NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 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 123,222 services ▲ 6.4% YoY · 112,877 beneficiaries (CY2024, Medicare FFS)
Medicare paid $32.8M · $265.88 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
850
Named-group FFS services
66,468
FFS of Medicare
49%
Services YoY
+6.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~134,871 services

66,468 observed fee-for-service (49%) · ~68,403 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 — 43249 (CY2024)
FL 12,154 TX 10,664 CA 9,124 NC 6,232 OH 5,101

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

Named-group submitted charges
$93.5M
Named-group allowed amount
$10.1M
Named-group Medicare payments
$7.8M
Avg charge / svc
$1,407
Avg allowed / svc
$152
Avg payment / svc
$117
Average charge per group
$137 850 groups · avg submitted charge / service $11,119
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 43249 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 2,122 $1,377,178 $649 19.9% —
2 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 1,131 $650,865 $575 9.3% (904) 398-7205
3 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 680 $301,761 $444 22.5% (801) 261-8346
4 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 673 $222,763 $331 19.6% (502) 928-1050
5 DIGESTIVE HEALTH PARTNERS PA ASHEVILLE NC GASTROENTEROLOGY 65 671 $536,800 $800 10.8% (828) 254-0881
6 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 604 $1,970,971 $3,263 5.0% (305) 913-0666
7 FAITH REGIONAL PHYSICIAN SERVICES LLC NORFOLK NE NURSE PRACTITIONER 185 504 $1,307,376 $2,594 38.6% (402) 371-4880
8 GUT PC DOTHAN AL GASTROENTEROLOGY 52 471 $211,950 $450 9.8% (334) 836-1212
9 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 455 $208,738 $459 5.0% (714) 871-3006
10 CAPITAL DIGESTIVE CARE LLC WASHINGTON VA GASTROENTEROLOGY 238 436 $1,205,700 $2,765 13.0% (202) 296-3449
11 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 428 $199,097 $465 14.2% —
12 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 418 $417,838 $1,000 4.6% (415) 600-1020
13 DIGESTIVE DISEASES CENTER OF FLORIDA PLLC PANAMA CITY FL NURSE PRACTITIONER 17 413 $536,900 $1,300 3.4% (850) 763-5409
14 RICHMOND GASTROENTEROLOGY ASSOCIATES, INC. NORTH CHESTERFIELD VA GASTROENTEROLOGY 37 388 $1,317,788 $3,396 11.5% (804) 330-4021
15 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 381 $119,936 $315 3.1% (941) 794-1980
16 GCGA PHYSICIANS INC. CINCINNATI OH GASTROENTEROLOGY 76 377 $1,224,873 $3,249 7.4% (513) 751-6667
17 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 373 $391,356 $1,049 9.9% (314) 747-3000
18 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 368 $1,286,472 $3,496 13.2% (615) 322-5000
19 UTAH GASTROENTEROLOGY LLC SALT LAKE CITY UT GASTROENTEROLOGY 75 365 $1,480,957 $4,057 12.1% (801) 944-3188
20 DIGESTIVE HEALTH SPECIALISTS LLC INDEPENDENCE MO GASTROENTEROLOGY 75 362 $234,938 $649 9.6% (816) 478-4887
21 ACCESS HEALTH CARE PHYSICIANS LLC SPRING HILL FL NURSE PRACTITIONER 179 361 $735,130 $2,036 3.0% (352) 688-8116
22 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 352 $1,665,590 $4,732 3.9% (858) 455-9100
23 GASTROENTEROLOGY ASSOCIATES OF NORTH-CENTRAL ALABAMA INC BIRMINGHAM AL GASTROENTEROLOGY 91 345 $1,120,905 $3,249 7.2% (205) 870-0256
24 WEST CENTRAL GASTROENTEROLOGY LLP CLEARWATER FL GASTROENTEROLOGY 83 334 $703,404 $2,106 2.7% (727) 347-0005
25 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 329 $1,063,671 $3,233 3.1% —
26 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 327 $422,830 $1,293 3.6% (310) 534-8400
27 CENTERS FOR GASTROENTEROLOGY FORT COLLINS CO GASTROENTEROLOGY 32 321 $568,812 $1,772 13.3% (970) 207-9773
28 BOULDER VALLEY GASTROENTEROLOGY INC. LAFAYETTE CO PHYSICIAN ASSISTANT 32 316 $147,256 $466 13.1% (303) 604-5000
