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Market snapshot

44799 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

44799 — Other procedure on small bowel

Billing groups
14
Named-group FFS services
327
FFS of Medicare
49%
Services YoY
-19.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~700 services

327 observed fee-for-service (47%) · ~373 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 — 44799 (CY2024)

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

Named-group submitted charges
$772K
Named-group allowed amount
$90K
Named-group Medicare payments
$72K
Avg charge / svc
$2,359
Avg allowed / svc
$274
Avg payment / svc
$219
Average charge per group
$350 14 groups · avg submitted charge / service $8,000
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 44799 services, CY2024
#Physician group City St Specialty Providers 44799 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 83 $232,608 $2,803 premium 79.0% (904) 953-2000
2 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 34 $34,000 $1,000 premium 100.0%
3 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK OH NURSE PRACTITIONER 2273 30 $240,000 $8,000 premium 58.8% (212) 305-8559
4 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 26 $22,204 $854 premium 100.0% (206) 223-6600
5 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 21 $32,231 $1,535 premium 41.2%
6 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 19 $19,778 $1,041 premium 100.0% (504) 842-3000
7 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 18 $52,242 $2,902 premium 100.0%
8 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 17 $31,605 $1,859 premium 56.7% (617) 732-5500
9 COLON AND RECTAL ASSOCIATES, LTD ABINGTON PA COLORECTAL SURGERY (PROCTOLOGY) 6 17 $17,000 $1,000 premium 60.7% (215) 517-1250
10 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 14 $15,717 $1,123 premium 100.0%
11 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 13 $36,553 $2,812 premium 100.0% (507) 284-2511
12 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 13 $10,654 $820 premium 43.3%
13 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 11 $23,077 $2,098 premium 39.3% (717) 531-5638
14 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 11 $3,850 $350 premium 10.5% (407) 200-2700

*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 →