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Market snapshot

43276 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43276 — Replacement of stent in pancreatic or bile duct using a flexible endoscope

Billing groups
108
Named-group FFS services
6,436
FFS of Medicare
49%
Services YoY
+12.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~13,277 services

6,436 observed fee-for-service (48%) · ~6,841 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 — 43276 (CY2024)
CA 1,257 MA 613 MN 568 TX 567 MI 518

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

Named-group submitted charges
$13.1M
Named-group allowed amount
$2.6M
Named-group Medicare payments
$2.0M
Avg charge / svc
$2,036
Avg allowed / svc
$397
Avg payment / svc
$314
Average charge per group
$775 108 groups · avg submitted charge / service $8,437
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43276 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 362 $622,451 $1,719 28.8% (310) 423-3277
2 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 262 $679,900 $2,595 54.4% (800) 603-0558
3 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 238 $694,394 $2,918 41.9% (507) 284-2511
4 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 214 $459,771 $2,148 41.3% (734) 763-5459
5 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 206 $277,921 $1,349 42.7% —
6 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 205 $404,080 $1,971 50.2% (314) 747-3000
7 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 188 $854,835 $4,547 33.2% (713) 592-5433
8 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 181 $735,403 $4,063 14.4% (650) 723-4000
9 MONTROSE MEMORIAL HOSPITAL, INC MONTROSE CO DIAGNOSTIC RADIOLOGY 140 149 $177,714 $1,193 61.3% (970) 252-2691
10 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 135 $264,843 $1,962 22.0% (561) 955-7100
11 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 128 $161,792 $1,264 38.6% (434) 924-5959
12 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 124 $361,460 $2,915 86.1% (203) 688-4242
13 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY VA PHYSICIAN ASSISTANT 354 117 $146,835 $1,255 35.2% (623) 832-4000
14 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 108 $177,670 $1,645 68.8% (614) 293-8000
15 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 108 $142,344 $1,318 100.0% (202) 429-2401
16 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 103 $287,002 $2,786 22.9% —
17 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 95 $211,643 $2,228 7.6% (415) 600-1020
18 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 88 $196,768 $2,236 14.4% (781) 983-9088
19 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 86 $118,766 $1,381 70.5% (888) 484-3258
20 BANNER-UNIVERSITY MEDICAL GROUP TUCSON PA INTERNAL MEDICINE 1068 84 $105,420 $1,255 18.7% (520) 694-0111
21 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 83 $241,945 $2,915 40.1% —
22 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 82 $119,228 $1,454 24.1% (407) 200-2700
23 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 82 $112,340 $1,370 6.5% (800) 872-2273
24 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 81 $164,916 $2,036 14.3% —
25 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 76 $126,385 $1,663 14.7% (313) 916-2600
26 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 71 $154,496 $2,176 5.6% (714) 456-7002
27 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 69 $97,845 $1,418 20.2% (206) 223-6600
28 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 69 $110,400 $1,600 15.3% (215) 662-2777
29 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 68 $98,804 $1,453 20.0% (407) 896-1100
30 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 68 $178,406 $2,624 5.4% (310) 825-7922
31 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 63 $174,563 $2,771 18.5% (904) 953-2000
32 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 62 $121,002 $1,952 100.0% (319) 678-8201
33 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 61 $132,926 $2,179 17.9% (239) 343-9888
34 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 59 $109,268 $1,852 32.1% (919) 684-8111
35 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 55 $62,891 $1,143 79.7% (913) 588-1227
36 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 54 $86,130 $1,595 100.0% (615) 322-5000
37 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 51 $138,414 $2,714 50.5% (908) 273-4300
38 HOAG CLINIC NEWPORT BEACH MI PHYSICIAN ASSISTANT 436 49 $76,618 $1,564 9.5% (949) 791-3370
39 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY WA PHYSICIAN ASSISTANT 354 47 $67,492 $1,436 13.7% (623) 832-4000
40 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY MI PHYSICIAN ASSISTANT 1783 47 $78,212 $1,664 9.1% (801) 581-2121
41 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 46 $79,868 $1,736 15.8% (212) 746-5454
42 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 44 $47,100 $1,070 8.5% (248) 898-5058
43 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 43 $116,788 $2,716 14.7% —
44 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 43 $92,106 $2,142 100.0% (205) 934-3460
45 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 43 $62,168 $1,446 17.7% (303) 778-5797
46 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO MO NURSE PRACTITIONER 4339 42 $122,430 $2,915 10.3% —
