43252 — Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
1,978 observed fee-for-service (51%) · ~1,918 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
Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market. Average submitted charge / service by billing state, among the highest-volume states; open a bar for that state's ranked market.
- Market position — where this market sits on volume and growth among all state markets, and its rank.
- Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
- Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
- National benchmarks — where each group's volume sits nationally and within its specialty.
- Market structure — how concentrated this market is, and who owns the volume.
- Medicare-wide scaling — the exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.
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 →| # | Physician group | City | St | Specialty | Providers | 43252 svcs | Submitted charges | Avg charge | Medicare $ locked column | Share* | Phone |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | PREMIER MEDICAL GROUP, LLC | BLOOMINGTON | IL | NURSE PRACTITIONER | 10 | 434 | $281,573 | $649 | premium | 38.2% | (309) 663-9424 |
| 2 | FIRST MEDICAL CENTER INC | CERRITOS | CA | DIAGNOSTIC RADIOLOGY | 3 | 337 | $372,100 | $1,104 | premium | 33.0% | (562) 809-8082 |
| 3 | GASTROENTEROLOGY SPECIALISTS OF SOUTHWEST FLORIDA PA | NAPLES | FL | GASTROENTEROLOGY | 4 | 217 | $129,115 | $595 | premium | 20.3% | (239) 436-5000 |
| 4 | FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP | BRADENTON | FL | GASTROENTEROLOGY | 86 | 138 | $47,472 | $344 | premium | 12.9% | (941) 794-1980 |
| 5 | MAGNOLIA GASTROENTEROLOGY CLINIC LLC | CORINTH | MS | NURSE PRACTITIONER | 5 | 135 | $135,000 | $1,000 | premium | 49.5% | (662) 284-9902 |
| 6 | CENTER FOR GASTROINTESTINAL HEALTH SC | FAIRVIEW HEIGHTS | IL | GASTROENTEROLOGY | 4 | 72 | $346,968 | $4,819 | premium | 6.3% | (618) 239-0678 |
| 7 | MILLENNIUM PHYSICIAN GROUP LLC | PORT CHARLOTTE | FL | PHYSICIAN ASSISTANT | 953 | 66 | $45,570 | $690 | premium | 6.2% | (941) 255-3535 |
| 8 | BASS MEDICAL GROUP | WALNUT CREEK | CA | OTOLARYNGOLOGY | 318 | 66 | $86,724 | $1,314 | premium | 6.5% | — |
| 9 | UC REGENTS | ORANGE | CA | INTERNAL MEDICINE | 296 | 62 | $47,182 | $761 | premium | 6.1% | (714) 456-7002 |
| 10 | ALBANY SURGICAL, P.C. | ALBANY | GA | GENERAL SURGERY | 5 | 56 | $78,568 | $1,403 | premium | 31.8% | 2294344200114 |
| 11 | GI ASSOCIATES OF DELAWARE PA | DOVER | DE | PATHOLOGY | 4 | 46 | $71,000 | $1,543 | premium | 50.0% | (302) 678-5008 |
| 12 | MADHU K. KRIS, M.D., INC. | MERCED | CA | GASTROENTEROLOGY | 3 | 40 | $14,000 | $350 | premium | 3.9% | (209) 384-3115 |
| 13 | SAINT FRANCIS PHYSICIAN NETWORK, LLC | MEMPHIS | TN | PHYSICIAN ASSISTANT | 75 | 38 | $26,600 | $700 | premium | 34.2% | (901) 680-9205 |
| 14 | LEWIS GALE PHYSICIANS LLC | SALEM | VA | PHYSICIAN ASSISTANT | 196 | 36 | $22,212 | $617 | premium | 100.0% | — |
| 15 | JEONG H KIM MD PLLC | HONOLULU | HI | GASTROENTEROLOGY | 2 | 34 | $31,806 | $935 | premium | 40.0% | (808) 486-0449 |
| 16 | PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC | KANSAS CITY | KS | NURSE PRACTITIONER | 56 | 32 | $29,760 | $930 | premium | 50.8% | — |
| 17 | MEDSTAR MEDICAL GROUP II LLC | WASHINGTON | DC | PHYSICIAN ASSISTANT | 3707 | 28 | $12,936 | $462 | premium | 100.0% | (202) 429-2401 |
| 18 | OSU INTERNAL MEDICINE LLC | COLUMBUS | OH | NURSE PRACTITIONER | 1155 | 23 | $13,570 | $590 | premium | 100.0% | (614) 293-8000 |
| 19 | SUTTER BAY MEDICAL FOUNDATION | PALO ALTO | CA | INTERNAL MEDICINE | 3716 | 23 | $27,362 | $1,190 | premium | 2.3% | (415) 600-1020 |
| 20 | ENDEAVOR HEALTH MEDICAL GROUP | EVANSTON | IL | NURSE PRACTITIONER | 3380 | 22 | $22,066 | $1,003 | premium | 1.9% | — |
| 21 | GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION | MONROE | LA | GASTROENTEROLOGY | 13 | 19 | $13,205 | $695 | premium | 30.2% | (318) 325-2634 |
| 22 | H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC | TAMPA | FL | PHYSICIAN ASSISTANT | 1103 | 19 | $17,630 | $928 | premium | 1.8% | (813) 745-4673 |
| 23 | HOAG CLINIC | NEWPORT BEACH | OR | PHYSICIAN ASSISTANT | 436 | 18 | $21,078 | $1,171 | premium | 100.0% | (949) 791-3370 |
| 24 | KOFI NUAKO MD PC | UNION CITY | TN | NURSE PRACTITIONER | 4 | 17 | $23,328 | $1,372 | premium | 15.3% | — |
*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 →