NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
43246 Insertion of stomach tube 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 15,365 services ▼ 7.5% YoY · 14,542 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.4M · $154.08 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
278
Named-group FFS services
9,468
FFS of Medicare
49%
Services YoY
-7.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~19,337 services

9,468 observed fee-for-service (49%) · ~9,869 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 — 43246 (CY2024)
CA 3,829 FL 1,619 TX 1,536 NY 1,509 NJ 833

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

Named-group submitted charges
$8.8M
Named-group allowed amount
$1.8M
Named-group Medicare payments
$1.4M
Avg charge / svc
$926
Avg allowed / svc
$193
Avg payment / svc
$153
Average charge per group
$216 278 groups · avg submitted charge / service $4,916
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 43246 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MOUSTAFA E ALAMY M D INC PARAMOUNT CA GASTROENTEROLOGY 2 451 $326,337 $724 11.8% (562) 529-8821
2 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 254 $214,376 $844 16.5% —
3 CITRUS VALLEY GASTROENTEROLOGY A MEDICAL CORPORATION COVINA CA GASTROENTEROLOGY 7 165 $106,970 $648 4.3% (626) 960-2326
4 DIGESTIVE ASSOCIATES LLP N LAS VEGAS NV GASTROENTEROLOGY 17 155 $88,895 $574 87.1% (702) 633-0207
5 ASHOK AMIN M D INC ANAHEIM CA NURSE PRACTITIONER 5 148 $173,342 $1,171 3.9% (714) 484-1200
6 NORTH VALLEY G.I. CONSULTANTS SIMI VALLEY CA GASTROENTEROLOGY 2 136 $81,700 $601 3.6% (805) 526-6016
7 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 118 $293,210 $2,485 7.8% (212) 263-9700
8 WEST CENTRAL GASTROENTEROLOGY LLP CLEARWATER FL GASTROENTEROLOGY 83 114 $75,354 $661 7.0% (727) 347-0005
9 PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA INTERNAL MEDICINE 228 110 $47,300 $430 2.9% (562) 495-4952
10 ISLANDWIDE GASTROENTEROLOGY PC GARDEN CITY NY GASTROENTEROLOGY 4 107 $31,218 $292 7.1% (516) 222-0067
11 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 100 $79,513 $795 6.5% (210) 614-7414
12 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 97 $85,360 $880 2.5% (310) 534-8400
13 MORDO SUCHOV MD INC MONTEREY PARK CA NURSE PRACTITIONER 10 89 $41,385 $465 2.3% (213) 483-4500
14 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 88 $139,420 $1,584 14.4% (847) 459-1160
15 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 88 $101,464 $1,153 56.4% (617) 732-5500
16 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 87 $35,103 $403 5.7% (713) 242-2222
17 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 86 $215,646 $2,508 28.6% (501) 202-2093
18 GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION MONROE LA GASTROENTEROLOGY 13 81 $60,750 $750 17.1% (318) 325-2634
19 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 80 $95,520 $1,194 5.3% —
20 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 77 $74,296 $965 4.8% (904) 398-7205
21 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 77 $31,570 $410 27.7% (219) 836-4563
22 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 76 $120,988 $1,592 4.7% (305) 913-0666
23 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 75 $99,900 $1,332 27.0% (812) 450-6700
24 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 73 $37,887 $519 31.2% (918) 502-4720
25 AUSTIN GASTROENTEROLOGY PLLC AUSTIN TX GASTROENTEROLOGY 80 72 $68,832 $956 4.7% (512) 454-4588
26 GASTROENTEROLOGY CONSULTANTS OF LAREDO, PA LAREDO TX GASTROENTEROLOGY 3 72 $56,668 $787 4.7% (956) 795-4776
27 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 70 $33,740 $482 23.3% (501) 562-4838
28 PREMIUM PRACTICE SOLUTIONS, LLC CORAL SPRINGS FL GASTROENTEROLOGY 5 68 $43,748 $643 4.2% (954) 757-4002
