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Market snapshot

38570 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

38570 — Biopsy and removal of lymph nodes of abdominal cavity using an endoscope

Billing groups
107
Named-group FFS services
2,824
FFS of Medicare
49%
Services YoY
+7.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,619 services

2,824 observed fee-for-service (50%) · ~2,795 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 — 38570 (CY2024)

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

Named-group submitted charges
$5.3M
Named-group allowed amount
$624K
Named-group Medicare payments
$499K
Avg charge / svc
$1,871
Avg allowed / svc
$221
Avg payment / svc
$177
Average charge per group
$297 107 groups · avg submitted charge / service $6,802
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 38570 services, CY2024
#Physician group City St Specialty Providers 38570 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 115 $111,937 $973 premium 31.2% (415) 600-1020
2 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 108 $198,936 $1,842 premium 59.7%
3 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 101 $102,635 $1,016 premium 51.0%
4 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 75 $91,709 $1,223 premium 20.4% (858) 455-9100
5 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 75 $134,100 $1,788 premium 74.3% (541) 683-5001
6 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 61 $203,720 $3,340 premium 44.9% (570) 271-6144
7 NEBRASKA METHODIST HOSPITAL OMAHA NE NURSE PRACTITIONER 129 59 $52,134 $884 premium 100.0% (402) 354-4540
8 SCL HEALTH MEDICAL GROUP - BILLINGS LLC BILLINGS MT PHYSICIAN ASSISTANT 285 57 $52,292 $917 premium 100.0% (406) 237-3913
9 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 57 $162,422 $2,850 premium 50.0% (319) 678-8201
10 CITY OF HOPE MEDICAL GROUP OF ARIZONA LLC GOODYEAR AZ NURSE PRACTITIONER 157 57 $87,438 $1,534 premium 47.9% (623) 207-3000
11 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 56 $87,394 $1,561 premium 44.8% (952) 928-2900
12 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 52 $140,816 $2,708 premium 27.4%
13 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 47 $200,361 $4,263 premium 14.0%
14 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 47 $72,497 $1,542 premium 14.0% (407) 200-2700
15 TRISTAR GYNECOLOGY ONCOLOGY, LLC NASHVILLE TN GYNECOLOGICAL ONCOLOGY 5 44 $69,171 $1,572 premium 31.7% (615) 342-1000
16 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 41 $278,890 $6,802 premium 23.2% (414) 421-8400
17 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 39 $55,100 $1,413 premium 28.7%
18 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 38 $71,212 $1,874 premium 36.9% (973) 971-5596
19 PIEDMONT ATHENS SPECIALTY CARE LLC ATHENS GA PHYSICIAN ASSISTANT 115 36 $38,191 $1,061 premium 32.7% (706) 475-7000
20 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 36 $64,368 $1,788 premium 61.0% (301) 982-9800
21 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 35 $70,021 $2,001 premium 23.2%
22 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 34 $19,926 $586 premium 26.8%
23 GAINESVILLE GYN ONCOLOGY OF NORTH FLORIDA REGIONAL MEDICAL CENTER, LLC GAINESVILLE FL NURSE PRACTITIONER 4 33 $62,994 $1,909 premium 9.9% (352) 333-5946
24 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE CT NURSE PRACTITIONER 669 32 $34,016 $1,063 premium 72.7% (321) 434-8878
25 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 31 $59,985 $1,935 premium 24.8% (507) 284-2511
26 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 29 $44,863 $1,547 premium 16.0% (254) 724-2663
27 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER FL PHYSICIAN ASSISTANT 147 28 $47,936 $1,712 premium 8.4% (561) 747-2234
28 DAYTON PHYSICIANS LLC CENTERVILLE OH NURSE PRACTITIONER 40 27 $29,430 $1,090 premium 41.5% (937) 293-1622
29 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 26 $62,487 $2,403 premium 7.1% (916) 681-8852
