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Market snapshot

31295 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31295 — Dilation of nasal sinus using an endoscope

Billing groups
142
Named-group FFS services
7,246
FFS of Medicare
49%
Services YoY
+12.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~14,823 services

7,246 observed fee-for-service (49%) · ~7,577 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 — 31295 (CY2024)
CA 1,874 TX 1,421 FL 1,102 AZ 1,055 IL 700

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

Named-group submitted charges
$54.1M
Named-group allowed amount
$13.8M
Named-group Medicare payments
$11.0M
Avg charge / svc
$7,466
Avg allowed / svc
$1,906
Avg payment / svc
$1,517
Average charge per group
$1,671 142 groups · avg submitted charge / service $20,362
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 31295 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 BRIAN G LEE MD PLLC SCOTTSDALE AZ NURSE PRACTITIONER 18 553 $3,657,033 $6,613 52.4% (480) 994-0308
2 BREATHE FREE SINUS AND ALLERGY CENTERS OF FLORIDA LLC PENSACOLA FL OTOLARYNGOLOGY 3 362 $2,393,935 $6,613 32.8% (850) 990-9407
3 ADVANCED EAR NOSE AND THROAT SPECIALISTS PLLC VERNON HILLS IL PHYSICIAN ASSISTANT 18 330 $3,472,505 $10,523 47.1% (888) 938-3838
4 ADVANCED EAR NOSE AND THROAT SPECIALISTS, SC MILWAUKEE WI PHYSICIAN ASSISTANT 34 293 $2,555,248 $8,721 64.7% (888) 938-3838
5 BRIAN G LEE MD PLLC SCOTTSDALE OK NURSE PRACTITIONER 18 256 $1,692,948 $6,613 93.4% (480) 994-0308
6 VINCENT P NALBONE M D LTD LAS VEGAS NV NURSE PRACTITIONER 2 227 $975,500 $4,297 43.7% (702) 312-3333
7 TRINITY ENT AND FACIAL AESTHETICS LLC GILBERT AZ OTOLARYNGOLOGY 2 222 $1,468,104 $6,613 21.0% (480) 558-3223
8 MEDICAL CENTER EAR, NOSE AND THROAT ASSOCIATES OF HOUSTON, PLLC HOUSTON TX OTOLARYNGOLOGY 6 179 $2,151,000 $12,017 12.6% (713) 795-0111
9 HEAD AND NECK COSMETIC SURGERY ASSOCIATES LLC CHICAGO IL OTOLARYNGOLOGY 21 157 $1,255,000 $7,994 22.4% (773) 296-5500
10 ROANOKE VALLEY ENT AND ALLERGY PC ROANOKE VA PHYSICIAN ASSISTANT 5 156 $909,030 $5,827 63.2% (540) 968-7368
11 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 147 $896,550 $6,099 13.3% (561) 391-3333
12 KATHY YU-SYKEN M D INC A MEDICAL CORPORATION HUNTINGTON BEACH CA PHYSICIAN ASSISTANT 3 132 $575,100 $4,357 7.0% (714) 375-4224
13 JOSEPH M CAPO MD PC LEVITTOWN NY OTOLARYNGOLOGY 13 115 $1,012,346 $8,803 36.9% (516) 731-6644
14 MARTIN L. HOPP, MD PHD, A MEDICAL CORP LOS ANGELES CA OTOLARYNGOLOGY 4 113 $350,100 $3,098 6.0% (310) 657-7704
15 CV ENT SURGICAL GROUP WEST HILLS CA OTOLARYNGOLOGY 3 96 $768,000 $8,000 5.1% (818) 888-7878
16 SOUTHERN INDIANA ENT LLC COLUMBUS IN PHYSICIAN ASSISTANT 12 89 $712,000 $8,000 31.4% (812) 376-3182
17 EAR INSTITUTES LLC MAPLE GROVE MN PHYSICIAN ASSISTANT 12 86 $983,966 $11,441 88.7% (888) 938-3838
18 SINUS AND SNORING SPECIALISTS AUSTIN TX PHYSICIAN ASSISTANT 7 84 $644,636 $7,674 5.9% (512) 596-1424
