NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
43262 Incision of pancreatic outlet using a flexible endoscope 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 10,605 services ▼ 0.7% YoY · 10,416 beneficiaries (CY2024, Medicare FFS)
Medicare paid $582K · $54.84 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

271

Named groups billing this code
Named-group FFS services

7,543

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-0.7%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~15,093 services

7,543 observed fee-for-service (50%) · ~7,550 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 — 43262 (CY2024)
CA 1,462 TX 638 FL 631 PA 567 MA 529

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

Billed → allowed → paid
Named-group submitted charges
$11.7M
Named-group allowed amount
$520K
Named-group Medicare payments
$411K
Avg charge / svc
$1,548
Avg allowed / svc
$69
Avg payment / svc
$54
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$66 271 groups · avg submitted charge / service $4,839
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →
Unlock the Platform — the full read, every number below, code baskets, and export. Looking is free; the depth is paid. Notify me at launch →
Refine: group 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 43262 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 219 $316,071 $1,443 15.0% (415) 600-1020
2 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 138 $238,961 $1,732 9.4% (916) 681-8852
3 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 137 $206,733 $1,509 21.5% —
4 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 107 $141,782 $1,325 7.3% (858) 455-9100
5 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 107 $197,476 $1,846 41.6% (612) 871-1145
6 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 100 $219,995 $2,200 20.6% —
7 DIGESTIVE ASSOCIATES LLP N LAS VEGAS NV GASTROENTEROLOGY 17 86 $87,744 $1,020 42.8% (702) 633-0207
8 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 85 $283,475 $3,335 73.9% (319) 678-8201
9 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 80 $169,040 $2,113 18.9% —
10 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 78 $221,130 $2,835 16.1% —
11 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 69 $48,907 $709 10.8% (713) 242-2222
12 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 68 $113,356 $1,667 12.9% (781) 983-9088
13 GASTROENTEROLOGY CONSULTANTS LTD RENO NV CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 38 68 $109,089 $1,604 33.8% (775) 329-4600
14 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 67 $135,072 $2,016 15.0% —
15 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND WA PHYSICIAN ASSISTANT 588 66 $61,436 $931 17.4% —
16 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 66 $122,722 $1,859 12.5% —
17 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 61 $65,758 $1,078 9.7% (407) 200-2700
18 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 55 $211,915 $3,853 28.8% (608) 260-2900
19 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 54 $67,932 $1,258 8.5% (254) 724-2663
20 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 53 $150,857 $2,846 3.6% (650) 723-4000
21 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 53 $50,986 $962 8.3% (806) 358-0200
22 JERSEY COMMUNITY HOSPITAL JERSEYVILLE MO NURSE PRACTITIONER 63 53 $71,815 $1,355 21.5% (618) 498-6402
23 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 51 $51,020 $1,000 28.7% —
24 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 51 $43,197 $847 8.1% —
25 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 50 $53,850 $1,077 7.9% (407) 896-1100
26 PORTLAND GASTROENTEROLOGY ASSOCIATES PA PORTLAND ME GASTROENTEROLOGY 22 50 $92,000 $1,840 100.0% 2077737964232
