
-50.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~17,340 services

8,103 observed fee-for-service (47%) · ~9,237 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 — Q4159 (CY2024)

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

Named-group submitted charges
$5.2M
Named-group allowed amount
$2.5M
Named-group Medicare payments
$2.0M
Avg charge / svc
$636
Avg allowed / svc
$305
Avg payment / svc
$243
Average charge per group
$307 10 groups · avg submitted charge / service $1,611
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by Q4159 services, CY2024
#Physician group City St Specialty Providers Q4159 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SAN LUIS DERMATOLOGY, INC. SAN LUIS OBISPO OH DERMATOLOGY 6 2,317 $689,716 $298 premium 85.1% (805) 541-2650
2 SAN LUIS DERMATOLOGY, INC. SAN LUIS OBISPO CA DERMATOLOGY 6 1,536 $494,617 $322 premium 100.0% (805) 541-2650
3 THE SOUTH BEND CLINIC LLC SOUTH BEND IN NURSE PRACTITIONER 166 903 $1,026,118 $1,136 premium 100.0% (574) 234-8161
4 SKIN WELLNESS PHYSICIANS LLC NAPLES FL DERMATOLOGY 9 666 $306,954 $461 premium 46.4% (239) 732-0044
5 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 463 $547,312 $1,182 premium 100.0%
6 SKIN AND CANCER CENTER OF ARIZONA PC CHANDLER AZ DERMATOLOGY 13 406 $341,852 $842 premium 100.0% 4808997546120
7 LUCENT DERMATOLOGY AND SKIN SURGERY CENTER CORP BEACHWOOD OH DERMATOLOGY 2 406 $262,094 $646 premium 14.9% (216) 342-3333
8 SUN DERMATOLOGY LLC PANAMA CITY FL DERMATOLOGY 3 399 $235,521 $590 premium 27.8% (850) 215-3612
9 FOREFRONT DERMATOLOGY SC PENSACOLA FL PHYSICIAN ASSISTANT 639 370 $596,144 $1,611 premium 25.8% (800) 243-7546
10 PARAGON HEALTH PC KALAMAZOO MI NEPHROLOGY 51 350 $344,065 $983 premium 100.0% (269) 382-3012
11 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 287 $308,812 $1,076 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 →