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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
43762 Replacement of stomach stoma tube CPT · Procedure
Classification Procedure Digestive/Gastrointestinal (CMS RBCS)
First observed 2019
National scale 4,854 services ▼ 20.1% YoY · 3,513 beneficiaries (CY2024, Medicare FFS)
Medicare paid $420K · $86.60 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
71
Named-group FFS services
2,793
FFS of Medicare
49%
Services YoY
-20.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,600 services

2,793 observed fee-for-service (50%) · ~2,807 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 — 43762 (CY2024)

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

Named-group submitted charges
$1.7M
Named-group allowed amount
$251K
Named-group Medicare payments
$195K
Avg charge / svc
$603
Avg allowed / svc
$90
Avg payment / svc
$70
Average charge per group
$70 71 groups · avg submitted charge / service $1,632
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 43762 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 43762 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 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 154 $139,502 $906 premium 100.0% (843) 792-1414
2 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 137 $171,720 $1,253 premium 35.1% (352) 265-8990
3 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 120 $60,300 $502 premium 62.2% (570) 271-6144
4 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 98 $17,150 $175 premium 56.0% (617) 724-0287
5 UNIVERSITY OF ROCHESTER ROCHESTER NY NURSE PRACTITIONER 954 91 $19,664 $216 premium 10.3% (585) 341-7200
6 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 80 $27,200 $340 premium 51.9% (414) 955-4263
7 MARY GESSNER-PETERSON MEDICAL GROUP INC ALPINE CA PHYSICIAN ASSISTANT 4 76 $22,800 $300 premium 4.6% (978) 994-1766
8 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 74 $81,104 $1,096 premium 48.1% (608) 287-2050
9 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 73 $11,534 $158 premium 37.8%
10 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 71 $46,718 $658 premium 52.6% (615) 322-5000
11 RELIEF LEAF NP FAMILY HEALTH PC FLUSHING NY NURSE PRACTITIONER 4 68 $39,600 $582 premium 7.7% (646) 919-1871
12 AZZ MEDICAL ASSOCIATES PC HAMILTON NJ NURSE PRACTITIONER 55 67 $16,780 $250 premium 46.2% (609) 890-1050
13 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 66 $5,808 $88 premium 85.7% (913) 588-1227
14 UC REGENTS ORANGE CA DIAGNOSTIC RADIOLOGY 99 66 $54,846 $831 premium 4.0% (714) 456-7004
15 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 62 $19,778 $319 premium 65.3%
16 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 52 $45,292 $871 premium 3.1% (877) 827-7463
17 CITRUS VALLEY GASTROENTEROLOGY A MEDICAL CORPORATION COVINA CA GASTROENTEROLOGY 7 51 $46,271 $907 premium 3.1% (626) 960-2326
18 JUAN C SAROL MD PA HIALEAH FL GASTROENTEROLOGY 2 49 $14,700 $300 premium 12.6% (786) 313-3640
19 GRACE MEDICAL CENTER INC BALTIMORE MD NURSE PRACTITIONER 10 48 $23,808 $496 premium 57.1% (410) 362-3000
20 ALBERT L SMITH MD PA RAYMONDVILLE TX FAMILY PRACTICE 3 47 $28,708 $611 premium 18.7% (956) 689-5506
21 MOUSTAFA E ALAMY M D INC PARAMOUNT CA GASTROENTEROLOGY 2 46 $27,983 $608 premium 2.8% (562) 529-8821
22 TRUCARE MEDICAL CORPORATION ORANGE CA PHYSICIAN ASSISTANT 3 46 $18,400 $400 premium 2.8% (714) 532-6713
23 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 39 $44,460 $1,140 premium 22.3% (617) 732-5500
24 HILLSBORO ALLERGY AND FAMILY MEDICINE INC DEERFIELD BEACH FL INTERNAL MEDICINE 5 39 $12,400 $318 premium 10.0% (954) 360-7000
25 WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC NYACK NY INTERNAL MEDICINE 94 38 $23,112 $608 premium 4.3% (845) 897-8371
26 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 38 $3,762 $99 premium 36.9% (601) 815-4775
27 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 37 $33,744 $912 premium 14.7% (214) 633-5555
28 ANDREW MROWIEC MD LLC ABERDEEN MD NURSE PRACTITIONER 6 36 $7,200 $200 premium 42.9% (410) 272-8844
29 NY PRIORITY MEDICAL CARE PLLC BAYSIDE NY INTERNAL MEDICINE 2 36 $23,236 $645 premium 4.1% (917) 717-1072
30 SOUTH FLORIDA MULTI-SPECIALTY MEDICAL GROUP LLC HOMESTEAD FL PODIATRY 9 35 $14,790 $423 premium 9.0% (833) 735-3668
31 UNIVERSITY OF KENTUCKY LEXINGTON KY PHYSICIAN ASSISTANT 787 34 $21,658 $637 premium 100.0% (859) 257-1412
32 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 34 $43,730 $1,286 premium 2.0% (310) 825-7922