30 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 26 $31,850 $1,225 premium 44.1% (405) 254-9690
31 ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER INDIANAPOLIS IN INTERNAL MEDICINE 285 25 $72,925 $2,917 premium 33.8% (317) 338-7760
32 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 25 $11,558 $462 premium 6.8% (949) 791-3370
33 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 24 $33,642 $1,402 premium 58.5%
34 UNIVERSITY OB/GYN ASSOCIATES SYRACUSE NY OBSTETRICS/GYNECOLOGY 37 24 $30,840 $1,285 premium 12.6% (315) 464-5162
35 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 24 $70,800 $2,950 premium 17.6% (215) 662-2777
36 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 23 $26,703 $1,161 premium 50.0%
37 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO MD NURSE PRACTITIONER 4339 23 $65,734 $2,858 premium 39.0%
38 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 23 $51,334 $2,232 premium 100.0% (802) 847-0000
39 CABELL HUNTINGTON HOSPITAL INC HUNTINGTON WV FAMILY PRACTICE 83 23 $22,579 $982 premium 60.5% (304) 691-8500
40 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 22 $27,032 $1,229 premium 32.4% (913) 588-1227
41 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR NURSE PRACTITIONER 316 22 $26,400 $1,200 premium 100.0% (479) 338-8000
42 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 22 $64,042 $2,911 premium 14.6% (217) 544-6464
43 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 21 $32,802 $1,562 premium 19.1%
44 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 21 $35,952 $1,712 premium 16.5% (781) 983-9088
45 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 21 $166,845 $7,945 premium 11.9% (414) 955-4263
46 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 20 $73,420 $3,671 premium 5.4% (650) 723-4000
47 DEACONESS WOMENS HOSPITAL OF SOUTHERN INDIANA LLC NEWBURGH IN OBSTETRICS/GYNECOLOGY 47 20 $32,010 $1,600 premium 27.0% (812) 858-5950
48 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 20 $32,038 $1,602 premium 10.1% (206) 364-0500
49 ASSOCIATES IN WOMENS HEALTH PA WICHITA KS OBSTETRICS/GYNECOLOGY 27 19 $21,660 $1,140 premium 27.9% (316) 722-5141
50 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 19 $36,042 $1,897 premium 10.0% (866) 633-8255
51 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 19 $23,351 $1,229 premium 32.2% (918) 505-3200
52 HH PHYSICIANS NETWORK HUNTSVILLE AL PULMONARY DISEASE 105 18 $24,516 $1,362 premium 54.5% (256) 265-8553
53 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 18 $4,572 $254 premium 17.5% (800) 825-5391
54 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE DE NURSE PRACTITIONER 1878 17 $28,595 $1,682 premium 41.5% (732) 362-3663
55 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 17 $73,338 $4,314 premium 11.3% (708) 216-8372
56 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE IA DIAGNOSTIC RADIOLOGY 2137 17 $48,646 $2,862 premium 14.9% (414) 955-4263
57 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 17 $5,042 $297 premium 18.1% (984) 215-5556
58 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 16 $20,640 $1,290 premium 8.8% (214) 599-8624
59 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 16 $28,912 $1,807 premium 17.0% (828) 213-1740
60 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 16 $19,736 $1,234 premium 100.0% (207) 885-9905
61 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 16 $22,750 $1,422 premium 4.8% (850) 416-2400
62 NORTH SHORE-LIJ MEDICAL PC MANHASSET RI PHYSICIAN ASSISTANT 6294 16 $43,328 $2,708 premium 55.2%
63 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 16 $23,968 $1,498 premium 8.1% (253) 428-2200
64 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 15 $26,895 $1,793 premium 13.6% (404) 367-3210
65 SHAWNEE MISSION MEDICAL CENTER INC MERRIAM KS NURSE PRACTITIONER 262 15 $23,910 $1,594 premium 22.1% (913) 676-2000
