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Market snapshot

43270 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43270 — Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope

Billing groups
98
Named-group FFS services
3,112
FFS of Medicare
49%
Services YoY
-1.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,164 services

3,112 observed fee-for-service (50%) · ~3,052 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 — 43270 (CY2024)
FL 669 MA 442 CA 368 TX 327 IN 294

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

Named-group submitted charges
$5.0M
Named-group allowed amount
$636K
Named-group Medicare payments
$481K
Avg charge / svc
$1,612
Avg allowed / svc
$204
Avg payment / svc
$155
Average charge per group
$360 98 groups · avg submitted charge / service $6,111
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43270 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 123 $83,271 $677 18.4% (386) 231-6000
2 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 119 $205,925 $1,730 50.0% (843) 792-1414
3 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 111 $121,767 $1,097 25.1% (781) 983-9088
4 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 107 $230,234 $2,152 32.7% (713) 592-5433
5 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 103 $266,337 $2,586 56.0% (507) 284-2511
6 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 71 $130,001 $1,831 24.1% (812) 450-6700
7 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 68 $65,597 $965 15.4% (617) 732-5500
8 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 64 $40,236 $629 71.1% —
9 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 62 $50,778 $819 19.0% —
10 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 60 $105,000 $1,750 33.0% (410) 502-4340
11 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 56 $103,544 $1,849 17.1% (713) 566-5000
12 UNIVERSITY OF MARYLAND PHYSICIANS PA BALTIMORE MD NURSE PRACTITIONER 396 56 $29,960 $535 30.8% (410) 328-7877
13 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 53 $141,374 $2,667 29.8% (417) 347-8200
14 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 52 $31,928 $614 100.0% (202) 429-2401
15 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 50 $204,923 $4,098 13.6% (310) 825-7922
16 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 49 $44,717 $913 11.1% (561) 955-7100
17 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 48 $84,000 $1,750 44.0% (601) 264-6000
18 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 46 $47,794 $1,039 12.5% (714) 456-7002
19 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 45 $72,000 $1,600 15.3% (888) 484-3258
20 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 43 $35,960 $836 6.4% (904) 398-7205
21 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 40 $20,120 $503 6.0% —
22 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 39 $71,058 $1,822 21.9% (314) 747-3000
23 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 39 $55,614 $1,426 25.8% —
24 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 38 $64,660 $1,702 8.6% —
25 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 37 $37,370 $1,010 5.5% (239) 343-9888
26 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 35 $107,030 $3,058 9.5% (916) 681-8852
27 AUSTIN GASTROENTEROLOGY PLLC AUSTIN TX GASTROENTEROLOGY 80 34 $19,448 $572 10.4% (512) 454-4588
28 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 34 $69,805 $2,053 14.3% (843) 777-2000
29 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 34 $144,364 $4,246 33.0% (908) 273-4300
30 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 33 $26,202 $794 33.7% (336) 713-9800
31 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 33 $81,543 $2,471 32.0% —
32 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 32 $78,050 $2,439 8.7% (949) 791-3370
33 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 30 $91,290 $3,043 36.6% (205) 934-3460
34 VALLEY VIEW HOSPITAL ASSOCIATION GLENWOOD SPGS PA PHYSICIAN ASSISTANT 206 30 $48,000 $1,600 19.7% (970) 384-7290
35 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 29 $18,659 $643 44.6% —
36 LEWIS GALE PHYSICIANS LLC SALEM VA PHYSICIAN ASSISTANT 196 29 $23,122 $797 34.9% —
37 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 28 $60,284 $2,153 4.2% (407) 896-1100
38 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 27 $25,979 $962 18.4% (914) 241-1050
39 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 27 $14,431 $534 15.2% (913) 588-1227
40 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 27 $35,181 $1,303 14.7% —
41 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 26 $61,025 $2,347 28.9% (800) 603-0558
42 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 24 $146,657 $6,111 50.0% (501) 202-2093
43 MAYO CLINIC ARIZONA PHOENIX MN PHYSICIAN ASSISTANT 1635 24 $59,769 $2,490 13.0% (800) 603-0558
44 CHESAPEAKE DIGESTIVE ASSOCIATES, PC ANNAPOLIS MD GASTROENTEROLOGY 37 24 $52,104 $2,171 13.2% 4102244887421
45 MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR NURSE PRACTITIONER 349 24 $13,176 $549 50.0% (479) 314-5175
46 GASTROINTESTINAL ASSOCIATES PC KNOXVILLE TN GASTROENTEROLOGY 32 23 $34,500 $1,500 20.7% (865) 558-0606