29 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 65 $43,680 $672 4.2% (903) 606-5560
30 JUAN C SAROL MD PA HIALEAH FL GASTROENTEROLOGY 2 65 $19,695 $303 4.0% (786) 313-3640
31 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 65 $59,865 $921 1.7% (310) 829-6789
32 GASTRO-DIGESTIVE MEDICAL GROUP DOWNEY CA GASTROENTEROLOGY 3 64 $35,264 $551 1.7% (562) 862-3656
33 AJAY BAKHSHI,MD LLC BETHESDA MD GASTROENTEROLOGY 4 62 $30,937 $499 16.2% (301) 530-5142
34 GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC TOMS RIVER NJ GASTROENTEROLOGY 82 61 $110,837 $1,817 7.3% (732) 281-1590
35 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 60 $32,603 $543 1.6% (714) 871-3006
36 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 59 $36,462 $618 13.6% (419) 291-2003
37 PLATINUM DIGESTIVE HEALTH RANCHO CUCAMONGA CA GASTROENTEROLOGY 8 58 $44,660 $770 1.5% (909) 655-0300
38 COAST GASTROENTEROLOGY A MEDICAL GROUP INC. INGLEWOOD CA GASTROENTEROLOGY 3 58 $28,800 $497 1.5% (310) 680-6850
39 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 58 $84,100 $1,450 50.9% (304) 388-5432
40 GASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PLLC HARLINGEN TX GASTROENTEROLOGY 43 58 $33,672 $581 3.8% (956) 365-4400
41 MEMORIAL GASTROENTEROLOGY GROUP NEW YORK NY GASTROENTEROLOGY 28 58 $132,240 $2,280 3.8% (212) 639-2000
42 WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC NYACK NY INTERNAL MEDICINE 94 56 $53,923 $963 3.7% (845) 897-8371
43 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 56 $45,584 $814 14.2% (601) 815-4775
44 ECM HEALTH GROUP LLC FLORENCE AL DIAGNOSTIC RADIOLOGY 140 55 $54,894 $998 18.6% (256) 718-5900
45 ADVANCED CARE GASTROENTEROLOGY ASSOCIATES TAMPA FL PHYSICIAN ASSISTANT 6 55 $29,590 $538 3.4% —
46 MAURY REGIONAL MEDICAL GROUP, INC COLUMBIA TN INTERNAL MEDICINE 119 53 $60,950 $1,150 24.0% (931) 381-1111
47 DIGESTIVE DISEASE ASSOCIATES OF CENTRAL FLORIDA WESLEY CHAPEL FL GASTROENTEROLOGY 2 53 $20,802 $392 3.3% (813) 994-4800
48 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 51 $131,223 $2,573 20.8% (215) 662-2777
49 FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC FOUNTAIN VALLEY CA INTERNAL MEDICINE 2 51 $44,625 $875 1.3% (714) 540-9911
50 GI PARTNERS OF ILLINOIS LLC LIBERTYVILLE IL GASTROENTEROLOGY 36 51 $68,850 $1,350 8.4% (630) 952-1400
51 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 48 $33,120 $690 5.8% (732) 362-3663
52 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 48 $91,344 $1,903 7.9% —
53 ALAMO HEIGHTS MEDICAL CLINIC PLLC SAN ANTONIO TX GENERAL SURGERY 2 48 $28,271 $589 3.1% (210) 257-6151
54 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 47 $59,831 $1,273 5.6% —
55 ASSOCIATED GASTROENTEROLOGY MEDICAL GROUP ANAHEIM CA GASTROENTEROLOGY 6 46 $14,438 $314 1.2% (714) 778-1300
56 DIGESTIVE AND LIVER CENTER OF FL, LLC ORLANDO NY NURSE PRACTITIONER 25 46 $19,232 $418 3.0% (407) 348-7388
57 BARNABAS HEALTH MULTISPECIALTY WEST ORANGE NJ GASTROENTEROLOGY 21 46 $62,376 $1,356 5.5% (973) 731-4600
58 MALLADI AND REDDY, PA LUFKIN TX GASTROENTEROLOGY 2 45 $38,250 $850 2.9% (936) 634-3713
59 GASTROINTESTINAL SPECIALISTS FOUNDATION, INC. MEMPHIS TN GASTROENTEROLOGY 17 43 $38,270 $890 19.5% (901) 761-3900
60 MCALLEN HOSPITALIST GROUP PLLC MCALLEN TX INTERNAL MEDICINE 101 43 $16,689 $388 2.8% (956) 632-4000
61 MID MICHIGAN GASTROENTEROLOGY ASSOCIATES FLINT MI GASTROENTEROLOGY 2 43 $16,725 $389 13.1% (810) 733-6300
62 SOCAL GASTROENTEROLOGY CORP. LOS ALAMITOS CA GASTROENTEROLOGY 4 42 $49,400 $1,176 1.1% 56249310113966
63 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 41 $108,855 $2,655 2.7% (866) 633-8255
64 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN MS GASTROENTEROLOGY 154 39 $37,692 $966 9.9% (901) 755-9110
