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Market snapshot

31238 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31238 — Control of bleeding of nose using an endoscope

Billing groups
159
Named-group FFS services
5,622
FFS of Medicare
49%
Services YoY
-5.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,318 services

5,622 observed fee-for-service (50%) · ~5,696 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 — 31238 (CY2024)
FL 1,283 NY 1,193 PA 771 CA 661 TX 434

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

Named-group submitted charges
$5.2M
Named-group allowed amount
$1.5M
Named-group Medicare payments
$1.1M
Avg charge / svc
$927
Avg allowed / svc
$259
Avg payment / svc
$197
Average charge per group
$228 159 groups · avg submitted charge / service $4,217
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 31238 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 350 $230,386 $658 27.3% (305) 595-6200
2 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 318 $190,350 $599 24.8% (561) 391-3333
3 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 292 $461,189 $1,579 24.5% (212) 271-4364
4 JOHNS HOPKINS REGIONAL PHYSICIANS LLC LUTHERVILLE MD OTOLARYNGOLOGY 80 141 $189,838 $1,346 40.2% (443) 275-1337
5 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 126 $89,655 $712 10.6% (914) 963-8588
6 BERNARD J DURANTE MD PC PLYMOUTH MA PHYSICIAN ASSISTANT 16 101 $90,800 $899 38.8% (508) 746-8977
7 JOSEPH M CAPO MD PC LEVITTOWN NY OTOLARYNGOLOGY 13 99 $97,041 $980 8.3% (516) 731-6644
8 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 89 $45,080 $507 45.6% (316) 263-0296
9 UNIVERSITY OTOLARYNGOLOGISTS INC COLUMBUS OH OTOLARYNGOLOGY 58 79 $43,575 $552 43.4% (614) 538-2424
10 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 79 $82,620 $1,046 6.2% (904) 396-1725
11 SONORAN EAR NOSE AND THROAT TUCSON AZ QUALIFIED AUDIOLOGIST 14 78 $40,404 $518 35.5% (520) 600-7970
12 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 77 $81,000 $1,052 10.0% —
13 HEAD AND NECK COSMETIC SURGERY ASSOCIATES LLC CHICAGO IL OTOLARYNGOLOGY 21 77 $81,000 $1,052 24.5% (773) 296-5500
14 PROVIDENCE EAR NOSE AND THROAT ASSOCIATES INC CHESTER PA OTOLARYNGOLOGY 13 77 $53,900 $700 10.0% (610) 874-5366
15 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON SC OTOLARYNGOLOGY 76 72 $51,000 $708 48.6% (843) 766-7103
16 WEST COAST EAR, NOSE AND THROAT, INC CLEARWATER FL OTOLARYNGOLOGY 22 72 $36,658 $509 5.6% (727) 791-1368
17 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 67 $192,582 $2,874 5.6% —
18 SOUTHSHORE OTOLARYNGOLOGY PC ROCKVILLE CENTRE NY OTOLARYNGOLOGY 3 65 $50,016 $769 5.4% 516678030318
19 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 61 $257,237 $4,217 5.1% (212) 263-9700
20 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 59 $43,620 $739 7.7% —
21 TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC HOUSTON TX OTOLARYNGOLOGY 122 57 $45,500 $798 13.1% (281) 492-7827
22 NEW YORK EAR NOSE AND THROAT INSTITUTE PLLC HALLANDALE BEACH NY OTOLARYNGOLOGY 2 56 $63,233 $1,129 4.7% (754) 400-5959
23 ROMAN J. DYKUN, MD WOODSTOCK IL OTOLARYNGOLOGY 6 52 $44,200 $850 16.6% (815) 338-4600
24 CHRISTOPHER M SHAARI MD PC HACKENSACK NJ OTOLARYNGOLOGY 2 51 $62,400 $1,224 18.3% (201) 342-8060
25 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 49 $29,204 $596 15.6% —
26 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE SC QUALIFIED AUDIOLOGIST 158 49 $34,100 $696 33.1% (704) 295-3414
27 MICHAEL BUBLIK MD PC GLENDALE CA OTOLARYNGOLOGY 2 48 $30,624 $638 7.3% (818) 649-1433
28 STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI HAMPTON BAYS NY GENERAL SURGERY 102 48 $76,930 $1,603 4.0% (631) 723-5000
29 TRI COUNTY EAR NOSE AND THROAT PC HONESDALE PA OTOLARYNGOLOGY 3 47 $43,710 $930 6.1% (570) 491-1525
