NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

43251 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43251 — Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare

Billing groups
352
Named-group FFS services
15,408
FFS of Medicare
49%
Services YoY
+15.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~30,516 services

15,408 observed fee-for-service (50%) · ~15,108 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 — 43251 (CY2024)
CA 4,781 FL 3,386 TX 2,729 NY 1,933 IL 1,833

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

Named-group submitted charges
$16.8M
Named-group allowed amount
$2.6M
Named-group Medicare payments
$2.0M
Avg charge / svc
$1,092
Avg allowed / svc
$170
Avg payment / svc
$132
Average charge per group
$153 352 groups · avg submitted charge / service $5,144
Market analyticsPlatform
a taste of the twelve-year trend layer

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: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43251 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FAITH REGIONAL PHYSICIAN SERVICES LLC NORFOLK NE NURSE PRACTITIONER 185 507 $574,938 $1,134 60.8% (402) 371-4880
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 357 $1,836,408 $5,144 18.5% (212) 263-9700
3 SOUTHEAST VALLEY GASTROENTEROLOGY CONSULTANTS, P.C. CHANDLER AZ PHYSICIAN ASSISTANT 32 329 $168,665 $513 28.6% (480) 899-9800
4 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 304 $266,065 $875 6.4% (310) 534-8400
5 UNITED MEDICAL DOCTORS FALLBROOK CA GASTROENTEROLOGY 160 282 $284,650 $1,009 5.9% (760) 728-9560
6 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 281 $232,387 $827 10.3% —
7 GENESIS HEALTH SYSTEM DAVENPORT IA NURSE PRACTITIONER 265 273 $166,717 $611 33.3% (563) 421-1000
8 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 228 $296,856 $1,302 12.4% —
9 GASTROINTESTINAL CLINIC OF QUAD CITIES PC MOLINE IL GASTROENTEROLOGY 9 190 $178,220 $938 10.4% (309) 277-9220
10 CENTERS FOR GASTROENTEROLOGY FORT COLLINS CO GASTROENTEROLOGY 32 176 $149,600 $850 22.3% (970) 207-9773
11 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 172 $163,615 $951 15.7% (252) 634-3278
12 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 171 $384,882 $2,251 3.6% (310) 825-7922
13 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 167 $144,455 $865 24.7% —
14 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 157 $87,942 $560 3.3% (714) 871-3006
15 ACCESS HEALTH CARE PHYSICIANS LLC SPRING HILL FL NURSE PRACTITIONER 179 151 $138,920 $920 4.5% (352) 688-8116
16 DIGESTIVE HEALTH ASSOCIATES PC MORRIS IL NURSE PRACTITIONER 4 143 $58,630 $410 7.8% (815) 942-1550
17 BOULDER VALLEY GASTROENTEROLOGY INC. LAFAYETTE CO PHYSICIAN ASSISTANT 32 142 $79,378 $559 18.0% (303) 604-5000
18 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 139 $130,117 $936 2.9% (415) 600-1020
19 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 137 $135,554 $989 2.9% (916) 681-8852
20 GASTRO CARE INSTITUTE LANCASTER CA GASTROENTEROLOGY 12 137 $60,006 $438 2.9% (661) 529-7550
21 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 135 $75,600 $560 10.0% (717) 782-2100
22 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 132 $180,438 $1,367 4.8% (903) 606-5560
23 MARK A NAGRANI MD PA NEW SMYRNA BEACH FL ANESTHESIOLOGY 3 126 $163,800 $1,300 3.7% (386) 423-5500
24 LEWIS GALE PHYSICIANS LLC SALEM VA PHYSICIAN ASSISTANT 196 120 $87,591 $730 15.2% —
25 SOUTH TEXAS PHYSICIAN GROUP PLLC FREDERICKSBURG TX NURSE PRACTITIONER 16 120 $71,580 $596 4.4% (830) 990-1404
26 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 120 $179,160 $1,493 15.2% —
27 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 118 $67,672 $573 72.4% (801) 261-8346
