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Market snapshot

44213 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

44213 — Partial release of large bowel and partial removal of large bowel using an endoscope

Billing groups
71
Named-group FFS services
1,342
FFS of Medicare
49%
Services YoY
-3.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,613 services

1,342 observed fee-for-service (51%) · ~1,271 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 — 44213 (CY2024)
NY 170 TX 159 CA 136 PA 122 FL 108

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

Named-group submitted charges
$829K
Named-group allowed amount
$224K
Named-group Medicare payments
$179K
Avg charge / svc
$618
Avg allowed / svc
$167
Avg payment / svc
$133
Average charge per group
$80 71 groups · avg submitted charge / service $2,013
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 44213 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 74 $67,266 $909 69.2% (617) 724-0287
2 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 59 $55,873 $947 34.7% —
3 COLLIER HMA PHYSICIAN MANAGEMENT LLC NAPLES FL NURSE PRACTITIONER 95 52 $18,330 $352 48.1% —
4 MENORAH MEDICAL GROUP LLC OVERLAND PARK KS GENERAL SURGERY 22 45 $26,739 $594 100.0% (913) 345-6901
5 CAROLINA COLORECTAL SURGERY, PC RALEIGH NC PHYSICIAN ASSISTANT 2 44 $30,668 $697 63.8% (919) 784-6600
6 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 42 $24,690 $588 34.4% —
7 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 38 $13,957 $367 44.2% (732) 362-3663
8 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 35 $12,728 $364 59.3% —
9 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 34 $16,592 $488 25.0% (760) 340-3911
10 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 30 $16,080 $536 18.9% (210) 614-7414
11 ST. JOHN PHYSICIANS, INC. TULSA OK NURSE PRACTITIONER 263 30 $11,910 $397 42.3% —
12 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 28 $17,164 $613 23.0% (215) 662-2777
13 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 27 $14,441 $535 42.2% (253) 428-2200
14 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 26 $15,470 $595 16.4% —
15 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 23 $9,361 $407 35.9% (509) 946-4611
16 TENET FLORIDA PHYSICIAN SERVICES LLC DELRAY BEACH FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 224 22 $11,792 $536 20.4% (561) 498-4440
17 SURGICAL INSTITUTE OF SOUTH DAKOTA PC SIOUX FALLS SD GENERAL SURGERY 23 19 $14,440 $760 100.0% (605) 334-0393
18 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 19 $7,466 $393 26.8% (405) 254-9690
19 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 18 $21,060 $1,170 10.6% (212) 305-8559
20 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 18 $21,144 $1,175 60.0% (843) 792-1414
21 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NY INTERNAL MEDICINE 550 18 $11,250 $625 10.6% (201) 894-3158
22 RCHP BILLINGS - MISSOULA LLC MISSOULA MT NURSE PRACTITIONER 68 17 $6,913 $407 100.0% (406) 327-4646
23 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 17 $5,746 $338 53.1% —
24 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 16 $15,872 $992 10.1% (713) 566-5000
25 NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ PHYSICIAN ASSISTANT 128 16 $8,496 $531 57.1% (520) 202-7770
26 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 16 $8,000 $500 100.0% (479) 361-2585
27 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 16 $8,534 $533 13.1% —
28 ATL COLORECTAL SURGERY ATLANTA GA COLORECTAL SURGERY (PROCTOLOGY) 5 16 $12,480 $780 31.4% 4045745820105
29 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 16 $18,208 $1,138 39.0% —
30 NORTH TEXAS SURGICAL SPECIALISTS PLLC FORT WORTH TX GENERAL SURGERY 32 15 $8,062 $537 9.4% (682) 224-3748
31 SAGINAW COOPERATIVE HOSPITALS INC SAGINAW MI INTERNAL MEDICINE 82 15 $5,635 $376 100.0% (989) 583-6800
32 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 15 $7,650 $510 46.9% —