33 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 32 $23,222 $726 premium 1.9%
34 EMERSON MEDICAL PRACTICE OF NY PC BRONX NY INTERNAL MEDICINE 9 31 $18,600 $600 premium 3.5% (845) 738-8770
35 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 28 $34,160 $1,220 premium 1.7% (310) 534-8400
36 BARNABAS HEALTH MULTISPECIALTY WEST ORANGE NJ GASTROENTEROLOGY 21 28 $45,696 $1,632 premium 19.3% (973) 731-4600
37 MEDLANDS PA INC MIAMI FL NURSE PRACTITIONER 2 26 $22,854 $879 premium 6.7% (305) 261-2525
38 JOSEPH SURGERY LLC MIAMI SHORES FL GENERAL SURGERY 2 26 $16,302 $627 premium 6.7% (786) 401-6455
39 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 25 $17,850 $714 premium 22.9% (312) 563-2875
40 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 24 $17,388 $724 premium 1.4% (800) 926-8273
41 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CT INTERNAL MEDICINE 11157 23 $9,200 $400 premium 100.0% (800) 954-8000
42 MAY MD INC CULVER CITY CA GENERAL SURGERY 2 23 $10,327 $449 premium 1.4% (562) 261-5958
43 THE DULUTH CLINIC LTD DULUTH MN PHYSICIAN ASSISTANT 1082 23 $20,023 $871 premium 100.0% (218) 576-0680
44 UNM HOSPITAL ALBUQUERQUE NM NURSE PRACTITIONER 389 22 $1,743 $79 premium 100.0% (505) 272-2644
45 CALIFORNIA WOUND HEALING MEDICAL GROUP INC. ALHAMBRA CA NURSE PRACTITIONER 14 22 $8,800 $400 premium 1.3% (323) 264-7796
46 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 22 $13,222 $601 premium 100.0% (434) 924-5959
47 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 22 $27,456 $1,248 premium 12.6%
48 ISRAEL SCHUR MD PLLC NEW YORK NY INTERVENTIONAL RADIOLOGY 10 21 $14,742 $702 premium 2.4% (212) 966-2020
49 OSU SURGERY, LLC COLUMBUS OH PHYSICIAN ASSISTANT 204 21 $7,420 $353 premium 22.1% (614) 293-2101
50 NORTH VALLEY G.I. CONSULTANTS SIMI VALLEY CA GASTROENTEROLOGY 2 20 $17,000 $850 premium 1.2% (805) 526-6016
51 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE TN NURSE PRACTITIONER 1912 20 $25,068 $1,253 premium 14.8% (352) 265-8990
52 GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC TOMS RIVER NJ GASTROENTEROLOGY 82 19 $14,250 $750 premium 13.1% (732) 281-1590
53 TENET FLORIDA PHYSICIAN SERVICES LLC DELRAY BEACH IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 224 19 $12,228 $644 premium 17.4% (561) 498-4440
54 RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC ELIZABETH NJ EMERGENCY MEDICINE 780 18 $27,666 $1,537 premium 12.4% (908) 994-5422
55 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 17 $11,078 $652 premium 6.8% (713) 592-5433
56 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 17 $5,950 $350 premium 100.0% (304) 388-5432
57 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 16 $16,076 $1,005 premium 1.0% (916) 983-7476
58 BEAUMONT EMERGENCY MEDICINE ASSOCIATES PLLC BEAUMONT TX NURSE PRACTITIONER 10 16 $6,832 $427 premium 6.4% (409) 212-5000
59 BOSTONS COMMUNITY MEDICAL GROUP INC BOSTON MA NURSE PRACTITIONER 24 16 $2,800 $175 premium 9.1% (617) 433-9601
60 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL MI NURSE PRACTITIONER 2120 16 $10,384 $649 premium 100.0% (984) 215-5556
61 GASTROENTEROLOGY CONSULTANTS OF CENTRAL FLORIDA PA ORLANDO FL GASTROENTEROLOGY 3 15 $6,150 $410 premium 3.8% 4072778665105
62 ANDERSON PHYSICIAN ALLIANCE INC MERIDIAN MS NURSE PRACTITIONER 70 15 $2,568 $171 premium 14.6% (601) 553-6399
63 GREENWOOD LEFLORE HOSPITAL GREENWOOD MS GASTROENTEROLOGY 2 15 $7,500 $500 premium 14.6% (862) 455-8058
64 FROEDTERT SOUTH INC PLEASANT PRAIRIE IL PHYSICIAN ASSISTANT 151 14 $3,052 $218 premium 12.8% (262) 551-4200
65 INFINITE MEDICAL PC LAKELAND NY NURSE PRACTITIONER 87 14 $4,848 $346 premium 1.6% (212) 734-6621
66 JEFFERSON EMERGENCY PHYSICIANS PLLC BEAUMONT TX EMERGENCY MEDICINE 96 14 $5,978 $427 premium 5.6% (409) 892-7171
67 HERITAGE WOUND CARE LLC MORRISTOWN NJ INTERNAL MEDICINE 11 13 $9,100 $700 premium 9.0% (908) 400-8405
68 ASSOCIATION OF UNIVERSITY RADIOLOGISTS, PC KNOXVILLE TN DIAGNOSTIC RADIOLOGY 35 13 $1,742 $134 premium 9.6% (865) 305-9661
69 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 13 $8,437 $649 premium 100.0% (984) 215-5556
70 MVHS INC UTICA NY NURSE PRACTITIONER 322 12 $840 $70 premium 1.4% (315) 625-6000
71 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 12 $1,308 $109 premium 12.6% (513) 584-1000
72 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 11 $2,398 $218 premium 10.1%
73 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 11 $4,400 $400 premium 0.7% (800) 872-2273

*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 →