NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

31256 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31256 — Incision of nasal sinus using an endoscope

Billing groups
51
Named-group FFS services
863
FFS of Medicare
49%
Services YoY
+20.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,680 services

863 observed fee-for-service (51%) · ~817 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 — 31256 (CY2024)
FL 321 TX 263 CA 187 AZ 139 TN 137

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

Named-group submitted charges
$1.2M
Named-group allowed amount
$123K
Named-group Medicare payments
$98K
Avg charge / svc
$1,410
Avg allowed / svc
$143
Avg payment / svc
$114
Average charge per group
$388 51 groups · avg submitted charge / service $5,858
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 31256 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 49 $113,334 $2,313 81.7% (617) 523-7900
2 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 41 $36,285 $885 77.4% —
3 EAR NOSE AND THROAT SPECIALTIES PC LINCOLN NE OTOLARYNGOLOGY 17 33 $40,080 $1,215 33.7% (402) 484-4974
4 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 31 $43,128 $1,391 48.4% (507) 284-2511
5 ROCKY MOUNTAIN EAR NOSE AND THROAT CENTER PC MISSOULA MT QUALIFIED AUDIOLOGIST 20 31 $24,130 $778 48.4% (406) 541-3937
6 OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC NORMAN OK OTOLARYNGOLOGY 15 28 $15,010 $536 46.7% (405) 364-2666
7 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 26 $33,380 $1,284 13.9% (800) 926-8273
8 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 24 $140,600 $5,858 36.4% (212) 746-5454
9 COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES, PA MYRTLE BEACH SC OTOLARYNGOLOGY 7 24 $52,807 $2,200 26.4% (843) 449-6449
10 ENT OF OKLAHOMA PLLC LAWTON TX OTOLARYNGOLOGY 5 20 $13,568 $678 7.6% (580) 531-0022
11 LAKESHORE ENT GRANBURY TX NURSE PRACTITIONER 3 19 $46,525 $2,449 7.2% (817) 573-6673
12 SOUTHWEST WYOMING ENT INC EVANSTON WY NURSE PRACTITIONER 2 19 $28,500 $1,500 38.0% (307) 789-8721
13 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS ID PHYSICIAN ASSISTANT 267 18 $13,699 $761 51.4% (208) 535-4343
14 OTOLARYNGOLOGY SPECIALTY CARE LLC BATESVILLE IN OTOLARYNGOLOGY 3 18 $61,812 $3,434 16.1% (812) 669-1490
15 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 17 $20,349 $1,197 17.5% (410) 502-4340
16 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 17 $62,000 $3,647 37.0% (318) 675-8700
17 EAR NOSE AND THROAT ASSOCIATES MD PA FORT MYERS FL OTOLARYNGOLOGY 6 17 $10,628 $625 5.3% (239) 939-2621
18 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 16 $16,227 $1,014 11.7% (629) 255-2115
19 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 16 $20,228 $1,264 8.6% (877) 827-7463
20 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 16 $17,164 $1,073 5.0% (904) 396-1725
21 SOUTHERN UTAH EAR NOSE AND THROAT LLC ST GEORGE UT OTOLARYNGOLOGY 15 15 $7,865 $524 23.4% —
22 PRESCOTT EAR NOSE AND THROAT PLLC PRESCOTT AZ OTOLARYNGOLOGY 5 15 $9,735 $649 10.8% —
23 BRIAN H WEEKS MD INC SAN DIEGO CA PHYSICIAN ASSISTANT 4 15 $5,939 $396 8.0% (619) 810-1202
24 EAR,NOSE AND THROAT SPECIALISTS, L.L.C. WEST MONROE LA NURSE PRACTITIONER 3 14 $10,038 $717 30.4% (318) 322-9882
25 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 14 $11,175 $798 4.4% (305) 595-6200
26 LAWRENCE OTOLARYNGOLOGY ASSOCIATES, LLC LAWRENCE KS OTOLARYNGOLOGY 12 14 $13,778 $984 20.6% (785) 841-1107
27 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 14 $14,768 $1,055 7.5% (310) 423-0674
28 WARREN OTOLOGIC GROUP, INC WARREN OH NURSE PRACTITIONER 7 13 $16,484 $1,268 28.3% (330) 856-4000
29 ST PETERS HEALTH HELENA NE PHYSICIAN ASSISTANT 204 13 $13,239 $1,018 13.3% (406) 447-2828
30 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 13 $12,576 $967 4.9% (817) 920-0484
31 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 13 $12,416 $955 4.0% (904) 953-2000
32 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 13 $16,414 $1,263 28.3% (309) 683-5050
33 EAR,NOSE AND THROAT SURGICAL CLINIC OF SOUTH CENTRAL MS LAUREL MS OTOLARYNGOLOGY 6 13 $18,445 $1,419 14.8% (601) 649-9706
34 NEW YORK UNIVERSITY NEW YORK MN DIAGNOSTIC RADIOLOGY 5704 13 $15,370 $1,182 20.3% (212) 263-9700
35 SOUTH HILLS ENT ASSOCIATION BETHEL PARK PA QUALIFIED AUDIOLOGIST 8 12 $4,654 $388 22.6% 4128317570325
36 OROHEALTH CORPORATION A NON PROFIT HEALTHCARE SYSTEM OROVILLE CA INTERNAL MEDICINE 124 12 $22,338 $1,862 6.4% (530) 532-8654
37 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 12 $21,284 $1,774 4.6% (214) 633-5555
38 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC LA CROSSE WI FAMILY PRACTICE 547 12 $40,095 $3,341 22.6% (608) 785-0940
39 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 11 $9,082 $826 16.7% (914) 241-1050
40 BMC AFFILIATED PHYSICIANS, INC. BROCKTON MA PHYSICIAN ASSISTANT 525 11 $13,314 $1,210 18.3% (508) 427-3000
41 UNIVERSITY OTOLARYNGOLOGISTS INC COLUMBUS OH OTOLARYNGOLOGY 58 11 $6,750 $614 23.9% (614) 538-2424
42 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 11 $24,606 $2,237 8.0% (615) 612-2146
43 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 11 $7,310 $664 7.9% (800) 603-0558
44 NEVADA ENT AND HEARING ASSOCIATES LLC RENO NV OTOLARYNGOLOGY 7 11 $12,240 $1,113 100.0% (775) 322-4589
45 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 11 $4,276 $389 3.4% —
46 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 11 $9,712 $883 16.2% (316) 263-0296
47 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 11 $12,978 $1,180 18.3% (405) 271-4311
48 CORTLAND ENT, PC CORTLAND NY ANESTHESIOLOGY 5 11 $6,055 $550 16.7% (607) 753-6560
49 SHEA CLINIC MEMPHIS TN OTOLARYNGOLOGY 8 11 $17,380 $1,580 8.0% (901) 761-9720
50 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 11 $6,960 $633 9.8% —
51 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 11 $10,419 $947 11.8% (253) 428-2200

*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 →