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Market snapshot

43237 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43237 — Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth

Billing groups
231
Named-group FFS services
12,101
FFS of Medicare
49%
Services YoY
+1.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~24,451 services

12,101 observed fee-for-service (49%) · ~12,350 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 — 43237 (CY2024)
NY 1,602 CA 1,253 TX 1,111 PA 1,071 FL 1,002

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

Named-group submitted charges
$11.0M
Named-group allowed amount
$2.0M
Named-group Medicare payments
$1.5M
Avg charge / svc
$908
Avg allowed / svc
$164
Avg payment / svc
$127
Average charge per group
$146 231 groups · avg submitted charge / service $2,520
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43237 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 437 $237,494 $543 56.8% —
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 410 $1,042,220 $2,542 25.6% (212) 263-9700
3 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 270 $545,500 $2,020 24.3% (713) 592-5433
4 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 241 $280,134 $1,162 19.2% (650) 723-4000
5 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 220 $324,500 $1,475 46.7% —
6 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 208 $275,392 $1,324 58.6% (919) 684-8111
7 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 205 $249,485 $1,217 26.6% —
8 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 189 $193,530 $1,024 54.8% (507) 284-2511
9 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 186 $111,891 $602 14.8% (949) 791-3370
10 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 177 $82,237 $465 49.2% (913) 588-1227
11 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 173 $98,437 $569 64.6% (501) 686-8000
12 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 168 $149,037 $887 10.5% —
13 MIDWEST GASTROINTESTINAL ASSOCIATES PC OMAHA NE GASTROENTEROLOGY 53 163 $127,792 $784 55.8% —
14 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 159 $86,496 $544 23.9% (888) 484-3258
15 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 149 $146,569 $984 13.9% (570) 271-6144
16 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 148 $130,240 $880 14.8% (239) 343-9888
17 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 142 $110,192 $776 13.3% (215) 662-2777
18 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 141 $70,389 $499 23.8% (913) 588-1227
19 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 138 $223,491 $1,619 53.9% (608) 287-2050
20 DIGESTIVE ASSOCIATES LLP N LAS VEGAS NV GASTROENTEROLOGY 17 135 $75,735 $561 100.0% (702) 633-0207
21 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 130 $125,710 $967 22.2% (508) 334-1000
22 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 126 $74,428 $591 29.0% (206) 364-0500
23 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 119 $88,298 $742 46.9% (615) 322-5000
24 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 112 $48,048 $429 8.9% (530) 332-4470
25 ALBANY MEDICAL COLLEGE ALBANY MO PHYSICIAN ASSISTANT 1070 106 $86,708 $818 17.9% (518) 262-3277
26 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 97 $56,454 $582 20.1% (434) 924-5959
27 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 96 $98,304 $1,024 25.4% (734) 763-5459
28 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 94 $110,039 $1,171 14.1% (317) 338-2345
29 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 93 $92,046 $990 15.9% —
30 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 90 $102,710 $1,141 11.7% (800) 603-0558
31 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 90 $58,500 $650 8.4% —
32 IMC-GULF COAST GASTROENTEROLOGY LLC FAIRHOPE AL GASTROENTEROLOGY 5 86 $51,600 $600 37.2% (251) 990-0360
33 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 85 $106,250 $1,250 5.3% (212) 305-8559
34 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 84 $69,720 $830 6.7% (800) 872-2273
35 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 83 $68,475 $825 7.5% —
36 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 77 $11,244 $146 74.0% (605) 322-5180
37 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 76 $82,047 $1,080 6.8% (214) 633-5555
38 COMMUNITY MEDICINE ASSOCIATES SAN ANTONIO TX FAMILY PRACTICE 593 73 $25,988 $356 6.6% (210) 358-3441
39 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 71 $107,160 $1,509 7.1% (904) 953-2000
40 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 71 $38,796 $546 57.7% (503) 494-8311
41 ILLINOIS GASTROENTEROLOGY GROUP LLC ELGIN IL GASTROENTEROLOGY 114 70 $66,460 $949 9.1% (847) 888-1300
42 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 70 $53,130 $759 6.3% (817) 281-2977
43 MEMORIAL GASTROENTEROLOGY GROUP NEW YORK NY GASTROENTEROLOGY 28 68 $113,900 $1,675 4.2% (212) 639-2000
44 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 67 $44,890 $670 14.2% (614) 293-8000
45 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 66 $92,157 $1,396 4.1% (212) 746-5454
46 ZUHDI TRANSPLANT PHYSICIANS OKLAHOMA CITY OK NURSE PRACTITIONER 51 66 $28,245 $428 25.5% (405) 947-5557
47 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO MO NURSE PRACTITIONER 4339 66 $80,322 $1,217 11.1% —