30 FACIAL PLASTIC SURGERY OTOLARYNGOLOGY LLC BROOKLYN NY OTOLARYNGOLOGY 3 45 $80,600 $1,791 3.8% (718) 646-1234
31 MOSES CONE PHYSICIAN SERVICES, INC GREENSBORO NC INTERNAL MEDICINE 385 45 $34,314 $763 21.7% (336) 832-7000
32 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES PC PHILADELPHIA PA OTOLARYNGOLOGY 9 45 $23,000 $511 5.8% (215) 331-6878
33 THE ENT AND ALLERGY CENTERS OF TEXAS, PLLC MCKINNEY TX OTOLARYNGOLOGY 54 43 $56,109 $1,305 9.9% (972) 984-1050
34 RYAN M GUILLORY MD PA LONGVIEW TX OTOLARYNGOLOGY 6 43 $21,027 $489 9.9% (903) 212-9456
35 DESERT EAR NOSE AND THROAT MEDICAL GROUP INC RANCHO MIRAGE CA OTOLARYNGOLOGY 8 42 $17,677 $421 6.4% (760) 340-4566
36 WOOSTER ENT ASSOCIATES INC MILLERSBURG OH OTOLARYNGOLOGY 6 41 $26,128 $637 22.5% (330) 264-9699
37 AHAVA MEDICAL AND REHABILITATION CENTER, LLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 141 41 $61,500 $1,500 3.4% 71895188002102
38 GEORGETOWN EAR, NOSE AND THROAT CENTER, PA GEORGETOWN TX OTOLARYNGOLOGY 2 40 $25,321 $633 9.2% (512) 869-0604
39 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 40 $40,262 $1,007 9.2% (254) 724-2663
40 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 39 $19,344 $496 17.7% (480) 847-1193
41 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 39 $48,783 $1,251 5.9% (310) 829-6789
42 EAR NOSE AND THROAT ASSOCIATES OF SAN DIEGO A MEDICAL CORP LA MESA CA OTOLARYNGOLOGY 10 38 $20,900 $550 5.7% (619) 464-3353
43 ENT AND FACIAL PLASTIC SURGICAL ASSOCIATES, LLP LANGHORNE PA OTOLARYNGOLOGY 8 38 $17,100 $450 4.9% (215) 757-7300
44 EAR, NOSE, AND THROAT SPECIALIST- CHEROKEE SINUS CENTER CANTON GA NURSE PRACTITIONER 11 37 $37,050 $1,001 64.9% (770) 345-6600
45 EAR, NOSE AND THROAT CONSULTANTS OF NEVADA HENDERSON NV OTOLARYNGOLOGY 15 37 $23,296 $630 41.1% (702) 792-6700
46 ENT OF DENVER, PC DENVER CO OTOLARYNGOLOGY 3 33 $15,551 $471 31.4% (303) 316-7048
47 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 32 $38,396 $1,200 11.5% (856) 433-2535
48 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 31 $22,645 $730 4.0% (717) 782-2100
49 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 31 $25,704 $829 7.1% (817) 920-0484
50 PRIVIA MEDICAL GROUP WASHINGTON PLLC WALLA WALLA WA NURSE PRACTITIONER 73 31 $25,953 $837 27.7% 50952537201405
51 MARK H MONTGOMERY MD PA BONITA SPRINGS FL OTOLARYNGOLOGY 2 30 $15,561 $519 2.3% (239) 495-6200
52 NEVADA ENT AND HEARING ASSOCIATES LLC RENO NV OTOLARYNGOLOGY 7 30 $16,800 $560 33.3% (775) 322-4589
53 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO CA OTOLARYNGOLOGY 16 30 $19,685 $656 4.5% (949) 364-4361
54 EAR NOSE AND THROAT CONSULTANTS LLC OMAHA NE OTOLARYNGOLOGY 8 29 $18,624 $642 63.0% (402) 408-9625
55 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 28 $47,460 $1,695 4.2% (415) 600-1020
56 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON AR OTOLARYNGOLOGY 76 28 $20,400 $729 35.9% (843) 766-7103
57 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID PHYSICIAN ASSISTANT 647 28 $6,370 $228 100.0% —
58 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 26 $22,337 $859 9.4% (732) 362-3663
59 HAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC HAMPTON VA PHYSICIAN ASSISTANT 23 26 $12,928 $497 24.3% (757) 825-2500
60 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 26 $26,541 $1,021 9.4% (973) 971-5596
61 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 26 $16,120 $620 12.6% (704) 295-3414
62 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 25 $26,471 $1,059 3.8% (858) 455-9100
63 EASTERN SHORE ENT AND ALLERGY SALISBURY MD OTOLARYNGOLOGY 10 25 $30,000 $1,200 7.1% (410) 742-1567
64 NEW YORK ALLERGY ASTHMA AND IMMUNOLOGY PC GREAT NECK NY PHYSICIAN ASSISTANT 10 25 $22,500 $900 2.1% (516) 487-6200
