NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh 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 4,272 services ▲ 11.5% YoY · 4,258 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.6M · $1087.43 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
130
Named-group FFS services
3,597
FFS of Medicare
49%
Services YoY
+11.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,359 services

3,597 observed fee-for-service (49%) · ~3,762 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 — 43282 (CY2024)
TX 478 FL 455 CA 335 CO 309 AZ 280

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

Named-group submitted charges
$21.0M
Named-group allowed amount
$4.8M
Named-group Medicare payments
$3.9M
Avg charge / svc
$5,825
Avg allowed / svc
$1,348
Avg payment / svc
$1,072
Average charge per group
$550 130 groups · avg submitted charge / service $37,226
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 43282 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 134 $305,786 $2,282 29.5% (321) 434-8878
2 SOFI RESEARCH, LLC LONE TREE CO GENERAL SURGERY 2 133 $372,400 $2,800 43.0% (303) 788-7700
3 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 122 $572,541 $4,693 26.8% (904) 396-1725
4 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 98 $465,116 $4,746 35.0% —
5 OVERLAND PARK MEDICAL SPECIALISTS LLC OVERLAND PARK MO GENERAL SURGERY 3 87 $488,322 $5,613 36.2% (913) 274-2600
6 NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ PHYSICIAN ASSISTANT 128 80 $312,674 $3,908 28.6% (520) 202-7770
7 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 75 $315,167 $4,202 38.9% —
8 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 75 $430,127 $5,735 15.7% —
9 BOONE PHYSICIAN SERVICES LLC COLUMBIA MO PHYSICIAN ASSISTANT 236 70 $275,366 $3,934 29.2% (573) 815-8000
10 CNJ SPECIALTY SURGICAL ASSOCIATE EATONTOWN NJ COLORECTAL SURGERY (PROCTOLOGY) 6 61 $914,970 $15,000 53.5% (732) 389-1331
11 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 59 $201,906 $3,422 12.3% (817) 281-2977
12 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 53 $228,154 $4,305 21.5% (770) 219-7777
13 SJC GENERAL SURGERY LLC SAVANNAH GA GENERAL SURGERY 7 50 $163,444 $3,269 20.3% (912) 354-6303
14 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 49 $190,301 $3,884 39.5% (803) 744-4900
15 ATLANTIC SHORE SURGICAL ASSOCIATES, PC BRICK PA GENERAL SURGERY 16 46 $2,081,432 $45,249 23.8% (732) 701-4848
16 PROVIDENCE HEALTH AND SERVICES MT MISSOULA MT PHYSICIAN ASSISTANT 345 45 $165,160 $3,670 100.0% (406) 327-1900
17 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 43 $563,500 $13,105 25.1% (212) 746-5454
18 TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA NURSE PRACTITIONER 383 42 $108,385 $2,581 21.8% —
19 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 41 $230,051 $5,611 12.2% (949) 791-3370
20 PIEDMONT ATHENS SPECIALTY CARE LLC ATHENS GA PHYSICIAN ASSISTANT 115 40 $260,760 $6,519 16.3% (706) 475-7000
21 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 40 $189,200 $4,730 100.0% (402) 559-4000
22 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 39 $161,187 $4,133 31.5% —
23 HENRICO SURGICAL SPECIALISTS LLC RICHMOND VA GENERAL SURGERY 27 37 $219,228 $5,925 34.6% (804) 285-9416
24 GOMEZ KOZAR MCELREATH AND SMITH PROFESSIONAL CORPORATION RENO NV GENERAL SURGERY 26 35 $252,400 $7,211 100.0% (775) 323-7500
25 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 34 $146,562 $4,311 45.3% —
26 PROGRESSIVE SURGICAL ASSOCIATES SC NEW LENOX IL GENERAL SURGERY 10 34 $200,600 $5,900 47.2% (815) 717-8730
27 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 33 $131,439 $3,983 10.7% —
28 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 33 $173,118 $5,246 13.4% —
