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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4196 Puraply am, per square centimeter HCPCS · Medical/Surgical Supplies dme
Classification DME Medical/Surgical Supplies Skin Allograft (CMS RBCS)
First observed 2019
National scale 28,895 services ▼ 48.4% YoY · 842 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.4M · $81.50 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
17
Named-group FFS services
18,662
FFS of Medicare
49%
Services YoY
-48.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~39,036 services

18,662 observed fee-for-service (48%) · ~20,374 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 — Q4196 (CY2024)

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

Named-group submitted charges
$4.3M
Named-group allowed amount
$1.9M
Named-group Medicare payments
$1.5M
Avg charge / svc
$229
Avg allowed / svc
$102
Avg payment / svc
$81
Average charge per group
$135 17 groups · avg submitted charge / service $364
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by Q4196 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort Q4196 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 4,995 $1,583,415 $317 premium 35.9%
2 PEYMAN GHASRI MD A PROF CORP TARZANA CA DERMATOLOGY 3 2,219 $332,850 $150 premium 16.0% (818) 344-3376
3 CONSONANT HEALING ASSOCIATES OF DE LLC CLARKSVILLE KY NURSE PRACTITIONER 85 2,035 $437,525 $215 premium 100.0% (443) 383-9300
4 FOREFRONT DERMATOLOGY SC PENSACOLA PA PHYSICIAN ASSISTANT 639 1,448 $472,439 $326 premium 100.0% (800) 243-7546
5 EDGAR S. MACIAS, M.D., INC FRESNO CA NURSE PRACTITIONER 11 1,395 $188,841 $135 premium 10.0% (559) 431-2397
6 DERMATOLOGY CONSULTANTS PC ATLANTA GA DERMATOLOGY 6 1,115 $156,100 $140 premium 50.7% (404) 351-7546
7 FLORIDA DERMATOLOGY ASSOCIATES INC PALM BAY FL PHYSICIAN ASSISTANT 8 871 $136,363 $157 premium 71.6% (321) 768-1600
8 PARAGON HEALTH PC KALAMAZOO MI NEPHROLOGY 51 747 $127,425 $171 premium 77.2% (269) 382-3012
9 JAMES T SANDWICH MD PC FAYETTEVILLE GA PHYSICIAN ASSISTANT 6 708 $129,242 $183 premium 32.2%
10 SALINA REGIONAL HEALTH CENTER INC SALINA KS NURSE PRACTITIONER 160 603 $219,520 $364 premium 100.0%
11 NEBRASKA LOWER EXTREMITY SURGERY GROUP LLC BELLEVUE NE PODIATRY 4 474 $82,950 $175 premium 100.0% (402) 991-8999
12 ELITE HEALTH AND WELLNESS ELKO NV NURSE PRACTITIONER 2 440 $69,720 $158 premium 18.9% (775) 372-7444
13 OPTIMA DERMATOLOGY LLC BOARDMAN OH DERMATOLOGY 75 383 $66,807 $174 premium 100.0% (330) 965-8760
14 VASCULAR SURGICAL ASSOCIATES, PC MARIETTA GA PHYSICIAN ASSISTANT 25 378 $94,500 $250 premium 17.2% (770) 423-0595
15 HIGHTOWER DERMATOLOGY SERVICES, LLC SUN CITY CENTER FL NURSE PRACTITIONER 5 346 $54,027 $156 premium 28.4% (813) 634-1484
16 BERMAN MEDICAL CONSULTING PC GLENDALE AZ NURSE PRACTITIONER 8 285 $62,700 $220 premium 30.5% (480) 347-0844
17 ZARKA DERMATOLOGY PLLC LAPEER MI DERMATOLOGY 3 220 $52,617 $239 premium 22.8% (810) 245-9380

*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 →