NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
43247 Removal of foreign bodies 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 2,809 services ▲ 3.4% YoY · 2,481 beneficiaries (CY2024, Medicare FFS)
Medicare paid $281K · $100.00 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
91
Named-group FFS services
2,081
FFS of Medicare
49%
Services YoY
+3.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,183 services

2,081 observed fee-for-service (50%) · ~2,102 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 — 43247 (CY2024)

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

Named-group submitted charges
$2.0M
Named-group allowed amount
$261K
Named-group Medicare payments
$202K
Avg charge / svc
$976
Avg allowed / svc
$125
Avg payment / svc
$97
Average charge per group
$138 91 groups · avg submitted charge / service $4,294
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: group size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 43247 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 43247 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 91 $105,965 $1,164 premium 45.3% (812) 450-6700
2 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 82 $40,674 $496 premium 54.7%
3 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 81 $85,050 $1,050 premium 14.5% (415) 600-1020
4 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 75 $98,295 $1,311 premium 13.5% (310) 423-3277
5 TEXOMACARE SPECIALTY PHYSICIANS DENISON TX INTERVENTIONAL CARDIOLOGY 37 67 $37,051 $553 premium 33.5% (903) 465-3624
6 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 45 $43,197 $960 premium 8.1% (916) 681-8852
7 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 45 $54,636 $1,214 premium 65.2% (206) 223-6600
8 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 43 $27,161 $632 premium 21.4% (888) 484-3258
9 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 40 $31,720 $793 premium 18.4% (239) 343-9888
10 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 39 $41,184 $1,056 premium 28.9%
11 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 34 $65,130 $1,916 premium 6.1% (650) 723-4000
12 FAITH REGIONAL PHYSICIAN SERVICES LLC NORFOLK NE NURSE PRACTITIONER 185 34 $30,362 $893 premium 42.0% (402) 371-4880
13 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 33 $23,884 $724 premium 75.0% (561) 955-7100
14 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 33 $60,291 $1,827 premium 45.2% (720) 777-1234
15 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 33 $28,526 $864 premium 28.7%
16 YUMA REGIONAL MEDICAL CENTER YUMA AZ PHYSICIAN ASSISTANT 388 33 $9,890 $300 premium 22.0% (928) 336-1815
17 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 32 $52,725 $1,648 premium 27.4% (843) 792-1414
18 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 29 $45,793 $1,579 premium 5.2% (858) 455-9100
19 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 28 $34,020 $1,215 premium 5.0% (800) 872-2273
20 MID MICHIGAN GASTROENTEROLOGY ASSOCIATES FLINT MI GASTROENTEROLOGY 2 27 $9,254 $343 premium 24.8% (810) 733-6300
21 COOKEVILLE REGIONAL MEDICAL GROUP INC COOKEVILLE TN NURSE PRACTITIONER 54 26 $13,000 $500 premium 47.3% (931) 783-2143
22 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 26 $46,903 $1,804 premium 4.7% (310) 825-7922
23 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 25 $19,975 $799 premium 4.5% (714) 456-7002
24 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 25 $37,540 $1,502 premium 43.1% (507) 284-2511
25 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 25 $21,225 $849 premium 30.9% (402) 559-4000
26 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 23 $12,731 $554 premium 54.8% (913) 588-1227
27 DIGESTIVE DISEASE CONSULTANTS OF ORANGE COUNTY INC IRVINE CA PHYSICIAN ASSISTANT 14 23 $14,110 $613 premium 4.1% (949) 612-9090
28 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 23 $98,762 $4,294 premium 17.0% (212) 263-9700
29 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 22 $24,640 $1,120 premium 3.9% (925) 296-9720
30 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 22 $11,880 $540 premium 20.2% (616) 885-5000
31 MIDWEST GASTROINTESTINAL ASSOCIATES PC OMAHA NE GASTROENTEROLOGY 53 22 $21,670 $985 premium 27.2%
32 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 20 $22,840 $1,142 premium 9.2% (407) 896-1100
33 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 20 $13,244 $662 premium 13.3% (800) 603-0558
34 DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO INTERNAL MEDICINE 831 19 $27,213 $1,432 premium 26.0%
35 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 19 $14,174 $746 premium 9.5%
36 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 19 $30,400 $1,600 premium 14.1% (212) 241-4812
37 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 18 $32,040 $1,780 premium 52.9% (605) 332-2883
38 EPHRAIM MCDOWELL HEALTH RESOURCE INC DANVILLE KY NURSE PRACTITIONER 157 18 $7,362 $409 premium 58.1% (859) 236-2222
39 CONCORD HOSPITAL INC CONCORD NH PHYSICIAN ASSISTANT 552 18 $28,420 $1,579 premium 100.0%
40 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 18 $7,470 $415 premium 32.7% (865) 305-6333
41 TOTAL GASTROENTEROLOGY PA SEBRING FL NURSE PRACTITIONER 12 18 $12,600 $700 premium 8.3% (863) 382-0385
42 LEWIS GALE PHYSICIANS LLC SALEM VA PHYSICIAN ASSISTANT 196 17 $11,448 $673 premium 13.5%
43 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 17 $10,014 $589 premium 8.5% (806) 358-0200
