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

43775 Partial removal of stomach for weight loss using an endoscope CPT · Procedure

Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)

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

National scale 188 services ▼ 82.1% YoY · 188 beneficiaries (CY2024, Medicare FFS)

Medicare paid $92K · $490.72 avg / service, national

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

Billing groups

Named-group FFS services

170

FFS of Medicare

49%

Services YoY

-82.1%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~335 services

170 observed fee-for-service (51%) · ~165 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 — 43775 (CY2024)

CA 69 AR 26 KY 24 SC 17 FL 17

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

Named-group submitted charges

$615K

Named-group allowed amount

$112K

Named-group Medicare payments

$89K

Avg charge / svc

$3,617

Avg allowed / svc

$658

Avg payment / svc

$525

Average charge per group

$2,000–2,712

$2,712–3,425

$3,425–4,138

$4,138–4,851

$4,851–5,564

$5,564–6,276

$6,276–6,989

$6,989+

$2,000 11 groups · avg submitted charge / service $11,404

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 43775 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	43775 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	ENLOE MEDICAL CENTER	CHICO	CA	DIAGNOSTIC RADIOLOGY	362	25	$56,672	$2,267	premium	36.2%	(530) 332-4470
2	BAPTIST HEALTH MEDICAL GROUP INC	LOUISVILLE	KY	NURSE PRACTITIONER	2448	24	$76,000	$3,167	premium	100.0%	(502) 928-1050
3	ORLANDO HEALTH MEDICAL GROUP INC	ORLANDO	FL	PHYSICIAN ASSISTANT	2145	17	$62,288	$3,664	premium	100.0%	(407) 896-1100
4	MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC	FLORENCE	SC	NURSE PRACTITIONER	409	17	$62,288	$3,664	premium	100.0%	(843) 777-2000
5	BASS MEDICAL GROUP	WALNUT CREEK	CA	OTOLARYNGOLOGY	318	15	$60,000	$4,000	premium	21.7%	—
6	ARKANSAS HEALTH GROUP	LITTLE ROCK	AR	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	666	13	$44,200	$3,400	premium	50.0%	(501) 202-2093
7	ARKANSAS HEART HOSPITAL LLC	LITTLE ROCK	AR	NURSE PRACTITIONER	83	13	$31,850	$2,450	premium	50.0%	(501) 664-5860
8	NORTH MISSISSIPPI MEDICAL CENTER, INC.	TUPELO	MS	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	361	12	$41,832	$3,486	premium	100.0%	(662) 377-3258
9	LUMINIS HEALTH MEDICAL GROUP, LLC	ANNAPOLIS	MD	PHYSICIAN ASSISTANT	544	12	$23,994	$2,000	premium	100.0%	(443) 481-1000
10	COMMUNITY HEALTH PARTNERS	FRESNO	CA	INTERNAL MEDICINE	509	11	$30,301	$2,755	premium	15.9%	(559) 459-6000
11	GUNDERSEN LUTHERAN MEDICAL CENTER INC	LA CROSSE	WI	PHYSICIAN ASSISTANT	901	11	$125,446	$11,404	premium	100.0%	(608) 783-7300

*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 →