29 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 33 $190,058 $5,759 22.0% (984) 215-5556
30 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 32 $682,784 $21,337 18.7% (212) 263-9700
31 TAMPA BAY SURGICAL GROUP LLP TAMPA FL GENERAL SURGERY 20 31 $109,672 $3,538 6.8% —
32 BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA PHYSICIAN ASSISTANT 276 31 $163,277 $5,267 67.4% (413) 447-2695
33 UNIVERSITY SURGEONS OF ORANGE A MEDICAL GROUP ORANGE CA GENERAL SURGERY 120 31 $246,382 $7,948 9.3% (714) 634-5549
34 LOUDOUN MEDICAL GROUP, PC LEESBURG VA NURSE PRACTITIONER 293 31 $112,134 $3,617 29.0% (703) 437-0001
35 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 30 $186,990 $6,233 17.5% —
36 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 30 $68,816 $2,294 40.0% (405) 254-9690
37 WOODLANDS SURGICAL ASSOCIATES PLLC SHENANDOAH TX GENERAL SURGERY 11 29 $250,241 $8,629 6.1% (281) 419-8400
38 MONTAGE MEDICAL GROUP MONTEREY CA FAMILY PRACTICE 125 29 $68,490 $2,362 8.7% (831) 718-9701
39 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 28 $126,953 $4,534 5.9% (214) 599-8624
40 BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC PHOENIX AZ PHYSICIAN ASSISTANT 349 27 $113,058 $4,187 9.6% (602) 839-3927
41 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 27 $96,983 $3,592 17.5% (419) 291-2003
42 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 27 $145,233 $5,379 37.5% —
43 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH WA PHYSICIAN ASSISTANT 1350 26 $99,216 $3,816 32.5% (817) 281-2977
44 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 26 $119,037 $4,578 10.8% —
45 HH HEART CENTER, LLC HUNTSVILLE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 90 25 $96,450 $3,858 64.1% (256) 265-2372
46 SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM SITKA CA NURSE PRACTITIONER 373 25 $117,500 $4,700 7.5% (907) 966-8611
47 SHANNON CLINIC SAN ANGELO TX NURSE PRACTITIONER 515 25 $83,516 $3,341 5.2% (325) 747-1511
48 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 24 $121,320 $5,055 5.0% (254) 724-2663
49 BANNER CANCER CENTER SPECIALISTS LLC GILBERT AZ PHYSICIAN ASSISTANT 331 24 $106,206 $4,425 8.6% (480) 256-6444
50 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 24 $83,952 $3,498 16.0% (919) 881-0160
51 WEST FLORIDA PHYSICIAN NETWORK, LLC BRADENTON FL NURSE PRACTITIONER 46 24 $158,644 $6,610 5.3% (941) 465-4800
52 PIEDMONT CARDIOLOGY OF ATLANTA, LLC ATLANTA GA PHYSICIAN ASSISTANT 477 24 $148,830 $6,201 9.8% (404) 605-5000
53 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 23 $128,428 $5,584 5.1% —
54 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 23 $116,265 $5,055 6.9% (650) 723-4000
55 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 23 $125,833 $5,471 37.7% (859) 257-1412
56 SHARIF SURGICAL PLLC FORT WORTH TX PHYSICIAN ASSISTANT 2 23 $196,846 $8,559 4.8% (817) 332-0786
57 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 22 $254,358 $11,562 17.7% (843) 792-1414
58 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 22 $142,946 $6,498 27.5% —
59 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 21 $111,464 $5,308 26.2% (253) 428-2200
60 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 20 $117,300 $5,865 13.3% (828) 213-1740
61 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 20 $97,542 $4,877 6.0% (714) 871-3006
62 SURGERY ASSOCIATES OF NTX PLLC PLANO TX GENERAL SURGERY 48 20 $111,048 $5,552 4.2% (972) 596-6800
63 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY ID PHYSICIAN ASSISTANT 118 20 $79,580 $3,979 64.5% (419) 423-5492
64 ATLANTIC SHORE SURGICAL ASSOCIATES, PC BRICK TX GENERAL SURGERY 16 20 $375,475 $18,774 4.2% (732) 701-4848
