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Market snapshot

43274 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43274 — Insertion of stent into pancreatic or bile duct using a flexible endoscope

Billing groups
400
Named-group FFS services
20,855
FFS of Medicare
49%
Services YoY
+6.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~42,067 services

20,855 observed fee-for-service (50%) · ~21,212 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 — 43274 (CY2024)
CA 2,734 PA 1,541 FL 1,532 MO 1,530 TX 1,526

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

Named-group submitted charges
$38.3M
Named-group allowed amount
$8.2M
Named-group Medicare payments
$6.5M
Avg charge / svc
$1,835
Avg allowed / svc
$395
Avg payment / svc
$314
Average charge per group
$401 400 groups · avg submitted charge / service $9,405
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43274 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 500 $647,735 $1,295 50.3% —
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 337 $684,128 $2,030 12.3% (415) 600-1020
3 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 277 $476,990 $1,722 10.1% (310) 423-3277
4 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 250 $325,325 $1,301 30.3% (888) 484-3258
5 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 239 $467,245 $1,955 15.7% —
6 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 230 $433,442 $1,885 16.0% (561) 955-7100
7 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 228 $538,815 $2,363 15.9% —
8 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 218 $413,693 $1,898 14.2% (314) 747-3000
9 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 208 $290,368 $1,396 13.6% (407) 200-2700
10 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 199 $558,557 $2,807 14.8% —
11 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 198 $480,489 $2,427 12.8% —
12 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 195 $501,810 $2,573 23.8% (507) 284-2511
13 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 190 $299,145 $1,574 21.6% (313) 916-2600
14 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY VA PHYSICIAN ASSISTANT 354 189 $227,934 $1,206 18.5% (623) 832-4000
15 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 184 $232,760 $1,265 86.4% (202) 429-2401
16 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 177 $729,380 $4,121 17.8% (800) 603-0558
17 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 176 $375,828 $2,135 62.4% (319) 678-8201
18 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 159 $620,455 $3,902 5.8% (650) 723-4000
19 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 157 $334,881 $2,133 17.9% (734) 763-5459
20 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 154 $236,544 $1,536 10.1% (904) 398-7205
21 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 154 $555,016 $3,604 14.6% —
22 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 150 $288,300 $1,922 14.7% (434) 924-5959
23 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 147 $252,597 $1,718 5.4% (858) 455-9100
24 MONTROSE MEMORIAL HOSPITAL, INC MONTROSE CO DIAGNOSTIC RADIOLOGY 140 146 $167,210 $1,145 30.5% (970) 252-2691
25 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 146 $148,482 $1,017 9.5% —
26 MERCY CLINIC GASTROENTEROLOGY LLC SAINT LOUIS MO GASTROENTEROLOGY 64 143 $197,340 $1,380 9.3% (314) 251-2880
27 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 142 $628,137 $4,423 9.3% (713) 592-5433
28 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 140 $289,290 $2,066 17.1% (612) 871-1145
29 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 139 $812,382 $5,844 9.7% (212) 263-9700
30 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 137 $211,925 $1,547 16.6% (812) 450-6700
31 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 135 $283,279 $2,098 8.8% (239) 343-9888
32 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 132 $265,188 $2,009 4.8% (925) 296-9720
33 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 132 $283,668 $2,149 9.2% (781) 983-9088
34 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 130 $273,315 $2,102 4.8% (916) 681-8852
35 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 125 $350,625 $2,805 37.0% (203) 688-4242
36 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 125 $222,500 $1,780 14.2% (919) 684-8111
37 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 124 $184,118 $1,485 9.2% —
38 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 123 $144,033 $1,171 18.5% —
39 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 120 $191,556 $1,596 11.4% (614) 293-8000
40 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 119 $200,030 $1,681 8.3% (212) 746-5454
41 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 112 $360,685 $3,220 16.8% (843) 792-1414
42 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 112 $282,600 $2,523 4.1% (310) 825-7922
43 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 110 $110,770 $1,007 4.0% (530) 332-4470
44 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 110 $207,986 $1,891 16.5% (843) 777-2000
45 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 107 $193,630 $1,810 7.9% (847) 459-1160
46 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 106 $142,121 $1,341 10.9% (206) 223-6600
