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Market snapshot

43273 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43273 — Exam of common bile and/or pancreatic duct using a flexible endoscope

Billing groups
77
Named-group FFS services
3,262
FFS of Medicare
49%
Services YoY
+30.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,519 services

3,262 observed fee-for-service (50%) · ~3,257 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 — 43273 (CY2024)

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

Named-group submitted charges
$1.6M
Named-group allowed amount
$380K
Named-group Medicare payments
$304K
Avg charge / svc
$492
Avg allowed / svc
$117
Avg payment / svc
$93
Average charge per group
$200 77 groups · avg submitted charge / service $2,950
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 43273 services, CY2024
#Physician group City St Specialty Providers 43273 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 726 $241,446 $333 premium 96.7%
2 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 150 $56,250 $375 premium 37.5% (925) 296-9720
3 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 114 $61,218 $537 premium 48.1% (713) 566-5000
4 GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC TOMS RIVER NJ GASTROENTEROLOGY 82 92 $99,636 $1,083 premium 33.5% (732) 281-1590
5 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 91 $27,391 $301 premium 53.8%
6 ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI PHYSICIAN ASSISTANT 604 82 $63,550 $775 premium 84.5% (920) 496-4700
7 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 73 $28,470 $390 premium 34.1% (845) 703-6999
8 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE IL PHYSICIAN ASSISTANT 1369 70 $19,050 $272 premium 29.2% (505) 841-1234
9 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD PHYSICIAN ASSISTANT 559 68 $24,888 $366 premium 100.0% (605) 755-7200
10 ALLIED DIGESTIVE HEALTH LLC BRICK NJ GASTROENTEROLOGY 274 61 $179,950 $2,950 premium 22.2% (732) 458-8300
11 ZUHDI TRANSPLANT PHYSICIANS OKLAHOMA CITY OK NURSE PRACTITIONER 51 60 $16,330 $272 premium 42.3% (405) 947-5557
12 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 59 $15,763 $267 premium 47.2% (248) 898-5058
13 SSM HEALTH CARE GROUP SAINT LOUIS MO NURSE PRACTITIONER 921 55 $14,300 $260 premium 40.1% (314) 977-7455
14 MID MICHIGAN GASTROENTEROLOGY ASSOCIATES FLINT MI GASTROENTEROLOGY 2 54 $12,307 $228 premium 43.2% (810) 733-6300
15 LEWIS GALE PHYSICIANS LLC SALEM VA PHYSICIAN ASSISTANT 196 51 $21,510 $422 premium 56.0%
16 PRATT MEDICAL GROUP INC BOSTON MA INTERNAL MEDICINE 277 51 $17,984 $353 premium 26.8% (617) 636-5000
17 HARRISBURG GASTROENTEROLOGY, LTD. HARRISBURG PA GASTROENTEROLOGY 10 49 $9,800 $200 premium 52.7% (717) 545-9811
18 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS CA PHYSICIAN ASSISTANT 148 48 $16,512 $344 premium 12.0%
19 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 44 $21,340 $485 premium 20.6%
20 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 39 $10,101 $259 premium 58.2% (502) 928-1050
21 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 39 $14,001 $359 premium 18.6% (813) 615-7075
22 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 38 $18,772 $494 premium 9.5% (415) 600-1020
23 DIGESTIVE HEALTH ASSOCIATES RENO NV CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 36 37 $29,600 $800 premium 100.0% (775) 829-7600
24 MONONGALIA COUNTY GENERAL HOSPITAL COMPANY MORGANTOWN WV PHYSICIAN ASSISTANT 254 34 $8,286 $244 premium 100.0% (304) 598-1200
25 ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO INC SAN DIEGO CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 146 33 $11,220 $340 premium 8.2% (619) 359-6600
26 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 33 $9,306 $282 premium 31.7% (513) 246-7000
27 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 31 $12,077 $390 premium 100.0% (410) 502-4340
28 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 31 $20,522 $662 premium 12.9% (217) 544-6464
29 POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC POPLAR BLUFF MO NURSE PRACTITIONER 43 30 $9,780 $326 premium 21.9% (573) 712-2546
30 RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM NEW BRUNSWICK NJ NURSE PRACTITIONER 387 29 $21,475 $741 premium 10.5%
31 GASTROENTEROLOGY HEALTHCARE ASSOCIATES PC NEWTON MA GASTROENTEROLOGY 10 28 $56,448 $2,016 premium 14.7% (617) 969-1227
32 HARRISBURG GASTROENTEROLOGY, LTD. HARRISBURG NY GASTROENTEROLOGY 10 27 $5,400 $200 premium 12.6% (717) 545-9811
33 INDIAN RIVER HEALTH SERVICES INC VERO BEACH FL NURSE PRACTITIONER 324 26 $20,696 $796 premium 12.4% (772) 567-6340
34 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 26 $6,942 $267 premium 29.5% (864) 255-1901
35 ASHOK AMIN M D INC ANAHEIM CA NURSE PRACTITIONER 5 26 $18,200 $700 premium 6.5% (714) 484-1200
