NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope CPT · Procedure
Classification Procedure › Digestive/Gastrointestinal › Upper GI Endoscopy (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 206,051 services ▼ 5.7% YoY · 201,320 beneficiaries (CY2024, Medicare FFS)
Medicare paid $23.3M · $112.98 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,269
Named-group FFS services
121,378
FFS of Medicare
49%
Services YoY
-5.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~244,868 services

121,378 observed fee-for-service (50%) · ~123,490 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; 1 state without payer-mix data excluded. How we scale

Top states — 43235 (CY2024)
CA 15,370 FL 13,408 TX 13,326 PA 10,655 OH 9,953

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

Named-group submitted charges
$87.1M
Named-group allowed amount
$12.4M
Named-group Medicare payments
$9.6M
Avg charge / svc
$718
Avg allowed / svc
$102
Avg payment / svc
$79
Average charge per group
$101 1,269 groups · avg submitted charge / service $4,015
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 43235 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 1,938 $1,005,022 $519 14.5% —
2 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 1,316 $733,504 $557 9.8% (904) 398-7205
3 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTER PA PHYSICIAN ASSISTANT 259 1,097 $581,410 $530 10.3% (717) 869-4600
4 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 921 $622,347 $676 9.3% —
5 MAURY REGIONAL MEDICAL GROUP, INC COLUMBIA TN INTERNAL MEDICINE 119 860 $468,473 $545 10.6% (931) 381-1111
6 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN MS GASTROENTEROLOGY 154 852 $539,303 $633 21.0% (901) 755-9110
7 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 842 $865,748 $1,028 6.3% (903) 606-5560
8 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 673 $861,502 $1,280 4.4% (916) 681-8852
9 CAPITAL DIGESTIVE CARE LLC WASHINGTON VA GASTROENTEROLOGY 238 629 $456,680 $726 12.3% (202) 296-3449
10 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 625 $553,125 $885 4.7% (254) 724-2663
11 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 605 $162,112 $268 18.1% (502) 928-1050
12 COVENANT MEDICAL GROUP INC KNOXVILLE TN NURSE PRACTITIONER 333 591 $238,022 $403 7.3% (865) 632-5885
13 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 589 $727,741 $1,236 24.7% (507) 284-2511
14 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 546 $452,373 $829 6.7% (615) 322-5000
15 GASTROENTEROLOGY SPECIALTIES PC LINCOLN NE GASTROENTEROLOGY 51 543 $401,920 $740 20.8% (402) 465-4545
16 GASTROENTEROLOGY ASSOCIATES, PA GREENVILLE SC GASTROENTEROLOGY 58 519 $252,234 $486 8.4% (864) 232-7338
17 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 513 $137,784 $269 13.9% (405) 254-9690
18 AUSTIN GASTROENTEROLOGY PLLC AUSTIN TX GASTROENTEROLOGY 80 512 $300,186 $586 3.8% (512) 454-4588
19 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 503 $245,176 $487 8.0% —
20 DIGESTIVE HEALTH SPECIALISTS LLC INDEPENDENCE MO GASTROENTEROLOGY 75 490 $253,888 $518 7.8% (816) 478-4887
21 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 482 $291,147 $604 7.4% —
22 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 477 $174,510 $366 3.1% (714) 871-3006
23 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 477 $459,987 $964 9.4% (800) 603-0558
24 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 454 $193,896 $427 6.9% —
25 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 437 $641,115 $1,467 6.7% —
26 MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR NURSE PRACTITIONER 349 433 $193,175 $446 15.8% (479) 314-5175
27 GASTROENTEROLOGY HEALTH PARTNERS PLLC NEW ALBANY IN GASTROENTEROLOGY 29 430 $262,722 $611 6.5% (812) 945-0145
28 ATLANTIC DIGESTIVE SPECIALISTS PLLC SOMERSWORTH NH GASTROENTEROLOGY 18 427 $410,121 $960 30.5% (603) 692-2228
29 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 426 $305,797 $718 2.8% (310) 534-8400
30 GCGA PHYSICIANS INC. CINCINNATI OH GASTROENTEROLOGY 76 422 $433,195 $1,027 4.2% (513) 751-6667
31 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 421 $410,475 $975 2.7% —
32 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 420 $144,094 $343 8.3% —
33 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 419 $295,500 $705 10.7% (785) 354-9591
34 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 413 $253,324 $613 3.9% (484) 526-2400
35 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 408 $414,609 $1,016 3.0% (305) 913-0666
36 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 397 $115,730 $292 10.2% (913) 588-1227
37 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 397 $260,646 $657 6.0% —
38 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 390 $438,856 $1,125 2.9% (904) 953-2000
39 CHESAPEAKE DIGESTIVE ASSOCIATES, PC ANNAPOLIS MD GASTROENTEROLOGY 37 390 $404,040 $1,036 8.5% 4102244887421
40 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 389 $296,873 $763 6.0% —
41 NNM GASTROENTEROLOGY ASSOCIATES PA SANTA FE NM GASTROENTEROLOGY 12 388 $192,060 $495 31.7% (505) 983-5631
42 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 383 $245,503 $641 10.4% —
43 INDIANAPOLIS GASTROENTEROLOGY LLC INDIANAPOLIS IN GASTROENTEROLOGY 18 380 $342,000 $900 5.8% 31786529554419
44 TROY GASTROENTEROLOGY PC ROCHESTER HILLS MI GASTROENTEROLOGY 44 379 $125,316 $331 6.2% (248) 844-9710
45 CONSULTANTS IN GASTROENTEROLOGY PA WEST COLUMBIA SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 37 376 $269,968 $718 6.1% (803) 794-4585
