Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43752 Insertion of stomach tube through nose or mouth using fluoroscopic guidance CPT · Procedure

Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 439 services ▼ 16.9% YoY · 399 beneficiaries (CY2024, Medicare FFS)

Medicare paid $12K · $28.39 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

345

FFS of Medicare

49%

Services YoY

-16.9%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~689 services

345 observed fee-for-service (50%) · ~344 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 — 43752 (CY2024)

NY 172 IN 38 TX 34 NC 30 OH 22

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

Named-group submitted charges

$89K

Named-group allowed amount

$13K

Named-group Medicare payments

$10K

Avg charge / svc

$258

Avg allowed / svc

$37

Avg payment / svc

$29

Average charge per group

$70–124

$124–177

$177–231

$231–285

$285–338

$338–392

$392–446

$446+

$70 13 groups · avg submitted charge / service $620

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 43752 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	43752 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	114	$47,766	$419	premium	66.3%	(212) 263-9700
2	NORTH SHORE-LIJ MEDICAL PC	MANHASSET	NY	PHYSICIAN ASSISTANT	6294	58	$11,136	$192	premium	33.7%	—
3	REGIONAL CLINICS OF LONGVIEW	LONGVIEW	TX	NURSE PRACTITIONER	36	23	$2,599	$113	premium	67.6%	(903) 757-6042
4	SOUTHWEST GENERAL MEDICAL GROUP INC	CLEVELAND	OH	NURSE PRACTITIONER	238	22	$1,540	$70	premium	100.0%	—
5	DIAGNOSTIC IMAGING SERVICES LLC	HAGERSTOWN	MD	DIAGNOSTIC RADIOLOGY	17	19	$3,800	$200	premium	100.0%	(301) 714-4200
6	VANDERBILT UNIVERSITY MEDICAL CENTER	NASHVILLE	TN	NURSE PRACTITIONER	3394	17	$2,363	$139	premium	100.0%	(615) 322-5000
7	RADIOLOGY CONSULTANTS PC	OMAHA	NE	DIAGNOSTIC RADIOLOGY	46	15	$9,300	$620	premium	100.0%	(402) 717-4760
8	NUVANCE HEALTH MEDICAL PRACTICE PC	POUGHKEEPSIE	CT	PHYSICIAN ASSISTANT	578	15	$1,050	$70	premium	100.0%	—
9	BOISE RADIOLOGY GROUP PLLC	BOISE	ID	DIAGNOSTIC RADIOLOGY	62	13	$1,794	$138	premium	100.0%	(208) 381-2094
10	HEALTH FIRST MEDICAL GROUP, LLC	MELBOURNE	FL	NURSE PRACTITIONER	669	13	$2,366	$182	premium	100.0%	(321) 434-8878
11	PRACTICE ASSOCIATES MEDICAL GROUP	MORRISTOWN	NJ	NURSE PRACTITIONER	1404	13	$1,950	$150	premium	100.0%	(973) 971-5596
12	MCV ASSOCIATED PHYSICIANS	RICHMOND	VA	NURSE PRACTITIONER	1791	12	$2,136	$178	premium	100.0%	(804) 828-9000
13	KANSAS IMAGING CONSULTANTS PA	WICHITA	KS	DIAGNOSTIC RADIOLOGY	29	11	$1,342	$122	premium	100.0%	(316) 630-5000

*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 →