36 WELLSTAR MEDICAL GROUP LLC MARIETTA AZ NURSE PRACTITIONER 3060 25 $9,000 $360 premium 3.3% (770) 422-2004
37 MAINEGENERAL MEDICAL CENTER AUGUSTA ME PHYSICIAN ASSISTANT 569 25 $6,155 $246 premium 59.5% (207) 621-1000
38 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 24 $56,494 $2,354 premium 60.0% (402) 559-4000
39 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 23 $19,274 $838 premium 5.8% (650) 723-4000
40 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 23 $11,140 $484 premium 12.1% (561) 955-7100
41 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 21 $7,539 $359 premium 10.0% (386) 231-6000
42 OSF MULTI-SPECIALTY GROUP PEORIA MO NURSE PRACTITIONER 2091 21 $14,070 $670 premium 15.3% (309) 683-5050
43 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 21 $6,447 $307 premium 23.6% (910) 296-0941
44 INTERNAL MEDICINE ASSOCIATES LLC ANCHORAGE AK GASTROENTEROLOGY 7 20 $23,127 $1,156 premium 100.0% (907) 276-2811
45 MONTROSE MEMORIAL HOSPITAL, INC MONTROSE CO DIAGNOSTIC RADIOLOGY 140 20 $5,879 $294 premium 41.7% (970) 252-2691
46 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 19 $6,840 $360 premium 51.4% (770) 422-2004
47 GASTROINTESTINAL ASSOCIATES LLC OVERLAND PARK KS GASTROENTEROLOGY 14 19 $5,700 $300 premium 100.0% (913) 495-9600
48 PREMIUM PRACTICE SOLUTIONS, LLC CORAL SPRINGS FL GASTROENTEROLOGY 5 19 $7,094 $373 premium 9.0% (954) 757-4002
49 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 18 $4,986 $277 premium 20.5%
50 PALMETTO DIGESTIVE DISEASE PA CHARLESTON SC GASTROENTEROLOGY 11 18 $4,500 $250 premium 20.5% (843) 571-0643
51 PROSPECT CHARTERCARE PHYSICIANS LLC CRANSTON PA INTERNAL MEDICINE 71 18 $4,662 $259 premium 19.4% (401) 944-6889
52 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 17 $6,307 $371 premium 7.2% (254) 724-2663
53 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 17 $13,532 $796 premium 8.1% (954) 659-5000
54 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 17 $9,146 $538 premium 4.2% (714) 456-7002
55 PORTLAND GASTROENTEROLOGY ASSOCIATES PA PORTLAND ME GASTROENTEROLOGY 22 17 $4,658 $274 premium 40.5% 2077737964232
56 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 17 $13,532 $796 premium 8.1% (772) 223-5665
57 IMC-GULF COAST GASTROENTEROLOGY LLC FAIRHOPE AL GASTROENTEROLOGY 5 16 $4,128 $258 premium 100.0% (251) 990-0360
58 DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO INTERNAL MEDICINE 831 16 $5,393 $337 premium 33.3%
59 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 16 $8,338 $521 premium 7.5% (914) 681-0600
60 ALBANY MEDICAL COLLEGE ALBANY MO PHYSICIAN ASSISTANT 1070 16 $5,824 $364 premium 11.7% (518) 262-3277
61 SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC CAPE GIRARDEAU MO NURSE PRACTITIONER 202 15 $5,685 $379 premium 10.9% (573) 334-6169
62 CLEVELAND CLINIC FLORIDA WESTON VA NURSE PRACTITIONER 720 15 $11,940 $796 premium 16.5% (954) 659-5000
63 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 15 $9,804 $654 premium 100.0% (507) 284-2511
64 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 15 $4,143 $276 premium 6.3% (806) 358-0200
65 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 15 $5,820 $388 premium 50.0% (501) 686-8000
66 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 15 $7,575 $505 premium 6.3%
67 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 15 $4,725 $315 premium 16.9% (919) 350-7270
68 LEO EICKHOFF MD INC REDDING CA GASTROENTEROLOGY 2 15 $5,345 $356 premium 3.8% (530) 243-8667
69 BAXTER COUNTY REGIONAL HOSPITAL INC MOUNTAIN HOME AR NURSE PRACTITIONER 88 15 $3,180 $212 premium 50.0% (870) 421-6023
70 MEMORIAL HOSPITAL OWOSSO IN NURSE PRACTITIONER 206 14 $3,052 $218 premium 8.3% (989) 720-5400
71 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 14 $4,994 $357 premium 15.1% (484) 526-2400
72 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 14 $3,556 $254 premium 6.7%
73 SARATOGA SCHENECTADY GASTROENTEROLOGY ASSOCIATES, PC BURNT HILLS NY GASTROENTEROLOGY 32 13 $3,900 $300 premium 6.1% (518) 831-1500
74 PORTER PHYSICIAN SERVICES LLC VALPARAISO IN NURSE PRACTITIONER 99 13 $4,251 $327 premium 7.7% (219) 548-3843
75 COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC COLUMBUS IN NURSE PRACTITIONER 216 13 $3,796 $292 premium 7.7% (812) 373-3025
76 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 12 $4,038 $336 premium 12.9%
77 AUGUSTA MEDICAL GROUP FISHERSVILLE VA PHYSICIAN ASSISTANT 424 12 $2,683 $224 premium 13.2% (540) 332-5595
78 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 12 $18,900 $1,575 premium 3.0% (310) 825-7922
79 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 11 $8,250 $750 premium 5.1% (212) 305-8559
80 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 11 $5,444 $495 premium 5.8% (978) 741-4133

*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 →