46 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 372 $204,972 $551 20.8% —
47 DIGESTIVE CARE OF EVANSVILLE PC NEWBURGH IN NURSE PRACTITIONER 27 362 $304,975 $842 5.5% (812) 477-6103
48 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 360 $1,453,678 $4,038 5.5% (212) 263-9700
49 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 359 $251,343 $700 5.4% (888) 484-3258
50 WINCHESTER GASTROENTEROLOGY ASSOCIATES WINCHESTER VA PHYSICIAN ASSISTANT 15 347 $104,100 $300 6.8% 5406671244234
51 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 345 $238,782 $692 14.5% (612) 871-1145
52 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 343 $534,567 $1,559 5.3% (309) 683-5050
53 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 342 $261,898 $766 5.5% —
54 ENDOSCOPY CENTER OF OCALA INC OCALA FL GASTROENTEROLOGY 19 342 $119,700 $350 2.6% (352) 732-8905
55 GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION MONROE LA GASTROENTEROLOGY 13 338 $205,165 $607 9.2% (318) 325-2634
56 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 338 $87,114 $258 2.5% (941) 794-1980
57 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 337 $185,440 $550 5.1% (508) 973-5919
58 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 335 $329,956 $985 5.3% (314) 747-3000
59 GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT PA WINSTON SALEM NC GASTROENTEROLOGY 24 332 $219,828 $662 4.4% (336) 448-2427
60 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 323 $208,140 $644 3.0% —
61 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 322 $257,960 $801 2.4% (407) 896-1100
62 LOUISIANA GASTROENTEROLOGY ASSOCIATES LLC LAFAYETTE LA GASTROENTEROLOGY 27 321 $224,700 $700 8.8% (337) 232-6697
63 ECM HEALTH GROUP LLC FLORENCE AL DIAGNOSTIC RADIOLOGY 140 320 $142,400 $445 8.5% (256) 718-5900
64 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 315 $464,625 $1,475 2.3% (772) 223-5665
65 ILLINOIS GASTROENTEROLOGY GROUP LLC ELGIN IL GASTROENTEROLOGY 114 314 $282,600 $900 4.8% (847) 888-1300
66 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 310 $121,180 $391 2.3% (407) 200-2700
67 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 305 $228,750 $750 2.3% (806) 358-0200
68 DAYTON GASTROENTEROLOGY, LLC DAYTON OH GASTROENTEROLOGY 75 303 $220,855 $729 3.0% (937) 320-5050
69 DIGESTIVE HEALTH PARTNERS PA ASHEVILLE NC GASTROENTEROLOGY 65 302 $331,101 $1,096 4.0% (828) 254-0881
70 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 301 $129,602 $431 3.0% (614) 293-8000
71 GALEN MEDICAL GROUP, PC CHATTANOOGA TN NURSE PRACTITIONER 123 300 $427,800 $1,426 3.7% (423) 643-2500
72 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 299 $80,730 $270 1.9% (530) 332-4470
73 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 299 $176,410 $590 4.5% (781) 983-9088
74 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 297 $392,644 $1,322 1.9% (415) 600-1020
75 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 296 $425,226 $1,437 1.9% (650) 723-4000
76 GASTROINTESTINAL ASSOCIATES PA FLOWOOD MS GASTROENTEROLOGY 46 294 $333,396 $1,134 7.2% 6013551234562
77 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 294 $207,448 $706 3.0% (513) 246-7000
78 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 292 $262,703 $900 4.4% (812) 450-6700
79 COLUMBIA GASTROENTEROLOGY ASSOCIATES PA COLUMBIA SC GASTROENTEROLOGY 9 287 $168,756 $588 4.6% (803) 799-4800
80 GASTROENTEROLOGY SPECIALISTS, INC. TULSA OK GASTROENTEROLOGY 23 286 $157,300 $550 7.8% (918) 940-8900
81 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 283 $348,373 $1,231 5.5% (804) 828-9000
82 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 280 $478,640 $1,709 1.8% (310) 825-7922
83 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 277 $277,989 $1,004 4.2% (317) 338-2345
84 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 275 $180,125 $655 7.5% (918) 502-4720
85 CONNECTICUT GI PLLC HARTFORD CT GASTROENTEROLOGY 235 274 $225,678 $824 21.3% (860) 246-2571
86 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 274 $228,196 $833 2.6% (570) 271-6144
87 GASTROINTESTINAL ASSOCIATES LLC OVERLAND PARK KS GASTROENTEROLOGY 14 273 $136,500 $500 7.0% (913) 495-9600
88 GASTROINTESTINAL CONSULTANTS OF NEPA SCRANTON PA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 10 272 $163,200 $600 2.6% (570) 969-6100
89 WASHINGTON GASTROENTEROLOGY PLLC TACOMA WA PHYSICIAN ASSISTANT 139 268 $148,701 $555 6.8% (253) 272-5127
90 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 267 $228,819 $857 5.2% —
91 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN TN GASTROENTEROLOGY 154 267 $170,149 $637 3.3% (901) 755-9110
92 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 265 $153,700 $580 2.5% —
93 KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY NURSE PRACTITIONER 392 261 $112,733 $432 7.8% (606) 325-6888
94 KIM CHEN PLLC LAS VEGAS NV GASTROENTEROLOGY 17 260 $217,880 $838 18.5% (702) 483-4483
95 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 258 $165,894 $643 7.1% (504) 842-3000
96 YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC PRESCOTT AZ NURSE PRACTITIONER 120 255 $62,440 $245 5.0% (928) 771-3704
97 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 254 $89,239 $351 3.8% (508) 771-1800
98 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 252 $60,096 $238 25.8% (406) 657-4000
99 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 250 $130,720 $523 5.0% (602) 843-1265
100 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 248 $99,944 $403 7.4% (502) 937-2209

Showing the top 100 of 1,269 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 →