NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
43281 Repair of hernia of muscle at esophagus and stomach using an 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 4,776 services ▲ 1.8% YoY · 4,742 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.5M · $939.51 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
153
Named-group FFS services
3,822
FFS of Medicare
49%
Services YoY
+1.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,761 services

3,822 observed fee-for-service (49%) · ~3,939 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 — 43281 (CY2024)
CA 663 FL 499 TX 456 MO 247 IL 223

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

Named-group submitted charges
$20.0M
Named-group allowed amount
$4.6M
Named-group Medicare payments
$3.7M
Avg charge / svc
$5,235
Avg allowed / svc
$1,202
Avg payment / svc
$957
Average charge per group
$590 153 groups · avg submitted charge / service $34,999
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 43281 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 101 $401,789 $3,978 15.2% (916) 681-8852
2 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 96 $468,480 $4,880 19.2% (407) 896-1100
3 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 91 $488,775 $5,371 36.8% (314) 747-3000
4 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 81 $512,873 $6,332 12.2% (650) 723-4000
5 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 66 $308,024 $4,667 14.5% —
6 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 63 $262,694 $4,170 9.5% (415) 600-1020
7 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 59 $423,727 $7,182 47.6% —
8 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 57 $208,452 $3,657 8.6% (858) 455-9100
9 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 55 $218,434 $3,972 35.7% (206) 223-6600
10 UCLA ASSOCIATED GENERAL SURGEONS LOS ANGELES CA GENERAL SURGERY 47 55 $613,260 $11,150 8.3% (310) 267-7838
11 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 55 $625,807 $11,378 11.0% (904) 953-2000
12 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 54 $236,674 $4,383 45.4% —
13 GI SURGICAL SPECIALISTS PLLC NAPLES FL PHYSICIAN ASSISTANT 2 47 $195,120 $4,151 9.4% (239) 313-7522
14 OSU SURGERY, LLC COLUMBUS OH PHYSICIAN ASSISTANT 204 47 $250,852 $5,337 64.4% (614) 293-2101
15 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 46 $128,875 $2,802 38.7% (602) 406-6017
16 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 44 $215,388 $4,895 27.0% —
17 HUNTINGTON LAPAROSCOPY PC BOISE ID GENERAL SURGERY 3 44 $176,600 $4,014 77.2% (208) 344-4999
18 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 43 $158,627 $3,689 44.3% —
19 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 43 $171,140 $3,980 6.5% (760) 340-3911
20 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 42 $310,493 $7,393 26.9% (617) 732-5500
21 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 41 $111,886 $2,729 6.2% (559) 459-6000
22 SAVANNAH MULTISPECIALTY ASSOCIATES LLC SAVANNAH GA NURSE PRACTITIONER 130 41 $200,197 $4,883 29.9% —
23 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 39 $177,156 $4,542 28.5% (770) 422-2004
24 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 39 $118,832 $3,047 37.9% (443) 481-1000
25 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 36 $182,280 $5,063 16.1% (630) 469-9200
26 EVANSVILLE SURGICAL ASSOCIATES INC EVANSVILLE IN PHYSICIAN ASSISTANT 45 35 $93,820 $2,681 36.1% (812) 424-8231
27 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 34 $170,424 $5,012 41.0% (612) 863-4000
28 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 34 $168,300 $4,950 5.1% (800) 872-2273
