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Market snapshot

43236 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43236 — Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope

Billing groups
52
Named-group FFS services
1,085
FFS of Medicare
49%
Services YoY
-12.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,244 services

1,085 observed fee-for-service (48%) · ~1,159 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 — 43236 (CY2024)
CA 234 FL 218 TX 186 KY 106 IL 94

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

Named-group submitted charges
$960K
Named-group allowed amount
$63K
Named-group Medicare payments
$49K
Avg charge / svc
$885
Avg allowed / svc
$59
Avg payment / svc
$45
Average charge per group
$41 52 groups · avg submitted charge / service $2,137
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43236 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 61 $54,839 $899 57.5% (502) 629-2398
2 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 50 $74,323 $1,486 53.2% —
3 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 39 $27,100 $695 17.9% (904) 398-7205
4 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 33 $13,695 $415 15.1% (386) 231-6000
5 APPALACHIAN REGIONAL HEALTHCARE INC HAZARD KY NURSE PRACTITIONER 277 33 $38,082 $1,154 31.1% (606) 439-1316
6 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 32 $9,760 $305 13.7% (530) 332-4470
7 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 32 $9,632 $301 36.8% —
8 BEAUFORT COUNTY MEMORIAL HOSPITAL BEAUFORT SC PHYSICIAN ASSISTANT 204 31 $28,861 $931 50.8% (843) 522-5983
9 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 31 $66,123 $2,133 13.2% (415) 600-1020
10 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 30 $27,030 $901 49.2% (843) 777-2000
11 WINCHESTER GASTROENTEROLOGY ASSOCIATES WINCHESTER VA PHYSICIAN ASSISTANT 15 30 $10,110 $337 53.6% 5406671244234
12 DIGESTIVE DISEASES CENTER OF FLORIDA PLLC PANAMA CITY FL NURSE PRACTITIONER 17 30 $22,500 $750 13.8% (850) 763-5409
13 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 29 $15,395 $531 15.6% (806) 358-0200
14 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 26 $26,910 $1,035 52.0% (314) 747-3000
15 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 26 $7,280 $280 11.9% (941) 794-1980
16 CAPITAL HEALTH MEDICAL GROUP PENNINGTON NJ NURSE PRACTITIONER 439 25 $53,425 $2,137 67.6% (609) 537-6000
17 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 25 $12,500 $500 100.0% —
18 MERCY CLINIC JOPLIN LLC JOPLIN MO NURSE PRACTITIONER 289 24 $12,408 $517 48.0% (417) 556-6056
19 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 23 $8,993 $391 46.9% (602) 406-6017
20 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 21 $38,766 $1,846 9.0% (650) 723-4000
21 PRAMOD JOSEPH MD LLC FORT PIERCE FL GASTROENTEROLOGY 3 21 $9,870 $470 9.6% (772) 567-6181
22 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 20 $18,336 $917 64.5% (302) 645-3525
23 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 19 $11,837 $623 8.7% (239) 343-9888
24 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 19 $7,619 $401 100.0% (801) 261-8346
25 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 18 $12,060 $670 100.0% (937) 395-8646
26 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 17 $28,734 $1,690 7.3% (858) 455-9100
27 CLEVELAND CLINIC CLEVELAND MN PHYSICIAN ASSISTANT 6828 17 $17,272 $1,016 60.7% —
28 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 16 $20,683 $1,293 100.0% (206) 223-6600
29 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 15 $23,124 $1,542 6.4% (800) 926-8273
30 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 15 $8,760 $584 8.1% —
31 WEST CENTRAL GASTROENTEROLOGY LLP CLEARWATER FL GASTROENTEROLOGY 83 15 $6,900 $460 6.9% (727) 347-0005
32 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 14 $22,792 $1,628 6.0% (916) 681-8852
33 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 14 $8,334 $595 17.9% (484) 526-2400
34 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 14 $27,990 $1,999 6.0% (310) 825-7922
35 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 13 $15,379 $1,183 6.0% (407) 896-1100
36 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 13 $18,707 $1,439 5.6% (916) 983-7476
37 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 13 $4,680 $360 26.5% (520) 694-0111
38 KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN PHYSICIAN ASSISTANT 114 13 $6,058 $466 100.0% —
39 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 13 $5,023 $386 26.5% —
40 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 13 $17,680 $1,360 14.9% (720) 777-1234
41 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 13 $9,245 $711 5.6% (310) 534-8400
42 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 13 $9,672 $744 7.0% —
43 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 13 $538 $41 100.0% (605) 322-5180
44 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 12 $10,680 $890 100.0% (888) 484-3258
45 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 12 $5,448 $454 11.3% (502) 937-2209
46 LOUISIANA GASTROENTEROLOGY ASSOCIATES LLC LAFAYETTE LA GASTROENTEROLOGY 27 12 $8,820 $735 100.0% (337) 232-6697
47 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 12 $23,388 $1,949 12.8% (217) 544-6464
48 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 11 $4,413 $401 35.5% —
49 MAYO CLINIC ARIZONA PHOENIX MN PHYSICIAN ASSISTANT 1635 11 $17,325 $1,575 39.3% (800) 603-0558
50 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 11 $3,740 $340 5.0% (727) 725-5060
51 UNIVERSITY GASTROENTEROLOGY, LLC PROVIDENCE RI GASTROENTEROLOGY 100 11 $11,000 $1,000 100.0% (401) 421-8800
52 COLLIER HMA PHYSICIAN MANAGEMENT LLC NAPLES FL NURSE PRACTITIONER 95 11 $6,600 $600 5.0% —

*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 →