19 MOUNTAIN EAR NOSE AND THROAT ASSOCIATES PA SYLVA NC PHYSICIAN ASSISTANT 9 82 $648,000 $7,902 55.4% (828) 586-7474
20 TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC HOUSTON TX OTOLARYNGOLOGY 122 78 $479,880 $6,152 5.5% (281) 492-7827
21 EAR, NOSE AND THROAT CONSULTANTS OF NEVADA HENDERSON NV OTOLARYNGOLOGY 15 77 $392,291 $5,095 14.8% (702) 792-6700
22 ARIZONA DESERT EAR NOSE AND THROAT SPECIALIST PLLC PHOENIX AZ QUALIFIED AUDIOLOGIST 7 77 $1,016,702 $13,204 7.3% (623) 512-4162
23 ENT CENTER OF NORTHWEST ALABAMA, LLC FLORENCE AL NURSE PRACTITIONER 5 74 $477,984 $6,459 27.3% (417) 986-6734
24 SOUTHEAST TEXAS EAR, NOSE AND THROAT, LLP BEAUMONT TX OTOLARYNGOLOGY 14 72 $786,500 $10,924 5.1% (409) 212-8111
25 MICHAEL BUBLIK MD PC GLENDALE CA OTOLARYNGOLOGY 2 69 $685,000 $9,928 3.7% (818) 649-1433
26 ENT AND SINUS CENTER P C RANCHO CUCAMONGA CA OTOLARYNGOLOGY 2 68 $452,398 $6,653 3.6% —
27 CAPITOL BREATHE FREE SINUS AND ALLERGY CENTERS FREDERICK MD OTOLARYNGOLOGY 2 67 $443,076 $6,613 78.8% (805) 728-5728
28 TRACY BYERLY II MD PA FREDERICKSBURG TX PHYSICIAN ASSISTANT 3 65 $367,510 $5,654 4.6% —
29 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 63 $531,280 $8,433 4.4% (817) 920-0484
30 REHABILITATION ASSOCIATES INC FAIRFIELD CT ORTHOPEDIC SURGERY 532 60 $930,000 $15,500 48.0% (203) 384-8681
31 DESERT EAR NOSE AND THROAT MEDICAL GROUP INC RANCHO MIRAGE CA OTOLARYNGOLOGY 8 60 $229,713 $3,829 3.2% (760) 340-4566
32 ESTRELLA EAR NOSE AND THROAT PC GOODYEAR AZ PHYSICIAN ASSISTANT 4 57 $342,000 $6,000 5.4% (623) 535-8770
33 NATIONAL SINUS INSTITUTE PLLC DEMING TX PHYSICIAN ASSISTANT 35 53 $341,774 $6,449 3.7% (575) 449-8949
34 CAPITOL BREATHE FREE SINUS AND ALLERGY CENTERS FREDERICK VA OTOLARYNGOLOGY 2 52 $343,880 $6,613 21.1% (805) 728-5728
35 MIDWEST ENT CENTRE, PC SAINT PETERS MO OTOLARYNGOLOGY 12 51 $398,950 $7,823 37.5% (636) 441-3100
36 CENTER FOR SLEEP AND NASAL SINUS DISORDERS, LLC INDIANAPOLIS IN PHYSICIAN ASSISTANT 9 48 $455,806 $9,496 17.0% (888) 938-3838
37 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 48 $155,594 $3,242 4.4% (239) 291-6970
38 VALLEY EAR NOSE AND THROAT ASSOCIATES PC ATHENS AL OTOLARYNGOLOGY 6 48 $308,218 $6,421 17.7% (256) 233-1650
39 MODERN NOSE CLINIC LLC SALEM OR PHYSICIAN ASSISTANT 6 46 $293,726 $6,385 74.2% (503) 584-1174
40 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 44 $334,542 $7,603 4.0% (305) 595-6200
41 FLORIDA SINUS AND SNORING SPECIALISTS, LLC FORT LAUDERDALE FL PHYSICIAN ASSISTANT 6 44 $377,800 $8,586 4.0% (954) 983-1211
42 SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC SAN DIEGO CA INTERNAL MEDICINE 205 42 $324,087 $7,716 2.2% (619) 294-8111
43 MONTY V. TRIMBLE , MD, P.A FORT WORTH TX OTOLARYNGOLOGY 2 42 $277,749 $6,613 3.0% (817) 529-6200
44 NORTHEAST ATLANTA EAR NOSE AND THROAT, P.C. LAWRENCEVILLE GA OTOLARYNGOLOGY 15 40 $297,500 $7,438 30.1% (770) 237-3000
45 COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC GULFPORT MS OTOLARYNGOLOGY 9 40 $400,500 $10,012 31.7% (228) 539-3824
