NEVVI Medicare utilization intelligence
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Market snapshot

31237 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31237 — Biopsy or removal of nasal polyp or tissue using an endoscope

Billing groups
487
Named-group FFS services
44,426
FFS of Medicare
49%
Services YoY
+9.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~90,551 services

44,426 observed fee-for-service (49%) · ~46,125 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 — 31237 (CY2024)

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

Named-group submitted charges
$60.9M
Named-group allowed amount
$14.4M
Named-group Medicare payments
$11.2M
Avg charge / svc
$1,370
Avg allowed / svc
$324
Avg payment / svc
$253
Average charge per group
$167 487 groups · avg submitted charge / service $6,000
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 31237 services, CY2024
#Physician group City St Specialty Providers 31237 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 1,775 $1,400,932 $789 premium 24.9% (561) 391-3333
2 TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC HOUSTON TX OTOLARYNGOLOGY 122 958 $909,965 $950 premium 15.3% (281) 492-7827
3 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 898 $1,388,800 $1,547 premium 12.6% (904) 396-1725
4 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 627 $863,478 $1,377 premium 54.5% (617) 523-7900
5 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 625 $1,831,536 $2,930 premium 20.4% (914) 963-8588
6 HEAD AND NECK COSMETIC SURGERY ASSOCIATES LLC CHICAGO IL OTOLARYNGOLOGY 21 610 $1,086,300 $1,781 premium 27.3% (773) 296-5500
7 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT KS OTOLARYNGOLOGY 104 510 $470,843 $923 premium 38.5% (816) 478-4200
8 ADVANCED EAR NOSE AND THROAT SPECIALISTS, SC MILWAUKEE WI PHYSICIAN ASSISTANT 34 508 $865,795 $1,704 premium 48.5% (888) 938-3838
9 BRIAN G LEE MD PLLC SCOTTSDALE AZ NURSE PRACTITIONER 18 494 $925,598 $1,874 premium 17.2% (480) 994-0308
10 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 486 $453,462 $933 premium 6.8% (305) 595-6200
11 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 468 $648,474 $1,386 premium 7.5% (817) 920-0484
12 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 466 $1,165,777 $2,502 premium 7.4% (310) 794-1110
13 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 384 $284,214 $740 premium 17.8% (215) 662-2777
14 BREATHE FREE SINUS AND ALLERGY CENTERS OF FLORIDA LLC PENSACOLA FL OTOLARYNGOLOGY 3 377 $706,377 $1,874 premium 5.3% (850) 990-9407
15 UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ INTERNAL MEDICINE 381 360 $964,348 $2,679 premium 28.3% (973) 972-5004
16 ADVANCED EAR NOSE AND THROAT SPECIALISTS PLLC VERNON HILLS IL PHYSICIAN ASSISTANT 18 351 $549,464 $1,565 premium 15.7% (888) 938-3838
17 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 350 $659,891 $1,885 premium 4.9% (352) 265-8990
18 NORTHEAST ATLANTA EAR NOSE AND THROAT, P.C. LAWRENCEVILLE GA OTOLARYNGOLOGY 15 330 $839,800 $2,545 premium 20.0% (770) 237-3000
19 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 320 $244,452 $764 premium 11.1% (480) 847-1193
20 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 314 $1,354,151 $4,313 premium 10.2% (212) 263-9700
21 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 308 $390,150 $1,267 premium 24.2% (908) 273-4300
22 THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA ORLANDO FL PHYSICIAN ASSISTANT 46 301 $283,617 $942 premium 4.2% (407) 644-4883
23 MEDICAL CENTER EAR, NOSE AND THROAT ASSOCIATES OF HOUSTON, PLLC HOUSTON TX OTOLARYNGOLOGY 6 297 $462,640 $1,558 premium 4.7% (713) 795-0111
24 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 282 $386,340 $1,370 premium 4.5% (800) 872-2273
25 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON SC OTOLARYNGOLOGY 76 281 $316,705 $1,127 premium 23.9% (843) 766-7103
26 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 279 $1,239,000 $4,441 premium 9.1% (212) 241-4812
27 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 276 $508,784 $1,843 premium 4.4% (650) 723-4000
