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Market snapshot

44205 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

44205 — Partial removal of small and large bowel with attachment of small and large bowel using an endoscope

Billing groups
68
Named-group FFS services
1,165
FFS of Medicare
49%
Services YoY
+5.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,212 services

1,165 observed fee-for-service (53%) · ~1,047 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 — 44205 (CY2024)
MA 96 AZ 95 MD 95 NC 94 VA 88

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

Named-group submitted charges
$4.8M
Named-group allowed amount
$1.3M
Named-group Medicare payments
$1.1M
Avg charge / svc
$4,158
Avg allowed / svc
$1,141
Avg payment / svc
$908
Average charge per group
$670 68 groups · avg submitted charge / service $14,288
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 44205 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 65 $380,221 $5,850 67.7% (617) 724-0287
2 PREMIER SURGICAL ASSOCIATES PLLC KNOXVILLE TN GENERAL SURGERY 60 49 $187,734 $3,831 80.3% (865) 690-5263
3 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 43 $114,975 $2,674 45.7% (704) 384-8200
4 SURGICAL INSTITUTE OF SOUTH DAKOTA PC SIOUX FALLS SD GENERAL SURGERY 23 36 $128,214 $3,562 100.0% (605) 334-0393
5 ST. JOHN PHYSICIANS, INC. TULSA OK NURSE PRACTITIONER 263 31 $87,172 $2,812 49.2% —
6 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 29 $73,402 $2,531 52.7% —
7 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 25 $22,530 $901 26.6% (919) 881-0160
8 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 24 $52,548 $2,190 25.3% (623) 832-4000
9 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 24 $180,792 $7,533 64.9% (908) 273-4300
10 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 23 $64,928 $2,823 32.9% (916) 681-8852
11 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 23 $98,394 $4,278 37.7% (215) 662-2777
12 COLON AND RECTAL SPECIALISTS LTD MECHANICSVILLE VA COLORECTAL SURGERY (PROCTOLOGY) 10 23 $82,800 $3,600 26.1% (804) 559-3400
13 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 22 $164,725 $7,488 45.8% (843) 792-1414
14 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 17 $68,578 $4,034 27.9% —
15 SURGICAL ASSOCIATES INC TULSA OK GENERAL SURGERY 10 17 $52,258 $3,074 27.0% (918) 505-3400
16 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 17 $44,039 $2,591 19.3% —
17 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NY INTERNAL MEDICINE 550 17 $75,990 $4,470 23.0% (201) 894-3158
18 ARIZONA COLORECTAL EXPERTS LLC CHANDLER AZ COLORECTAL SURGERY (PROCTOLOGY) 3 17 $63,668 $3,745 17.9% (602) 844-5157
19 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 16 $92,042 $5,753 16.7% (617) 732-5500
20 UNIVERSITY CANCER AND BLOOD CENTER LLC ATHENS GA NURSE PRACTITIONER 56 16 $72,620 $4,539 26.2% (706) 353-2990
21 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 15 $64,965 $4,331 15.8% (410) 502-4340
22 HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS MONTGOMERY AL NURSE PRACTITIONER 259 15 $51,675 $3,445 100.0% (334) 747-8970
23 COLON AND RECTAL SPECIALISTS LTD MECHANICSVILLE MA COLORECTAL SURGERY (PROCTOLOGY) 10 15 $54,000 $3,600 15.6% (804) 559-3400
24 CAROLINAS MEDICAL CENTER CHARLOTTE NC PHYSICIAN ASSISTANT 1034 15 $84,656 $5,644 16.0% (704) 355-2000
25 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 15 $52,085 $3,472 24.6% —
26 NEW YORK UNIVERSITY NEW YORK MD DIAGNOSTIC RADIOLOGY 5704 15 $214,320 $14,288 15.8% (212) 263-9700
27 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 15 $41,643 $2,776 23.8% (405) 254-9690
28 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 15 $60,632 $4,042 57.7% (253) 428-2200
29 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 14 $50,316 $3,594 14.7% (520) 324-4230
30 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 14 $42,994 $3,071 53.8% —
31 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 14 $103,824 $7,416 56.0% (203) 688-4242