47 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 41 $66,383 $1,619 100.0% (402) 559-4000
48 CAROLINA DIGESTIVE HEALTH ASSOCIATES PA CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 40 $54,520 $1,363 21.7% (704) 372-7974
49 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 39 $39,116 $1,003 21.2% (910) 296-0941
50 THE QUEENS MEDICAL CENTER HONOLULU MN NURSE PRACTITIONER 190 36 $43,776 $1,216 6.3% —
51 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND MN PHYSICIAN ASSISTANT 1634 36 $52,344 $1,454 6.3% (407) 200-2700
52 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 35 $50,225 $1,435 10.5% —
53 VALLEY VIEW HOSPITAL ASSOCIATION GLENWOOD SPGS PA PHYSICIAN ASSISTANT 206 35 $41,800 $1,194 7.8% (970) 384-7290
54 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 33 $51,410 $1,558 2.6% (949) 791-3370
55 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 33 $58,363 $1,769 15.9% —
56 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 33 $47,946 $1,453 9.6% (206) 364-0500
57 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 32 $38,476 $1,202 5.6% (214) 599-8624
58 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 32 $66,848 $2,089 2.5% (925) 296-9720
59 MAIMONIDES FACULTY PRACTICE PLAN BROOKLYN VA PHYSICIAN ASSISTANT 243 31 $44,485 $1,435 9.3% (718) 283-6000
60 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 31 $38,099 $1,229 26.1% (502) 629-2398
61 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 31 $45,501 $1,468 9.1% —
62 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 30 $43,340 $1,445 8.8% (509) 665-6087
63 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 30 $23,250 $775 21.9% (864) 255-1901
64 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 30 $112,710 $3,757 19.1% —
65 COMMUNITY MEDICINE ASSOCIATES SAN ANTONIO TX FAMILY PRACTICE 593 29 $26,825 $925 5.1% (210) 358-3441
66 OSU INTERNAL MEDICINE LLC COLUMBUS PA NURSE PRACTITIONER 1155 29 $47,270 $1,630 6.4% (614) 293-8000
67 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 28 $44,576 $1,592 23.5% (502) 937-2209
68 WASHINGTON GASTROENTEROLOGY PLLC TACOMA WA PHYSICIAN ASSISTANT 139 28 $43,176 $1,542 8.2% (253) 272-5127
69 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 28 $29,792 $1,064 4.9% (806) 358-0200
70 UNIVERSITY PHYSICIANS AND SURGEONS, INC HUNTINGTON WV NURSE PRACTITIONER 390 28 $40,600 $1,450 65.1% (304) 691-8500
71 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 28 $30,230 $1,080 8.2% (813) 615-7075
72 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 27 $45,630 $1,690 6.0% —
73 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 26 $78,780 $3,030 8.9% (212) 305-8559
74 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 26 $86,187 $3,315 19.0% (843) 792-1414
75 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 26 $166,920 $6,420 8.9% (212) 263-9700
76 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 25 $41,925 $1,677 24.5% (410) 502-4340
77 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 24 $25,152 $1,048 1.9% (530) 332-4470
78 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 24 $37,416 $1,559 61.5% (501) 686-8000
79 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 24 $55,080 $2,295 3.9% (617) 732-5500
80 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 23 $28,037 $1,219 16.8% —
81 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND WA PHYSICIAN ASSISTANT 588 23 $29,869 $1,299 6.7% —
82 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 23 $33,714 $1,466 5.1% (484) 526-2400
83 ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI PHYSICIAN ASSISTANT 604 23 $58,880 $2,560 100.0% (920) 496-4700
84 OSF MULTI-SPECIALTY GROUP PEORIA MO NURSE PRACTITIONER 2091 23 $62,491 $2,717 5.6% (309) 683-5050
85 PORTER PHYSICIAN SERVICES LLC VALPARAISO IN NURSE PRACTITIONER 99 23 $36,800 $1,600 18.9% (219) 548-3843
86 MEMORIAL GASTROENTEROLOGY GROUP NEW YORK NY GASTROENTEROLOGY 28 23 $77,625 $3,375 7.9% (212) 639-2000
87 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 22 $25,022 $1,137 5.4% (913) 588-1227
88 MERCY CLINIC GASTROENTEROLOGY LLC SAINT LOUIS MO GASTROENTEROLOGY 64 22 $30,800 $1,400 5.4% (314) 251-2880
89 ZUHDI TRANSPLANT PHYSICIANS OKLAHOMA CITY OK NURSE PRACTITIONER 51 22 $23,171 $1,053 31.4% (405) 947-5557
90 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 22 $39,600 $1,800 7.5% (212) 241-4812
91 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 22 $22,550 $1,025 6.5% —
92 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 21 $46,452 $2,212 6.3% (804) 828-9000
93 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 21 $28,779 $1,370 6.1% (253) 428-2200
94 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 20 $35,678 $1,784 1.6% (858) 455-9100
95 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 20 $18,900 $945 1.6% (714) 871-3006
96 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 20 $41,880 $2,094 4.4% —
97 MAYO CLINIC JACKSONVILLE JACKSONVILLE CO NURSE PRACTITIONER 1587 20 $55,860 $2,793 8.2% (904) 953-2000
98 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 20 $34,120 $1,706 10.9% (336) 713-9800
99 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON CT PHYSICIAN ASSISTANT 2942 20 $45,900 $2,295 13.9% (617) 732-5500
100 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 19 $40,774 $2,146 3.3% (612) 871-1145

Showing the top 100 of 108 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 →