NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
55867 Simple surgical subtotal removal of prostate using laparoscope CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems Prostate Resection (CMS RBCS)
First observed 2023
National scale 2,868 services · est. ▲ 42.8% YoY · 1,476 FFS beneficiaries (CY2024, all-Medicare estimate) — 1,476 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview
Market Brief 55867
The whole of 55867, written up and sourced.

The Brief is a national document for 55867. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for 55867 ran ~2,868 all-Medicare services (estimated), 1,476 observed fee-for-service in CY2024. The market is up 42.8% year over year. 44 billing groups and 87 clinicians bill it.
  2. 2Payment. Half the field lists between $2,107 and $3,344 per service; the median group lists $2,765. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. CA, TX, MD and CO lead the state markets — together 44% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~2,868 services

1,476 observed fee-for-service (51%) · ~1,392 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
Average charge
per service, submitted list amounts — not payments · named-group basis, observed FFS
Average payment
per service, Medicare paid amounts — not charges · all disclosed claims, observed FFS basis
Charge-to-payment ratio
average list price vs average Medicare payment per service · named-group basis
What they charge

Half the field lists between $2,107 and $3,344

Submitted charges are provider-set list amounts, not payments · median $2,765 (named groups)
Every group, one dot44 billing groups · median $2,765

The same field as one dot per billing group: where the cluster sits, and how far the tail reaches

$0$3,000$6,000++1 groups list more, to $8,000 →average submitted charge per service, per billing groupmedian $2,765
One dot per billing group, 55867 nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
MEVTNHWA: 56WAID: 69IDMTNDMNWIIL: 11ILMINY: 15NYMA: 24MARIOR: 11ORNVWYSD: 12SDIA: 26IAIN: 16INOH: 47OHPA: 45PANJ: 39NJCTCA: 263CAUT: 77UTCO: 101CONE: 11NEMO: 12MOKYWVVA: 41VAMD: 123MDDEAZ: 20AZNMKS: 11KSAR: 17ARTN: 61TNNC: 24NCSC: 36SCDCOK: 59OKLAMSALGA: 17GAHIAKTX: 160TXFL: 72FL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighboring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.

Open a state market: CA · TX · MD · CO · UT · FL · ID · TN · OK · WA · OH · PA — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

This market’s groups, on one chart44 groups · bubble = services
100One billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing group$1,000$2,500$5,000$7,500$10,000+Average submitted charge per service — list amounts, not paymentsServices per group — 55867, CY2024
One mark per physician group, 55867 nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.

Browse Medicare billing by specialty →