28 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 117 $127,413 $1,089 6.4% (847) 459-1160
29 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 110 $47,630 $433 3.2% —
30 ELLA E M BROWN CHARITABLE CIRCLE MARSHALL MI DIAGNOSTIC RADIOLOGY 172 110 $76,890 $699 20.8% (269) 781-4271
31 GASTROENTEROLOGY SPECIALISTS OF SOUTHWEST FLORIDA PA NAPLES FL GASTROENTEROLOGY 4 109 $66,926 $614 3.2% (239) 436-5000
32 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 108 $274,860 $2,545 5.6% (914) 241-1050
33 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 107 $84,102 $786 9.3% (602) 843-1265
34 MERCY CLINIC JOPLIN LLC JOPLIN MO NURSE PRACTITIONER 289 98 $72,128 $736 19.2% (417) 556-6056
35 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 93 $37,293 $401 2.7% (941) 794-1980
36 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 91 $182,000 $2,000 8.5% (202) 296-3449
37 BELOIT HEALTH SYSTEM INC BELOIT WI NURSE PRACTITIONER 143 89 $253,472 $2,848 28.3% (608) 364-2200
38 MELIORA HEALTHCARE PLLC NAPLES FL CRITICAL CARE (INTENSIVISTS) 6 89 $57,608 $647 2.6% (239) 291-7005
39 ALLIED DIGESTIVE HEALTH LLC BRICK NJ GASTROENTEROLOGY 274 88 $150,040 $1,705 7.1% (732) 458-8300
40 MPV NEW JERSEY MD SERVICES PC NUTLEY NJ INTERNAL MEDICINE 142 87 $133,011 $1,529 7.0% (973) 661-1900
41 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 87 $126,237 $1,451 2.6% (305) 913-0666
42 GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC FAIRFAX VA GASTROENTEROLOGY 92 86 $124,786 $1,451 10.9% (703) 698-8960
43 NCHMD INC NAPLES FL NEUROLOGY 515 84 $43,344 $516 2.5% (239) 436-5100
44 GASTROENTEROLOGY AND NUTRITION OF CENTRAL FLORIDA LLC LEESBURG FL GASTROENTEROLOGY 6 84 $46,200 $550 2.5% (352) 315-4111
45 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 84 $128,394 $1,528 62.2% (701) 234-2000
46 CAPITAL HEALTH MEDICAL GROUP PENNINGTON NJ NURSE PRACTITIONER 439 82 $160,720 $1,960 6.6% (609) 537-6000
47 NORMAN REGIONAL PROVIDERS SPECIALTY CARE NORMAN OK NURSE PRACTITIONER 162 81 $87,855 $1,085 12.5% (405) 307-5700
48 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTER PA PHYSICIAN ASSISTANT 259 81 $41,555 $513 6.0% (717) 869-4600
49 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 81 $65,610 $810 7.5% —
50 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 80 $61,913 $774 5.9% (484) 526-2400
51 MERCY MEDICAL CENTER CEDAR RAPIDS IA ANESTHESIOLOGY 306 80 $94,599 $1,182 9.8% (319) 398-6011
52 GENESIS HEALTH SYSTEM DAVENPORT CA NURSE PRACTITIONER 265 79 $36,419 $461 1.7% (563) 421-1000
53 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 78 $75,426 $967 13.3% (617) 732-5500
54 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 78 $98,514 $1,263 6.3% —
55 DAYTON GASTROENTEROLOGY, LLC DAYTON OH GASTROENTEROLOGY 75 76 $82,565 $1,086 9.3% (937) 320-5050
56 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 76 $39,672 $522 1.6% (559) 583-4695
57 HILL COUNTRY DIGESTIVE HEALTH PLLC KERRVILLE TX NURSE PRACTITIONER 4 74 $62,900 $850 2.7% (830) 257-0375
58 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 71 $53,889 $759 10.5% (843) 652-8450
59 ELLIOT PROFESSIONAL SERVICES MANCHESTER NH PHYSICIAN ASSISTANT 394 68 $65,144 $958 32.2% (603) 552-1670
60 ST LUKES METHODIST HOSPITAL CEDAR RAPIDS IA NURSE PRACTITIONER 82 66 $68,234 $1,034 8.0% (319) 368-5757
61 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 66 $64,858 $983 26.5% (785) 354-9591
62 NEW HORIZON'S GASTROENTEROLOGY PLLC GARDEN CITY NY GASTROENTEROLOGY 3 64 $227,008 $3,547 3.3% (516) 385-5800
63 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 62 $77,500 $1,250 5.7% (910) 295-5511
64 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 59 $110,579 $1,874 11.5% (417) 347-8200
65 DIGESTIVE DISEASE SOLUTIONS LLC FREDERICK MD GASTROENTEROLOGY 3 59 $33,217 $563 5.5% (301) 695-7000
