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Market snapshot

43238 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43238 — Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope

Billing groups
188
Named-group FFS services
9,531
FFS of Medicare
49%
Services YoY
+2.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~19,369 services

9,531 observed fee-for-service (49%) · ~9,838 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 — 43238 (CY2024)
NY 1,046 PA 976 CA 941 TX 746 IL 696

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

Named-group submitted charges
$10.4M
Named-group allowed amount
$2.0M
Named-group Medicare payments
$1.5M
Avg charge / svc
$1,095
Avg allowed / svc
$205
Avg payment / svc
$160
Average charge per group
$204 188 groups · avg submitted charge / service $3,105
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43238 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 267 $827,433 $3,099 25.5% (212) 263-9700
2 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 241 $455,607 $1,890 32.3% (713) 592-5433
3 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 229 $149,033 $651 48.3% —
4 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 219 $323,463 $1,477 31.5% —
5 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 210 $371,280 $1,768 44.9% —
6 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 185 $259,036 $1,400 51.2% (507) 284-2511
7 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 172 $304,784 $1,772 18.3% (650) 723-4000
8 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 169 $117,793 $697 28.4% (888) 484-3258
9 MEMORIAL GASTROENTEROLOGY GROUP NEW YORK NY GASTROENTEROLOGY 28 140 $238,000 $1,700 13.4% (212) 639-2000
10 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 139 $203,285 $1,462 14.2% (570) 271-6144
11 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 134 $139,356 $1,040 20.8% (239) 343-9888
12 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 133 $115,874 $871 14.1% (626) 256-4673
13 MIDWEST GASTROINTESTINAL ASSOCIATES PC OMAHA NE GASTROENTEROLOGY 53 133 $124,355 $935 53.0% —
14 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 131 $127,070 $970 13.4% (215) 662-2777
15 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 125 $97,030 $776 13.3% (949) 791-3370
16 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 123 $236,858 $1,926 33.5% (608) 287-2050
17 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 120 $97,200 $810 25.6% (614) 293-8000
18 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 116 $69,600 $600 19.5% —
19 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 106 $108,662 $1,025 16.5% (813) 745-4673
20 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 103 $121,025 $1,175 13.8% (214) 633-5555
21 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 99 $91,872 $928 33.9% (615) 322-5000
22 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 99 $122,937 $1,242 25.3% —
23 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 97 $147,537 $1,521 66.0% (919) 684-8111
24 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 96 $65,512 $682 27.2% (206) 223-6600
25 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 91 $65,975 $725 26.6% (434) 924-5959
26 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 87 $45,043 $518 21.0% (913) 588-1227
27 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 85 $98,705 $1,161 8.1% —
28 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 84 $120,960 $1,440 14.1% (317) 338-2345
29 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 83 $45,817 $552 41.5% (913) 588-1227
30 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 83 $58,755 $708 23.5% (206) 364-0500
31 AUSTIN GASTROENTEROLOGY PLLC AUSTIN TX GASTROENTEROLOGY 80 80 $53,200 $665 10.7% (512) 454-4588
32 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 78 $70,200 $900 8.0% —
33 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 77 $57,160 $742 13.5% (732) 362-3663
34 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 75 $122,930 $1,639 15.8% (800) 603-0558
35 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 74 $126,910 $1,715 7.1% (212) 746-5454
36 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 73 $74,460 $1,020 7.8% (800) 872-2273
37 GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC TOMS RIVER NJ GASTROENTEROLOGY 82 72 $152,712 $2,121 12.6% (732) 281-1590
38 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 72 $50,760 $705 83.7% (501) 686-8000
39 BARNABAS HEALTH MULTISPECIALTY WEST ORANGE NJ GASTROENTEROLOGY 21 72 $113,256 $1,573 12.6% (973) 731-4600
40 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 71 $48,351 $681 7.5% (559) 459-6000
41 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 70 $52,346 $748 85.4% (503) 494-8311
42 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 70 $83,860 $1,198 17.9% (508) 334-1000
43 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 70 $70,770 $1,011 10.1% —
44 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 69 $35,052 $508 7.3% (530) 332-4470
45 HOAG CLINIC NEWPORT BEACH MI PHYSICIAN ASSISTANT 436 65 $47,595 $732 24.8% (949) 791-3370
46 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 64 $60,872 $951 6.8% (310) 423-3277
47 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 63 $72,450 $1,150 6.0% (212) 305-8559