27 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 48 $109,776 $2,287 19.3% —
28 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 47 $61,711 $1,313 16.8% (888) 484-3258
29 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 47 $94,000 $2,000 8.3% —
30 WASHINGTON GASTROENTEROLOGY PLLC TACOMA WA PHYSICIAN ASSISTANT 139 46 $53,754 $1,169 12.1% (253) 272-5127
31 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 46 $66,748 $1,451 8.7% (561) 955-7100
32 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 46 $205,712 $4,472 10.3% (212) 263-9700
33 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO TX DIAGNOSTIC RADIOLOGY 2420 44 $76,930 $1,748 6.9% (916) 681-8852
34 LEWIS GALE PHYSICIANS LLC SALEM VA PHYSICIAN ASSISTANT 196 44 $58,938 $1,340 21.4% —
35 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 44 $117,128 $2,662 7.0% (772) 223-5665
36 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 44 $51,152 $1,163 8.3% (508) 973-5919
37 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 43 $66,478 $1,546 6.8% (904) 398-7205
38 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN MS GASTROENTEROLOGY 154 43 $74,130 $1,724 52.4% (901) 755-9110
39 NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ PHYSICIAN ASSISTANT 128 42 $47,964 $1,142 23.6% (520) 202-7770
40 INDIANAPOLIS GASTROENTEROLOGY LLC INDIANAPOLIS IN GASTROENTEROLOGY 18 42 $71,400 $1,700 15.1% 31786529554419
41 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 41 $39,491 $963 7.8% —
42 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 41 $46,535 $1,135 19.9% —
43 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 40 $78,920 $1,973 8.2% (847) 459-1160
44 NORTH VALLEY G.I. CONSULTANTS SIMI VALLEY CA GASTROENTEROLOGY 2 40 $40,900 $1,023 2.7% (805) 526-6016
45 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 40 $38,240 $956 2.7% (760) 340-3911
46 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 39 $188,736 $4,839 40.2% (501) 202-2093
47 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 39 $66,114 $1,695 30.5% (843) 777-2000
48 CONCORD HOSPITAL INC CONCORD NH PHYSICIAN ASSISTANT 552 39 $147,948 $3,794 40.6% —
49 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 39 $37,361 $958 7.4% (508) 771-1800
50 NORTH SHORE-LIJ MEDICAL PC MANHASSET CT PHYSICIAN ASSISTANT 6294 39 $78,624 $2,016 47.0% —
51 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 39 $61,450 $1,576 2.7% (310) 534-8400
52 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 36 $101,256 $2,813 12.9% (317) 338-2345
53 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 36 $43,488 $1,208 37.9% (503) 239-6673
54 ZUHDI TRANSPLANT PHYSICIANS OKLAHOMA CITY OK NURSE PRACTITIONER 51 35 $25,827 $738 31.5% (405) 947-5557
55 CHARLOTTE GASTROENTEROLOGY AND HEPATOLOGY PLLC CHARLOTTE NC GASTROENTEROLOGY 76 35 $61,565 $1,759 12.6% (704) 377-4009
56 GUNDERSEN LUTHERAN MEDICAL CENTER INC LA CROSSE WI PHYSICIAN ASSISTANT 901 35 $152,000 $4,343 18.3% (608) 783-7300
57 MID MICHIGAN GASTROENTEROLOGY ASSOCIATES FLINT MI GASTROENTEROLOGY 2 34 $23,463 $690 15.6% (810) 733-6300
58 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY WA PHYSICIAN ASSISTANT 354 34 $40,120 $1,180 9.0% (623) 832-4000
59 MIDWEST GASTROINTESTINAL ASSOCIATES PC OMAHA NE GASTROENTEROLOGY 53 34 $51,748 $1,522 23.8% —
60 ISLANDWIDE GASTROENTEROLOGY PC GARDEN CITY NY GASTROENTEROLOGY 4 34 $17,244 $507 7.6% (516) 222-0067
61 GASTROENTEROLOGY HEALTH PARTNERS PLLC NEW ALBANY IN GASTROENTEROLOGY 29 34 $63,210 $1,859 12.2% (812) 945-0145
62 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 33 $39,105 $1,185 13.3% (856) 247-7260
63 MORDO SUCHOV MD INC MONTEREY PARK CA NURSE PRACTITIONER 10 33 $27,187 $824 2.3% (213) 483-4500
64 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 33 $24,189 $733 5.2% (941) 794-1980
