NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
31267 Removal of nasal sinus tissue 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 8,987 services ▲ 6.7% YoY · 7,132 beneficiaries (CY2024, Medicare FFS)
Medicare paid $6.8M · $757.48 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
149
Named-group FFS services
3,259
FFS of Medicare
49%
Services YoY
+6.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,412 services

3,259 observed fee-for-service (51%) · ~3,153 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 — 31267 (CY2024)
CA 1,130 TX 866 KS 806 FL 772 TN 441

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

Named-group submitted charges
$6.7M
Named-group allowed amount
$850K
Named-group Medicare payments
$677K
Avg charge / svc
$2,043
Avg allowed / svc
$261
Avg payment / svc
$208
Average charge per group
$433 149 groups · avg submitted charge / service $10,400
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 31267 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT KS OTOLARYNGOLOGY 104 146 $467,209 $3,200 18.1% (816) 478-4200
2 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 100 $167,028 $1,670 13.0% (904) 396-1725
3 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 70 $110,880 $1,584 19.6% (215) 662-2777
4 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 69 $58,892 $854 16.8% (480) 847-1193
5 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 66 $215,025 $3,258 5.8% (650) 723-4000
6 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 64 $92,400 $1,444 7.9% (316) 263-0296
7 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 63 $180,584 $2,866 60.0% (617) 523-7900
8 HEAD AND NECK SURGERY OF KANSAS CITY P A OVERLAND PARK KS OTOLARYNGOLOGY 11 59 $77,963 $1,321 7.3% (913) 599-4800
9 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 49 $229,600 $4,686 14.7% (843) 792-1414
10 SINUS AND NASAL SPECIALISTS OF LOUISIANA BATON ROUGE LA OTOLARYNGOLOGY 2 48 $70,577 $1,470 53.3% (225) 819-1181
11 MID-SOUTH EAR NOSE AND THROAT PC GERMANTOWN TN NURSE PRACTITIONER 32 46 $53,992 $1,174 10.4% (901) 755-5300
12 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 41 $97,600 $2,380 11.5% —
13 MICHAEL BUBLIK MD PC GLENDALE CA OTOLARYNGOLOGY 2 41 $73,800 $1,800 3.6% (818) 649-1433
14 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 41 $40,956 $999 16.1% —
15 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 40 $284,500 $7,112 26.5% (212) 241-4812
16 NORTH DALLAS OTOLARYNGOLOGY CONSULTANTS DALLAS TX OTOLARYNGOLOGY 6 36 $63,072 $1,752 4.2% (214) 382-5100
17 UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ INTERNAL MEDICINE 381 35 $364,000 $10,400 14.8% (973) 972-5004
18 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON SC OTOLARYNGOLOGY 76 35 $39,150 $1,119 10.5% (843) 766-7103
19 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 34 $86,320 $2,539 3.0% (310) 794-1110
20 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 32 $39,525 $1,235 7.8% (800) 603-0558
21 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 31 $119,600 $3,858 9.7% (919) 684-8111
22 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 30 $110,295 $3,676 12.7% (908) 273-4300
23 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 30 $28,620 $954 2.7% (800) 872-2273
24 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 28 $18,034 $644 11.0% (206) 223-6600
25 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 28 $69,480 $2,481 13.9% (434) 924-5959
26 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 28 $50,753 $1,813 3.6% (305) 689-5437
27 ENT ASSOCIATES OF ALABAMA PC BIRMINGHAM AL OTOLARYNGOLOGY 43 27 $56,980 $2,110 13.2% (205) 212-3540
28 NEVADA ENT AND HEARING ASSOCIATES LLC RENO NV OTOLARYNGOLOGY 7 27 $48,300 $1,789 100.0% (775) 322-4589