44 HOAG CLINIC NEWPORT BEACH MI PHYSICIAN ASSISTANT 436 17 $16,699 $982 premium 15.6% (949) 791-3370
45 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY MI PHYSICIAN ASSISTANT 1783 17 $17,230 $1,014 premium 15.6% (801) 581-2121
46 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND MN PHYSICIAN ASSISTANT 1634 17 $9,112 $536 premium 29.3% (407) 200-2700
47 BERKSHIRE FACULTY SERVICES INC PITTSFIELD VA PHYSICIAN ASSISTANT 276 16 $5,440 $340 premium 12.7% (413) 447-2695
48 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 16 $20,840 $1,302 premium 8.0% (317) 338-2345
49 KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT PHYSICIAN ASSISTANT 414 16 $13,120 $820 premium 100.0% (406) 751-6725
50 UCM MEDICAL GROUP SUB LLC HARVEY IL FAMILY PRACTICE 99 16 $20,742 $1,296 premium 13.9% (708) 333-2300
51 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 16 $21,038 $1,315 premium 2.9% (800) 926-8273
52 THE DULUTH CLINIC LTD DULUTH MN PHYSICIAN ASSISTANT 1082 16 $19,640 $1,228 premium 27.6% (218) 576-0680
53 KANSAS GASTROENTEROLOGY LLC WICHITA KS PHYSICIAN ASSISTANT 20 16 $11,232 $702 premium 57.1% (316) 928-8930
54 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 16 $2,213 $138 premium 47.1% (605) 322-5180
55 DIGESTIVE CARE PL BRANDON FL GASTROENTEROLOGY 2 15 $10,452 $697 premium 6.9% (813) 685-5100
56 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 15 $15,420 $1,028 premium 12.8% (843) 777-2000
57 AUGUSTA MEDICAL GROUP FISHERSVILLE VA PHYSICIAN ASSISTANT 424 15 $5,048 $337 premium 11.9% (540) 332-5595
58 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 15 $13,767 $918 premium 2.7% (805) 681-7500
59 HRMC, LLC LAKE HAVASU CITY AZ NURSE PRACTITIONER 32 15 $11,082 $739 premium 10.0% (928) 453-3761
60 ISLANDWIDE GASTROENTEROLOGY PC GARDEN CITY NY GASTROENTEROLOGY 4 15 $3,808 $254 premium 11.1% (516) 222-0067
61 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 14 $14,406 $1,029 premium 28.6% (410) 502-4340
62 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 14 $25,920 $1,851 premium 100.0% (501) 202-2093
63 DIGESTIVE ASSOCIATES LLP N LAS VEGAS NV GASTROENTEROLOGY 17 14 $7,110 $508 premium 100.0% (702) 633-0207
64 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 14 $10,458 $747 premium 6.5% (904) 398-7205
65 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 14 $6,356 $454 premium 100.0% (513) 246-7000
66 DIGESTIVE HEALTH ASSOCIATES PA OCALA FL INTERNAL MEDICINE 2 14 $6,594 $471 premium 6.5% 3528401001208
67 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO TX DIAGNOSTIC RADIOLOGY 2420 13 $12,155 $935 premium 6.5% (916) 681-8852
68 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NY NURSE PRACTITIONER 1878 13 $16,765 $1,290 premium 9.6% (732) 362-3663
69 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE CA PHYSICIAN ASSISTANT 328 13 $6,273 $483 premium 2.3% (505) 727-7090
70 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 13 $7,566 $582 premium 41.9% (502) 937-2209
71 IMC-GULF COAST GASTROENTEROLOGY LLC FAIRHOPE AL GASTROENTEROLOGY 5 13 $7,800 $600 premium 100.0% (251) 990-0360
72 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 13 $9,425 $725 premium 10.3% (434) 924-5959
73 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK LUBBOCK TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 374 13 $9,594 $738 premium 6.5% (806) 743-2800
74 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 12 $6,432 $536 premium 5.5% (386) 231-6000
75 RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NY NURSE PRACTITIONER 387 12 $21,750 $1,812 premium 8.9%
76 HSHS MEDICAL GROUP INC DECATUR IL NURSE PRACTITIONER 202 12 $8,616 $718 premium 10.4% (217) 423-2889
77 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 12 $15,336 $1,278 premium 2.2% (626) 256-4673
78 COLLIER HMA PHYSICIAN MANAGEMENT LLC NAPLES PA NURSE PRACTITIONER 95 12 $7,536 $628 premium 20.0%
79 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 12 $6,978 $582 premium 6.0%
80 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 12 $6,432 $536 premium 5.5% (407) 200-2700
81 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 12 $23,460 $1,955 premium 6.0% (214) 633-5555
82 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 12 $6,408 $534 premium 17.4%
83 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 12 $15,280 $1,273 premium 17.4%
84 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY NC PHYSICIAN ASSISTANT 559 11 $14,047 $1,277 premium 26.2% (605) 755-7200
85 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 11 $10,466 $951 premium 18.3% (570) 888-5858
86 BLUEFIELD GASTROENTEROLOGY PLLC PRINCETON WV NURSE PRACTITIONER 6 11 $6,050 $550 premium 100.0% 30442572431105
87 ST CLOUD HOSPITAL SAINT CLOUD MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 218 11 $7,095 $645 premium 25.0% (320) 251-2700
88 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 11 $12,485 $1,135 premium 9.6%
89 MP VEERA MD PA ANDERSON SC GASTROENTEROLOGY 2 11 $10,384 $944 premium 9.4% (864) 224-8689
90 ADVANCED GASTROENTEROLOGY ASSOCIATES, PA DECATUR TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 11 11 $6,409 $583 premium 5.5% (940) 626-1864
91 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 11 $4,873 $443 premium 9.4% (864) 255-1901
92 AJAY BAKHSHI,MD LLC BETHESDA MD GASTROENTEROLOGY 4 11 $10,802 $982 premium 22.4% (301) 530-5142
93 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 11 $8,305 $755 premium 20.0% (615) 269-4545

*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 →