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

44500 Dilation of stomach and/or small bowel using long gastrointestinal tube CPT · Procedure

Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 1,062 services ▼ 12.1% YoY · 1,010 beneficiaries (CY2024, Medicare FFS)

Medicare paid $14K · $12.78 avg / service, national

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

Billing groups

Named-group FFS services

699

FFS of Medicare

49%

Services YoY

-12.1%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,461 services

699 observed fee-for-service (48%) · ~762 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 — 44500 (CY2024)

UT 409 MI 199 IN 94 FL 92 IL 69

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

Named-group submitted charges

$74K

Named-group allowed amount

$11K

Named-group Medicare payments

$9K

Avg charge / svc

$106

Avg allowed / svc

$16

Avg payment / svc

$13

Average charge per group

$44–78

$78–113

$113–147

$147–182

$182–216

$216–250

$250–285

$285+

$44 15 groups · avg submitted charge / service $331

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 44500 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	44500 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	IHC HEALTH SERVICES INC	MURRAY	UT	PHYSICIAN ASSISTANT	3944	347	$22,612	$65	premium	84.8%	(801) 261-8346
2	CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD	PEORIA	IL	DIAGNOSTIC RADIOLOGY	196	69	$19,803	$287	premium	100.0%	(309) 655-2000
3	SPECTRUM HEALTH PRIMARY CARE PARTNERS	GRAND RAPIDS	MI	PHYSICIAN ASSISTANT	2255	66	$4,488	$68	premium	33.2%	(616) 885-5000
4	MCV ASSOCIATED PHYSICIANS	RICHMOND	VA	NURSE PRACTITIONER	1791	52	$5,564	$107	premium	82.5%	(804) 828-9000
5	MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC	ASHEVILLE	NC	PHYSICIAN ASSISTANT	593	24	$2,088	$87	premium	58.5%	(828) 213-1740
6	MAYO CLINIC JACKSONVILLE	JACKSONVILLE	FL	NURSE PRACTITIONER	1587	20	$6,280	$314	premium	21.7%	(904) 953-2000
7	COMMUNITY FAMILY PRACTICE, PA	ASHEVILLE	NC	FAMILY PRACTICE	8	17	$1,479	$87	premium	41.5%	(828) 254-2444
8	UNIVERSITY OF CONNECTICUT HEALTH CENTER	FARMINGTON	CT	NURSE PRACTITIONER	630	16	$1,120	$70	premium	51.6%	(860) 679-3692
9	BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES	ROYAL OAK	MI	PHYSICIAN ASSISTANT	833	14	$616	$44	premium	7.0%	(248) 898-5058
10	KANSAS IMAGING CONSULTANTS PA	WICHITA	KS	DIAGNOSTIC RADIOLOGY	29	13	$949	$73	premium	100.0%	(316) 630-5000
11	MORI BEAN AND BROOKS INC	ORANGE PARK	FL	DIAGNOSTIC RADIOLOGY	947	13	$4,303	$331	premium	14.1%	(904) 399-5550
12	UNIVERSITY PHYSICIANS INCORPORATED	AURORA	CO	PHYSICIAN ASSISTANT	3122	13	$1,625	$125	premium	100.0%	(720) 777-1234
13	MONTEFIORE MEDICAL CENTER	BRONX	WA	PHYSICAL THERAPIST IN PRIVATE PRACTICE	2796	12	$1,284	$107	premium	100.0%	(866) 633-8255
14	JAMES E DEWITT DPM PC	WYOMING	MI	PHYSICIAN ASSISTANT	2	12	$816	$68	premium	6.0%	(616) 538-4442
15	VISTA RADIOLOGY, PC	KNOXVILLE	TN	DIAGNOSTIC RADIOLOGY	68	11	$1,254	$114	premium	100.0%	(865) 546-9484

*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 →