29 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 33 $179,124 $5,428 45.2% (541) 382-2811
30 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 32 $127,139 $3,973 13.0% (573) 331-3000
31 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 32 $165,419 $5,169 6.4% —
32 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 30 $246,675 $8,222 13.5% —
33 GUNDERSEN LUTHERAN MEDICAL CENTER INC LA CROSSE WI PHYSICIAN ASSISTANT 901 30 $353,542 $11,785 45.5% (608) 783-7300
34 AVERA ST LUKES ABERDEEN SD NURSE PRACTITIONER 169 29 $26,123 $901 27.4% (605) 622-5100
35 MARY WASHINGTON HEALTHCARE PHYSICIANS FREDERICKSBURG VA PHYSICIAN ASSISTANT 307 29 $104,313 $3,597 17.0% (540) 741-1100
36 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 28 $187,572 $6,699 17.9% (781) 983-9088
37 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 28 $147,459 $5,266 6.1% (903) 606-5560
38 GENERAL SURGERY INSTITUTE FORT MYERS FL GENERAL SURGERY 4 28 $149,681 $5,346 5.6% (239) 481-0033
39 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 27 $112,015 $4,149 100.0% (501) 202-2093
40 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 27 $280,084 $10,373 32.5% (507) 284-2511
41 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 27 $281,841 $10,439 27.8% (843) 792-1414
42 UNITED REGIONAL PHYSICIAN GROUP WICHITA FALLS TX NURSE PRACTITIONER 101 27 $88,357 $3,272 5.9% (940) 766-3320
43 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 27 $129,124 $4,782 100.0% (304) 598-4865
44 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 26 $99,186 $3,815 10.5% —
45 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 26 $62,660 $2,410 17.2% (901) 226-3882
46 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 25 $86,480 $3,459 64.1% (316) 263-0296
47 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 25 $120,499 $4,820 16.2% —
48 KINGMAN HEALTHCARE INC KINGMAN IL DIAGNOSTIC RADIOLOGY 178 24 $154,560 $6,440 10.8% (928) 263-4722
49 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 24 $124,728 $5,197 14.7% (215) 662-2777
50 COOPER SURGICAL ASSOCIATES, PA CAMDEN NJ PHYSICIAN ASSISTANT 303 24 $123,600 $5,150 63.2% (856) 270-4100
51 YASSER SALEM MD PROFESSIONAL CORP HUNTINGTON BEACH CA PHYSICIAN ASSISTANT 3 24 $96,648 $4,027 3.6% (714) 545-5200
52 AUGUSTA PRIMARY CARE SERVICES LLC AUGUSTA FL PHYSICIAN ASSISTANT 39 24 $117,598 $4,900 4.8% —
53 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 24 $85,896 $3,579 15.9% (615) 269-4545
54 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 23 $96,699 $4,204 5.0% (214) 599-8624
55 SURGICAL ASSOCIATES, P.C. LINCOLN NE GENERAL SURGERY 12 23 $102,189 $4,443 39.0% (402) 441-4760
56 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD PHYSICIAN ASSISTANT 559 23 $95,437 $4,149 21.7% (605) 755-7200
57 KIRKSVILLE CLINIC CORP KIRKSVILLE MO GENERAL SURGERY 10 23 $96,531 $4,197 9.3% (660) 626-2235
58 MEDICAL PRACTICES OF ANTIETAM, LLC HAGERSTOWN MD PHYSICIAN ASSISTANT 231 23 $103,707 $4,509 22.3% —
59 PROGRESSIVE SURGICAL ASSOCIATES SC NEW LENOX IL GENERAL SURGERY 10 23 $116,288 $5,056 10.3% (815) 717-8730
60 CENTRACARE CLINIC SOUTHWEST LLC WILLMAR MN FAMILY PRACTICE 165 22 $145,155 $6,598 26.5% (320) 231-5000
61 MEMORIAL HERMANN PHYSICIANS HOUSTON TX GENERAL SURGERY 5 22 $41,325 $1,878 4.8% (713) 464-6000
62 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 22 $27,060 $1,230 31.4% —
63 SURGERY ASSOCIATES OF NTX PLLC PLANO TX GENERAL SURGERY 48 22 $112,640 $5,120 4.8% (972) 596-6800
64 OLDE DEL MAR SURGICAL MEDICAL GROUP INC LA JOLLA CA GENERAL SURGERY 4 22 $52,080 $2,367 3.3% (858) 457-4917
65 GASTROENTEROLOGY CONSULTANTS OF AUGUSTA, PC EVANS GA GASTROENTEROLOGY 26 22 $165,000 $7,500 16.1% (706) 854-8934
