NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
44207 Partial removal of large bowel and reattachment to rectum 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 1,943 services ▼ 0.6% YoY · 1,939 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.3M · $1182.80 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
82
Named-group FFS services
1,701
FFS of Medicare
49%
Services YoY
-0.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,342 services

1,701 observed fee-for-service (51%) · ~1,641 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 — 44207 (CY2024)
TX 189 NY 160 OK 136 FL 125 NJ 116

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

Named-group submitted charges
$10.2M
Named-group allowed amount
$2.6M
Named-group Medicare payments
$2.1M
Avg charge / svc
$6,019
Avg allowed / svc
$1,518
Avg payment / svc
$1,210
Average charge per group
$1,437 82 groups · avg submitted charge / service $19,394
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 44207 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 73 $466,960 $6,397 38.6% —
2 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 66 $347,094 $5,259 65.3% (843) 720-8448
3 CLINIC FOR COLON AND RECTAL SURGERY, P.A. HUNTSVILLE AL COLORECTAL SURGERY (PROCTOLOGY) 5 54 $103,016 $1,908 57.4% (256) 533-6070
4 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 52 $175,950 $3,384 65.8% —
5 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 51 $218,547 $4,285 44.0% (732) 362-3663
6 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 50 $549,282 $10,986 31.2% —
7 ST. JOHN PHYSICIANS, INC. TULSA OK NURSE PRACTITIONER 263 49 $188,209 $3,841 36.0% —
8 COLLIER HMA PHYSICIAN MANAGEMENT LLC NAPLES FL NURSE PRACTITIONER 95 42 $137,088 $3,264 33.6% —
9 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 40 $143,280 $3,582 76.9% (501) 562-4838
10 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 40 $365,427 $9,136 62.5% (617) 724-0287
11 PROGRESSIVE SURGICAL ASSOCIATES SC NEW LENOX IL GENERAL SURGERY 10 33 $184,833 $5,601 36.7% (815) 717-8730
12 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 31 $159,898 $5,158 16.4% (210) 614-7414
13 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 27 $193,600 $7,170 34.2% (314) 747-3000
14 CNJ SPECIALTY SURGICAL ASSOCIATE EATONTOWN NJ COLORECTAL SURGERY (PROCTOLOGY) 6 27 $344,238 $12,750 23.3% (732) 389-1331
15 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 27 $275,724 $10,212 23.3% (908) 273-4300
16 AFFINITY PHYSICIAN SERVICES, LLC BIRMINGHAM AL NURSE PRACTITIONER 90 27 $91,618 $3,393 28.7% (205) 655-7600
17 GOMEZ KOZAR MCELREATH AND SMITH PROFESSIONAL CORPORATION RENO NV GENERAL SURGERY 26 27 $203,800 $7,548 64.3% (775) 323-7500
18 ST CLAIR MEDICAL SERVICES INC PITTSBURGH PA PHYSICIAN ASSISTANT 195 26 $92,890 $3,573 24.1% —
19 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 26 $98,419 $3,785 19.1% (405) 751-5555
20 SURGICAL ASSOCIATES INC TULSA OK GENERAL SURGERY 10 25 $104,288 $4,172 18.4% (918) 505-3400
21 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 25 $192,402 $7,696 20.0% (561) 955-7100
22 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 25 $339,150 $13,566 69.4% —
23 TAMPA BAY SURGICAL GROUP LLP TAMPA FL GENERAL SURGERY 20 24 $86,715 $3,613 19.2% —
24 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 24 $140,304 $5,846 22.2% (215) 662-2777
25 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 24 $113,040 $4,710 22.2% —
26 MENORAH MEDICAL GROUP LLC OVERLAND PARK KS GENERAL SURGERY 22 24 $136,187 $5,674 100.0% (913) 345-6901
27 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 23 $90,068 $3,916 46.9% (509) 946-4611
28 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 23 $90,245 $3,924 21.3% —
29 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 22 $107,265 $4,876 100.0% —
30 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 18 $238,134 $13,230 11.2% (212) 305-8559
31 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 18 $67,901 $3,772 13.2% (405) 254-9690
32 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 17 $80,342 $4,726 20.5% (760) 340-3911
33 NEW YORK UNIVERSITY NEW YORK MD DIAGNOSTIC RADIOLOGY 5704 17 $329,698 $19,394 56.7% (212) 263-9700
34 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 16 $145,344 $9,084 8.5% (713) 566-5000
35 VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC ARLINGTON VA NURSE PRACTITIONER 345 16 $62,089 $3,881 37.2% —
36 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 16 $22,985 $1,437 100.0% (601) 264-6000
37 CAROLINA COLORECTAL SURGERY, PC RALEIGH NC PHYSICIAN ASSISTANT 2 16 $94,992 $5,937 25.0% (919) 784-6600
38 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 16 $147,104 $9,194 17.8% —
