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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
31243 Destruction of nasal nerve by freezing using an endoscope CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems Nasal/Sinus Endoscopy (CMS RBCS)
First observed 2024
National scale 911 services · 905 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.6M · $1751.62 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
526
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~1,059 services

526 observed fee-for-service (50%) · ~533 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 — 31243 (CY2024)

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

Named-group submitted charges
$2.7M
Named-group allowed amount
$1.1M
Named-group Medicare payments
$876K
Avg charge / svc
$5,155
Avg allowed / svc
$2,096
Avg payment / svc
$1,665
Average charge per group
$1,266 21 groups · avg submitted charge / service $9,718
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 31243 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 31243 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 BRIAN G LEE MD PLLC SCOTTSDALE AZ NURSE PRACTITIONER 18 102 $474,439 $4,651 premium 50.5% (480) 994-0308
2 BRIAN G LEE MD PLLC SCOTTSDALE OK NURSE PRACTITIONER 18 58 $269,779 $4,651 premium 100.0% (480) 994-0308
3 COASTAL CAROLINA ENT DO PA WHITEVILLE SC OTOLARYNGOLOGY 6 42 $259,889 $6,188 premium 54.5% (910) 914-0540
4 BRYAN D FRIEDMAN DO LLC PAYSON AZ OTOLARYNGOLOGY 3 37 $359,577 $9,718 premium 18.3% (480) 664-0125
5 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 31 $145,700 $4,700 premium 19.0% (561) 391-3333
6 BREATHE FREE SINUS AND ALLERGY CENTERS OF FLORIDA LLC PENSACOLA FL OTOLARYNGOLOGY 3 22 $88,000 $4,000 premium 13.5% (850) 990-9407
7 CV ENT SURGICAL GROUP WEST HILLS CA OTOLARYNGOLOGY 3 20 $79,000 $3,950 premium 8.3% (818) 888-7878
8 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 18 $91,530 $5,085 premium 8.9% (480) 847-1193
9 KATHY YU-SYKEN M D INC A MEDICAL CORPORATION HUNTINGTON BEACH CA PHYSICIAN ASSISTANT 3 17 $95,200 $5,600 premium 7.0% (714) 375-4224
10 ATREUS LLC SENECA SC NURSE PRACTITIONER 7 17 $75,520 $4,442 premium 22.1% (864) 800-0100
11 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 16 $20,250 $1,266 premium 9.8% (904) 396-1725
12 ROANOKE VALLEY ENT AND ALLERGY PC ROANOKE VA PHYSICIAN ASSISTANT 5 15 $45,000 $3,000 premium 100.0% (540) 968-7368
13 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 15 $79,575 $5,305 premium 9.2% (305) 595-6200
14 ENT CENTER OF NORTHWEST ALABAMA, LLC FLORENCE AL NURSE PRACTITIONER 5 15 $71,407 $4,760 premium 100.0% (417) 986-6734
15 COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC GULFPORT MS OTOLARYNGOLOGY 9 15 $77,452 $5,163 premium 100.0% (228) 539-3824
16 ELITE ENT PHOENIX AZ OTOLARYNGOLOGY 2 14 $63,500 $4,536 premium 6.9% (602) 802-8240
17 GEORGETOWN EAR, NOSE AND THROAT CENTER, PA GEORGETOWN TX OTOLARYNGOLOGY 2 13 $74,282 $5,714 premium 35.1% (512) 869-0604
18 BRIAN H WEEKS MD INC SAN DIEGO CA PHYSICIAN ASSISTANT 4 13 $73,307 $5,639 premium 5.4% (619) 810-1202
19 NORTH ATLANTA EAR NOSE AND THROAT PC CUMMING GA PHYSICIAN ASSISTANT 17 12 $40,500 $3,375 premium 46.2%
20 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 12 $76,336 $6,361 premium 7.4% (813) 751-3375
21 ADVANCED EAR NOSE AND THROAT SPECIALISTS, SC MILWAUKEE WI PHYSICIAN ASSISTANT 34 11 $96,404 $8,764 premium 100.0% (888) 938-3838
22 ENT GROUP OF LOS ANGELES TARZANA CA OTOLARYNGOLOGY 7 11 $55,000 $5,000 premium 4.5% (818) 609-0600

*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 →