28 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 258 $377,196 $1,462 premium 19.3% (205) 934-3460
29 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 252 $244,200 $969 premium 19.0% (316) 263-0296
30 TRINITY ENT AND FACIAL AESTHETICS LLC GILBERT AZ OTOLARYNGOLOGY 2 252 $472,167 $1,874 premium 8.8% (480) 558-3223
31 COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC GULFPORT MS OTOLARYNGOLOGY 9 248 $363,375 $1,465 premium 37.3% (228) 539-3824
32 SURGICAL ASSOCIATES NORTHWEST PC FEDERAL WAY WA UROLOGY 11 247 $246,100 $996 premium 18.6% (253) 927-1882
33 MICHAEL BUBLIK MD PC GLENDALE CA OTOLARYNGOLOGY 2 243 $158,600 $653 premium 3.8% (818) 649-1433
34 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 240 $494,928 $2,062 premium 8.4% (800) 603-0558
35 SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC SAN DIEGO CA INTERNAL MEDICINE 205 237 $338,880 $1,430 premium 3.7% (619) 294-8111
36 BRIAN G LEE MD PLLC SCOTTSDALE OK NURSE PRACTITIONER 18 229 $429,073 $1,874 premium 31.0% (480) 994-0308
37 HEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A TYLER TX OTOLARYNGOLOGY 8 225 $201,475 $895 premium 3.6% (903) 592-5601
38 THE ENT AND ALLERGY CENTERS OF TEXAS, PLLC MCKINNEY TX OTOLARYNGOLOGY 54 225 $165,825 $737 premium 3.6% (972) 984-1050
39 VALLEY EAR NOSE AND THROAT ASSOCIATES PC ATHENS AL OTOLARYNGOLOGY 6 222 $228,762 $1,030 premium 16.6% (256) 233-1650
40 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 218 $100,994 $463 premium 7.6% (520) 694-0111
41 SOUTHEAST TEXAS EAR, NOSE AND THROAT, LLP BEAUMONT TX OTOLARYNGOLOGY 14 217 $466,400 $2,149 premium 3.5% (409) 212-8111
42 VINCENT P NALBONE M D LTD LAS VEGAS NV NURSE PRACTITIONER 2 215 $402,841 $1,874 premium 32.8% (702) 312-3333
43 ANNAPOLIS ENT SURGICAL CENTER LLC ANNAPOLIS MD QUALIFIED AUDIOLOGIST 45 214 $185,725 $868 premium 19.8% (410) 266-3900
44 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 213 $304,500 $1,430 premium 9.9%
45 JOSEPH M CAPO MD PC LEVITTOWN NY OTOLARYNGOLOGY 13 212 $557,273 $2,629 premium 6.9% (516) 731-6644
46 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 210 $181,500 $864 premium 2.9% (305) 689-5437
47 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 200 $301,779 $1,509 premium 14.5% (984) 215-5556
48 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 198 $371,028 $1,874 premium 12.0% (404) 778-7525
49 OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY LLC COLUMBUS OH OTOLARYNGOLOGY 67 192 $245,720 $1,280 premium 19.5% (614) 366-3687
50 UNIVERSITY HEAD AND NECK SURGEONS ORANGE CA OTOLARYNGOLOGY 27 192 $355,960 $1,854 premium 3.0% (714) 456-5731
51 EXHALE SINUS PLLC SCHAUMBURG IL PHYSICIAN ASSISTANT 6 184 $174,800 $950 premium 8.2% (773) 234-5880
52 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 182 $247,098 $1,358 premium 13.7% (425) 313-5422
53 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 181 $290,742 $1,606 premium 12.8% (615) 322-5000
54 SINUS AND NASAL INSTITUTE OF FLORIDA PA SAINT PETERSBURG FL OTOLARYNGOLOGY 2 179 $83,233 $465 premium 2.5% (727) 573-0074
55 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 173 $328,599 $1,899 premium 12.6% (919) 684-8111
56 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 173 $189,369 $1,095 premium 13.0%
57 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 171 $716,988 $4,193 premium 5.6%
58 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 169 $285,548 $1,690 premium 15.7% (410) 502-4340
59 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 169 $222,388 $1,316 premium 22.9%
60 ENT GROUP OF LOS ANGELES TARZANA CA OTOLARYNGOLOGY 7 169 $115,462 $683 premium 2.7% (818) 609-0600
61 COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC COLORADO SPRINGS CO OTOLARYNGOLOGY 20 162 $155,004 $957 premium 32.1% (719) 867-7800
62 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 161 $172,411 $1,071 premium 2.3% (813) 751-3375
63 LOUISIANA EAR, NOSE, AND THROAT SPECIALISTS, INC. THIBODAUX LA OTOLARYNGOLOGY 65 160 $271,663 $1,698 premium 16.9% 9854465079110
64 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 158 $287,794 $1,821 premium 11.2% (615) 612-2146
65 TRACY BYERLY II MD PA FREDERICKSBURG TX PHYSICIAN ASSISTANT 3 158 $118,342 $749 premium 2.5%
