NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
43239 Biopsy 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 1.60M services ▼ 0.4% YoY · 1.54M beneficiaries (CY2024, Medicare FFS)
Medicare paid $209.3M · $131.09 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
2,255
Named-group FFS services
836,106
FFS of Medicare
49%
Services YoY
-0.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,695,002 services

836,106 observed fee-for-service (49%) · ~858,896 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 — 43239 (CY2024)
CA 178,619 FL 163,737 TX 117,775 NY 100,728 NJ 69,131

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

Named-group submitted charges
$767.6M
Named-group allowed amount
$81.1M
Named-group Medicare payments
$62.9M
Avg charge / svc
$918
Avg allowed / svc
$97
Avg payment / svc
$75
Average charge per group
$84 2,255 groups · avg submitted charge / service $12,000
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 43239 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 24,087 $16,455,218 $683 20.5% —
2 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 10,625 $14,251,326 $1,341 6.5% (305) 913-0666
3 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 9,614 $6,248,593 $650 5.9% (904) 398-7205
4 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTER PA PHYSICIAN ASSISTANT 259 7,648 $4,930,870 $645 11.3% (717) 869-4600
5 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 6,770 $5,336,890 $788 3.8% (310) 534-8400
6 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 6,603 $29,785,479 $4,511 6.6% (212) 263-9700
7 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 5,561 $1,571,594 $283 3.4% (941) 794-1980
8 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 5,035 $3,117,064 $619 13.7% (602) 843-1265
9 ALLIED DIGESTIVE HEALTH LLC BRICK NJ GASTROENTEROLOGY 274 4,947 $7,640,067 $1,544 7.2% (732) 458-8300
10 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 4,741 $6,530,498 $1,377 2.7% (415) 600-1020
11 ILLINOIS GASTROENTEROLOGY GROUP LLC ELGIN IL GASTROENTEROLOGY 114 4,582 $4,241,006 $926 7.6% (847) 888-1300
12 CONNECTICUT GI PLLC HARTFORD CT GASTROENTEROLOGY 235 4,076 $3,418,971 $839 23.6% (860) 246-2571
13 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 3,936 $1,172,198 $298 18.2% (502) 928-1050
14 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 3,818 $3,400,910 $891 6.3% —
15 AUSTIN GASTROENTEROLOGY PLLC AUSTIN TX GASTROENTEROLOGY 80 3,805 $2,284,684 $600 3.2% (512) 454-4588
16 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 3,569 $5,236,054 $1,467 2.0% (916) 681-8852
17 CAPITAL DIGESTIVE CARE LLC WASHINGTON VA GASTROENTEROLOGY 238 3,476 $3,875,800 $1,115 10.3% (202) 296-3449
18 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 3,429 $2,277,849 $664 23.3% (612) 871-1145
19 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 3,424 $3,081,600 $900 7.2% (202) 296-3449
20 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 3,402 $5,858,191 $1,722 3.4% —
21 WEST CENTRAL GASTROENTEROLOGY LLP CLEARWATER FL GASTROENTEROLOGY 83 3,359 $1,555,497 $463 2.1% (727) 347-0005
22 GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC TOMS RIVER NJ GASTROENTEROLOGY 82 3,312 $4,157,426 $1,255 4.8% (732) 281-1590
23 UNITED MEDICAL DOCTORS FALLBROOK CA GASTROENTEROLOGY 160 3,227 $2,638,615 $818 1.8% (760) 728-9560
24 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 3,224 $3,263,229 $1,012 6.0% —
25 GASTROINTESTINAL CARE OF LONG ISLAND PLLC MASSAPEQUA NY GASTROENTEROLOGY 154 3,134 $4,434,486 $1,415 3.1% (516) 795-5523
26 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 3,095 $6,252,272 $2,020 1.7% (310) 825-7922
27 GCGA PHYSICIANS INC. CINCINNATI OH GASTROENTEROLOGY 76 3,025 $4,069,220 $1,345 5.6% (513) 751-6667
28 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 3,004 $1,275,958 $425 1.7% (714) 871-3006