65 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 39 $23,907 $613 2.4% (813) 615-7075
66 ALEXANDRIA GASTROINTESTINAL SPECIALISTS, LLC ALEXANDRIA LA GASTROENTEROLOGY 4 38 $39,672 $1,044 8.0% (318) 448-5310
67 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 38 $82,020 $2,158 6.2% (708) 216-8372
68 ATLANTIC SHORE SURGICAL ASSOCIATES, PC BRICK NJ GENERAL SURGERY 16 38 $186,816 $4,916 4.6% (732) 701-4848
69 UCM MEDICAL GROUP SUB LLC HARVEY IL FAMILY PRACTICE 99 37 $37,925 $1,025 6.1% (708) 333-2300
70 DIGESTIVE HEALTH ASSOCIATES PA OCALA FL INTERNAL MEDICINE 2 37 $9,503 $257 2.3% 3528401001208
71 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 36 $36,236 $1,007 0.9% (916) 681-8852
72 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 36 $24,840 $690 2.4% —
73 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 36 $35,955 $999 15.4% (405) 271-4311
74 NEW YORK QUEENS MEDICINE AND SURGERY, P.C. FLUSHING NY PHYSICIAN ASSISTANT 408 36 $31,068 $863 2.4% (718) 670-2468
75 POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC POPLAR BLUFF MO NURSE PRACTITIONER 43 35 $54,250 $1,550 17.5% (573) 712-2546
76 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 35 $57,400 $1,640 5.7% —
77 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 35 $20,475 $585 15.8% (615) 269-4545
78 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS CA PHYSICIAN ASSISTANT 148 35 $28,910 $826 0.9% —
79 HH DIGESTIVE DISEASE CENTER HUNTSVILLE AL NURSE PRACTITIONER 20 33 $25,330 $768 11.1% (256) 536-9031
80 MPV NEW JERSEY MD SERVICES PC NUTLEY NJ INTERNAL MEDICINE 142 33 $30,062 $911 4.0% (973) 661-1900
81 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 33 $31,779 $963 7.6% —
82 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 33 $39,600 $1,200 0.9% (310) 423-0674
83 GASTROENTEROLOGY ASSOCIATES OF BROOKLYN PLLC BROOKLYN NY GASTROENTEROLOGY 15 32 $12,548 $392 2.1% (718) 336-3900
84 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 32 $28,307 $885 2.1% (914) 681-0600
85 GI MEDICAL ASSOC PC SAINT CLAIR SHORES MI GASTROENTEROLOGY 11 32 $14,400 $450 9.8% (586) 447-0700
86 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 32 $48,416 $1,513 7.4% —
87 ST AGNES HEALTHCARE INC BALTIMORE MD PHYSICIAN ASSISTANT 277 31 $40,613 $1,310 8.1% (667) 234-6000
88 TRINITY WEST STEUBENVILLE OH NURSE PRACTITIONER 148 31 $26,040 $840 7.2% (740) 264-8000
89 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 31 $26,899 $868 64.6% (801) 581-2121
90 GHANSHYAM GUPTA, M.D. PC ROCKVILLE MD GASTROENTEROLOGY 7 31 $28,675 $925 8.1% (301) 838-4224
91 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 30 $26,070 $869 18.2% (770) 219-7777
92 ALLIED DIGESTIVE HEALTH LLC BRICK NJ GASTROENTEROLOGY 274 30 $29,465 $982 3.6% (732) 458-8300
93 LOUISIANA GASTROENTEROLOGY ASSOCIATES LLC LAFAYETTE LA GASTROENTEROLOGY 27 30 $30,000 $1,000 6.3% (337) 232-6697
94 WASHINGTON TOWNSHIP MEDICAL FOUNDATION FREMONT CA CRITICAL CARE (INTENSIVISTS) 120 30 $14,995 $500 0.8% (510) 248-1000
95 RAPIDES HEALTHCARE SYSTEM LLC ALEXANDRIA FL GENERAL SURGERY 11 30 $22,563 $752 1.9% (318) 769-3152
96 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 29 $18,106 $624 1.8% (407) 896-1100
97 BERKSHIRE FACULTY SERVICES INC PITTSFIELD VA PHYSICIAN ASSISTANT 276 29 $12,267 $423 18.4% (413) 447-2695
98 UNIVERSITY GASTROENTEROLOGY, LLC PROVIDENCE RI GASTROENTEROLOGY 100 29 $28,565 $985 58.0% (401) 421-8800
99 AVENTURA HEALTHCARE SPECIALISTS, LLC AVENTURA FL INTERNAL MEDICINE 23 29 $43,500 $1,500 1.8% (305) 466-4008
100 TOTAL GASTROENTEROLOGY PA SEBRING FL NURSE PRACTITIONER 12 29 $13,427 $463 1.8% (863) 382-0385

Showing the top 100 of 278 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 →