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

44366 Control of bleeding of first or second part of small bowel 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 303 services ▲ 27.3% YoY · 282 beneficiaries (CY2024, Medicare FFS)

Medicare paid $60K · $196.46 avg / service, national

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

Billing groups

Named-group FFS services

223

FFS of Medicare

49%

Services YoY

+27.3%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~456 services

223 observed fee-for-service (49%) · ~233 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 — 44366 (CY2024)

FL 52 TX 39 CA 32 NY 27 DC 25

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

Named-group submitted charges

$223K

Named-group allowed amount

$48K

Named-group Medicare payments

$38K

Avg charge / svc

$1,000

Avg allowed / svc

$213

Avg payment / svc

$169

Average charge per group

$502–745

$745–989

$989–1,233

$1,233–1,477

$1,477–1,721

$1,721–1,965

$1,965–2,209

$2,209+

$502 14 groups · avg submitted charge / service $2,588

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 44366 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	44366 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	ORLANDO HEALTH MEDICAL GROUP INC	ORLANDO	AL	PHYSICIAN ASSISTANT	2145	24	$17,352	$723	premium	100.0%	(407) 896-1100
2	GASTRO-INTESTINAL CONSULTANTS OF CENTRAL FLORIDA, LLC	TAVARES	FL	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	2	22	$11,035	$502	premium	42.3%	(352) 383-7703
3	GENESIS HEALTH SYSTEM	DAVENPORT	IA	NURSE PRACTITIONER	265	19	$11,134	$586	premium	100.0%	(563) 421-1000
4	UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL	CHARLESTON	SC	PHYSICIAN ASSISTANT	1692	18	$42,838	$2,380	premium	100.0%	(843) 792-1414
5	PARAMVIR S RAHAL MD INC	BAKERSFIELD	CA	PHYSICIAN ASSISTANT	6	17	$16,660	$980	premium	53.1%	(661) 323-1200
6	SMH PHYSICIAN SERVICES INC	SARASOTA	FL	PHYSICIAN ASSISTANT	766	15	$7,710	$514	premium	28.8%	—
7	FLORIDA HOSPITAL MEDICAL GROUP INC	MAITLAND	FL	PHYSICIAN ASSISTANT	1634	15	$10,860	$724	premium	28.8%	(407) 200-2700
8	THE EMORY CLINIC INC	ATLANTA	GA	NURSE PRACTITIONER	3484	14	$15,218	$1,087	premium	100.0%	(404) 778-7525
9	KINGS DAUGHTERS MEDICAL SPECIALTIES INC	ASHLAND	KY	NURSE PRACTITIONER	392	14	$10,866	$776	premium	100.0%	(606) 325-6888
10	UNIVERSITY OF MARYLAND PHYSICIANS PA	BALTIMORE	MD	NURSE PRACTITIONER	396	14	$19,600	$1,400	premium	100.0%	(410) 328-7877
11	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	14	$36,232	$2,588	premium	51.9%	(212) 263-9700
12	BSA AMARILLO DIAGNOSTIC CLINIC INC	AMARILLO	TX	NURSE PRACTITIONER	31	13	$6,595	$507	premium	33.3%	(806) 358-0200
13	MEDSTAR MEDICAL GROUP II LLC	WASHINGTON	DC	PHYSICIAN ASSISTANT	3707	12	$7,806	$650	premium	48.0%	(202) 429-2401
14	GASTROENTEROLOGY PARTNERS OF NORTH HOUSTON PLLC	SHENANDOAH	TX	GASTROENTEROLOGY	10	12	$9,072	$756	premium	30.8%	9363215440135

*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 →