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Market snapshot

31231 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31231 — Diagnostic exam of nasal passages using an endoscope

Billing groups
1,342
Named-group FFS services
550,207
FFS of Medicare
49%
Services YoY
+7.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,112,369 services

550,207 observed fee-for-service (49%) · ~562,162 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; 2 states without payer-mix data excluded. How we scale

Top states — 31231 (CY2024)
CA 117,674 NY 96,800 FL 94,375 TX 39,832 NJ 38,859

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

Named-group submitted charges
$306.1M
Named-group allowed amount
$92.3M
Named-group Medicare payments
$69.5M
Avg charge / svc
$556
Avg allowed / svc
$168
Avg payment / svc
$126
Average charge per group
$70 1,342 groups · avg submitted charge / service $2,396
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 31231 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SINU-CLEAR INC MONTCLAIR CA NURSE PRACTITIONER 2 41,056 $16,832,960 $410 34.9% (909) 621-4751
2 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 35,018 $26,818,092 $766 36.2% (914) 963-8588
3 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 19,143 $7,842,879 $410 20.3% (561) 391-3333
4 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 16,182 $6,884,738 $425 17.1% (305) 595-6200
5 ENT AND ALLERGY ASSOCIATES LLP YONKERS NJ OTOLARYNGOLOGY 429 14,778 $10,682,346 $723 38.0% (914) 963-8588
6 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 5,936 $3,442,126 $580 6.3% (904) 396-1725
7 TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC HOUSTON TX OTOLARYNGOLOGY 122 5,866 $2,069,076 $353 14.7% (281) 492-7827
8 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 4,397 $2,588,777 $589 18.6% (617) 523-7900
9 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON SC OTOLARYNGOLOGY 76 4,389 $2,382,517 $543 29.1% (843) 766-7103
10 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 3,957 $6,594,083 $1,666 4.1% —
11 DESERT EAR NOSE AND THROAT MEDICAL GROUP INC RANCHO MIRAGE CA OTOLARYNGOLOGY 8 3,741 $1,196,744 $320 3.2% (760) 340-4566
12 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 3,675 $2,010,328 $547 3.1% —
13 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 3,604 $2,181,001 $605 9.3% (856) 433-2535
14 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO CA OTOLARYNGOLOGY 16 3,518 $1,579,130 $449 3.0% (949) 364-4361
15 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 3,302 $8,075,797 $2,446 3.4% (212) 263-9700
16 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 3,149 $824,451 $262 8.3% (215) 662-2777
17 MIDWEST ENT ALLIANCE PLLC PARK RIDGE IL OTOLARYNGOLOGY 95 3,144 $1,582,207 $503 13.3% (847) 674-5585
18 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 3,044 $1,818,967 $598 3.1% (914) 241-1050
19 BERNARD J DURANTE MD PC PLYMOUTH MA PHYSICIAN ASSISTANT 16 2,978 $2,797,400 $939 12.6% (508) 746-8977
20 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 2,895 $1,123,216 $388 17.8% (480) 847-1193
21 WEST COAST EAR, NOSE AND THROAT, INC CLEARWATER FL OTOLARYNGOLOGY 22 2,874 $1,084,360 $377 3.0% (727) 791-1368
22 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 2,808 $3,223,600 $1,148 2.9% (212) 241-4812
23 ALBANY ENT AND ALLERGY SERVICES PC ALBANY NY PHYSICIAN ASSISTANT 48 2,603 $1,058,450 $407 2.7% (518) 701-2000
24 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 2,574 $1,994,850 $775 6.6% (908) 273-4300
25 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 2,560 $1,326,080 $518 2.7% (863) 680-7780
26 JOSEPH M CAPO MD PC LEVITTOWN NY OTOLARYNGOLOGY 13 2,495 $1,652,601 $662 2.6% (516) 731-6644
27 EAR NOSE AND THROAT ASSOCIATES OF SAN DIEGO A MEDICAL CORP LA MESA CA OTOLARYNGOLOGY 10 2,398 $923,290 $385 2.0% (619) 464-3353
28 CARECONNECTMD CA PC COSTA MESA CA NURSE PRACTITIONER 28 2,345 $961,450 $410 2.0% (888) 789-9585