39 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 15 $53,661 $3,577 34.9% —
40 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 15 $114,000 $7,600 35.7% —
41 JOHNS HOPKINS UNIVERSITY BALTIMORE DC INTERNAL MEDICINE 720 14 $84,974 $6,070 56.0% (410) 550-0100
42 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 13 $96,788 $7,445 15.7% (916) 681-8852
43 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 13 $76,512 $5,886 26.5% (206) 223-6600
44 ALABAMA COLON AND RECTAL INSTITUTE, P.C. BIRMINGHAM AL COLORECTAL SURGERY (PROCTOLOGY) 4 13 $31,200 $2,400 13.8% (205) 458-5000
45 ANNAPOLIS COLON AND RECTAL SURGEONS LLC ANNAPOLIS CA COLORECTAL SURGERY (PROCTOLOGY) 2 13 $41,600 $3,200 15.7% (410) 573-1699
46 RCHP BILLINGS - MISSOULA LLC MISSOULA MT NURSE PRACTITIONER 68 13 $50,544 $3,888 100.0% (406) 327-4646
47 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 13 $69,341 $5,334 26.5% —
48 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 13 $76,076 $5,852 14.4% (630) 933-4800
49 TRICITY COLO-RECTAL SURGERY LTD GILBERT AZ COLORECTAL SURGERY (PROCTOLOGY) 4 13 $32,201 $2,477 25.0% (480) 835-5302
50 ATL COLORECTAL SURGERY ATLANTA GA COLORECTAL SURGERY (PROCTOLOGY) 5 13 $75,270 $5,790 35.1% 4045745820105
51 GRAND STRAND SURGICAL SPECIALISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 51 13 $81,743 $6,288 12.9% (843) 848-1440
52 SAGINAW COOPERATIVE HOSPITALS INC SAGINAW MI INTERNAL MEDICINE 82 13 $47,460 $3,651 100.0% (989) 583-6800
53 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 13 $63,271 $4,867 15.7% (805) 681-7500
54 YUMA REGIONAL MEDICAL CENTER YUMA AZ PHYSICIAN ASSISTANT 388 13 $43,659 $3,358 25.0% (928) 336-1815
55 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 13 $50,723 $3,902 20.3% (704) 384-8200
56 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD PHYSICIAN ASSISTANT 386 13 $53,716 $4,132 43.3% —
57 HEALTH SERVICES OF CENTRAL GEORGIA MACON GA NURSE PRACTITIONER 286 12 $88,751 $7,396 32.4% (478) 738-0404
58 NORTH TEXAS SURGICAL SPECIALISTS PLLC FORT WORTH TX GENERAL SURGERY 32 12 $63,033 $5,253 6.3% (682) 224-3748
59 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 12 $65,544 $5,462 32.4% —
60 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 12 $38,400 $3,200 23.1% (479) 361-2585
61 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 12 $90,838 $7,570 18.8% (508) 334-1000
62 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 12 $60,276 $5,023 27.9% —
63 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 12 $70,914 $5,909 6.3% —
64 STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI HAMPTON BAYS MA GENERAL SURGERY 102 12 $90,600 $7,550 18.8% (631) 723-5000
65 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 11 $65,230 $5,930 9.5% (856) 247-7260
66 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 11 $62,579 $5,689 17.2% (828) 213-1740
67 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 11 $41,524 $3,775 10.9% —
68 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 11 $52,712 $4,792 100.0% (719) 776-4780
69 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 11 $95,026 $8,639 21.2% (800) 603-0558
70 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 11 $206,140 $18,740 100.0% (608) 260-2900
71 MIDWEST COLON AND RECTAL SURGERY INC CARMEL IN COLORECTAL SURGERY (PROCTOLOGY) 3 11 $63,140 $5,740 50.0% (317) 844-5273
72 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 11 $145,206 $13,201 10.9% (843) 792-1414
73 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 11 $47,376 $4,307 8.8% (239) 291-6970
74 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 11 $57,576 $5,234 10.2% —
75 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 11 $37,179 $3,380 50.0% —
76 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 11 $40,865 $3,715 30.6% (419) 291-2003
77 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 11 $165,000 $15,000 6.9% (212) 241-4812
78 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE NY PHYSICIAN ASSISTANT 578 11 $78,485 $7,135 6.9% —
79 GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR PHYSICIAN ASSISTANT 388 11 $69,581 $6,326 100.0% (541) 768-7700
80 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NY INTERNAL MEDICINE 550 11 $66,880 $6,080 6.9% (201) 894-3158
81 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 11 $213,334 $19,394 6.9% (212) 263-9700
82 PREMIER SURGICAL ASSOCIATES PLLC KNOXVILLE TN GENERAL SURGERY 60 11 $36,846 $3,350 100.0% (865) 690-5263
83 ADVANCED SURGICAL CARE OF NORTHERN ILLINOIS, LTD BARRINGTON IL GENERAL SURGERY 9 11 $55,087 $5,008 12.2% (847) 381-8161

*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 →