32 NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ PHYSICIAN ASSISTANT 128 14 $52,556 $3,754 14.7% (520) 202-7770
33 PROVIDENCE HEALTH AND SERVICES MT MISSOULA MT PHYSICIAN ASSISTANT 345 14 $57,036 $4,074 100.0% (406) 327-1900
34 BOONE PHYSICIAN SERVICES LLC COLUMBIA MO PHYSICIAN ASSISTANT 236 14 $44,786 $3,199 25.5% (573) 815-8000
35 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 14 $59,693 $4,264 14.7% (410) 337-4877
36 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 14 $43,036 $3,074 100.0% —
37 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 14 $96,600 $6,900 29.8% —
38 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 14 $79,658 $5,690 35.0% —
39 WINCHESTER MEDICAL CENTER WINCHESTER VA PHYSICIAN ASSISTANT 306 14 $10,321 $737 15.9% (540) 536-6721
40 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 13 $56,745 $4,365 35.1% (856) 247-7260
41 LAFAYETTE HEALTH VENTURES INC LAFAYETTE LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 293 13 $30,719 $2,363 50.0% (337) 289-7374
42 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 13 $41,030 $3,156 100.0% (913) 588-1227
43 LCMS SURGICAL ASSOCIATES OF SOUTHWEST LOUSIANA, LLC LAKE CHARLES LA GENERAL SURGERY 6 13 $56,737 $4,364 50.0% (337) 494-4868
44 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 13 $50,102 $3,854 27.1% (843) 720-8448
45 BSA PHYSICIANS GROUP INC AMARILLO TX HOSPITALIST 118 13 $35,775 $2,752 24.1% (806) 359-4673
46 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 13 $54,740 $4,211 27.1% (803) 744-4900
47 SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS LLC LAS VEGAS NV NURSE PRACTITIONER 60 13 $54,299 $4,177 32.5% (702) 916-8431
48 GOMEZ KOZAR MCELREATH AND SMITH PROFESSIONAL CORPORATION RENO NV GENERAL SURGERY 26 13 $71,370 $5,490 32.5% (775) 323-7500
49 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 12 $78,000 $6,500 21.8% (314) 747-3000
50 HENDRICK PROVIDER NETWORK ABILENE TX PHYSICIAN ASSISTANT 249 12 $47,928 $3,994 22.2% (325) 672-4372
51 LAKELAND SURGICAL CLINIC PLLC JACKSON MS GENERAL SURGERY 15 12 $42,881 $3,573 34.3% (601) 982-3202
52 SURGICAL ASSOCIATES, P.C. LINCOLN NE GENERAL SURGERY 12 12 $45,744 $3,812 100.0% (402) 441-4760
53 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 12 $44,237 $3,686 46.2% (719) 776-4780
54 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 12 $98,620 $8,218 52.2% (507) 284-2511
55 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 12 $34,512 $2,876 100.0% (302) 645-3525
56 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 12 $36,396 $3,033 19.7% (615) 385-3751
57 THE SURGICAL CLINIC ASSOCIATES, P.A. JACKSON MS GENERAL SURGERY 8 12 $37,464 $3,122 34.3% 6019481411147
58 VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA PHYSICIAN ASSISTANT 229 11 $40,546 $3,686 12.5% (540) 536-8000
59 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 11 $49,543 $4,504 42.3% (206) 223-6600
60 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 11 $27,802 $2,527 12.5% —
61 UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC BEL AIR MD PHYSICIAN ASSISTANT 25 11 $7,373 $670 11.6% (443) 643-1199
62 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 11 $55,097 $5,009 23.4% (847) 459-1160
63 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 11 $70,719 $6,429 15.7% (650) 723-4000
64 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 11 $46,673 $4,243 23.4% (630) 933-4800
65 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 11 $28,930 $2,630 100.0% (501) 562-4838
66 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 11 $56,512 $5,137 15.7% (626) 256-4673
67 COOPER SURGICAL ASSOCIATES, PA CAMDEN CT PHYSICIAN ASSISTANT 303 11 $42,735 $3,885 44.0% (856) 270-4100
68 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 11 $109,733 $9,976 24.4% —
69 THE SURGERY GROUP OF LOS ANGELES PC Los Angeles CA COLORECTAL SURGERY (PROCTOLOGY) 3 11 $18,337 $1,667 15.7% —

*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 →