29 ANNAPOLIS ENT SURGICAL CENTER LLC ANNAPOLIS MD QUALIFIED AUDIOLOGIST 45 2,338 $1,169,000 $500 13.0% (410) 266-3900
30 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES PC PHILADELPHIA PA OTOLARYNGOLOGY 9 2,110 $844,000 $400 5.5% (215) 331-6878
31 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 2,042 $837,220 $410 5.4% —
32 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 2,016 $1,938,600 $962 2.1% (212) 746-5454
33 CENTERS FOR ADVANCED ENT CARE LLC BETHESDA MD QUALIFIED AUDIOLOGIST 102 1,960 $977,370 $499 10.9% (301) 652-8847
34 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 1,860 $813,285 $437 4.9% —
35 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 1,831 $851,415 $465 12.8% (704) 295-3414
36 PINNACLE ENT ALLIANCE LLC HAVERTOWN PA QUALIFIED AUDIOLOGIST 67 1,809 $678,874 $375 4.8% 6104466900230
37 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 1,767 $766,664 $434 4.4% (817) 920-0484
38 NEW YORK EAR NOSE AND THROAT INSTITUTE PLLC HALLANDALE BEACH NY OTOLARYNGOLOGY 2 1,663 $1,093,268 $657 1.7% (754) 400-5959
39 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 1,615 $1,095,192 $678 6.8% (312) 563-2875
40 THE ENT AND ALLERGY CENTERS OF TEXAS, PLLC MCKINNEY TX OTOLARYNGOLOGY 54 1,573 $684,125 $435 3.9% (972) 984-1050
41 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 1,559 $2,233,388 $1,433 1.3% (310) 794-1110
42 BRIAN G LEE MD PLLC SCOTTSDALE AZ NURSE PRACTITIONER 18 1,547 $1,367,316 $884 9.5% (480) 994-0308
43 HAWAII EAR NOSE AND THROAT CONSULTANTS CORP HONOLULU HI OTOLARYNGOLOGY 4 1,521 $603,213 $397 55.6% (808) 951-4900
44 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 1,472 $1,084,864 $737 1.3% (800) 872-2273
45 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 1,464 $1,256,464 $858 1.6% (904) 953-2000
46 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 1,456 $495,040 $340 26.1% (316) 263-0296
47 INDEPENDENCE EAR, NOSE AND THROAT LLC STUART FL PHYSICIAN ASSISTANT 9 1,440 $372,960 $259 1.5% (772) 888-1880
48 HAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC HAMPTON VA PHYSICIAN ASSISTANT 23 1,426 $522,227 $366 10.3% (757) 825-2500
49 COASTAL CAROLINA ENT DO PA WHITEVILLE NC OTOLARYNGOLOGY 6 1,425 $570,000 $400 10.0% (910) 914-0540
50 ADVOCARE, LLC HADDONFIELD NJ NURSE PRACTITIONER 384 1,421 $962,017 $677 3.7% (856) 354-2211
51 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 1,402 $527,445 $376 1.5% (239) 291-6970
52 UNIVERSITY HEAD AND NECK ASSOCIATES SC DOWNERS GROVE IL PHYSICIAN ASSISTANT 6 1,379 $757,071 $549 5.8% (630) 701-3840
53 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 1,376 $708,919 $515 11.9% —
54 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 1,350 $627,782 $465 5.7% (630) 469-9200
55 NY CENTER FOR EAR NOSE THROAT SINUS ALLERGY LLP BROOKLYN NY OTOLARYNGOLOGY 2 1,350 $607,500 $450 1.4% (718) 646-2500
56 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 1,318 $1,080,820 $820 15.6% (615) 612-2146
57 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 1,318 $449,362 $341 1.1% (650) 723-4000
58 BREATHE FREE SINUS AND ALLERGY CENTERS OF FLORIDA LLC PENSACOLA FL OTOLARYNGOLOGY 3 1,316 $1,163,147 $884 1.4% (850) 990-9407
59 SANJAY S RAO MD A MEDICAL CORPORATION INC. LA MESA CA PHYSICIAN ASSISTANT 2 1,297 $531,770 $410 1.1% (619) 740-4800
60 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 1,241 $786,831 $634 6.9% (410) 502-4340
61 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,223 $1,156,698 $946 1.0% (415) 600-1020
62 ENT CARE CENTERS PLLC LOUISVILLE KY OTOLARYNGOLOGY 12 1,223 $431,060 $352 21.6% (502) 894-8441
63 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,211 $789,477 $652 7.5% (800) 603-0558
64 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 1,210 $439,944 $364 5.1% —
65 UNIVERSITY OTOLARYNGOLOGISTS INC COLUMBUS OH OTOLARYNGOLOGY 58 1,181 $387,175 $328 10.2% (614) 538-2424
