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Market snapshot

31276 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31276 — Exploration of nasal sinus using an endoscope

Billing groups
72
Named-group FFS services
1,415
FFS of Medicare
49%
Services YoY
+10.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,787 services

1,415 observed fee-for-service (51%) · ~1,372 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 — 31276 (CY2024)
CA 430 FL 361 TX 325 KS 285 TN 172

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

Named-group submitted charges
$4.1M
Named-group allowed amount
$610K
Named-group Medicare payments
$486K
Avg charge / svc
$2,927
Avg allowed / svc
$431
Avg payment / svc
$343
Average charge per group
$766 72 groups · avg submitted charge / service $9,195
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 31276 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 77 $212,220 $2,756 21.3% (904) 396-1725
2 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT KS OTOLARYNGOLOGY 104 65 $213,748 $3,288 22.8% (816) 478-4200
3 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 61 $192,500 $3,156 49.2% (215) 662-2777
4 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 49 $164,127 $3,350 11.4% (800) 926-8273
5 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 39 $37,438 $960 10.8% —
6 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 37 $340,200 $9,195 49.3% (212) 241-4812
7 HEAD AND NECK SURGERY OF KANSAS CITY P A OVERLAND PARK KS OTOLARYNGOLOGY 11 36 $69,615 $1,934 12.6% (913) 599-4800
8 ROCKY MOUNTAIN EAR NOSE AND THROAT CENTER PC MISSOULA MT QUALIFIED AUDIOLOGIST 20 34 $74,955 $2,205 50.0% (406) 541-3937
9 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 33 $117,351 $3,556 100.0% (617) 523-7900
10 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 29 $155,449 $5,360 22.5% (919) 684-8111
11 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 27 $103,672 $3,840 57.4% (507) 284-2511
12 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 27 $140,573 $5,206 20.0% (843) 792-1414
13 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 27 $109,695 $4,063 67.5% (908) 273-4300
14 OTOLARYNGOLOGY SPECIALTY CARE LLC BATESVILLE IN OTOLARYNGOLOGY 3 26 $109,512 $4,212 59.1% (812) 669-1490
15 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 25 $100,802 $4,032 5.8% (310) 794-1110
16 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 25 $70,241 $2,810 58.1% (405) 271-4311
17 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 25 $54,600 $2,184 6.9% (305) 689-5437
18 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 25 $48,768 $1,951 20.2% —
19 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 24 $144,500 $6,021 5.6% (650) 723-4000
20 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 23 $24,769 $1,077 22.8% (206) 223-6600
21 DESERT EAR NOSE AND THROAT MEDICAL GROUP INC RANCHO MIRAGE CA OTOLARYNGOLOGY 8 22 $17,506 $796 5.1% (760) 340-4566
22 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 20 $25,970 $1,298 16.1% (520) 694-0111
23 SINUS AND NASAL SPECIALISTS OF LOUISIANA BATON ROUGE LA OTOLARYNGOLOGY 2 20 $40,752 $2,038 58.8% (225) 819-1181
24 MICHAEL BUBLIK MD PC GLENDALE CA OTOLARYNGOLOGY 2 20 $44,400 $2,220 4.7% (818) 649-1433
25 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS ID PHYSICIAN ASSISTANT 267 19 $38,504 $2,027 48.7% (208) 535-4343
26 OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC NORMAN OK OTOLARYNGOLOGY 15 18 $19,937 $1,108 41.9% (405) 364-2666
27 OTOLARYNGOLOGY ASSOCIATES PC FAIRFAX DE OTOLARYNGOLOGY 30 18 $26,848 $1,492 24.3% (703) 383-8130
28 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 18 $50,095 $2,783 4.2% (310) 423-0674
29 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 17 $37,287 $2,193 16.8% (425) 313-5422
30 ST PETERS HEALTH HELENA NE PHYSICIAN ASSISTANT 204 15 $40,047 $2,670 21.4% (406) 447-2828
31 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 15 $28,318 $1,888 31.2% (503) 239-6673
32 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 14 $34,975 $2,498 3.9% (904) 953-2000
33 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 14 $32,079 $2,291 38.9% (312) 563-2875
