NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
43264 Removal of stone or debris from bile or pancreatic duct 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 42,117 services ▲ 7.2% YoY · 34,823 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.5M · $107.10 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
502
Named-group FFS services
30,767
FFS of Medicare
49%
Services YoY
+7.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~62,204 services

30,767 observed fee-for-service (49%) · ~31,437 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; 1 state without payer-mix data excluded. How we scale

Top states — 43264 (CY2024)
CA 4,125 TX 2,751 FL 2,223 IL 2,203 PA 2,084

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

Named-group submitted charges
$51.7M
Named-group allowed amount
$4.1M
Named-group Medicare payments
$3.2M
Avg charge / svc
$1,680
Avg allowed / svc
$133
Avg payment / svc
$105
Average charge per group
$155 502 groups · avg submitted charge / service $6,583
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 43264 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 540 $550,026 $1,019 43.9% —
2 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 457 $702,409 $1,537 16.6% —
3 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 386 $980,712 $2,541 17.5% —
4 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 366 $729,917 $1,994 8.9% (415) 600-1020
5 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 345 $484,551 $1,404 8.4% (310) 423-3277
6 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 339 $765,194 $2,257 16.7% —
7 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 310 $639,220 $2,062 21.2% (734) 763-5459
8 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 284 $353,737 $1,246 91.6% (202) 429-2401
9 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 276 $785,220 $2,845 15.0% (314) 747-3000
10 MONTROSE MEMORIAL HOSPITAL, INC MONTROSE CO DIAGNOSTIC RADIOLOGY 140 271 $244,358 $902 28.6% (970) 252-2691
11 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 249 $273,651 $1,099 11.2% (407) 200-2700
12 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 240 $371,280 $1,547 10.8% (904) 398-7205
13 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 240 $657,255 $2,739 17.6% —
14 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 239 $348,109 $1,457 21.6% (888) 484-3258
15 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 231 $281,325 $1,218 15.8% (313) 916-2600
16 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 228 $307,437 $1,348 5.5% (858) 455-9100
17 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY VA PHYSICIAN ASSISTANT 354 224 $212,128 $947 15.3% (623) 832-4000
18 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 222 $420,478 $1,894 21.3% (507) 284-2511
19 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 219 $355,218 $1,622 21.0% (612) 871-1145
20 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 212 $471,623 $2,225 9.6% —
21 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 209 $710,404 $3,399 5.1% (650) 723-4000
22 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 205 $402,990 $1,966 5.0% (916) 681-8852
23 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 200 $330,000 $1,650 13.7% (434) 924-5959
24 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 198 $456,885 $2,308 9.5% —
25 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 197 $329,047 $1,670 16.0% (800) 603-0558
26 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 190 $281,338 $1,481 10.2% (561) 955-7100
27 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 180 $142,920 $794 4.4% (530) 332-4470
28 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 179 $304,121 $1,699 9.6% (781) 983-9088
29 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 173 $175,595 $1,015 7.8% —
30 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 169 $850,522 $5,033 8.3% (212) 263-9700
31 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 164 $557,764 $3,401 56.7% (319) 678-8201
32 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 164 $373,014 $2,274 20.3% (843) 777-2000
33 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 161 $346,385 $2,151 7.3% (847) 459-1160
34 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 156 $294,947 $1,891 8.4% —
35 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 153 $250,614 $1,638 6.9% (239) 343-9888
36 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 152 $174,099 $1,145 10.5% (206) 223-6600
37 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 151 $285,994 $1,894 3.7% (925) 296-9720
38 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 151 $283,397 $1,877 3.7% (800) 926-8273
39 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 146 $502,541 $3,442 5.3% (713) 592-5433
40 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 145 $279,040 $1,924 13.1% (812) 450-6700
41 WASHINGTON GASTROENTEROLOGY PLLC TACOMA WA PHYSICIAN ASSISTANT 139 144 $171,792 $1,193 10.0% (253) 272-5127
42 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 142 $199,510 $1,405 10.4% (614) 293-8000
43 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 142 $314,963 $2,218 6.8% (570) 271-6144
44 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 141 $396,069 $2,809 3.4% (310) 825-7922
45 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 140 $287,000 $2,050 12.0% (908) 273-4300