65 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTER PA PHYSICIAN ASSISTANT 259 33 $31,350 $950 5.8% (717) 869-4600
66 MEDSTAR MEDICAL GROUP II LLC WASHINGTON PA PHYSICIAN ASSISTANT 3707 33 $36,500 $1,106 5.8% (202) 429-2401
67 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 32 $56,352 $1,761 2.2% (925) 296-9720
68 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 32 $64,766 $2,024 12.5% (507) 284-2511
69 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 32 $32,525 $1,016 5.6% —
70 ILLINOIS GASTROENTEROLOGY GROUP LLC ELGIN IL GASTROENTEROLOGY 114 32 $54,400 $1,700 6.6% (847) 888-1300
71 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 32 $86,400 $2,700 7.1% (212) 241-4812
72 VALLEY VIEW HOSPITAL ASSOCIATION GLENWOOD SPGS PA PHYSICIAN ASSISTANT 206 32 $34,542 $1,079 5.6% (970) 384-7290
73 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 31 $25,654 $828 12.6% (913) 588-1227
74 CATAWBA VALLEY MEDICAL GROUP INC HICKORY NC PHYSICIAN ASSISTANT 134 31 $72,044 $2,324 11.2% (828) 328-3300
75 UNIVERSITY OF MARYLAND PHYSICIANS PA BALTIMORE MD NURSE PRACTITIONER 396 31 $50,530 $1,630 13.8% (410) 328-7877
76 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 30 $51,120 $1,704 6.2% (630) 469-9200
77 KIM CHEN PLLC LAS VEGAS NV GASTROENTEROLOGY 17 30 $29,730 $991 14.9% (702) 483-4483
78 MONTROSE MEMORIAL HOSPITAL, INC MONTROSE CO DIAGNOSTIC RADIOLOGY 140 30 $26,662 $889 18.3% (970) 252-2691
79 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 30 $29,940 $998 9.0% (615) 269-4545
80 OLYMPIC MEDICAL PHYSICIANS PORT ANGELES WA PHYSICIAN ASSISTANT 100 29 $26,557 $916 7.7% (360) 565-0999
81 WICHITA FALLS GASTROENTEROLOGY ASSOCIATES WICHITA FALLS TX GASTROENTEROLOGY 9 29 $51,620 $1,780 4.5% (940) 687-6870
82 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 28 $31,700 $1,132 11.2% (732) 362-3663
83 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 28 $33,012 $1,179 66.7% (502) 937-2209
84 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 28 $42,080 $1,503 5.3% (617) 732-5500
85 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 28 $43,575 $1,556 6.2% (914) 681-0600
86 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS LA GASTROENTEROLOGY 613 28 $42,252 $1,509 41.8% —
87 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 28 $45,240 $1,616 4.9% —
88 UNIVERSITY PHYSICIANS AND SURGEONS, INC HUNTINGTON WV NURSE PRACTITIONER 390 28 $29,960 $1,070 27.7% (304) 691-8500
89 YUMA REGIONAL MEDICAL CENTER YUMA AZ PHYSICIAN ASSISTANT 388 28 $28,134 $1,005 15.7% (928) 336-1815
90 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 28 $75,992 $2,714 5.8% (217) 544-6464
91 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 27 $20,682 $766 1.8% (805) 349-8514
92 LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC PIKESVILLE MD GASTROENTEROLOGY 55 27 $64,719 $2,397 12.1% (410) 602-7782
93 HILL COUNTRY DIGESTIVE HEALTH PLLC KERRVILLE TX NURSE PRACTITIONER 4 27 $39,150 $1,450 4.2% (830) 257-0375
94 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 27 $92,178 $3,414 14.1% (608) 287-2050
95 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 27 $72,279 $2,677 8.1% (615) 322-5000
96 ST CLOUD HOSPITAL SAINT CLOUD MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 218 27 $36,093 $1,337 5.1% (320) 251-2700
97 AJAY BAKHSHI,MD LLC BETHESDA MD GASTROENTEROLOGY 4 27 $23,544 $872 12.1% (301) 530-5142
98 MARY WASHINGTON HEALTHCARE PROVIDERS LLC FREDERICKSBURG MA DIAGNOSTIC RADIOLOGY 267 27 $22,950 $850 5.1% (540) 741-5610
99 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS CA PHYSICIAN ASSISTANT 148 27 $30,375 $1,125 1.8% —
100 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 26 $21,138 $813 23.4% —

Showing the top 100 of 271 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 →