34 NORTH SHORE-LIJ MEDICAL PC MANHASSET NC PHYSICIAN ASSISTANT 6294 14 $89,838 $6,417 10.9% —
35 SINUS REGISTRY PLLC DALLAS TX OTOLARYNGOLOGY 2 14 $54,000 $3,857 4.3% (214) 696-4696
36 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 14 $93,100 $6,650 18.7% (914) 963-8588
37 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 13 $35,165 $2,705 10.5% —
38 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 13 $23,052 $1,773 10.5% (800) 603-0558
39 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 13 $18,088 $1,391 10.5% (602) 406-6017
40 TRACY BYERLY II MD PA FREDERICKSBURG TX PHYSICIAN ASSISTANT 3 13 $14,794 $1,138 4.0% —
41 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON PA PHYSICIAN ASSISTANT 2942 13 $52,156 $4,012 10.5% (617) 732-5500
42 MID-SOUTH EAR NOSE AND THROAT PC GERMANTOWN TN NURSE PRACTITIONER 32 13 $31,100 $2,392 7.6% (901) 755-5300
43 ENT SPECIALISTS PC OMAHA NE OTOLARYNGOLOGY 11 13 $26,400 $2,031 18.6% (402) 397-0670
44 COASTAL EAR NOSE AND THROAT LLC NEPTUNE NJ OTOLARYNGOLOGY 19 13 $19,339 $1,488 32.5% (732) 280-7855
45 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON TN NURSE PRACTITIONER 951 13 $36,102 $2,777 7.6% (601) 815-4775
46 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO CA OTOLARYNGOLOGY 16 13 $26,338 $2,026 3.0% (949) 364-4361
47 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 12 $46,582 $3,882 11.8% (410) 502-4340
48 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 12 $48,480 $4,040 16.0% (212) 305-8559
49 NEVADA ENT AND HEARING ASSOCIATES LLC RENO NV OTOLARYNGOLOGY 7 12 $20,160 $1,680 100.0% (775) 322-4589
50 EAR NOSE AND THROAT SPECIALTIES PC LINCOLN NE OTOLARYNGOLOGY 17 12 $26,160 $2,180 17.1% (402) 484-4974
51 PREMIER HEALTH MANAGEMENT INC MOBILE AL OTOLARYNGOLOGY 55 12 $15,290 $1,274 15.2% (251) 473-1900
52 EAR, NOSE AND THROAT MEDICAL AND SURGICAL GROUP, LLC NORTH HAVEN CT OTOLARYNGOLOGY 11 12 $46,750 $3,896 100.0% (203) 234-1324
53 SOUTH HILLS ENT ASSOCIATION BETHEL PARK PA QUALIFIED AUDIOLOGIST 8 12 $12,528 $1,044 9.7% 4128317570325
54 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON SC OTOLARYNGOLOGY 76 12 $25,200 $2,100 8.9% (843) 766-7103
55 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 12 $54,075 $4,506 2.8% (877) 827-7463
56 BRIAN H WEEKS MD INC SAN DIEGO CA PHYSICIAN ASSISTANT 4 12 $9,189 $766 2.8% (619) 810-1202
57 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 12 $26,496 $2,208 15.2% (205) 934-3460
58 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC BINGHAMTON NY PHYSICIAN ASSISTANT 252 12 $12,250 $1,021 16.0% —
59 COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC GULFPORT MS OTOLARYNGOLOGY 9 12 $38,496 $3,208 15.2% (228) 539-3824
60 ALPINE EAR NOSE AND THROAT PC FORT COLLINS CO OTOLARYNGOLOGY 26 11 $20,070 $1,825 23.9% (970) 221-1177
61 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 11 $14,136 $1,285 8.9% (480) 847-1193
62 EAR, NOSE AND THROAT PHYSICIANS OF NORTH MISS., P.A TUPELO MS QUALIFIED AUDIOLOGIST 22 11 $24,300 $2,209 13.9% (662) 840-7034
63 MID-ATLANTIC ENT ANNAPOLIS MD OTOLARYNGOLOGY 6 11 $9,267 $842 10.8% (410) 573-9191
64 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 11 $54,878 $4,989 3.4% (713) 566-5000
65 GEORGETOWN EAR, NOSE AND THROAT CENTER, PA GEORGETOWN TX OTOLARYNGOLOGY 2 11 $15,051 $1,368 3.4% (512) 869-0604
66 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 11 $32,723 $2,975 6.4% (615) 612-2146
67 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION NORFOLK VA OBSTETRICS/GYNECOLOGY 224 11 $18,360 $1,669 32.4% (757) 446-7900
68 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 11 $17,444 $1,586 10.9% (509) 665-6087
69 SHEA CLINIC MEMPHIS TN OTOLARYNGOLOGY 8 11 $27,500 $2,500 6.4% (901) 761-9720
70 LAKESHORE ENT GRANBURY TX NURSE PRACTITIONER 3 11 $36,400 $3,309 3.4% (817) 573-6673
71 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON WI NURSE PRACTITIONER 3380 11 $31,248 $2,841 100.0% —
72 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 11 $17,838 $1,622 8.5% (704) 295-3414

*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 →