46 EXHALE SINUS PLLC SCHAUMBURG IL PHYSICIAN ASSISTANT 6 39 $189,195 $4,851 5.6% (773) 234-5880
47 EAR,NOSE AND THROAT SPECIALISTS, L.L.C. WEST MONROE LA NURSE PRACTITIONER 3 39 $126,675 $3,248 36.4% (318) 322-9882
48 AMERICAN SINUS INSTITUTE PLLC SAN ANTONIO TX OTOLARYNGOLOGY 4 39 $491,400 $12,600 2.7% (210) 225-5666
49 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 39 $521,360 $13,368 12.5% (914) 963-8588
50 TEXAS SINUS CENTER, P.A. SAN ANTONIO TX OTOLARYNGOLOGY 2 37 $366,750 $9,912 2.6% (210) 607-4687
51 WEST COAST EAR, NOSE AND THROAT, INC CLEARWATER FL OTOLARYNGOLOGY 22 36 $208,225 $5,784 3.3% (727) 791-1368
52 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT KS OTOLARYNGOLOGY 104 35 $109,228 $3,121 100.0% (816) 478-4200
53 VINCENT F HONRUBIA MCALLEN TX OTOLARYNGOLOGY 4 35 $441,000 $12,600 2.5% —
54 GEORGETOWN EAR, NOSE AND THROAT CENTER, PA GEORGETOWN TX OTOLARYNGOLOGY 2 35 $203,562 $5,816 2.5% (512) 869-0604
55 CENTRAL TEXAS SINUS AND ALLERGY, PLLC COLLEGE STATION TX OTOLARYNGOLOGY 7 35 $140,000 $4,000 2.5% (979) 764-3090
56 EASLEY HEAD AND NECK SURGERY PA EASLEY SC OTOLARYNGOLOGY 3 35 $169,442 $4,841 17.4% (864) 855-2411
57 ACCENT HEAD AND NECK GROUP P A LINWOOD NJ NURSE PRACTITIONER 2 33 $448,305 $13,585 22.6% (609) 926-5556
58 BOISE ENT LLC BOISE ID OTOLARYNGOLOGY 2 32 $337,500 $10,547 100.0% (208) 229-2368
59 OPREX MEDICAL GROUP PLLC HOUSTON TX OTOLARYNGOLOGY 4 32 $199,232 $6,226 2.3% 2819205558306
60 ALABAMA ENT AND ALLERGY PC BIRMINGHAM AL NURSE PRACTITIONER 7 32 $135,450 $4,233 11.8% (205) 982-7220
61 BRAIN AND SPINE SURGEONS OF NEW YORK PC WHITE PLAINS NY OTOLARYNGOLOGY 21 31 $428,000 $13,806 9.9% (914) 948-8448
62 CHRISTOPHER M SHAARI MD PC HACKENSACK NJ OTOLARYNGOLOGY 2 30 $292,500 $9,750 20.5% (201) 342-8060
63 MICHAEL V RIESBERG MD OTOLARYNGOLOGY AND PERFORMING ARTS MEDICINE PENSACOLA FL NURSE PRACTITIONER 3 30 $244,800 $8,160 2.7% (850) 476-0700
64 WESTSIDE HEAD AND NECK CULVER CITY CA OTOLARYNGOLOGY 6 29 $200,000 $6,897 1.5% (310) 204-4111
65 SINUS AND ALLERGY WELLNESS CENTER OF NORTH SCOTTSDALE LLC SCOTTSDALE AZ PHYSICIAN ASSISTANT 4 28 $185,166 $6,613 2.7% (805) 210-5491
66 SANTA CLARITA EAR NOSE AND THROAT MEDICAL ASSOCIATES VALENCIA CA OTOLARYNGOLOGY 8 28 $376,210 $13,436 1.5% (661) 259-2500
67 MIDWEST ENT ALLIANCE PLLC PARK RIDGE IL OTOLARYNGOLOGY 95 28 $131,498 $4,696 4.0% (847) 674-5585
68 RENAISSANCE MEDICAL FOUNDATION EDINBURG TX DIAGNOSTIC RADIOLOGY 174 28 $326,873 $11,674 2.0% —
69 TEXAS SINUS SPECIALISTS, PLLC SPRING TX PHYSICIAN ASSISTANT 3 28 $174,300 $6,225 2.0% 3464139313107
70 BRYAN D FRIEDMAN DO LLC PAYSON AZ OTOLARYNGOLOGY 3 27 $371,654 $13,765 2.6% (480) 664-0125
71 ENT GROUP OF LOS ANGELES TARZANA CA OTOLARYNGOLOGY 7 27 $103,530 $3,834 1.4% (818) 609-0600
72 ABBAS KASHANI MD INC MANTECA CA OTOLARYNGOLOGY 2 25 $134,500 $5,380 1.3% (209) 239-5665
73 BERNARD J DURANTE MD PC PLYMOUTH MA PHYSICIAN ASSISTANT 16 25 $216,300 $8,652 100.0% (508) 746-8977