66 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 15 $25,235 $1,682 premium 14.6% (732) 362-3663
67 UNIVERSITY ASSOCIATES IN OBSTETRICS AND GYNECOLOGY UNIVERSITY FACULTY STONY BROOK NJ OBSTETRICS/GYNECOLOGY 113 15 $75,000 $5,000 premium 14.6% (631) 444-7650
68 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 15 $29,370 $1,958 premium 13.6% (770) 219-7777
69 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 15 $21,060 $1,404 premium 39.5% (304) 388-5432
70 BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC BIRMINGHAM AL MEDICAL ONCOLOGY 31 15 $18,840 $1,256 premium 45.5% (205) 592-5077
71 AHP SPECIALTY CARE NFP HINSDALE IL HEMATOLOGY/ONCOLOGY 32 14 $23,260 $1,661 premium 9.3% (630) 286-5500
72 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIA SC HEMATOLOGY/ONCOLOGY 18 14 $16,772 $1,198 premium 56.0% (803) 461-3000
73 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 14 $30,436 $2,174 premium 21.5%
74 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 14 $20,803 $1,486 premium 7.7% (210) 593-5700
75 AFFILIATED ONCOLOGISTS LLC OAK LAWN IL PHYSICIAN ASSISTANT 40 14 $25,032 $1,788 premium 9.3% (708) 684-5475
76 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY NY NURSE PRACTITIONER 1815 13 $15,848 $1,219 premium 6.8% (913) 588-1227
77 PROVIDENCE HEALTH AND SERVICES- WASHINGTON EVERETT WA PHYSICIAN ASSISTANT 521 13 $4,105 $316 premium 6.6% (425) 297-5234
78 PETER C LIM MD LTD RENO NV PHYSICIAN ASSISTANT 7 13 $36,855 $2,835 premium 43.3% (775) 327-4673
79 BONAVENTURE MEDICAL FOUNDATION LLC HOFFMAN EST IL DIAGNOSTIC RADIOLOGY 162 13 $20,312 $1,562 premium 8.6% (847) 755-8208
80 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 13 $62,881 $4,837 premium 3.9% (904) 953-2000
81 CARILION MEDICAL CENTER ROANOKE VA PHYSICIAN ASSISTANT 964 12 $21,852 $1,821 premium 9.4% (540) 981-7925
82 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 12 $19,020 $1,585 premium 8.8%
83 NORTHWEST CANCER SPECIALISTS PC PORTLAND WA PHYSICIAN ASSISTANT 68 12 $20,832 $1,736 premium 6.1% (503) 280-1223
84 WOMANS GYNECOLOGIC ONCOLOGY BATON ROUGE LA GYNECOLOGICAL ONCOLOGY 6 12 $50,336 $4,195 premium 52.2% (225) 216-3006
85 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 12 $47,400 $3,950 premium 10.1% (800) 603-0558
86 NEBRASKA METHODIST HOSPITAL OMAHA MA NURSE PRACTITIONER 129 12 $19,188 $1,599 premium 9.4% (402) 354-4540
87 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN MO NURSE PRACTITIONER 1404 12 $16,320 $1,360 premium 52.2% (973) 971-5596
88 CAROLINAS MEDICAL CENTER CHARLOTTE NC PHYSICIAN ASSISTANT 1034 12 $25,538 $2,128 premium 12.8% (704) 355-2000
89 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 12 $28,944 $2,412 premium 3.3% (626) 256-4673
90 MIDWEST ONCOLOGY ASSOCIATES LLC OVERLAND PARK KS NURSE PRACTITIONER 24 12 $19,920 $1,660 premium 17.6% (913) 906-9364
91 VALLEY PHYSICIAN SERVICES PC HOBOKEN CT NURSE PRACTITIONER 606 12 $20,891 $1,741 premium 27.3% (800) 825-5391
92 IRONWOOD PHYSICIANS PC MESA AZ HEMATOLOGY/ONCOLOGY 114 12 $11,460 $955 premium 10.1% (480) 981-1326
93 HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC DENVER CO PHYSICIAN ASSISTANT 44 12 $19,196 $1,600 premium 26.1% (303) 750-4933
94 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 12 $23,570 $1,964 premium 9.4%
95 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 12 $18,504 $1,542 premium 6.1%
96 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 11 $9,824 $893 premium 5.6% (206) 223-6600
97 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 11 $12,114 $1,101 premium 3.0% (805) 349-8514
98 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY VA NURSE PRACTITIONER 1815 11 $13,456 $1,223 premium 8.7% (913) 588-1227
99 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 11 $17,358 $1,578 premium 44.0%
100 GYN ONCOLOGY GROUP OF THE UNIVERSITY OF ROCHESTER ROCHESTER NY NURSE PRACTITIONER 13 11 $24,200 $2,200 premium 5.8% (585) 442-8020

Showing the top 100 of 107 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 →