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Market snapshot

43259 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43259 — Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

Billing groups
321
Named-group FFS services
20,197
FFS of Medicare
49%
Services YoY
+5.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~41,030 services

20,197 observed fee-for-service (49%) · ~20,833 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 — 43259 (CY2024)
CA 4,123 FL 3,269 NY 1,821 TX 1,782 NC 1,244

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

Named-group submitted charges
$20.5M
Named-group allowed amount
$4.0M
Named-group Medicare payments
$3.1M
Avg charge / svc
$1,013
Avg allowed / svc
$198
Avg payment / svc
$154
Average charge per group
$346 321 groups · avg submitted charge / service $3,140
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43259 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 763 $1,052,208 $1,379 18.5% (415) 600-1020
2 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 657 $627,435 $955 36.9% —
3 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 443 $297,900 $672 13.6% (904) 398-7205
4 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 433 $522,631 $1,207 10.5% (714) 456-7002
5 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 431 $476,289 $1,105 10.5% (800) 926-8273
6 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 414 $280,692 $678 12.7% (407) 896-1100
7 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 318 $515,208 $1,620 7.7% (310) 825-7922
8 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 310 $284,224 $917 25.8% (561) 955-7100
9 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 295 $200,305 $679 9.0% (407) 200-2700
10 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 268 $220,768 $824 6.5% (310) 423-3277
11 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 257 $274,476 $1,068 21.4% (781) 983-9088
12 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 242 $309,276 $1,278 26.2% (908) 273-4300
13 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 232 $369,001 $1,591 21.8% (314) 747-3000
14 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 230 $276,259 $1,201 5.6% (916) 681-8852
15 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 220 $200,193 $910 28.2% (410) 502-4340
16 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 205 $127,312 $621 42.8% —
17 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 197 $197,985 $1,005 34.0% (612) 871-1145
18 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 186 $218,124 $1,173 10.2% —
19 WILMINGTON GASTROENTEROLOGY ASSOCIATES, PA WILMINGTON NC PHYSICIAN ASSISTANT 21 176 $140,800 $800 14.1% (910) 362-1011
20 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 163 $271,120 $1,663 46.0% (203) 688-4242
21 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 162 $170,262 $1,051 3.9% (925) 296-9720
22 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 161 $109,897 $683 80.5% (202) 429-2401
23 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 145 $142,918 $986 8.0% (914) 681-0600
24 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 143 $104,294 $729 27.7% —
25 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 142 $150,946 $1,063 11.8% (617) 732-5500
26 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 141 $84,459 $599 4.3% —
27 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 139 $63,940 $460 4.3% (941) 794-1980
28 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 139 $96,605 $695 3.4% —
29 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 137 $165,633 $1,209 12.7% (630) 469-9200
30 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 132 $162,126 $1,228 12.3% —
31 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 129 $186,975 $1,449 3.9% (305) 913-0666
32 GUT PC DOTHAN AL GASTROENTEROLOGY 52 128 $102,400 $800 20.1% (334) 836-1212
33 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 127 $106,458 $838 3.1% (858) 455-9100
34 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 127 $95,438 $751 17.1% (313) 916-2600
35 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 122 $93,330 $765 55.0% (503) 239-6673
36 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 122 $129,350 $1,060 6.7% (212) 241-4812
37 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 121 $110,944 $917 3.7% (561) 955-7100
38 UNIVERSITY PHYSICIANS AND SURGEONS, INC HUNTINGTON WV NURSE PRACTITIONER 390 119 $80,920 $680 48.6% (304) 691-8500
39 ATLANTIC DIGESTIVE SPECIALISTS PLLC SOMERSWORTH NH GASTROENTEROLOGY 18 111 $123,099 $1,109 50.0% (603) 692-2228
40 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 111 $75,369 $679 23.9% —
41 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 107 $174,867 $1,634 6.0% (214) 599-8624
42 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 105 $100,198 $954 9.7% (847) 459-1160
43 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 103 $122,494 $1,189 15.5% (843) 777-2000
44 CAPITAL HEALTH MEDICAL GROUP PENNINGTON NJ NURSE PRACTITIONER 439 102 $160,548 $1,574 11.1% (609) 537-6000
45 CHESAPEAKE DIGESTIVE ASSOCIATES, PC ANNAPOLIS MD GASTROENTEROLOGY 37 102 $183,804 $1,802 13.1% 4102244887421
46 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 101 $90,294 $894 5.7% (254) 724-2663
47 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 99 $64,665 $653 2.4% (714) 871-3006