74 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 25 $176,392 $7,056 2.3% (813) 751-3375
75 EAR NOSE AND THROAT ASSOCIATES OF LUBBOCK PA LUBBOCK TX OTOLARYNGOLOGY 2 24 $192,000 $8,000 1.7% (806) 791-0188
76 BRIAN H WEEKS MD INC SAN DIEGO CA PHYSICIAN ASSISTANT 4 24 $108,096 $4,504 1.3% (619) 810-1202
77 EAR,NOSE AND THROAT SURGICAL CLINIC OF SOUTH CENTRAL MS LAUREL MS OTOLARYNGOLOGY 6 24 $141,142 $5,881 19.0% (601) 649-9706
78 FLORENCE EARS NOSE AND THROAT PC FLORENCE SC OTOLARYNGOLOGY 4 24 $103,219 $4,301 11.9% (843) 665-2900
79 IMPERIAL HEALTH LLP LAKE CHARLES LA NURSE PRACTITIONER 75 23 $468,329 $20,362 21.5% (337) 436-1370
80 TRI COUNTY EAR NOSE AND THROAT PC HONESDALE PA OTOLARYNGOLOGY 3 23 $161,000 $7,000 44.2% (570) 491-1525
81 CHESAPEAKE BAY ENT PC BELLE HAVEN VA PHYSICIAN ASSISTANT 9 23 $195,672 $8,507 9.3% (757) 442-7040
82 EAR NOSE AND THROAT CONSULTANTS OF NORTH MISSISSIPPI PLLC OXFORD MS QUALIFIED AUDIOLOGIST 10 22 $172,000 $7,818 17.5% (662) 234-1337
83 NORTH DALLAS OTOLARYNGOLOGY CONSULTANTS DALLAS TX OTOLARYNGOLOGY 6 22 $165,060 $7,503 1.5% (214) 382-5100
84 PEORIA EAR NOSE AND THROAT GROUP SC PEORIA WI QUALIFIED AUDIOLOGIST 17 21 $265,839 $12,659 4.6% (309) 589-5900
85 ATLANTIC ENT ASSOCIATES PA TOMS RIVER NJ OTOLARYNGOLOGY 2 21 $161,500 $7,690 14.4% (762) 557-4480
86 COASTAL CAROLINA ENT DO PA WHITEVILLE NC OTOLARYNGOLOGY 6 20 $153,440 $7,672 13.5% (910) 914-0540
87 NEW YORK EAR NOSE AND THROAT INSTITUTE PLLC HALLANDALE BEACH NY OTOLARYNGOLOGY 2 20 $149,610 $7,480 6.4% (754) 400-5959
88 SURGICAL ASSOCIATES NORTHWEST PC FEDERAL WAY WA UROLOGY 11 20 $144,000 $7,200 100.0% (253) 927-1882
89 THOMAS F. NEAL, M.D., STAN E. POTOCKI, M.D., PROFESSIONAL ASSOCIATION LUBBOCK TX OTOLARYNGOLOGY 2 20 $68,715 $3,436 1.4% (806) 792-5331
90 RADIAL WOUND PLLC CHICAGO WI NURSE PRACTITIONER 7 19 $34,200 $1,800 4.2% (872) 321-3162
91 PROGRESSIVE REHABILITATION ASSOCIATES LLC IOWA CITY IA ORTHOPEDIC SURGERY 272 19 $198,000 $10,421 41.3% (319) 354-2429
92 GOLDBERG AND PELLEGRINI, MD, P.C. BROOKLYN NY INTERNAL MEDICINE 7 19 $187,200 $9,853 6.1% (718) 748-5482
93 MIDWEST EXPRESS CARE 2, INC WILLOWBROOK IL NURSE PRACTITIONER 213 19 $32,400 $1,705 2.7% (630) 581-5372
94 ANNAPOLIS ENT SURGICAL CENTER LLC ANNAPOLIS MD QUALIFIED AUDIOLOGIST 45 18 $152,830 $8,491 21.2% (410) 266-3900
95 CORNERSTONE EAR NOSE AND THROAT PA INDIAN LAND NC OTOLARYNGOLOGY 9 18 $99,561 $5,531 12.2% (704) 752-7575
96 WOOSTER ENT ASSOCIATES INC MILLERSBURG OH OTOLARYNGOLOGY 6 18 $112,176 $6,232 33.3% (330) 264-9699
97 GILLUM FACIAL PLASTIC SURGERY PC MARION IN NURSE PRACTITIONER 2 18 $94,500 $5,250 6.4% (765) 651-4278
98 UROLOGY ASSOCIATES OF GREEN BAY SC MARINETTE WI UROLOGY 12 18 $32,400 $1,800 4.0% (920) 433-9400
99 TRIANGLE SINUS CENTER PLLC RALEIGH NC OTOLARYNGOLOGY 6 17 $110,562 $6,504 11.5% (919) 766-8989
100 PREMIER HEALTH MANAGEMENT INC MOBILE AL OTOLARYNGOLOGY 55 17 $68,000 $4,000 6.3% (251) 473-1900

Showing the top 100 of 142 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 →