66 ADVANCED EAR NOSE AND THROAT ASSOCIATES PC ATLANTA GA OTOLARYNGOLOGY 7 158 $277,200 $1,754 premium 9.6% (404) 943-0090
67 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 157 $388,756 $2,476 premium 13.3% (843) 792-1414
68 KATHY YU-SYKEN M D INC A MEDICAL CORPORATION HUNTINGTON BEACH CA PHYSICIAN ASSISTANT 3 155 $133,800 $863 premium 2.4% (714) 375-4224
69 GEORGETOWN EAR, NOSE AND THROAT CENTER, PA GEORGETOWN TX OTOLARYNGOLOGY 2 153 $140,001 $915 premium 2.4% (512) 869-0604
70 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO CA OTOLARYNGOLOGY 16 153 $140,700 $920 premium 2.4% (949) 364-4361
71 HEAD AND NECK SURGERY OF KANSAS CITY P A OVERLAND PARK KS OTOLARYNGOLOGY 11 152 $93,075 $612 premium 11.5% (913) 599-4800
72 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 151 $277,170 $1,836 premium 15.3%
73 MID-SOUTH EAR NOSE AND THROAT PC GERMANTOWN TN NURSE PRACTITIONER 32 151 $129,882 $860 premium 10.7% (901) 755-5300
74 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 149 $498,000 $3,342 premium 4.9% (212) 746-5454
75 SONORAN EAR NOSE AND THROAT TUCSON AZ QUALIFIED AUDIOLOGIST 14 149 $78,245 $525 premium 5.2% (520) 600-7970
76 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 148 $180,792 $1,222 premium 10.5% (629) 255-2115
77 WESTSIDE HEAD AND NECK CULVER CITY CA OTOLARYNGOLOGY 6 147 $110,625 $753 premium 2.3% (310) 204-4111
78 ENT CARE CENTERS PLLC LOUISVILLE KY OTOLARYNGOLOGY 12 147 $116,402 $792 premium 32.5% (502) 894-8441
79 NORTH DALLAS OTOLARYNGOLOGY CONSULTANTS DALLAS TX OTOLARYNGOLOGY 6 146 $166,380 $1,140 premium 2.3% (214) 382-5100
80 ARIZONA DESERT EAR NOSE AND THROAT SPECIALIST PLLC PHOENIX AZ QUALIFIED AUDIOLOGIST 7 146 $325,543 $2,230 premium 5.1% (623) 512-4162
81 WEST COAST EAR, NOSE AND THROAT, INC CLEARWATER FL OTOLARYNGOLOGY 22 145 $118,429 $817 premium 2.0% (727) 791-1368
82 ADOBE ENT AND ALLERGY LLC GLENDALE AZ PHYSICIAN ASSISTANT 4 141 $80,795 $573 premium 4.9% (623) 900-4740
83 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 139 $159,194 $1,145 premium 2.2% (254) 724-2663
84 COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES, PA MYRTLE BEACH SC OTOLARYNGOLOGY 7 139 $44,878 $323 premium 11.8% (843) 449-6449
85 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 139 $123,469 $888 premium 10.5% (206) 364-0500
86 CAPITOL BREATHE FREE SINUS AND ALLERGY CENTERS FREDERICK MD OTOLARYNGOLOGY 2 137 $256,694 $1,874 premium 12.7% (805) 728-5728
87 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 137 $152,687 $1,115 premium 6.1% (312) 563-2875
88 EAR INSTITUTES LLC MAPLE GROVE MN PHYSICIAN ASSISTANT 12 137 $224,905 $1,642 premium 25.5% (888) 938-3838
89 ROCKY MOUNTAIN EAR NOSE AND THROAT CENTER PC MISSOULA MT QUALIFIED AUDIOLOGIST 20 137 $115,455 $843 premium 58.3% (406) 541-3937
90 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY PA NURSE PRACTITIONER 1815 136 $214,254 $1,575 premium 6.3% (913) 588-1227
91 J. CHRISTOPHER DAVIS, PLLC BIRMINGHAM AL NURSE PRACTITIONER 7 135 $88,200 $653 premium 10.1% (205) 877-2705
92 LOUDOUN MEDICAL GROUP, PC LEESBURG VA NURSE PRACTITIONER 293 135 $239,593 $1,775 premium 16.4% (703) 437-0001
93 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 134 $319,711 $2,386 premium 2.1% (800) 926-8273
94 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 132 $232,960 $1,765 premium 16.1% (434) 924-5959
95 ASCENSION MEDICAL GROUP VIA CHRISTI PA WICHITA KS FAMILY PRACTICE 186 128 $93,107 $727 premium 9.7% (316) 689-9349
96 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 122 $178,400 $1,462 premium 5.7%
97 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON WI NURSE PRACTITIONER 3380 122 $78,714 $645 premium 11.6%
98 COASTAL CAROLINA ENT DO PA WHITEVILLE NC OTOLARYNGOLOGY 6 121 $137,900 $1,140 premium 8.8% (910) 914-0540
99 EAR, NOSE AND THROAT PHYSICIANS OF NORTH MISS., P.A TUPELO MS QUALIFIED AUDIOLOGIST 22 120 $110,016 $917 premium 18.1% (662) 840-7034
100 CENTRAL TEXAS SINUS AND ALLERGY, PLLC COLLEGE STATION TX OTOLARYNGOLOGY 7 117 $64,350 $550 premium 1.9% (979) 764-3090

Showing the top 100 of 487 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 →