29 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 27 $49,820 $1,845 13.6% (513) 246-7000
30 EAR, NOSE AND THROAT PHYSICIANS OF NORTH MISS., P.A TUPELO MS QUALIFIED AUDIOLOGIST 22 26 $44,000 $1,692 13.8% (662) 840-7034
31 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 26 $33,527 $1,290 10.2% (425) 313-5422
32 AOP, INC. CAMP HILL PA PHYSICIAN ASSISTANT 12 25 $27,620 $1,105 7.0% (717) 763-7400
33 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 25 $45,368 $1,815 30.1% (405) 271-4311
34 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION NORFOLK VA OBSTETRICS/GYNECOLOGY 224 25 $23,120 $925 12.4% (757) 446-7900
35 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT MO OTOLARYNGOLOGY 104 24 $75,922 $3,163 16.3% (816) 478-4200
36 OTOLARYNGOLOGY ASSOCIATES PC FAIRFAX DE OTOLARYNGOLOGY 30 24 $22,871 $953 21.2% (703) 383-8130
37 UNIVERSITY OTOLARYNGOLOGISTS INC COLUMBUS OH OTOLARYNGOLOGY 58 24 $22,200 $925 12.1% (614) 538-2424
38 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 24 $55,103 $2,296 3.1% (904) 953-2000
39 BSA PHYSICIANS GROUP INC AMARILLO TX HOSPITALIST 118 24 $76,755 $3,198 2.8% (806) 359-4673
40 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 24 $51,750 $2,156 3.1% (561) 391-3333
41 OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY LLC COLUMBUS OH OTOLARYNGOLOGY 67 23 $35,190 $1,530 11.6% (614) 366-3687
42 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 23 $53,163 $2,311 10.6% (720) 777-1234
43 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO CA OTOLARYNGOLOGY 16 22 $27,125 $1,233 1.9% (949) 364-4361
44 COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC GULFPORT MS OTOLARYNGOLOGY 9 22 $59,200 $2,691 11.6% (228) 539-3824
45 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 21 $11,593 $552 2.7% —
46 MURFREESBORO MEDICAL CLINIC, P.A. MURFREESBORO TN NURSE PRACTITIONER 172 21 $24,700 $1,176 4.8% (615) 867-7925
47 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 21 $33,915 $1,615 4.8% (629) 255-2115
48 ROCKY MOUNTAIN EAR NOSE AND THROAT CENTER PC MISSOULA MT QUALIFIED AUDIOLOGIST 20 21 $29,760 $1,417 40.4% (406) 541-3937
49 NORTH SHORE-LIJ MEDICAL PC MANHASSET NC PHYSICIAN ASSISTANT 6294 21 $75,764 $3,608 6.5% —
50 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 21 $27,695 $1,319 5.9% —
51 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 21 $90,090 $4,290 13.9% (914) 963-8588
52 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 20 $22,984 $1,149 24.1% —
53 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON TN NURSE PRACTITIONER 951 20 $29,870 $1,494 4.5% (601) 815-4775
54 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 19 $43,011 $2,264 32.8% (507) 284-2511
55 TENNESSEE EAR, NOSE AND THROAT CONSULTANTS, PC KNOXVILLE TN QUALIFIED AUDIOLOGIST 26 19 $64,000 $3,368 4.3% (865) 693-6065
56 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 19 $18,834 $991 7.5% (509) 665-6087
57 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 19 $47,900 $2,521 1.7% (800) 926-8273
58 ASCENSION MEDICAL GROUP VIA CHRISTI PA WICHITA KS FAMILY PRACTICE 186 19 $22,837 $1,202 2.4% (316) 689-9349
59 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 18 $73,950 $4,108 12.2% (314) 747-3000
60 MERCY CLINICS INC DES MOINES NE NURSE PRACTITIONER 435 18 $12,728 $707 45.0% (515) 461-9786
61 CENTRAL COAST HEAD AND NECK SURGEONS A M C INC SALINAS CA OTOLARYNGOLOGY 14 17 $42,377 $2,493 1.5% (408) 422-8798
62 HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS MONTGOMERY AL NURSE PRACTITIONER 259 17 $17,102 $1,006 8.3% (334) 747-8970
63 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 17 $25,378 $1,493 2.0% (817) 920-0484