29 DIGESTIVE HEALTHCARE OF GEORGIA ATLANTA GA GASTROENTEROLOGY 34 2,966 $2,598,204 $876 6.3% 40460335431516
30 GI PARTNERS OF ILLINOIS LLC LIBERTYVILLE IL GASTROENTEROLOGY 36 2,953 $3,986,550 $1,350 4.9% (630) 952-1400
31 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 2,838 $2,750,958 $969 4.7% —
32 CHESAPEAKE DIGESTIVE ASSOCIATES, PC ANNAPOLIS MD GASTROENTEROLOGY 37 2,582 $3,516,684 $1,362 5.5% 4102244887421
33 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 2,574 $2,461,986 $956 4.2% (847) 459-1160
34 WASHINGTON GASTROENTEROLOGY PLLC TACOMA WA PHYSICIAN ASSISTANT 139 2,536 $1,781,245 $702 9.0% (253) 272-5127
35 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 2,517 $5,557,536 $2,208 3.6% (908) 273-4300
36 GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC FAIRFAX VA GASTROENTEROLOGY 92 2,512 $3,421,344 $1,362 7.4% (703) 698-8960
37 GASTROENTEROLOGY ASSOCIATES OF SOUTHWEST FLORIDA LLC FORT MYERS FL GASTROENTEROLOGY 59 2,485 $1,473,254 $593 1.5% (239) 275-8882
38 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 2,323 $3,608,296 $1,553 1.3% (650) 723-4000
39 CONSULTANTS IN GASTROENTEROLOGY PA WEST COLUMBIA SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 37 2,304 $1,981,440 $860 6.1% (803) 794-4585
40 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 2,293 $2,030,383 $885 3.3% (856) 247-7260
41 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 2,283 $2,952,619 $1,293 2.3% (914) 241-1050
42 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN TN GASTROENTEROLOGY 154 2,282 $1,656,914 $726 6.8% (901) 755-9110
43 DIGESTIVE HEALTH PARTNERS PA ASHEVILLE NC GASTROENTEROLOGY 65 2,261 $3,051,001 $1,349 4.5% (828) 254-0881
44 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 2,238 $2,768,907 $1,237 1.9% —
45 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 2,217 $2,791,587 $1,259 1.2% —
46 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 2,180 $2,519,616 $1,156 1.9% (903) 606-5560
47 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 2,128 $1,904,101 $895 3.1% (484) 526-2400
48 DIGESTIVE HEALTH SPECIALISTS LLC INDEPENDENCE MO GASTROENTEROLOGY 75 2,108 $1,235,288 $586 8.0% (816) 478-4887
49 GASTROENTEROLOGY ASSOCIATES, PA GREENVILLE SC GASTROENTEROLOGY 58 2,106 $1,133,028 $538 5.6% (864) 232-7338
50 CHARLESTON GASTROENTEROLOGY SPECIALISTS CHARLESTON SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 2,077 $1,433,130 $690 5.5% (843) 722-8000
51 DIGESTIVE DISEASES CENTER OF FLORIDA PLLC PANAMA CITY FL NURSE PRACTITIONER 17 2,074 $1,555,500 $750 1.3% (850) 763-5409
52 DAYTON GASTROENTEROLOGY, LLC DAYTON OH GASTROENTEROLOGY 75 2,061 $1,514,381 $735 3.8% (937) 320-5050
53 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 2,026 $2,865,692 $1,414 1.1% (916) 983-7476
54 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 1,998 $1,950,048 $976 3.3% (630) 469-9200
55 TROY GASTROENTEROLOGY PC ROCHESTER HILLS MI GASTROENTEROLOGY 44 1,934 $895,901 $463 5.4% (248) 844-9710
56 GUT PC DOTHAN AL GASTROENTEROLOGY 52 1,906 $857,700 $450 8.8% (334) 836-1212
57 CENTERS FOR GASTROENTEROLOGY FORT COLLINS CO GASTROENTEROLOGY 32 1,857 $1,249,761 $673 8.7% (970) 207-9773
58 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 1,847 $1,819,757 $985 2.7% —
59 RICHMOND GASTROENTEROLOGY ASSOCIATES, INC. NORTH CHESTERFIELD VA GASTROENTEROLOGY 37 1,844 $1,576,330 $855 5.5% (804) 330-4021
60 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 1,843 $1,883,546 $1,022 1.6% (254) 724-2663
61 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 1,793 $705,832 $394 4.9% —
62 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 1,771 $1,790,864 $1,011 1.1% (407) 896-1100
63 CHARLOTTE GASTROENTEROLOGY AND HEPATOLOGY PLLC CHARLOTTE NC GASTROENTEROLOGY 76 1,762 $1,224,524 $695 3.5% (704) 377-4009
64 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 1,747 $910,764 $521 4.7% —
