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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
44361 Biopsy of small bowel (except ileum) 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 5,332 services ▲ 6.3% YoY · 5,141 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.5M · $281.03 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
40
Named-group FFS services
2,058
FFS of Medicare
49%
Services YoY
+6.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,234 services

2,058 observed fee-for-service (49%) · ~2,176 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 — 44361 (CY2024)
CA 2,488 FL 843 LA 365 NY 298 OK 266

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

Named-group submitted charges
$1.4M
Named-group allowed amount
$229K
Named-group Medicare payments
$182K
Avg charge / svc
$697
Avg allowed / svc
$111
Avg payment / svc
$88
Average charge per group
$326 40 groups · avg submitted charge / service $2,420
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 44361 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 416 $224,640 $540 16.7% —
2 PREMIUM PRACTICE SOLUTIONS, LLC CORAL SPRINGS FL GASTROENTEROLOGY 5 225 $111,879 $497 26.7% (954) 757-4002
3 PARAMVIR S RAHAL MD INC BAKERSFIELD CA PHYSICIAN ASSISTANT 6 156 $109,980 $705 6.3% (661) 323-1200
4 ADVENTIST HEALTH MENDOCINO COAST FORT BRAGG CA DIAGNOSTIC RADIOLOGY 60 150 $60,000 $400 6.0% (707) 961-1234
5 DIGESTIVE HEALTH ASSOCIATES PC MORRIS IL NURSE PRACTITIONER 4 146 $128,480 $880 73.0% (815) 942-1550
6 DIGESTIVE DISEASE CARE, PC RICHMOND HILL NY GASTROENTEROLOGY 37 136 $102,000 $750 45.6% (516) 750-8000
7 GASTRO-INTESTINAL CONSULTANTS OF CENTRAL FLORIDA, LLC TAVARES FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 2 126 $42,254 $335 14.9% (352) 383-7703
8 PRAHALAD B JAJODIA MD INC FRESNO CA GASTROENTEROLOGY 2 70 $161,100 $2,301 2.8% (559) 431-8888
9 ASSOCIATED GASTROENTEROLOGY MEDICAL GROUP ANAHEIM CA GASTROENTEROLOGY 6 69 $28,530 $413 2.8% (714) 778-1300
10 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES LLC OAKLAND PARK FL GASTROENTEROLOGY 9 52 $52,000 $1,000 6.2% (954) 771-9920
11 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 43 $79,980 $1,860 14.4% (212) 746-5454
12 GASTROENTEROLOGY PARTNERS OF NORTH HOUSTON PLLC SHENANDOAH TX GASTROENTEROLOGY 10 42 $21,252 $506 28.6% 9363215440135
13 INNOVIS HEALTH LLC FARGO ND NURSE PRACTITIONER 565 30 $12,900 $430 18.9% (701) 364-6600
14 PUBLIC HOSPITAL DIST NO 1 SKAGIT MOUNT VERNON WA PHYSICIAN ASSISTANT 314 25 $8,473 $339 100.0% (360) 428-2500
15 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 23 $7,843 $341 2.7% —
16 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 20 $18,340 $917 44.4% (314) 645-6450
17 COLLIER HMA PHYSICIAN MANAGEMENT LLC NAPLES PA NURSE PRACTITIONER 95 20 $10,800 $540 42.6% —
18 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 19 $7,828 $412 0.8% (559) 583-4695
19 GASTROENTEROLOGY CONSULTANTS OF AUGUSTA, PC EVANS GA GASTROENTEROLOGY 26 17 $19,380 $1,140 100.0% (706) 854-8934
20 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 16 $8,960 $560 47.1% —
21 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 15 $7,155 $477 1.8% (386) 231-6000
22 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 15 $5,865 $391 20.8% —
23 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 14 $33,880 $2,420 100.0% (203) 688-4242
24 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTER PA PHYSICIAN ASSISTANT 259 14 $5,810 $415 29.8% (717) 869-4600
25 NCHMD INC NAPLES FL NEUROLOGY 515 13 $8,021 $617 1.5% (239) 436-5100
26 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 13 $14,053 $1,081 6.5% (847) 459-1160
27 KANSAS CITY GASTROENTEROLOGY AND HEPATOLOGY,LLC KANSAS CITY MO GASTROENTEROLOGY 4 13 $6,700 $515 28.9% (816) 361-0055
28 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 12 $6,360 $530 7.1% (856) 247-7260
29 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 12 $22,612 $1,884 1.4% (904) 953-2000
30 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 12 $10,752 $896 7.1% (908) 273-4300
31 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 12 $4,266 $356 8.2% (806) 358-0200
32 JERSEY COMMUNITY HOSPITAL JERSEYVILLE MO NURSE PRACTITIONER 63 12 $5,640 $470 26.7% (618) 498-6402
33 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 12 $9,780 $815 4.0% —
34 DAYTON GASTROENTEROLOGY, LLC DAYTON OH GASTROENTEROLOGY 75 11 $9,081 $826 50.0% (937) 320-5050
35 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 11 $3,588 $326 50.0% (740) 568-2214
36 GENESIS HEALTH SYSTEM DAVENPORT IL NURSE PRACTITIONER 265 11 $5,445 $495 5.5% (563) 421-1000
37 GENESIS HEALTH SYSTEM DAVENPORT IA NURSE PRACTITIONER 265 11 $5,445 $495 100.0% (563) 421-1000
38 ILLINOIS GASTROENTEROLOGY GROUP LLC ELGIN IL GASTROENTEROLOGY 114 11 $13,750 $1,250 5.5% (847) 888-1300
39 UJAGGER SINGH DHILLON MD INC A PRO CORP FRESNO CA GASTROENTEROLOGY 4 11 $8,250 $750 0.4% (559) 438-8400
40 BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. SUFFERN NJ NURSE PRACTITIONER 155 11 $7,018 $638 6.5% 845353560025027
41 DIGESTIVE AND LIVER CENTER, PA BAY CITY TX GASTROENTEROLOGY 2 11 $24,200 $2,200 7.5% (979) 292-0033

*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 →