46 MERCY CLINIC GASTROENTEROLOGY LLC SAINT LOUIS MO GASTROENTEROLOGY 64 136 $148,648 $1,093 7.4% (314) 251-2880
47 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 134 $134,634 $1,005 4.9% (214) 599-8624
48 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 133 $305,634 $2,298 10.2% (919) 684-8111
49 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 133 $131,670 $990 7.2% —
50 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 132 $420,420 $3,185 29.5% (203) 688-4242
51 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 132 $212,520 $1,610 16.3% —
52 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 132 $503,880 $3,817 6.5% (212) 746-5454
53 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 131 $95,002 $725 4.8% (713) 242-2222
54 ALBANY MEDICAL COLLEGE ALBANY MO PHYSICIAN ASSISTANT 1070 131 $260,428 $1,988 7.1% (518) 262-3277
55 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 130 $155,350 $1,195 10.0% (910) 296-0941
56 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 128 $334,080 $2,610 6.9% (508) 334-1000
57 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 121 $139,484 $1,153 8.3% —
58 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 119 $281,792 $2,368 4.3% (214) 633-5555
59 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 118 $353,292 $2,994 10.1% —
60 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY WA PHYSICIAN ASSISTANT 354 117 $167,193 $1,429 8.1% (623) 832-4000
61 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 116 $127,368 $1,098 5.2% (407) 896-1100
62 PORTLAND GASTROENTEROLOGY ASSOCIATES PA PORTLAND ME GASTROENTEROLOGY 22 115 $249,166 $2,167 69.7% 2077737964232
63 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 115 $199,640 $1,736 36.9% (501) 686-8000
64 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 113 $117,373 $1,039 5.4% —
65 OSF MULTI-SPECIALTY GROUP PEORIA MO NURSE PRACTITIONER 2091 113 $231,907 $2,052 6.2% (309) 683-5050
66 CAROLINA DIGESTIVE HEALTH ASSOCIATES PA CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 112 $182,072 $1,626 8.6% (704) 372-7974
67 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 107 $359,520 $3,360 15.8% (608) 287-2050
68 UNIVERSITY PHYSICIANS AND SURGEONS, INC HUNTINGTON WV NURSE PRACTITIONER 390 107 $116,630 $1,090 24.5% (304) 691-8500
69 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 107 $115,560 $1,080 45.7% (801) 261-8346
70 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 105 $90,426 $861 37.2% (913) 588-1227
71 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 105 $89,951 $857 3.8% (806) 358-0200
72 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 104 $140,554 $1,351 8.9% (856) 247-7260
73 ATLANTIC DIGESTIVE SPECIALISTS PLLC SOMERSWORTH NH GASTROENTEROLOGY 18 103 $127,205 $1,235 42.2% (603) 692-2228
74 HOAG CLINIC NEWPORT BEACH MI PHYSICIAN ASSISTANT 436 101 $84,937 $841 6.9% (949) 791-3370
75 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 101 $219,420 $2,172 5.0% (212) 241-4812
76 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 101 $110,061 $1,090 10.7% (303) 778-5797
77 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 100 $178,700 $1,787 5.4% (617) 732-5500
78 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 99 $122,078 $1,233 3.6% (903) 606-5560
79 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 98 $288,953 $2,949 4.4% (217) 544-6464
80 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 95 $77,839 $819 6.5% (248) 898-5058
81 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 95 $266,153 $2,802 8.6% (317) 338-2345
82 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 93 $103,035 $1,108 6.5% (206) 364-0500
83 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 92 $108,906 $1,184 6.4% —
84 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 90 $124,070 $1,379 4.3% (484) 526-2400
85 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 90 $193,440 $2,149 4.0% (904) 953-2000
86 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 90 $98,550 $1,095 6.2% —
87 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 89 $154,326 $1,734 12.5% (615) 322-5000
88 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 88 $78,598 $893 4.8% (913) 588-1227
89 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 88 $103,988 $1,182 4.7% (508) 973-5919
90 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 87 $96,083 $1,104 4.7% —
91 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 85 $95,115 $1,119 2.1% —
92 BANNER-UNIVERSITY MEDICAL GROUP TUCSON PA INTERNAL MEDICINE 1068 83 $78,601 $947 4.0% (520) 694-0111
93 NORTH SHORE-LIJ MEDICAL PC MANHASSET PA PHYSICIAN ASSISTANT 6294 83 $200,860 $2,420 4.0% —
94 CONSULTANTS IN GASTROENTEROLOGY PA WEST COLUMBIA SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 37 83 $156,704 $1,888 10.3% (803) 794-4585
95 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 82 $107,994 $1,317 3.7% (312) 563-2875
96 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 82 $168,346 $2,053 3.7% (309) 683-5050
97 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 81 $122,148 $1,508 2.9% (254) 724-2663
98 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 81 $97,038 $1,198 11.3% (615) 269-4545
99 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 79 $83,408 $1,056 1.9% (714) 871-3006
100 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 79 $103,540 $1,311 3.6% (305) 913-0666

Showing the top 100 of 502 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 →