65 GASTROINTESTINAL SPECIALISTS LLC RICHMOND VA UROLOGY 64 1,746 $1,599,446 $916 5.2% (804) 285-8206
66 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 1,698 $2,339,692 $1,378 11.5% (507) 284-2511
67 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,690 $2,671,518 $1,581 0.9% (858) 455-9100
68 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 1,687 $686,512 $407 18.5% (801) 261-8346
69 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 1,673 $2,363,352 $1,413 1.4% (713) 592-5433
70 LOUISIANA GASTROENTEROLOGY ASSOCIATES LLC LAFAYETTE LA GASTROENTEROLOGY 27 1,650 $1,287,000 $780 6.5% (337) 232-6697
71 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 1,647 $765,108 $465 1.0% (407) 200-2700
72 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 1,644 $461,340 $281 5.8% (219) 836-4563
73 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 1,608 $1,442,367 $897 2.4% (570) 271-6144
74 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 1,603 $4,221,429 $2,633 8.6% (414) 421-8400
75 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 1,576 $2,052,583 $1,302 12.8% (503) 239-6673
76 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 1,561 $856,401 $549 5.5% —
77 CAROLINA DIGESTIVE HEALTH ASSOCIATES PA CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 1,553 $760,714 $490 3.1% (704) 372-7974
78 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 1,532 $1,125,641 $735 6.0% (504) 842-3000
79 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 1,531 $1,664,197 $1,087 2.3% (215) 662-2777
80 ANNE ARUNDEL GASTROENTEROLOGY ASSOCIATES, P.A. ANNAPOLIS MD GASTROENTEROLOGY 20 1,529 $878,400 $574 3.2% (615) 770-6600
81 GASTROINTESTINAL ASSOCIATES PC KNOXVILLE TN GASTROENTEROLOGY 32 1,527 $1,297,950 $850 4.5% (865) 558-0606
82 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 1,516 $1,851,143 $1,221 2.2% (732) 362-3663
83 BIKKASANI RAM HELLSTERN AND CHANDRUPATLA MDPA CRYSTAL RIVER FL PHYSICIAN ASSISTANT 12 1,498 $467,376 $312 0.9% —
84 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 1,497 $1,414,554 $945 0.8% —
85 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN MS GASTROENTEROLOGY 154 1,486 $1,084,968 $730 7.4% (901) 755-9110
86 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 1,486 $2,705,350 $1,821 2.4% (309) 683-5050
87 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 1,472 $1,217,344 $827 0.8% (760) 340-3911
88 GALEN MEDICAL GROUP, PC CHATTANOOGA TN NURSE PRACTITIONER 123 1,468 $2,667,356 $1,817 4.4% (423) 643-2500
89 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 1,465 $2,504,374 $1,709 2.4% (217) 544-6464
90 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 1,464 $1,939,474 $1,325 4.2% (617) 732-5500
91 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 1,453 $906,063 $624 8.4% (203) 739-7118
92 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 1,441 $1,567,101 $1,088 0.9% (904) 953-2000
93 UNIVERSITY GASTROENTEROLOGY, LLC PROVIDENCE RI GASTROENTEROLOGY 100 1,437 $1,149,600 $800 24.4% (401) 421-8800
94 UTAH GASTROENTEROLOGY LLC SALT LAKE CITY UT GASTROENTEROLOGY 75 1,430 $1,734,480 $1,213 15.7% (801) 944-3188
95 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,428 $1,444,275 $1,011 3.9% (800) 603-0558
96 MEDICAL SERVICES OF SETAUKET PC EAST SETAUKET NY GASTROENTEROLOGY 15 1,425 $2,559,300 $1,796 1.4% (631) 751-8700
97 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 1,424 $2,596,985 $1,824 7.6% (608) 287-2050
98 LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC PIKESVILLE MD GASTROENTEROLOGY 55 1,423 $1,868,399 $1,313 3.0% (410) 602-7782
99 BARNABAS HEALTH MULTISPECIALTY WEST ORANGE NJ GASTROENTEROLOGY 21 1,423 $3,760,963 $2,643 2.1% (973) 731-4600
100 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 1,422 $419,695 $295 0.9% (321) 434-8878

Showing the top 100 of 2,255 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 →