64 PRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC GREENVILLE SC OTOLARYNGOLOGY 21 17 $13,998 $823 5.1% (864) 572-7001
65 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 17 $29,538 $1,738 2.0% (903) 606-5560
66 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 16 $24,540 $1,534 1.4% (858) 455-9100
67 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC BATON ROUGE LA NURSE PRACTITIONER 628 16 $18,669 $1,167 17.8% (225) 765-1765
68 COASTAL EAR NOSE AND THROAT LLC NEPTUNE MA OTOLARYNGOLOGY 19 16 $14,588 $912 15.2% (732) 280-7855
69 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 16 $25,188 $1,574 1.4% (310) 423-0674
70 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 15 $28,738 $1,916 7.4% (410) 502-4340
71 GEORGETOWN EAR, NOSE AND THROAT CENTER, PA GEORGETOWN TX OTOLARYNGOLOGY 2 15 $13,443 $896 1.7% (512) 869-0604
72 PRESCOTT EAR NOSE AND THROAT PLLC PRESCOTT AZ OTOLARYNGOLOGY 5 15 $11,275 $752 3.7% —
73 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 15 $17,256 $1,150 4.5% (864) 255-1901
74 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 15 $13,755 $917 4.7% (704) 295-3414
75 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 14 $11,951 $854 6.5% —
76 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 14 $16,468 $1,176 16.9% —
77 UNIVERSITY HEAD AND NECK SURGEONS ORANGE CA OTOLARYNGOLOGY 27 14 $31,365 $2,240 1.2% (714) 456-5731
78 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY PA NURSE PRACTITIONER 1815 14 $68,897 $4,921 3.9% (913) 588-1227
79 TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC HOUSTON TX OTOLARYNGOLOGY 122 14 $29,700 $2,121 1.6% (281) 492-7827
80 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 14 $37,827 $2,702 7.1% —
81 TRACY BYERLY II MD PA FREDERICKSBURG TX PHYSICIAN ASSISTANT 3 14 $11,158 $797 1.6% —
82 EAR NOSE AND THROAT ASSOCIATES MD PA FORT MYERS FL OTOLARYNGOLOGY 6 14 $13,637 $974 1.8% (239) 939-2621
83 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON WI NURSE PRACTITIONER 3380 14 $23,804 $1,700 10.4% —
84 CLEVELAND CLINIC CLEVELAND WA PHYSICIAN ASSISTANT 6828 14 $43,261 $3,090 5.5% —
85 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 14 $8,596 $614 1.8% —
86 ENT AND ALLERGY ASSOCIATES LLP YONKERS NJ OTOLARYNGOLOGY 429 14 $10,062 $719 5.9% (914) 963-8588
87 OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC NORMAN OK OTOLARYNGOLOGY 15 13 $9,271 $713 15.7% (405) 364-2666
88 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 13 $57,200 $4,400 11.3% (317) 338-2345
89 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 13 $29,762 $2,289 16.5% (618) 236-8000
90 CASTLE MEDICAL CENTER KAILUA HI INTERNAL MEDICINE 79 13 $10,218 $786 100.0% (808) 263-5142
91 SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC SACRAMENTO CA OTOLARYNGOLOGY 34 13 $15,427 $1,187 1.2% (916) 736-3399
92 NORTH BEND MEDICAL CENTER INC COOS BAY OR NURSE PRACTITIONER 88 13 $12,804 $985 20.3% (541) 267-5151
93 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 13 $23,690 $1,822 2.9% (615) 322-5000
94 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 13 $12,682 $976 3.2% (602) 406-6017
95 SONORA COMMUNITY HOSPITAL SONORA CA PHYSICIAN ASSISTANT 139 13 $9,581 $737 1.2% —
96 JOHN D MCCAFFERY M.D. INC SANTA BARBARA CA PHYSICIAN ASSISTANT 3 13 $7,930 $610 1.2% (805) 964-6926
97 PHYSICIAN GROUPS LC SAINT LOUIS MO NURSE PRACTITIONER 516 13 $31,056 $2,389 8.8% (314) 273-0195
98 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 13 $23,292 $1,792 12.4% —
99 JTDM FAMILY PRACTICE LLC SAINT MARYS OH NURSE PRACTITIONER 46 13 $6,071 $467 6.6% (419) 394-9522
100 ENT AND ALLERGY ASSOCIATES SC WAUSAU WI QUALIFIED AUDIOLOGIST 25 13 $35,416 $2,724 9.7% (715) 847-2021

Showing the top 100 of 149 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 →