48 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 66 $32,760 $496 9.9% —
49 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 65 $26,065 $401 6.5% (941) 794-1980
50 AUSTIN GASTROENTEROLOGY PLLC AUSTIN TX GASTROENTEROLOGY 80 64 $48,064 $751 5.8% (512) 454-4588
51 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY VA PHYSICIAN ASSISTANT 354 64 $32,576 $509 13.3% (623) 832-4000
52 CHESAPEAKE DIGESTIVE ASSOCIATES, PC ANNAPOLIS MD GASTROENTEROLOGY 37 64 $56,640 $885 19.4% 4102244887421
53 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 63 $34,921 $554 14.5% (206) 223-6600
54 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 63 $44,451 $706 5.0% (310) 423-3277
55 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 61 $38,137 $625 4.9% (626) 256-4673
56 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 60 $133,624 $2,227 22.4% (501) 202-2093
57 GASTROENTEROLOGY ASSOCIATES OF NORTH-CENTRAL ALABAMA INC BIRMINGHAM MN GASTROENTEROLOGY 91 60 $53,100 $885 17.4% (205) 870-0256
58 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY FL NURSE PRACTITIONER 1815 58 $27,034 $466 5.8% (913) 588-1227
59 BARNABAS HEALTH MULTISPECIALTY WEST ORANGE NJ GASTROENTEROLOGY 21 57 $75,525 $1,325 10.7% (973) 731-4600
60 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 56 $45,886 $819 5.6% (813) 745-4673
61 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 56 $21,424 $383 48.3% (302) 744-4700
62 GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC TOMS RIVER NJ GASTROENTEROLOGY 82 55 $98,505 $1,791 10.3% (732) 281-1590
63 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 55 $43,230 $786 3.4% —
64 TROY GASTROENTEROLOGY PC ROCHESTER HILLS MI GASTROENTEROLOGY 44 54 $27,864 $516 14.3% (248) 844-9710
65 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 53 $42,930 $810 6.9% —
66 NORTHERN MEDICAL GROUP, PLLC BREWSTER NY INTERNAL MEDICINE 35 52 $34,164 $657 3.2% (845) 279-5187
67 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 51 $34,935 $685 9.6% (856) 247-7260
68 NORTH SHORE-LIJ MEDICAL PC MANHASSET PA PHYSICIAN ASSISTANT 6294 51 $58,752 $1,152 4.8% —
69 SSM HEALTH CARE GROUP SAINT LOUIS MO NURSE PRACTITIONER 921 51 $23,715 $465 8.6% (314) 977-7455
70 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 49 $34,555 $705 6.3% (847) 459-1160
71 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 48 $35,681 $743 9.0% (732) 362-3663
72 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 48 $43,666 $910 4.5% (570) 888-5858
73 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 48 $39,396 $821 3.8% (415) 600-1020
74 CITY OF HOPE MEDICAL GROUP OF ARIZONA LLC GOODYEAR AZ NURSE PRACTITIONER 157 48 $46,368 $966 6.2% (623) 207-3000
75 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 47 $38,429 $818 20.2% (404) 367-3210
76 ST CLOUD HOSPITAL SAINT CLOUD MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 218 47 $33,885 $721 8.0% (320) 251-2700
77 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 47 $25,709 $547 18.5% (615) 269-4545
78 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 46 $43,056 $936 3.7% (714) 456-7002
79 KINGS PHYSICIAN SERVICES PC BROOKLYN NY PHYSICIAN ASSISTANT 664 46 $38,640 $840 2.9% —
80 MERCY CLINIC GASTROENTEROLOGY LLC SAINT LOUIS MO GASTROENTEROLOGY 64 45 $25,875 $575 7.6% (314) 251-2880
81 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 45 $23,738 $528 100.0% (202) 429-2401
82 FREDERICK GASTROENTEROLOGY ASSOCIATES PA FREDERICK MD GASTROENTEROLOGY 16 44 $26,400 $600 13.3% (301) 695-6800
83 INDIANAPOLIS GASTROENTEROLOGY LLC INDIANAPOLIS IN GASTROENTEROLOGY 18 44 $44,000 $1,000 6.6% 31786529554419
84 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 42 $29,358 $699 3.9% —
85 GASTROENTEROLOGY CONSULTANTS OF AUGUSTA, PC EVANS GA GASTROENTEROLOGY 26 42 $44,100 $1,050 18.0% (706) 854-8934
86 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 42 $29,022 $691 11.8% (336) 713-9800
87 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 40 $23,600 $590 4.0% (407) 896-1100
88 GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC FAIRFAX VA GASTROENTEROLOGY 92 40 $35,400 $885 8.3% (703) 698-8960
89 DIGESTIVE HEALTH PARTNERS PA ASHEVILLE NC GASTROENTEROLOGY 65 40 $40,000 $1,000 11.3% (828) 254-0881
90 BANNER-UNIVERSITY MEDICAL GROUP TUCSON PA INTERNAL MEDICINE 1068 39 $19,851 $509 3.6% (520) 694-0111
91 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 39 $98,280 $2,520 2.4% (866) 633-8255
92 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 39 $25,350 $650 3.6% —
93 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 39 $19,305 $495 46.4% (801) 261-8346
94 BRONSON METHODIST HOSPITAL KALAMAZOO MI PHYSICIAN ASSISTANT 728 39 $35,178 $902 10.3% —
95 CONCORD HOSPITAL INC CONCORD NH PHYSICIAN ASSISTANT 552 38 $48,053 $1,265 39.6% —
96 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 38 $15,200 $400 5.7% (219) 836-4563
97 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 38 $56,050 $1,475 3.8% (772) 223-5665
98 PITTSBURGH GASTROENTEROLOGY ASSOCIATES PITTSBURGH PA NURSE PRACTITIONER 26 38 $60,800 $1,600 3.5% (412) 232-8104
99 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 37 $44,326 $1,198 3.3% (713) 266-9955
100 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 36 $26,203 $728 2.9% (858) 455-9100

Showing the top 100 of 231 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 →