33 CNJ SPECIALTY SURGICAL ASSOCIATE EATONTOWN NJ COLORECTAL SURGERY (PROCTOLOGY) 6 14 $27,997 $2,000 16.3% (732) 389-1331
34 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 14 $7,308 $522 21.9% —
35 JOHNS HOPKINS UNIVERSITY BALTIMORE DC INTERNAL MEDICINE 720 14 $8,484 $606 56.0% (410) 550-0100
36 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 13 $9,425 $725 22.0% (314) 747-3000
37 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 13 $4,600 $354 9.6% (714) 871-3006
38 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 13 $7,319 $563 100.0% (859) 257-1412
39 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 13 $4,934 $380 52.0% —
40 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 13 $5,240 $403 10.7% —
41 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 13 $5,031 $387 31.7% (419) 291-2003
42 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 13 $5,371 $413 18.8% (704) 384-8200
43 MANATEE SPECIALTY PHYSICIAN ALLIANCE LLC BRADENTON FL PHYSICIAN ASSISTANT 27 12 $4,043 $337 11.1% (941) 746-3115
44 ANNAPOLIS COLON AND RECTAL SURGEONS LLC ANNAPOLIS CA COLORECTAL SURGERY (PROCTOLOGY) 2 12 $4,800 $400 8.8% (410) 573-1699
45 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 12 $6,708 $559 23.5% —
46 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 12 $5,904 $492 100.0% (719) 776-4780
47 ASSOCIATED SURGEONS OF SAN LUIS OBISPO PISMO BEACH CA GENERAL SURGERY 9 12 $5,625 $469 8.8% (805) 546-0411
48 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 12 $12,552 $1,046 14.0% (908) 273-4300
49 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 12 $5,088 $424 100.0% (615) 385-3751
50 GRAND STRAND SURGICAL SPECIALISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 51 12 $7,941 $662 40.0% (843) 848-1440
51 CLINIC FOR COLON AND RECTAL SURGERY, P.A. HUNTSVILLE AL COLORECTAL SURGERY (PROCTOLOGY) 5 12 $7,098 $592 100.0% (256) 533-6070
52 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 12 $8,364 $697 17.4% (919) 350-7270
53 YUMA REGIONAL MEDICAL CENTER YUMA AZ PHYSICIAN ASSISTANT 388 12 $3,480 $290 42.9% (928) 336-1815
54 SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS LLC LAS VEGAS NV NURSE PRACTITIONER 60 12 $7,236 $603 100.0% (702) 916-8431
55 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 12 $6,240 $520 34.3% —
56 NEW YORK UNIVERSITY NEW YORK MD DIAGNOSTIC RADIOLOGY 5704 12 $24,156 $2,013 34.3% (212) 263-9700
57 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 11 $6,710 $610 12.8% (856) 247-7260
58 SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP INC LAGUNA HILLS CA GENERAL SURGERY 22 11 $880 $80 8.1% (949) 457-7900
59 COLORECTAL ASSOCIATES OF TEXAS PA PLANO TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 13 11 $5,186 $471 6.9% (972) 612-0430
60 SURGICAL PARTNERS OF OKLAHOMA YUKON OK GENERAL SURGERY 3 11 $3,223 $293 15.5% (405) 265-2210
61 WELLSTAR MEDICAL GROUP LLC MARIETTA MD NURSE PRACTITIONER 3060 11 $6,666 $606 31.4% (770) 422-2004
62 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 11 $6,891 $626 12.8% (973) 971-5596
63 SURGICAL ASSOCIATES INC TULSA OK GENERAL SURGERY 10 11 $4,720 $429 15.5% (918) 505-3400
64 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 11 $10,340 $940 6.9% (713) 266-9955
65 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 11 $9,361 $851 10.3% (508) 334-1000
66 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 11 $9,999 $909 10.3% (617) 732-5500
67 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 11 $6,292 $572 8.1% (805) 681-7500
68 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 11 $6,677 $607 8.1% (949) 791-3370
69 ST LUKES MEDICAL GROUP CHESTERFIELD MO ORTHOPEDIC SURGERY 15 11 $3,938 $358 18.6% (314) 576-2306
70 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 11 $6,512 $592 10.2% (904) 396-1725
71 MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC NEWTON MA INTERNAL MEDICINE 535 11 $2,500 $227 10.3% (617) 243-6000

*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 →