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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
55873 Destruction of prostate using imaging guidance CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,032 services · est. ▲ 42.9% YoY · 488 FFS beneficiaries (CY2024, all-Medicare estimate) — 497 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 55873
The whole of 55873, written up and sourced.

The Brief is a national document for 55873. 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 55873 ran ~1,032 all-Medicare services (estimated), 497 observed fee-for-service in CY2024. The market is up 42.9% year over year. 14 billing groups and 24 clinicians bill it.
  2. 2Payment. Half the field lists between $4,499 and $21,477 per service; the median group lists $11,678. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. FL, MN, NE and NY lead the state markets — together 50% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,032 services

497 observed fee-for-service (48%) · ~535 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 $4,499 and $21,477

Submitted charges are provider-set list amounts, not payments · median $11,678 (named groups)
Every group, one dot14 billing groups · median $11,678

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

$0$25,000$50,000average submitted charge per service, per billing groupmedian $11,678
One dot per billing group, 55873 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
MEVTNHWAIDMTNDMN: 64MNWIIL: 33ILMI: 11MINY: 53NYMARIORNVWYSDIAIN: 17INOH: 12OHPANJCTCA: 28CAUTCO: 36CONE: 56NEMO: 15MOKYWVVAMDDEAZNMKSAR: 15ARTNNC: 27NCSC: 14SCDCOK: 12OKLAMSALGA: 29GAHIAKTXFL: 75FL
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.
Which states movedservices per 1,000 FFS beneficiaries · CY2021 → CY2024
CY2021CY2024AR: 0 → 0CA: 0 → 0CO: 0 → 0GA: 0 → 0IN: 0 → 0NC: 0 → 0FL: 0 → 0MN: 0 → 0NE: 0 → 0NY: 0 → 0NE 0MN 0FL 0NY 00 NE0 MN0 FL0 NY
One line per state market, 10 drawn; the 4 leading states by volume are in accent, the rest are context lines. Both columns share one scale, so a slope is real change. A RATE against each state’s own fee-for-service population — assumption-free, and no all-Medicare estimate is used or implied. CY2021 is the left period because CY2020 is the pandemic year and a slope off it would read as growth almost everywhere. 10 states with a rate in only one of the two years are not drawn.

Open a state market: FL · MN · NE · NY · CO · IL · GA · CA · NC · IN · AR · MO — 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 chart14 groups · bubble = services
One 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$5,000$12,500$25,000$37,500$50,000+Average submitted charge per service — list amounts, not paymentsServices per group — 55873, CY2024
One mark per physician group, 55873 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.

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