66 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 59 $28,990 $491 10.1% —
67 GASTROENTEROLOGY MEDICAL CLINIC FOLSOM CA GASTROENTEROLOGY 8 59 $47,200 $800 1.2% (916) 983-4444
68 CHRIS DEMETRIOU MD PC GARDEN CITY NY GASTROENTEROLOGY 6 58 $116,000 $2,000 3.0% 5166503355109
69 DIGESTIVE DISEASE GROUP PA GREENWOOD SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 14 55 $35,750 $650 8.1% 86422736362222
70 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 52 $23,244 $447 9.2% (509) 946-4611
71 PERMIAN GASTROENTEROLOGY PA MIDLAND TX GASTROENTEROLOGY 3 52 $47,424 $912 1.9% (432) 697-1000
72 ADVANCED GASTROENTEROLOGY ASSOCIATES, PA DECATUR TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 11 52 $33,782 $650 1.9% (940) 626-1864
73 UNIVERSITY GASTROENTEROLOGY, LLC PROVIDENCE RI GASTROENTEROLOGY 100 51 $48,450 $950 35.2% (401) 421-8800
74 NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ PHYSICIAN ASSISTANT 128 50 $29,550 $591 4.3% (520) 202-7770
75 EAST CAROLINA GASTROENTEROLOGY PA JACKSONVILLE NC PATHOLOGY 2 50 $50,000 $1,000 4.6% (910) 353-6158
76 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 49 $51,303 $1,047 9.6% (314) 645-6450
77 GCGA PHYSICIANS INC. CINCINNATI OH GASTROENTEROLOGY 76 49 $66,759 $1,362 6.0% (513) 751-6667
78 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 49 $61,005 $1,245 9.6% —
79 JACKSON HOSPITAL AND CLINIC, INC MONTGOMERY AL NURSE PRACTITIONER 120 49 $28,861 $589 19.9% (334) 284-1500
80 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 48 $47,915 $998 1.4% (941) 255-3535
81 GASTROINTESTINAL ASSOCIATES PC KNOXVILLE TN GASTROENTEROLOGY 32 47 $44,086 $938 15.3% (865) 558-0606
82 CONWAY HOSPITAL INC CONWAY SC PHYSICIAN ASSISTANT 124 47 $21,926 $467 6.9% (843) 347-8041
83 GASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PLLC HARLINGEN TX GASTROENTEROLOGY 43 47 $71,192 $1,515 1.7% (956) 365-4400
84 PITTSBURGH GASTROENTEROLOGY ASSOCIATES PITTSBURGH PA NURSE PRACTITIONER 26 47 $86,950 $1,850 3.5% (412) 232-8104
85 DIGESTIVE DISEASES CENTER OF FLORIDA PLLC PANAMA CITY FL NURSE PRACTITIONER 17 47 $37,600 $800 1.4% (850) 763-5409
86 RAJIV BANSAL MD PC NEW HYDE PARK NY ANESTHESIOLOGY 3 46 $138,000 $3,000 2.4% (516) 437-6900
87 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 45 $57,195 $1,271 7.4% (765) 962-8551
88 MJ MEDICAL GROUP,INC. FOOTHILL RANCH CA GASTROENTEROLOGY 2 44 $28,714 $653 0.9% (951) 934-0505
89 WICHITA FALLS GASTROENTEROLOGY ASSOCIATES WICHITA FALLS TX GASTROENTEROLOGY 9 44 $40,260 $915 1.6% (940) 687-6870
90 GI ASSOCIATES OF DELAWARE PA DOVER DE PATHOLOGY 4 43 $40,200 $935 27.0% (302) 678-5008
91 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 43 $22,618 $526 0.9% (760) 340-3911
92 ATLANTIC DIGESTIVE SPECIALISTS PLLC SOMERSWORTH NH GASTROENTEROLOGY 18 43 $45,838 $1,066 20.4% (603) 692-2228
93 TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT PHYSICIAN ASSISTANT 591 43 $37,324 $868 20.9% (860) 714-3500
94 ATHENS GASTROENTEROLOGY ASSOCIATION ATHENS GA GASTROENTEROLOGY 6 42 $31,850 $758 11.2% (706) 613-1625
95 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 42 $20,160 $480 1.2% (727) 725-5060
96 JACKSON HOSPITAL AND CLINIC, INC MONTGOMERY NJ NURSE PRACTITIONER 120 42 $24,738 $589 3.4% (334) 284-1500
97 HAZEL HAWKINS MEMORIAL HOSPITAL HOLLISTER CA PHYSICIAN ASSISTANT 52 41 $19,393 $473 0.9% 83163726262601
98 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 41 $55,760 $1,360 7.0% (617) 421-1000
99 JAY P DILIBERTO MD INC HUNTINGTON BEACH CA INTERNAL MEDICINE 2 41 $28,971 $707 0.9% (714) 596-2800
100 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 40 $62,643 $1,566 7.0% (206) 223-6600

Showing the top 100 of 352 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 →