48 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 99 $75,438 $762 5.6% (903) 606-5560
49 GASTROENTEROLOGY ASSOCIATES, PA GREENVILLE SC GASTROENTEROLOGY 58 98 $112,210 $1,145 14.8% (864) 232-7338
50 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 97 $68,482 $706 7.8% (910) 296-0941
51 LOUISIANA GASTROENTEROLOGY ASSOCIATES LLC LAFAYETTE LA GASTROENTEROLOGY 27 95 $78,185 $823 19.4% (337) 232-6697
52 GI MEDICAL ASSOC PC SAINT CLAIR SHORES MI GASTROENTEROLOGY 11 94 $42,300 $450 12.7% (586) 447-0700
53 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 91 $109,837 $1,207 5.1% (713) 566-5000
54 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 90 $75,820 $842 8.6% —
55 ISLAND GASTROENTEROLOGY CONSULTANTS PC WEST ISLIP NY ANESTHESIOLOGY 13 89 $74,122 $833 4.9% (631) 669-1171
56 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 88 $129,911 $1,476 15.2% (507) 284-2511
57 BOULDER VALLEY GASTROENTEROLOGY INC. LAFAYETTE CO PHYSICIAN ASSISTANT 32 87 $57,507 $661 27.9% (303) 604-5000
58 GASTROENTEROLOGY ASSOCIATES OF SOUTHWEST FLORIDA LLC FORT MYERS FL GASTROENTEROLOGY 59 86 $86,000 $1,000 2.6% (239) 275-8882
59 CHARLOTTE GASTROENTEROLOGY AND HEPATOLOGY PLLC CHARLOTTE NC GASTROENTEROLOGY 76 85 $106,080 $1,248 6.8% (704) 377-4009
60 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 85 $110,755 $1,303 2.1% (877) 827-7463
61 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 84 $40,800 $486 2.0% (805) 349-8514
62 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 81 $78,570 $970 7.8% —
63 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 81 $117,810 $1,454 17.6% (812) 450-6700
64 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTER PA PHYSICIAN ASSISTANT 259 80 $46,000 $575 7.7% (717) 869-4600
65 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 78 $67,158 $861 34.2% (402) 559-4000
66 MEMORIAL GASTROENTEROLOGY GROUP NEW YORK NY GASTROENTEROLOGY 28 78 $179,400 $2,300 4.3% (212) 639-2000
67 DIGESTIVE CARE OF EVANSVILLE PC NEWBURGH IN NURSE PRACTITIONER 27 77 $120,018 $1,559 16.7% (812) 477-6103
68 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 77 $80,850 $1,050 1.9% (800) 872-2273
69 KANSAS GASTROENTEROLOGY LLC WICHITA KS PHYSICIAN ASSISTANT 20 76 $68,400 $900 39.0% (316) 928-8930
70 GASTROENTEROLOGY SPECIALTIES PC LINCOLN NE GASTROENTEROLOGY 51 75 $63,600 $848 32.9% (402) 465-4545
71 LI GASTROENTEROLOGY ENDOSCOPY PC GREENVALE NY ANESTHESIOLOGY 6 75 $165,242 $2,203 4.1% (516) 636-5010
72 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 74 $74,410 $1,006 1.8% (310) 534-8400
73 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 73 $70,080 $960 4.0% (845) 703-6999
74 LEWIS GALE PHYSICIANS LLC SALEM VA PHYSICIAN ASSISTANT 196 73 $71,028 $973 14.1% —
75 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 73 $49,891 $683 2.2% (813) 615-7075
76 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 72 $107,208 $1,489 6.7% —
77 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 71 $133,210 $1,876 2.2% (904) 953-2000
78 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 71 $56,871 $801 5.7% (336) 713-9800
79 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 71 $70,219 $989 2.2% (305) 689-5437
80 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND MN PHYSICIAN ASSISTANT 1634 71 $48,209 $679 12.2% (407) 200-2700
81 SUBURBAN GASTROENTEROLOGY LTD NAPERVILLE WA GASTROENTEROLOGY 21 69 $69,000 $1,000 14.8% 6305276450150
82 HOAG CLINIC NEWPORT BEACH MI PHYSICIAN ASSISTANT 436 69 $50,695 $735 9.3% (949) 791-3370
83 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 67 $54,672 $816 9.0% (616) 885-5000
84 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 66 $42,411 $643 6.3% —
85 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 65 $65,000 $1,000 3.6% (631) 628-5000
86 RICHMOND GASTROENTEROLOGY ASSOCIATES, INC. NORTH CHESTERFIELD VA GASTROENTEROLOGY 37 65 $56,875 $875 12.6% (804) 330-4021
87 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 65 $45,500 $700 13.3% (504) 842-3000
88 UNM MEDICAL GROUP INC ALBUQUERQUE NM FAMILY PRACTICE 1089 65 $59,800 $920 50.8% (505) 272-2111
89 MVHS INC UTICA NY NURSE PRACTITIONER 322 65 $27,300 $420 3.6% (315) 625-6000
90 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 65 $43,030 $662 9.8% (864) 255-1901
91 MP VEERA MD PA ANDERSON SC GASTROENTEROLOGY 2 64 $105,920 $1,655 9.6% (864) 224-8689
92 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 62 $86,622 $1,397 9.3% (843) 792-1414
93 OSF MULTI-SPECIALTY GROUP PEORIA MO NURSE PRACTITIONER 2091 62 $78,616 $1,268 5.8% (309) 683-5050
94 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 60 $92,640 $1,544 1.5% (916) 983-7476
95 FAITH REGIONAL PHYSICIAN SERVICES LLC NORFOLK NE NURSE PRACTITIONER 185 60 $34,680 $578 26.3% (402) 371-4880
96 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 60 $55,568 $926 16.9% (203) 739-7118
97 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO MD DIAGNOSTIC RADIOLOGY 2057 60 $66,270 $1,104 7.7% (800) 926-8273
98 VALLEY VIEW HOSPITAL ASSOCIATION GLENWOOD SPGS PA PHYSICIAN ASSISTANT 206 60 $46,800 $780 5.7% (970) 384-7290
99 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 60 $29,460 $491 75.9% —
100 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 59 $48,734 $826 5.7% (717) 531-5638

Showing the top 100 of 321 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 →