66 ADVANCED ENT AND ALLERGY PLLC LOUISVILLE KY OTOLARYNGOLOGY 38 1,171 $388,772 $332 20.6% 50289301591188
67 CHEVY CHASE ENT ASSOCIATES, LLC CHEVY CHASE MD OTOLARYNGOLOGY 6 1,168 $362,925 $311 6.5% (301) 656-8630
68 EAR NOSE AND THROAT ASSOCIATES OF CHESTER COUNTY EXTON PA QUALIFIED AUDIOLOGIST 16 1,155 $535,920 $464 3.0% (610) 363-2532
69 HEAD AND NECK COSMETIC SURGERY ASSOCIATES LLC CHICAGO IL OTOLARYNGOLOGY 21 1,138 $507,800 $446 4.8% (773) 296-5500
70 SONORAN EAR NOSE AND THROAT TUCSON AZ QUALIFIED AUDIOLOGIST 14 1,133 $475,840 $420 7.0% (520) 600-7970
71 ARTHUR H. KATZ, M.D., S.C. MUNSTER IN NURSE PRACTITIONER 3 1,124 $494,560 $440 16.4% (219) 934-9396
72 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 1,119 $650,349 $581 7.4% (843) 792-1414
73 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 1,110 $586,590 $528 2.9% (732) 362-3663
74 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 1,089 $650,508 $597 12.9% (615) 322-5000
75 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 1,075 $932,585 $868 0.9% (916) 681-8852
76 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 1,068 $601,284 $563 4.5% (617) 421-1000
77 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,053 $810,484 $770 0.9% (858) 455-9100
78 ASSOCIATES OF OTOLARYNGOLOGY, P.C. DENVER CO OTOLARYNGOLOGY 18 1,053 $543,348 $516 11.6% (303) 744-1961
79 ENT GROUP OF LOS ANGELES TARZANA CA OTOLARYNGOLOGY 7 1,049 $358,986 $342 0.9% (818) 609-0600
80 LOUISIANA EAR, NOSE, AND THROAT SPECIALISTS, INC. THIBODAUX LA OTOLARYNGOLOGY 65 1,041 $505,057 $485 16.7% 9854465079110
81 JOHNS HOPKINS REGIONAL PHYSICIANS LLC LUTHERVILLE MD OTOLARYNGOLOGY 80 1,035 $740,214 $715 5.8% (443) 275-1337
82 SPARTANBURG EAR, NOSE AND THROAT - HEAD AND NECK SURGERY, PA GREER SC OTOLARYNGOLOGY 12 1,027 $464,962 $453 6.8% (864) 582-2900
83 HEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A TYLER TX OTOLARYNGOLOGY 8 1,026 $461,700 $450 2.6% (903) 592-5601
84 THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA ORLANDO FL PHYSICIAN ASSISTANT 46 1,014 $561,123 $553 1.1% (407) 644-4883
85 LAKE ENT AND FPS, PA LEESBURG FL NURSE PRACTITIONER 9 1,013 $406,213 $401 1.1% (352) 728-2404
86 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT KS OTOLARYNGOLOGY 104 1,002 $464,958 $464 18.0% (816) 478-4200
87 EAR NOSE AND THROAT AND FACIAL PLASTIC SURGERY CENTER OF FREDERICK FREDERICKSBURG VA OTOLARYNGOLOGY 11 998 $377,244 $378 7.2% (540) 371-1226
88 NORTH FULTON EAR NOSE AND THROAT ASSOCIATES, P.C. ROSWELL GA OTOLARYNGOLOGY 6 996 $640,428 $643 5.8% (770) 343-8675
89 SOUTH CAROLINA ENT ALLERGY AND SLEEP MEDICINE PA COLUMBIA SC PHYSICIAN ASSISTANT 24 994 $345,146 $347 6.6% (803) 408-3277
90 EAR, NOSE AND THROAT CENTER, LLP STAMFORD CT OTOLARYNGOLOGY 10 986 $566,950 $575 12.3% (203) 359-3533
91 EAR NOSE AND THROAT ASSOCIATES MD PA FORT MYERS FL OTOLARYNGOLOGY 6 983 $467,856 $476 1.0% (239) 939-2621
92 DAVID KIEFF MD LLC WELLESLEY MA OTOLARYNGOLOGY 2 975 $675,750 $693 4.1% (617) 997-2900
93 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 973 $601,834 $619 2.4% (254) 724-2663
94 CHRISTOPHER M SHAARI MD PC HACKENSACK NJ OTOLARYNGOLOGY 2 973 $827,050 $850 2.5% (201) 342-8060
95 ENT SPECIALISTS, INC BROCKTON MA OTOLARYNGOLOGY 19 972 $899,100 $925 4.1% (508) 588-8034
96 SINUS AND NASAL INSTITUTE OF FLORIDA PA SAINT PETERSBURG FL OTOLARYNGOLOGY 2 969 $322,205 $333 1.0% (727) 573-0074
97 ENT ASSOCIATES OF ALABAMA PC BIRMINGHAM AL OTOLARYNGOLOGY 43 966 $225,270 $233 15.0% (205) 212-3540
98 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 958 $651,114 $680 6.7% (984) 215-5556
99 COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC COLORADO SPRINGS CO OTOLARYNGOLOGY 20 954 $482,724 $506 10.5% (719) 867-7800
100 NEW YORK ALLERGY ASTHMA AND IMMUNOLOGY PC GREAT NECK NY PHYSICIAN ASSISTANT 10 942 $469,199 $498 1.0% (516) 487-6200

Showing the top 100 of 1,342 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →