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Market snapshot

43255 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43255 — Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope

Billing groups
380
Named-group FFS services
11,302
FFS of Medicare
49%
Services YoY
-1.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~22,678 services

11,302 observed fee-for-service (50%) · ~11,376 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 — 43255 (CY2024)
CA 2,068 FL 1,828 TX 1,431 NY 835 IL 666

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

Named-group submitted charges
$13.2M
Named-group allowed amount
$2.0M
Named-group Medicare payments
$1.6M
Avg charge / svc
$1,170
Avg allowed / svc
$181
Avg payment / svc
$143
Average charge per group
$136 380 groups · avg submitted charge / service $6,478
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43255 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FAITH REGIONAL PHYSICIAN SERVICES LLC NORFOLK NE NURSE PRACTITIONER 185 288 $468,864 $1,628 59.1% (402) 371-4880
2 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 224 $189,952 $848 15.7% —
3 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 174 $152,772 $878 9.5% —
4 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 121 $106,260 $878 5.9% (310) 534-8400
5 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 117 $145,548 $1,244 5.7% (925) 296-9720
6 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 116 $176,668 $1,523 36.0% (918) 502-4720
7 HILL COUNTRY DIGESTIVE HEALTH PLLC KERRVILLE TX NURSE PRACTITIONER 4 111 $105,450 $950 7.8% (830) 257-0375
8 CONSULTANTS IN GASTROENTEROLOGY PA WEST COLUMBIA SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 37 106 $111,406 $1,051 19.9% (803) 794-4585
9 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 106 $116,070 $1,095 19.9% (843) 652-8450
10 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 100 $63,036 $630 4.8% (714) 871-3006
11 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 95 $41,135 $433 35.6% (502) 928-1050
12 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 95 $568,798 $5,987 11.4% (212) 263-9700
13 BLOOMINGTON MEDICAL SERVICES LLC WOOSTER OH PHYSICIAN ASSISTANT 98 88 $31,768 $361 17.1% —
14 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 87 $116,580 $1,340 4.2% (916) 681-8852
15 INNOVIS HEALTH LLC FARGO ND NURSE PRACTITIONER 565 85 $109,650 $1,290 35.3% (701) 364-6600
16 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 80 $179,680 $2,246 5.6% (903) 606-5560
17 WEST CENTRAL GASTROENTEROLOGY LLP CLEARWATER FL GASTROENTEROLOGY 83 80 $52,720 $659 4.4% (727) 347-0005
18 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 76 $90,364 $1,189 9.1% —
19 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 76 $118,952 $1,565 13.4% (812) 450-6700
20 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 69 $52,931 $767 3.8% (904) 398-7205
21 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 65 $56,355 $867 29.4% —
22 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 64 $211,159 $3,299 3.1% (310) 825-7922
23 COOKEVILLE REGIONAL MEDICAL GROUP INC COOKEVILLE TN NURSE PRACTITIONER 54 63 $47,250 $750 12.1% (931) 783-2143
24 LOUISIANA GASTROENTEROLOGY ASSOCIATES LLC LAFAYETTE LA GASTROENTEROLOGY 27 63 $56,700 $900 30.1% (337) 232-6697
25 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 62 $70,218 $1,133 4.3% (214) 599-8624
26 DIGESTIVE DISEASE CONSULTANTS OF ORANGE COUNTY INC IRVINE CA PHYSICIAN ASSISTANT 14 62 $54,715 $883 3.0% (949) 612-9090
27 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 62 $82,980 $1,338 3.0% (415) 600-1020
28 PHYSICIAN GROUPS LC SAINT LOUIS MO NURSE PRACTITIONER 516 62 $61,132 $986 13.3% (314) 273-0195