66 SIU PHYSICIANS AND SURGEONS INC SPRINGFIELD IL NURSE PRACTITIONER 321 22 $153,406 $6,973 9.9% (217) 545-8000
67 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 21 $170,404 $8,114 56.8% (203) 688-4242
68 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 21 $92,736 $4,416 8.5% (314) 645-6450
69 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 21 $77,898 $3,709 13.5% —
70 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 21 $74,589 $3,552 21.6% (812) 450-6700
71 WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC SHREVEPORT LA PHYSICIAN ASSISTANT 3 21 $76,135 $3,625 35.0% (318) 212-6270
72 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 20 $162,000 $8,100 4.4% (713) 566-5000
73 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 20 $224,228 $11,211 30.3% (608) 287-2050
74 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 20 $150,370 $7,518 4.0% (305) 689-5437
75 AUGUSTA PRIMARY CARE SERVICES LLC AUGUSTA GA PHYSICIAN ASSISTANT 39 20 $98,120 $4,906 14.6% —
76 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 19 $67,469 $3,551 4.2% (817) 920-0484
77 KINGMAN HEALTHCARE INC KINGMAN AZ DIAGNOSTIC RADIOLOGY 178 19 $122,360 $6,440 16.0% (928) 263-4722
78 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 19 $195,853 $10,308 12.6% (615) 322-5000
79 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 19 $72,224 $3,801 3.8% (407) 200-2700
80 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 18 $75,273 $4,182 62.1% —
81 VENTURA ADVANCED SURGICAL ASSOCIATES VENTURA CA GENERAL SURGERY 2 18 $72,000 $4,000 2.7% (805) 676-9100
82 UNIVERSITY PROFESSIONAL SERVICES PORTLAND MA PHYSICIAN ASSISTANT 1717 18 $89,955 $4,998 11.5% (503) 494-8311
83 SOUTHERN SURGICAL ASSOCIATES PA GREENVILLE NC GENERAL SURGERY 3 18 $114,408 $6,356 33.3% (252) 758-2224
84 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 16 $46,891 $2,931 9.4% —
85 VIRGINIA CANCER INSTITUTE INCORPORATED NORTH CHESTERFIELD VA HEMATOLOGY/ONCOLOGY 50 16 $51,200 $3,200 9.4% (804) 330-7990
86 UCSF DEPT OF SURGERY SAN FRANCISCO CA GENERAL SURGERY 212 16 $128,352 $8,022 2.4% (415) 476-1000
87 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 16 $274,780 $17,174 24.2% (414) 955-4263
88 PREMIER SURGICAL ASSOCIATES PLLC KNOXVILLE TN GENERAL SURGERY 60 16 $68,872 $4,304 10.6% (865) 690-5263
89 TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT PHYSICIAN ASSISTANT 591 16 $106,208 $6,638 43.2% (860) 714-3500
90 ADVANCED SURGEONS, PC BIRMINGHAM AL GENERAL SURGERY 6 16 $51,920 $3,245 57.1% (205) 595-8985
91 PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC MECHANICSBURG PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 113 15 $53,265 $3,551 9.2% (717) 731-0101
92 NORTH BEND MEDICAL CENTER INC COOS BAY OR NURSE PRACTITIONER 88 15 $56,145 $3,743 20.5% (541) 267-5151
93 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 15 $117,836 $7,856 9.2% (570) 271-6144
94 EMORY SPECIALTY ASSOCIATES, LLC ATLANTA GA ANESTHESIOLOGY ASSISTANT 654 15 $109,186 $7,279 10.9% (404) 778-3900
95 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 15 $88,260 $5,884 2.3% (877) 827-7463
96 JOINT REPLACEMENT INSTITUTE LLC NAPLES FL PHYSICIAN ASSISTANT 16 15 $19,610 $1,307 3.0% (239) 261-2663
97 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 15 $63,699 $4,247 20.5% (513) 246-7000
98 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 15 $49,800 $3,320 3.0% —
99 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 15 $64,995 $4,333 100.0% (202) 429-2401
100 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 15 $137,550 $9,170 6.7% (217) 544-6464

Showing the top 100 of 153 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 →