29 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 311 $705,224 $2,268 16.5% (785) 354-9591
30 UNITED MEDICAL DOCTORS FALLBROOK CA GASTROENTEROLOGY 160 304 $228,000 $750 3.3% (760) 728-9560
31 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 295 $349,996 $1,186 7.2% —
32 ATLANTIC DIGESTIVE SPECIALISTS PLLC SOMERSWORTH NH GASTROENTEROLOGY 18 295 $295,885 $1,003 23.0% (603) 692-2228
33 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 289 $1,102,535 $3,815 3.2% —
34 GASTROINTESTINAL SPECIALISTS LLC RICHMOND VA UROLOGY 64 283 $582,975 $2,060 8.4% (804) 285-8206
35 SOUTHERN ILLINOIS GI SPECIALISTS LLC CARBONDALE IL GASTROENTEROLOGY 4 278 $375,300 $1,350 6.8% (618) 549-8006
36 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 266 $222,120 $835 2.9% (916) 681-8852
37 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 263 $166,216 $632 9.7% (602) 843-1265
38 ST LUKES CLINIC LLC TWIN FALLS ID NURSE PRACTITIONER 308 257 $116,257 $452 27.5% —
39 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 254 $615,993 $2,425 6.2% (217) 544-6464
40 FOUNDATION MEDICAL PARTNERS INC NASHUA NH PHYSICIAN ASSISTANT 304 251 $148,592 $592 19.5% (603) 577-2045
41 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 248 $470,381 $1,897 11.0% (414) 421-8400
42 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 247 $217,164 $879 9.2% (843) 777-2000
43 SHANNON CLINIC SAN ANGELO TX NURSE PRACTITIONER 515 245 $117,600 $480 2.3% (325) 747-1511
44 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 242 $81,796 $338 2.3% (806) 358-0200
45 TEXOMACARE SPECIALTY PHYSICIANS DENISON TX INTERVENTIONAL CARDIOLOGY 37 230 $124,027 $539 2.2% (903) 465-3624
46 POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC POPLAR BLUFF MO NURSE PRACTITIONER 43 229 $225,336 $984 6.1% (573) 712-2546
47 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 227 $149,513 $659 8.4% —
48 BIRMINGHAM GASTROENTEROLOGY ASSOCIATES PC BIRMINGHAM AL PHYSICIAN ASSISTANT 52 226 $103,056 $456 4.7% (205) 271-8000
49 EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. FORT WALTON BEACH FL NURSE PRACTITIONER 34 224 $90,227 $403 1.8% (850) 862-3979
50 GASTROENTEROLOGY SPECIALISTS, INC. TULSA OK GASTROENTEROLOGY 23 224 $112,000 $500 7.2% (918) 940-8900
51 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 221 $574,661 $2,600 9.8% (608) 287-2050
52 CAROLINA DIGESTIVE HEALTH ASSOCIATES PA CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 221 $353,620 $1,600 3.5% (704) 372-7974
53 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 220 $290,543 $1,321 7.3% (801) 773-4840
54 DIGESTIVE CARE OF EVANSVILLE PC NEWBURGH IN NURSE PRACTITIONER 27 219 $245,949 $1,123 7.9% (812) 477-6103
55 WASHINGTON GASTROENTEROLOGY PLLC TACOMA WA PHYSICIAN ASSISTANT 139 219 $309,887 $1,415 10.9% (253) 272-5127
56 MERCY CLINIC GASTROENTEROLOGY LLC SAINT LOUIS MO GASTROENTEROLOGY 64 216 $443,245 $2,052 5.7% (314) 251-2880
57 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 212 $592,410 $2,794 7.7% (765) 962-8551
58 MONTANA GASTROENTEROLOGY, PLLC MISSOULA MT GASTROENTEROLOGY 24 210 $94,767 $451 26.8% (406) 541-6844
59 MERCY CLINIC JOPLIN LLC JOPLIN MO NURSE PRACTITIONER 289 210 $130,200 $620 5.6% (417) 556-6056
60 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 209 $1,984,873 $9,497 9.3% (608) 260-2900
61 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 206 $566,455 $2,750 19.5% (507) 284-2511
62 GASTROENTEROLOGY CONSULTANTS OF AUGUSTA, PC EVANS GA GASTROENTEROLOGY 26 206 $211,150 $1,025 4.9% (706) 854-8934
63 CHARLOTTE GASTROENTEROLOGY AND HEPATOLOGY PLLC CHARLOTTE NC GASTROENTEROLOGY 76 199 $166,445 $836 3.2% (704) 377-4009
64 PREMIER GASTROENTEROLOGY ASSOCIATES PLLC LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 28 198 $192,136 $970 6.8% (501) 747-2828
