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Market snapshot

NJ CY2024

Medicare Part B FFS · CY2024 · as published by CMS
31231 Diagnostic exam of nasal passages using an endoscope CPT · Other Organ Systems procedure
Classification Procedure › Other Organ Systems › Nasal/Sinus Endoscopy (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 718,711 services ▲ 7.5% YoY · 535,317 beneficiaries (CY2024, Medicare FFS)
Medicare paid $91.9M · $127.85 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window · National figures — the NJ market is below
Market analyticsPlatform Methods →

The structure and trend panels below are live for everyone — free to look at. The rank & score analytics, baskets, and export are the platform.

The read
What am I looking at, in one breath?
The read Platform

In New Jersey, 46 groups bill 31231 — 33,401 fee-for-service services, and volume is up 7.5% year over year.

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The orienting line is free; the comparative synthesis — growth rank, concentration, and $/service against the national figure — unlocks with Platform.

The snapshot
The honest, real numbers — free, always.
Billing groups

46

Named groups billing this code in NJ
Named-group FFS services

33,401

Attributable volume · fee-for-service
FFS of Medicare

59%

Payer-mix frame
Named-group coverage

42%

Of New Jersey’s disclosed Part B services (2024). The rest is billed by clinicians whose volume isn’t attributed to any group — they belong to several groups, or none. How attribution works →
Services · year over year
Services YoY

+7.5%

FFS enrollment -0.7%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~55,947 services

33,401 observed fee-for-service (60%) · ~22,546 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
The market
How big, moving which way, worth how much.
Billed → allowed → paid
Named-group submitted charges
$22.6M
Named-group allowed amount
$7.0M
Named-group Medicare payments
$5.3M
Avg charge / svc
$678
Avg allowed / svc
$209
Avg payment / svc
$158
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Per-service vs national + the payments trend unlock with Platform
Market trend — 12-year view
services 2013–2024
YearServices Services per 1,000 Part B FFS beneficiaries Medicare payments
2013 (introduction year) 25,395 23.9 $4,816,368
2014 27,313 24.9 $4,998,890
2015 30,280 27.0 $5,564,130
2016 31,334 28.0 $5,731,541
2017 31,105 29.4 $5,541,517
2018 32,128 30.6 $5,782,409
2019 32,355 33.6 $5,658,164
2020 (2020) 22,710 24.2 $3,835,665
2021 28,387 31.4 $5,075,334
2022 31,978 36.1 $5,332,739
2023 36,162 41.4 $5,867,348
2024 38,859 44.8 $6,079,912

CAGR 2014–2024: +3.6%/yr · CAGR excludes 2020 and the introduction year.

Rates are per 1,000 Part B fee-for-service beneficiaries in the market's geography. See Methods.

The structure
Who's in this market and how it's shaped.
Average charge per group
$217 46 groups · avg submitted charge / service $1,391
Market structure

2,206 HHI (named-group grain, CY2024) · moderately concentrated · top 5 hold 70% of named-group volume

List shares are of named-group volume; bar segments are of disclosed volume (named groups cover 86% of it — the hatched segment is the remainder, drawn per D-062).

Of volume attributable to named groups, independents account for 1%; hospital-affiliated 99%.

Disclosed setting mix: 100% office · 0% facility.

HHI trend: 2020: 1,947 · 2021: 1,700 · 2022: 1,943 · 2023: 1,961 · 2024: 1,939 (group rosters begin 2019)

Provider-setting count 2013 → 2024: 211 → 239 (+13%).

Named groups cover 86% of disclosed volume. CMS suppresses provider-code rows under 11 beneficiaries at the source; suppressed volume is excluded and cannot be estimated from this file. Volume shares describe the volume attributable to named groups; the coverage line above states how much of disclosed Medicare fee-for-service volume that is.

Market position

Where this market sits on volume and growth among all state markets, and its rank.

National benchmarks

Where each group's volume sits nationally and within its specialty.

The opportunity
So where do I act?
Worth a look

Every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume. The cross-market compare view sits alongside.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City Specialty Providers 31231 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ENT AND ALLERGY ASSOCIATES LLP YONKERS OTOLARYNGOLOGY 429 14,778 $10,682,346 $723 38.0% (914) 963-8588
2 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL DIAGNOSTIC RADIOLOGY 825 3,604 $2,181,001 $605 9.3% (856) 433-2535
3 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS PHYSICIAN ASSISTANT 1183 2,574 $1,994,850 $775 6.6% (908) 273-4300
4 ADVOCARE, LLC HADDONFIELD NURSE PRACTITIONER 384 1,421 $962,017 $677 3.7% (856) 354-2211
5 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NURSE PRACTITIONER 1878 1,110 $586,590 $528 2.9% (732) 362-3663
That's the top 5 of 46 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. 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 →