65 EAR NOSE AND THROAT AND FACIAL PLASTIC SURGERY CENTER OF FREDERICK FREDERICKSBURG VA OTOLARYNGOLOGY 11 25 $16,650 $666 23.4% (540) 371-1226
66 MARTIN L. HOPP, MD PHD, A MEDICAL CORP LOS ANGELES CA OTOLARYNGOLOGY 4 25 $15,000 $600 3.8% (310) 657-7704
67 DIAGNOSTIC RADIOLOGY CONSULTANTS PA CHATTANOOGA TN DIAGNOSTIC RADIOLOGY 19 24 $18,278 $762 20.2% (423) 648-2395
68 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON WI NURSE PRACTITIONER 3380 24 $14,900 $621 38.7% —
69 COASTAL CAROLINA ENT DO PA WHITEVILLE NC OTOLARYNGOLOGY 6 23 $25,415 $1,105 11.1% (910) 914-0540
70 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 22 $28,983 $1,317 6.3% (410) 502-4340
71 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 22 $10,449 $475 53.7% (502) 629-2398
72 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 21 $28,929 $1,378 3.2% (415) 476-1000
73 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 21 $23,551 $1,121 8.1% —
74 SHANNON CLINIC SAN ANGELO TX NURSE PRACTITIONER 515 21 $23,064 $1,098 4.8% (325) 747-1511
75 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 21 $29,400 $1,400 3.2% (800) 872-2273
76 SOUTH ATLANTA EAR NOSE AND THROAT PC FAYETTEVILLE GA OTOLARYNGOLOGY 12 20 $18,300 $915 35.1% (678) 534-5922
77 HEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A TYLER TX OTOLARYNGOLOGY 8 20 $18,200 $910 4.6% (903) 592-5601
78 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 20 $26,864 $1,343 7.7% (617) 523-7900
79 TOPEKA EAR, NOSE AND THROAT, P.A. TOPEKA KS OTOLARYNGOLOGY 19 20 $12,740 $637 10.3% (785) 233-0500
80 NORTH DALLAS OTOLARYNGOLOGY CONSULTANTS DALLAS TX OTOLARYNGOLOGY 6 19 $12,075 $636 4.4% (214) 382-5100
81 BAYCARE CLINIC LLP GREEN BAY WI PHYSICIAN ASSISTANT 199 19 $42,997 $2,263 30.6% —
82 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 19 $24,111 $1,269 7.3% (508) 334-1000
83 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY KY NURSE PRACTITIONER 1228 19 $12,160 $640 46.3% —
84 LEDEREICH FAMILY EAR, NOSE AND THROAT CLIFTON NJ OTOLARYNGOLOGY 2 19 $16,620 $875 6.8% (973) 470-8266
85 EAR NOSE THROAT OF NEW JERSEY, P.A. TOMS RIVER NJ OTOLARYNGOLOGY 2 19 $42,900 $2,258 6.8% —
86 PINNACLE ENT ALLIANCE LLC HAVERTOWN PA QUALIFIED AUDIOLOGIST 67 18 $13,704 $761 2.3% 6104466900230
87 ASSOCIATES IN OTOLARYNGOLOGY OF NJ, LLC WEST ORANGE NJ QUALIFIED AUDIOLOGIST 14 18 $10,800 $600 6.5% (973) 243-0600
88 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 18 $23,616 $1,312 1.5% (914) 682-0700
89 UROLOGY OF ST LOUIS INC SAINT LOUIS MO UROLOGY 112 18 $10,299 $572 28.1% (314) 567-6071
90 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 18 $16,750 $931 33.3% (515) 343-1000
91 ASSOCIATES OF OTOLARYNGOLOGY, P.C. DENVER CO OTOLARYNGOLOGY 18 18 $11,700 $650 17.1% (303) 744-1961
92 ADVENTIST HEALTH PARTNERS, INC. BOLINGBROOK IL FAMILY PRACTICE 244 18 $14,005 $778 5.7% —
93 ANNAPOLIS ENT SURGICAL CENTER LLC ANNAPOLIS MD QUALIFIED AUDIOLOGIST 45 17 $10,285 $605 4.8% (410) 266-3900
94 RI EAR NOSE AND THROAT PHYSICIANS INC PROVIDENCE MO OTOLARYNGOLOGY 8 17 $12,750 $750 26.6% (401) 728-0140
95 ENT SURGICAL GROUP PLLC MADISON MS OTOLARYNGOLOGY 5 17 $22,814 $1,342 100.0% (601) 982-0611
96 AOP, INC. CAMP HILL PA PHYSICIAN ASSISTANT 12 17 $7,225 $425 2.2% (717) 763-7400
97 EAR NOSE AND THROAT SPECIALTIES PC LINCOLN NE OTOLARYNGOLOGY 17 17 $10,350 $609 37.0% (402) 484-4974
98 MOUNTAIN EAR NOSE AND THROAT ASSOCIATES PA SYLVA NC PHYSICIAN ASSISTANT 9 17 $11,050 $650 8.2% (828) 586-7474
99 NORTH SHORE-LIJ MEDICAL PC MANHASSET NC PHYSICIAN ASSISTANT 6294 17 $44,442 $2,614 8.2% —
100 ENT SURGICAL CONSULTANTS LTD JOLIET IL OTOLARYNGOLOGY 15 17 $11,900 $700 5.4% (815) 725-1191

Showing the top 100 of 159 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 →