29 KANSAS GASTROENTEROLOGY LLC WICHITA KS PHYSICIAN ASSISTANT 20 61 $48,678 $798 26.6% (316) 928-8930
30 WASHINGTON GASTROENTEROLOGY PLLC TACOMA WA PHYSICIAN ASSISTANT 139 59 $72,807 $1,234 13.4% (253) 272-5127
31 THAKKAR PATEL AND AVALOS MD'S LLC SEBRING FL GASTROENTEROLOGY 15 59 $50,150 $850 3.2% (863) 385-5179
32 BERKSHIRE FACULTY SERVICES INC PITTSFIELD VA PHYSICIAN ASSISTANT 276 58 $17,400 $300 11.3% (413) 447-2695
33 KIM CHEN PLLC LAS VEGAS NV GASTROENTEROLOGY 17 58 $66,816 $1,152 26.2% (702) 483-4483
34 TEXOMACARE SPECIALTY PHYSICIANS DENISON TX INTERVENTIONAL CARDIOLOGY 37 57 $24,311 $427 4.0% (903) 465-3624
35 GALEN MEDICAL GROUP, PC CHATTANOOGA TN NURSE PRACTITIONER 123 57 $133,608 $2,344 10.9% (423) 643-2500
36 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 54 $53,616 $993 9.5% —
37 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 54 $93,024 $1,723 8.1% —
38 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY NC PHYSICIAN ASSISTANT 559 52 $111,020 $2,135 15.1% (605) 755-7200
39 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 51 $107,973 $2,117 6.1% (212) 746-5454
40 DIGESTIVE ASSOCIATES LLP N LAS VEGAS NV GASTROENTEROLOGY 17 49 $28,077 $573 22.2% (702) 633-0207
41 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 49 $63,152 $1,289 14.2% (570) 271-6144
42 MOHAMMED A ARMAN MD PC DEARBORN MI INTERNAL MEDICINE 2 48 $38,400 $800 9.0% (313) 724-9170
43 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 48 $70,610 $1,471 9.3% (937) 395-8646
44 GI PARTNERS OF ILLINOIS LLC LIBERTYVILLE IL GASTROENTEROLOGY 36 48 $86,400 $1,800 7.2% (630) 952-1400
45 BARNABAS HEALTH MULTISPECIALTY WEST ORANGE NJ GASTROENTEROLOGY 21 48 $224,832 $4,684 9.7% (973) 731-4600
46 MAURY REGIONAL MEDICAL GROUP, INC COLUMBIA TN INTERNAL MEDICINE 119 47 $39,950 $850 9.0% (931) 381-1111
47 LAKE GASTROENTEROLOGY ASSOCIATES LLC TAVARES FL GASTROENTEROLOGY 7 47 $35,485 $755 2.6% (352) 383-5200
48 ISLANDWIDE GASTROENTEROLOGY PC GARDEN CITY NY GASTROENTEROLOGY 4 47 $27,899 $594 5.6% (516) 222-0067
49 GASTROENTEROLOGY HEALTH PARTNERS PLLC NEW ALBANY IN GASTROENTEROLOGY 29 47 $47,463 $1,010 8.3% (812) 945-0145
50 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO TX DIAGNOSTIC RADIOLOGY 2420 46 $61,908 $1,346 3.2% (916) 681-8852
51 MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI PHYSICIAN ASSISTANT 469 46 $44,298 $963 8.6% (989) 633-8018
52 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 46 $21,574 $469 14.3% (405) 254-9690
53 FOUNDATION MEDICAL PARTNERS INC NASHUA NH PHYSICIAN ASSISTANT 304 45 $34,965 $777 73.8% (603) 577-2045
54 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 45 $56,835 $1,263 9.7% —
55 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 44 $19,316 $439 2.1% (530) 332-4470
56 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 44 $63,486 $1,443 34.4% (302) 645-3525
57 CAPITAL DIGESTIVE CARE LLC WASHINGTON VA GASTROENTEROLOGY 238 44 $68,200 $1,550 8.6% (202) 296-3449
58 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 44 $35,620 $810 8.4% (615) 269-4545
59 NEW YORK UNIVERSITY NEW YORK MN DIAGNOSTIC RADIOLOGY 5704 44 $331,672 $7,538 27.5% (212) 263-9700
60 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 43 $83,420 $1,940 17.8% (701) 234-2000
61 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 43 $17,200 $400 3.0% (713) 242-2222
62 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 42 $29,442 $701 7.9% —
63 GASTROCARE OF SOUTHWEST OHIO LLC HAMILTON OH PHYSICIAN ASSISTANT 4 42 $12,852 $306 8.2% (573) 896-2200
64 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 42 $26,554 $632 9.5% (509) 665-6087