47 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 106 $176,702 $1,667 7.9% (312) 563-2875
48 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 104 $147,036 $1,414 10.7% (206) 364-0500
49 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 100 $299,800 $2,998 6.5% (570) 271-6144
50 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 98 $196,294 $2,003 6.4% (214) 633-5555
51 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 97 $114,557 $1,181 16.4% (502) 629-2398
52 ALBANY MEDICAL COLLEGE ALBANY MO PHYSICIAN ASSISTANT 1070 96 $136,800 $1,425 6.3% (518) 262-3277
53 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 95 $218,025 $2,295 6.6% (508) 334-1000
54 CAROLINA DIGESTIVE HEALTH ASSOCIATES PA CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 95 $150,190 $1,581 10.8% (704) 372-7974
55 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 94 $123,610 $1,315 3.4% (800) 872-2273
56 PORTLAND GASTROENTEROLOGY ASSOCIATES PA PORTLAND ME GASTROENTEROLOGY 22 92 $170,108 $1,849 82.1% 2077737964232
57 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 92 $141,496 $1,538 21.1% (615) 322-5000
58 ZUHDI TRANSPLANT PHYSICIANS OKLAHOMA CITY OK NURSE PRACTITIONER 51 91 $88,486 $972 30.5% (405) 947-5557
59 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 90 $125,640 $1,396 5.9% (407) 896-1100
60 DIGESTIVE ASSOCIATES LLP N LAS VEGAS NV GASTROENTEROLOGY 17 88 $116,308 $1,322 61.1% (702) 633-0207
61 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 88 $109,120 $1,240 5.8% —
62 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 87 $135,381 $1,556 29.4% (402) 559-4000
63 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 86 $131,494 $1,529 14.5% (502) 937-2209
64 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 85 $107,127 $1,260 5.6% (214) 599-8624
65 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 83 $87,777 $1,058 5.4% (806) 358-0200
66 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 83 $194,886 $2,348 5.8% —
67 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 82 $89,984 $1,097 41.8% (913) 588-1227
68 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 79 $237,350 $3,004 5.5% (212) 305-8559
69 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 78 $121,814 $1,562 10.9% (410) 502-4340
70 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 77 $171,912 $2,233 5.4% (617) 732-5500
71 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 74 $91,145 $1,232 4.8% (484) 526-2400
72 OSF MULTI-SPECIALTY GROUP PEORIA MO NURSE PRACTITIONER 2091 74 $192,965 $2,608 4.8% (309) 683-5050
73 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 73 $190,384 $2,608 9.3% (908) 273-4300
74 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 72 $75,420 $1,048 4.7% (913) 588-1227
75 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 72 $135,030 $1,875 5.0% (212) 241-4812
76 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 69 $90,897 $1,317 7.1% (253) 428-2200
77 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 68 $80,006 $1,177 2.5% (714) 871-3006
78 EPHRAIM MCDOWELL HEALTH RESOURCE INC DANVILLE KY NURSE PRACTITIONER 157 68 $55,828 $821 11.5% (859) 236-2222
79 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO PHYSICIAN ASSISTANT 251 67 $100,479 $1,500 4.4% (417) 875-3000
80 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 67 $77,943 $1,163 67.7% (801) 261-8346
81 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 66 $620,718 $9,405 36.5% (501) 202-2093
82 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 66 $78,665 $1,192 4.6% —
83 MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC YOUNGSTOWN OH NURSE PRACTITIONER 476 66 $50,556 $766 6.2% (330) 480-3655
84 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 66 $105,798 $1,603 8.4% —
85 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 66 $89,925 $1,362 2.4% —
86 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 66 $90,813 $1,376 6.8% —
87 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 65 $62,607 $963 7.4% (910) 296-0941
88 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 64 $210,770 $3,293 7.7% (317) 338-2345
89 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 64 $95,872 $1,498 35.4% (501) 686-8000
90 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 64 $125,177 $1,956 2.3% (800) 926-8273
91 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND MN PHYSICIAN ASSISTANT 1634 64 $89,344 $1,396 7.8% (407) 200-2700
92 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 63 $58,464 $928 4.1% (713) 242-2222
93 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 63 $96,705 $1,535 4.1% (215) 662-2777
94 HOAG CLINIC NEWPORT BEACH MI PHYSICIAN ASSISTANT 436 63 $96,812 $1,537 7.2% (949) 791-3370
95 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 63 $87,633 $1,391 6.5% —
96 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 62 $82,017 $1,323 4.0% —
97 NORTH SHORE-LIJ MEDICAL PC MANHASSET PA PHYSICIAN ASSISTANT 6294 62 $161,944 $2,612 4.0% —
98 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 62 $75,941 $1,225 4.0% (813) 615-7075
99 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 62 $68,076 $1,098 5.9% (513) 246-7000
100 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 61 $127,490 $2,090 2.2% (714) 456-7002

Showing the top 100 of 400 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 →