65 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 197 $328,806 $1,669 1.6% (904) 953-2000
66 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN MS GASTROENTEROLOGY 154 197 $202,870 $1,030 16.0% (901) 755-9110
67 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 196 $505,561 $2,579 8.7% (515) 343-1000
68 GASTROENTEROLOGY ASSOC OF CENTRAL VIRGINIA INC. LYNCHBURG VA ANESTHESIOLOGY 24 195 $434,216 $2,227 5.8% 4343841862643
69 ILLINOIS GASTROENTEROLOGY GROUP LLC ELGIN IL GASTROENTEROLOGY 114 194 $140,650 $725 4.7% (847) 888-1300
70 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 192 $200,400 $1,044 6.9% (219) 836-4563
71 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 188 $72,756 $387 20.1% —
72 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 187 $103,449 $553 10.6% (616) 885-5000
73 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 179 $203,165 $1,135 3.5% —
74 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 178 $1,979,182 $11,119 9.4% (212) 263-9700
75 WINCHESTER GASTROENTEROLOGY ASSOCIATES WINCHESTER VA PHYSICIAN ASSISTANT 15 177 $67,260 $380 5.3% 5406671244234
76 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 177 $215,682 $1,219 6.6% (864) 587-3000
77 NCHMD INC NAPLES FL NEUROLOGY 515 176 $71,456 $406 1.4% (239) 436-5100
78 WESTERN CAROLINA DIGESTIVE CONSULTANTS PA SYLVA NC GASTROENTEROLOGY 9 176 $152,180 $865 2.8% (828) 586-9200
79 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 174 $425,274 $2,444 6.3% (812) 450-6700
80 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 172 $406,869 $2,366 1.9% (805) 349-8514
81 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 172 $360,066 $2,093 4.6% (314) 645-6450
82 AUSTIN GASTROENTEROLOGY PLLC AUSTIN TX GASTROENTEROLOGY 80 171 $108,927 $637 1.6% (512) 454-4588
83 EDMUNDS GASTROENTEROLOGY PLLC KNOXVILLE TN NURSE PRACTITIONER 5 171 $418,437 $2,447 6.1% (865) 851-7771
84 LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY PHYSICIAN ASSISTANT 46 171 $67,887 $397 5.0% (606) 451-8644
85 GASTRO CARE INSTITUTE LANCASTER CA GASTROENTEROLOGY 12 170 $58,310 $343 1.9% (661) 529-7550
86 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 166 $439,501 $2,648 1.4% (407) 896-1100
87 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 165 $113,557 $688 1.4% (239) 343-9888
88 YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC PRESCOTT AZ NURSE PRACTITIONER 120 165 $50,829 $308 6.1% (928) 771-3704
89 SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC WEST BURLINGTON IA NURSE PRACTITIONER 293 165 $66,495 $403 7.4% (319) 768-1000
90 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 162 $350,892 $2,166 5.2% —
91 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 162 $102,384 $632 4.3% —
92 VASANTHA PAI MD PC BELLEVILLE IL GASTROENTEROLOGY 2 162 $283,500 $1,750 3.9% (618) 355-0880
93 THE CENTER FOR COLON AND DIGESTIVE DISEASE P C HUNTSVILLE AL NURSE PRACTITIONER 14 162 $90,190 $557 3.4% (256) 533-6488
94 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 160 $53,920 $337 1.8% (530) 332-4470
95 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 160 $230,302 $1,439 1.8% (916) 983-7476
96 GASTROENTEROLOGY ASSOCIATES PC CASPER WY PHYSICIAN ASSISTANT 13 159 $443,858 $2,792 25.9% (307) 233-2700
97 DIGESTIVE HEALTH ASSOCIATES PC MORRIS IL NURSE PRACTITIONER 4 158 $118,500 $750 3.8% (815) 942-1550
98 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 157 $73,005 $465 1.3% (386) 231-6000
99 ANNE ARUNDEL GASTROENTEROLOGY ASSOCIATES, P.A. ANNAPOLIS MD GASTROENTEROLOGY 20 156 $104,520 $670 8.3% (615) 770-6600
100 COOKEVILLE REGIONAL MEDICAL GROUP INC COOKEVILLE TN NURSE PRACTITIONER 54 155 $77,500 $500 5.6% (931) 783-2143

Showing the top 100 of 850 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 →