48 UNIVERSITY CANCER AND BLOOD CENTER LLC ATHENS GA NURSE PRACTITIONER 56 62 $50,003 $806 22.1% (706) 353-2990
49 CAPITAL DIGESTIVE CARE LLC WASHINGTON VA GASTROENTEROLOGY 238 61 $50,020 $820 17.8% (202) 296-3449
50 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 61 $12,421 $204 58.1% (605) 322-5180
51 MERCY CLINIC GASTROENTEROLOGY LLC SAINT LOUIS MO GASTROENTEROLOGY 64 59 $40,179 $681 14.2% (314) 251-2880
52 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 59 $46,558 $789 21.0% (770) 422-2004
53 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 57 $58,179 $1,021 20.3% (404) 367-3210
54 CONCORD HOSPITAL INC CONCORD NH PHYSICIAN ASSISTANT 552 57 $94,602 $1,660 58.2% —
55 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 55 $37,446 $681 15.6% —
56 MOHAMMED A ARMAN MD PC DEARBORN MI INTERNAL MEDICINE 2 54 $39,150 $725 20.6% (313) 724-9170
57 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 53 $54,571 $1,030 18.2% (615) 612-2146
58 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 53 $33,019 $623 5.6% (760) 340-3911
59 MONTROSE MEMORIAL HOSPITAL, INC MONTROSE CO DIAGNOSTIC RADIOLOGY 140 49 $28,073 $573 48.5% (970) 252-2691
60 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 49 $30,503 $623 100.0% (202) 429-2401
61 BANNER-UNIVERSITY MEDICAL GROUP TUCSON PA INTERNAL MEDICINE 1068 48 $29,040 $605 4.9% (520) 694-0111
62 ILLINOIS GASTROENTEROLOGY GROUP LLC ELGIN IL GASTROENTEROLOGY 114 48 $57,600 $1,200 6.9% (847) 888-1300
63 ALBANY MEDICAL COLLEGE ALBANY MO PHYSICIAN ASSISTANT 1070 48 $46,944 $978 11.6% (518) 262-3277
64 IMC-GULF COAST GASTROENTEROLOGY LLC FAIRHOPE AL GASTROENTEROLOGY 5 47 $32,900 $700 34.3% (251) 990-0360
65 VALLEY PHYSICIAN SERVICES PC HOBOKEN NY NURSE PRACTITIONER 606 47 $40,326 $858 4.5% (800) 825-5391
66 GASTROENTEROLOGY ASSOCIATES OF NORTH-CENTRAL ALABAMA INC BIRMINGHAM MN GASTROENTEROLOGY 91 46 $40,710 $885 12.7% (205) 870-0256
67 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 46 $31,464 $684 15.8% (615) 269-4545
68 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 45 $28,305 $629 4.6% —
69 SSM HEALTH CARE GROUP SAINT LOUIS MO NURSE PRACTITIONER 921 45 $26,325 $585 10.8% (314) 977-7455
70 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 44 $36,828 $837 6.3% (847) 459-1160
71 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 44 $69,052 $1,569 6.8% (904) 953-2000
72 GASTROENTEROLOGY CONSULTANTS OF AUGUSTA, PC EVANS GA GASTROENTEROLOGY 26 44 $52,800 $1,200 15.7% (706) 854-8934
73 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 43 $31,175 $725 35.2% (701) 234-2000
74 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 43 $20,382 $474 6.7% (941) 794-1980
75 MEMORIAL GASTROENTEROLOGY GROUP NEW YORK PA GASTROENTEROLOGY 28 43 $73,100 $1,700 4.4% (212) 639-2000
76 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 42 $30,118 $717 11.9% (509) 665-6087
77 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO MO NURSE PRACTITIONER 4339 42 $62,034 $1,477 10.1% —
78 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 42 $25,914 $617 58.3% (801) 261-8346
79 GASTROINTESTINAL ASSOCIATES S.C. WAUSAU WI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 42 41 $76,085 $1,856 11.2% (715) 847-2558
80 MARY WASHINGTON HEALTHCARE PROVIDERS LLC FREDERICKSBURG MA DIAGNOSTIC RADIOLOGY 267 41 $23,150 $565 10.5% (540) 741-5610
81 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 40 $19,200 $480 6.7% (219) 836-4563
82 DIGESTIVE DISEASES CENTER OF FLORIDA PLLC PANAMA CITY FL NURSE PRACTITIONER 17 40 $24,000 $600 6.2% (850) 763-5409
83 NCHMD INC NAPLES FL NEUROLOGY 515 39 $19,500 $500 6.1% (239) 436-5100
84 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 39 $98,592 $2,528 10.6% (608) 260-2900
85 ROSWELL PARK CANCER INSTITUTE BUFFALO NY NURSE PRACTITIONER 502 39 $66,443 $1,704 3.7% (716) 845-2300
86 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 38 $20,596 $542 37.6% —
87 HH DIGESTIVE DISEASE CENTER HUNTSVILLE AL NURSE PRACTITIONER 20 38 $26,740 $704 27.7% (256) 536-9031
88 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 38 $35,986 $947 5.1% (817) 281-2977
89 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 37 $28,416 $768 31.6% (502) 937-2209
90 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 37 $31,733 $858 10.2% (612) 672-7422
91 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 37 $65,786 $1,778 5.8% (772) 223-5665
92 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 37 $24,480 $662 10.5% (253) 428-2200
93 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY FL NURSE PRACTITIONER 1815 36 $19,863 $552 5.6% (913) 588-1227
94 NORTH SHORE-LIJ MEDICAL PC MANHASSET PA PHYSICIAN ASSISTANT 6294 36 $50,400 $1,400 3.7% —
95 CHESAPEAKE DIGESTIVE ASSOCIATES, PC ANNAPOLIS MD GASTROENTEROLOGY 37 35 $30,975 $885 16.2% 4102244887421
96 GASTROINTESTINAL SPECIALIST OF GEORGIA MARIETTA GA GASTROENTEROLOGY 35 34 $38,176 $1,123 12.1% (678) 741-5000
97 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 34 $21,760 $640 33.0% (803) 749-5101
98 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 33 $28,441 $862 3.5% (858) 455-9100
99 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY VA PHYSICIAN ASSISTANT 354 33 $19,965 $605 9.6% (623) 832-4000
100 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 32 $33,696 $1,053 30.5% (605) 332-2883

Showing the top 100 of 188 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 →