65 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 41 $50,594 $1,234 14.1% (501) 562-4838
66 PIONEER MEDICAL ASSOCIATES PC WARREN MI INTERNAL MEDICINE 23 41 $28,700 $700 7.7% (586) 573-5890
67 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 40 $17,200 $430 2.2% —
68 NORTH VALLEY G.I. CONSULTANTS SIMI VALLEY CA GASTROENTEROLOGY 2 40 $27,500 $688 1.9% (805) 526-6016
69 ALLIED DIGESTIVE HEALTH LLC BRICK NJ GASTROENTEROLOGY 274 40 $69,300 $1,732 8.1% (732) 458-8300
70 BLUEFIELD GASTROENTEROLOGY PLLC PRINCETON WV NURSE PRACTITIONER 6 40 $34,040 $851 18.1% 30442572431105
71 GASTROINTESTINAL SPECIALISTS LLC RICHMOND VA UROLOGY 64 40 $61,225 $1,531 7.8% (804) 285-8206
72 SAN DIEGO DIGESTIVE DISEASE CONSULTANTS INC A MEDICAL GROUP SAN DIEGO CA GASTROENTEROLOGY 12 40 $32,400 $810 1.9% (858) 292-7527
73 AJAY BAKHSHI,MD LLC BETHESDA MD GASTROENTEROLOGY 4 40 $41,480 $1,037 10.1% (301) 530-5142
74 GHANSHYAM GUPTA, M.D. PC ROCKVILLE MD GASTROENTEROLOGY 7 40 $37,200 $930 10.1% (301) 838-4224
75 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 40 $52,172 $1,304 13.9% (508) 973-5919
76 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE CO PHYSICIAN ASSISTANT 328 39 $19,230 $493 26.7% (505) 727-7090
77 MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR NURSE PRACTITIONER 349 39 $20,514 $526 13.4% (479) 314-5175
78 UNIVERSITY OF MARYLAND PHYSICIANS PA BALTIMORE MD NURSE PRACTITIONER 396 39 $48,762 $1,250 9.8% (410) 328-7877
79 DIGESTIVE HEALTH PARTNERS PA ASHEVILLE NC GASTROENTEROLOGY 65 39 $42,900 $1,100 11.3% (828) 254-0881
80 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 38 $25,726 $677 4.6% —
81 STRAND GI ASSOCIATES PA MYRTLE BEACH SC GASTROENTEROLOGY 10 38 $30,362 $799 7.1% (843) 449-3381
82 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 37 $26,085 $705 10.8% (717) 782-2100
83 RMH MEDICAL GROUP LLC ROCKINGHAM VA PHYSICIAN ASSISTANT 263 37 $18,040 $488 7.2% (540) 689-1110
84 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 37 $89,429 $2,417 23.1% (507) 284-2511
85 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 37 $62,622 $1,692 6.5% (765) 962-8551
86 SCOPE MEDICAL GROUP PLLC BLOOMFIELD TOWNSHIP MI GASTROENTEROLOGY 2 37 $13,190 $356 6.9% —
87 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 37 $21,460 $580 6.5% (219) 836-4563
88 MID MICHIGAN GASTROENTEROLOGY ASSOCIATES FLINT MI GASTROENTEROLOGY 2 36 $13,955 $388 6.7% (810) 733-6300
89 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 36 $19,394 $539 12.5% (508) 771-1800
90 BLESSING HOSPITAL QUINCY MO NURSE PRACTITIONER 401 36 $45,825 $1,273 7.7% (217) 223-8400
91 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 36 $15,696 $436 41.4% —
92 GASTRO CARE INSTITUTE LANCASTER CA GASTROENTEROLOGY 12 35 $15,715 $449 1.7% (661) 529-7550
93 UNITED MEDICAL DOCTORS FALLBROOK CA GASTROENTEROLOGY 160 35 $26,250 $750 1.7% (760) 728-9560
94 DIGESTIVE AND LIVER CENTER OF FL, LLC ORLANDO NY NURSE PRACTITIONER 25 35 $47,504 $1,357 4.2% (407) 348-7388
95 WESTERN GASTROENTEROLOGY CARE ASSOCIATES INC LA MESA CA GASTROENTEROLOGY 6 35 $31,000 $886 1.7% (619) 469-5400
96 ECM HEALTH GROUP LLC FLORENCE AL DIAGNOSTIC RADIOLOGY 140 34 $40,052 $1,178 14.6% (256) 718-5900
97 MORDO SUCHOV MD INC MONTEREY PARK CA NURSE PRACTITIONER 10 34 $16,150 $475 1.6% (213) 483-4500
98 LAWRENCE PHYSICIANS LLC LAWRENCE KS PHYSICIAN ASSISTANT 219 34 $56,746 $1,669 14.8% —
99 MONTANA GASTROENTEROLOGY, PLLC MISSOULA MT GASTROENTEROLOGY 24 33 $19,352 $586 68.8% (406) 541-6844
100 AURORA ADVANCED HEALTHCARE, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 1093 33 $128,040 $3,880 38.4% (414) 352-3100

Showing the top 100 of 380 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 →