65 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 19 $110,585 $5,820 21.6% (410) 502-4340
66 MANATEE SPECIALTY PHYSICIAN ALLIANCE LLC BRADENTON MS PHYSICIAN ASSISTANT 27 19 $46,162 $2,430 100.0% (941) 746-3115
67 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 19 $86,775 $4,567 7.7% (770) 422-2004
68 SYRACUSE GENERAL SURGERY PC EAST SYRACUSE NY GENERAL SURGERY 2 19 $64,486 $3,394 11.1% (315) 898-8740
69 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 19 $89,566 $4,714 17.8% (434) 924-5959
70 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 18 $92,001 $5,111 12.0% (919) 684-8111
71 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 18 $78,762 $4,376 9.3% (484) 526-2400
72 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 18 $193,866 $10,770 4.0% (904) 953-2000
73 CAROLINAS MEDICAL CENTER CHARLOTTE NC PHYSICIAN ASSISTANT 1034 18 $128,906 $7,161 12.0% (704) 355-2000
74 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 18 $89,298 $4,961 6.4% (602) 406-6017
75 SWAT SURGICAL ASSOCIATES LLP LUBBOCK TX GENERAL SURGERY 13 18 $89,607 $4,978 3.8% (806) 799-7928
76 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 18 $66,654 $3,703 4.0% —
77 LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM NURSE PRACTITIONER 96 17 $66,827 $3,931 100.0% (575) 556-6440
78 HENDRICK PROVIDER NETWORK ABILENE TX PHYSICIAN ASSISTANT 249 16 $77,808 $4,863 3.3% (325) 672-4372
79 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM FL PHYSICIAN ASSISTANT 3051 16 $16,176 $1,011 3.5% (919) 684-8111
80 FAIRFIELD HEALTHCARE PROFESSIONALS INC LANCASTER OH NURSE PRACTITIONER 152 16 $44,999 $2,812 10.4% —
81 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 16 $45,328 $2,833 10.4% (513) 751-4222
82 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 16 $101,056 $6,316 14.0% (800) 825-5391
83 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 16 $63,664 $3,979 10.4% (419) 423-5492
84 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 16 $88,960 $5,560 4.8% (800) 872-2273
85 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 15 $102,300 $6,820 6.2% (314) 747-3000
86 ST JOSEPHS MEDICAL GROUP PC PATERSON CT NURSE PRACTITIONER 228 15 $84,455 $5,630 53.6% (973) 754-6331
87 FOX VALLEY SURGICAL ASSOCIATES LTD APPLETON WI NURSE PRACTITIONER 35 15 $140,376 $9,358 51.7% (920) 731-8131
88 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER FL PHYSICIAN ASSISTANT 147 15 $90,090 $6,006 3.3% (561) 747-2234
89 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 14 $66,688 $4,763 100.0% —
90 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 14 $51,702 $3,693 4.2% (530) 332-4470
91 MIDDLE TENNESSEE SURGICAL SPECIALISTS, LLC COOKEVILLE TN GENERAL SURGERY 9 14 $57,288 $4,092 56.0% (931) 528-1992
92 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 14 $111,636 $7,974 5.7% (404) 778-7525
93 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 14 $97,222 $6,944 5.8% (417) 347-8200
94 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 14 $235,732 $16,838 48.3% (608) 260-2900
95 MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC LIMA OH NURSE PRACTITIONER 251 14 $39,662 $2,833 9.1% (419) 227-3361
96 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 14 $76,907 $5,493 9.1% —
97 CAROMONT MEDICAL GROUP INC GASTONIA NC NURSE PRACTITIONER 425 14 $115,754 $8,268 9.3% (704) 865-3848
98 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 14 $137,222 $9,802 11.3% (864) 587-3000
99 GENERAL SURGERY ASSOCIATES HUNTSVILLE AL GENERAL SURGERY 7 14 $43,064 $3,076 35.9% (256) 327-5005
100 ATLANTICARE PHYSICIAN GROUP PA EGG HARBOR TOWNSHIP NJ NURSE PRACTITIONER 507 13 $48,035 $3,695 11.4% —

Showing the top 100 of 130 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 →