47 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 23 $52,003 $2,261 44.2% (701) 234-2000
48 COLUMBIA MEDICAL GROUP - THE FRIST CLINIC INC NASHVILLE TN INTERNAL MEDICINE 56 23 $15,536 $675 20.7% (615) 342-5900
49 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 23 $29,178 $1,269 5.2% —
50 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 23 $30,140 $1,310 6.2% (310) 534-8400
51 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 23 $45,967 $1,999 15.2% —
52 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 23 $30,429 $1,323 3.4% (352) 265-8990
53 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 21 $23,850 $1,136 21.4% (252) 634-3278
54 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 21 $18,855 $898 13.8% (484) 526-2400
55 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 21 $37,842 $1,802 25.3% (434) 924-5959
56 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 21 $43,483 $2,071 5.7% (415) 600-1020
57 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 21 $23,224 $1,106 5.7% (805) 681-7500
58 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 21 $83,223 $3,963 14.3% —
59 MVHS INC UTICA NY NURSE PRACTITIONER 322 21 $8,778 $418 14.3% (315) 625-6000
60 UNM MEDICAL GROUP INC ALBUQUERQUE NM FAMILY PRACTICE 1089 20 $33,700 $1,685 100.0% (505) 272-2111
61 MEMORIAL HOSPITAL AT GULFPORT GULFPORT MS NURSE PRACTITIONER 462 20 $14,400 $720 18.3% —
62 INDIAN RIVER HEALTH SERVICES INC VERO BEACH FL NURSE PRACTITIONER 324 19 $59,565 $3,135 2.8% (772) 567-6340
63 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 19 $46,875 $2,467 18.4% (732) 362-3663
64 WITHAM MEMORIAL HOSPITAL LEBANON IN NURSE PRACTITIONER 104 18 $27,510 $1,528 6.1% —
65 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 18 $16,427 $913 2.7% (561) 955-7100
66 MEMORIAL GASTROENTEROLOGY GROUP NEW YORK NY GASTROENTEROLOGY 28 18 $33,480 $1,860 12.2% (212) 639-2000
67 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 17 $53,295 $3,135 2.5% (954) 659-5000
68 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 17 $57,902 $3,406 100.0% (608) 287-2050
69 KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN PHYSICIAN ASSISTANT 114 17 $27,215 $1,601 15.3% —
70 OSF MULTI-SPECIALTY GROUP PEORIA CT NURSE PRACTITIONER 2091 17 $67,949 $3,997 100.0% (309) 683-5050
71 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 17 $16,133 $949 5.2% —
72 OASIS ADVANCED GASTROENTEROLOGY INC RANCHO MIRAGE CA PATHOLOGY 2 17 $25,500 $1,500 4.6% (760) 205-2081
73 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 17 $19,025 $1,119 11.6% (212) 241-4812
74 ALEXANDRIA GASTROINTESTINAL SPECIALISTS, LLC ALEXANDRIA LA GASTROENTEROLOGY 4 16 $17,760 $1,110 25.0% (318) 448-5310
75 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 16 $28,000 $1,750 25.0% (504) 842-3000
76 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 16 $17,600 $1,100 10.5% —
77 MAURY REGIONAL MEDICAL GROUP, INC COLUMBIA TN INTERNAL MEDICINE 119 16 $14,055 $878 14.4% (931) 381-1111
78 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 16 $11,840 $740 41.0% (502) 937-2209
79 OSF MULTI-SPECIALTY GROUP PEORIA MO NURSE PRACTITIONER 2091 16 $63,952 $3,997 9.0% (309) 683-5050
80 ST AGNES HEALTHCARE INC BALTIMORE MD PHYSICIAN ASSISTANT 277 15 $32,565 $2,171 8.2% (667) 234-6000
81 IMPERIAL HEALTH LLP LAKE CHARLES LA NURSE PRACTITIONER 75 15 $35,107 $2,340 23.4% (337) 436-1370
82 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 15 $6,750 $450 4.6% (713) 242-2222
83 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 15 $11,475 $765 8.2% (614) 293-8000
84 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 15 $15,255 $1,017 8.2% —
85 NATCHEZ MEDICAL ASSOCIATES, LLC DICKSON TN NURSE PRACTITIONER 5 15 $10,176 $678 13.5% (615) 441-4503
86 SHOALS HEALTH GROUP LLC MUSCLE SHOALS AL PSYCHIATRY 12 14 $8,050 $575 17.1% (256) 629-1062
87 GASTROENTEROLOGY ASSOCIATES, PA GREENVILLE SC GASTROENTEROLOGY 58 14 $14,000 $1,000 5.9% (864) 232-7338
88 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 14 $16,968 $1,212 5.9% (864) 255-1901
89 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 13 $9,295 $715 3.5% (714) 871-3006
90 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 13 $44,174 $3,398 54.2% (404) 778-7525
91 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 13 $26,660 $2,051 5.5% —
92 PHYSICIAN HEALTHCARE NETWORK PC MARYSVILLE MI NURSE PRACTITIONER 30 13 $5,850 $450 20.3% (810) 364-4000
93 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 13 $8,287 $637 5.5% (864) 587-3000
94 ENDOSCOPY CENTER OF OCALA INC OCALA FL GASTROENTEROLOGY 19 13 $4,676 $360 1.9% (352) 732-8905
95 COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC COLUMBUS IN NURSE PRACTITIONER 216 13 $21,203 $1,631 4.4% (812) 373-3025
96 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 12 $12,012 $1,001 6.5% (612) 871-1145
97 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 12 $38,869 $3,239 3.3% (650) 723-4000
98 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 12 $17,848 $1,487 100.0% (785) 354-9591
99 ANMED HEALTH ANDERSON SC FAMILY PRACTICE 343 12 $13,920 $1,160 5.0% —
100 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 12 $8,255 $688 100.0% (206) 364-0500

Showing the top 100 of 98 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 →