NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
45300 Diagnostic exam of rectum and lower large bowel using an endoscope CPT · Procedure
Classification Procedure › Digestive/Gastrointestinal › Lower GI Endoscopy - Other (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 9,408 services ▼ 8.6% YoY · 8,019 beneficiaries (CY2024, Medicare FFS)
Medicare paid $824K · $87.61 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
91
Named-group FFS services
6,499
FFS of Medicare
49%
Services YoY
-8.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~12,747 services

6,499 observed fee-for-service (51%) · ~6,248 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 — 45300 (CY2024)
CA 2,116 NY 1,724 TX 800 NJ 608 MD 583

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

Named-group submitted charges
$2.5M
Named-group allowed amount
$769K
Named-group Medicare payments
$573K
Avg charge / svc
$382
Avg allowed / svc
$118
Avg payment / svc
$88
Average charge per group
$47 91 groups · avg submitted charge / service $1,237
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 45300 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 METRO COLON AND RECTAL SURGERY PC BETHESDA MD COLORECTAL SURGERY (PROCTOLOGY) 2 541 $156,349 $289 92.8% (240) 858-6764
2 TRICITY COLO-RECTAL SURGERY LTD GILBERT AZ COLORECTAL SURGERY (PROCTOLOGY) 4 256 $45,829 $179 95.9% (480) 835-5302
3 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 252 $75,600 $300 31.5% (713) 566-5000
4 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 243 $47,035 $194 11.5% (760) 340-3911
5 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 230 $111,550 $485 37.8% (973) 971-5596
6 TRISTATE COLON AND RECTAL ASSOCIATES PC HAVERTOWN PA COLORECTAL SURGERY (PROCTOLOGY) 2 220 $40,565 $184 40.7% 61044678823
7 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 217 $130,200 $600 12.6% (631) 628-5000
8 COLORECTAL SURGICAL AND GASTROENTEROLOGY ASSOCIATES PSC LEXINGTON KY COLORECTAL SURGERY (PROCTOLOGY) 10 207 $27,691 $134 87.0% (859) 278-6031
9 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 205 $87,535 $427 9.7% —
10 EAST TENNESSEE COLON AND RECTAL SURGICAL ASSOCIATES PC KNOXVILLE TN COLORECTAL SURGERY (PROCTOLOGY) 2 203 $40,600 $200 65.3% 8653929220230
11 SPECIALTY ASSOCIATES OF WEST HOUSTON PLLC HOUSTON TX PHYSICIAN ASSISTANT 125 201 $75,136 $374 25.1% (281) 461-6830
12 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 185 $65,490 $354 78.4% (402) 354-8163
13 JEFFREY P LAKE MD INC ENCINO CA COLORECTAL SURGERY (PROCTOLOGY) 4 179 $35,800 $200 8.5% (818) 387-8725
14 MINIMALLY INVASIVE MEDICAL GROUP MISSION VIEJO CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 172 $48,276 $281 8.1% (949) 333-2224
15 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 163 $201,654 $1,237 9.5% —
16 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 150 $37,200 $248 100.0% (316) 263-0296
17 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 136 $59,368 $437 17.0% —
18 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 118 $38,264 $324 14.8% —
19 CNJ SPECIALTY SURGICAL ASSOCIATE EATONTOWN NJ COLORECTAL SURGERY (PROCTOLOGY) 6 115 $57,500 $500 18.9% (732) 389-1331
20 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 100 $29,550 $296 18.5% —
21 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 98 $98,000 $1,000 5.7% (914) 241-1050
22 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 89 $66,750 $750 5.2% (212) 305-8559
23 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 82 $40,016 $488 100.0% (414) 955-4263
24 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 81 $26,082 $322 64.8% (515) 343-1000
25 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 76 $33,668 $443 63.9% (503) 239-6673
26 JEFFREY P LAKE MD INC ENCINO NY COLORECTAL SURGERY (PROCTOLOGY) 4 74 $14,800 $200 4.3% (818) 387-8725
27 OVERLAKE MEDICAL CLINICS LLC BELLEVUE WA NURSE PRACTITIONER 414 72 $28,336 $394 46.2% (425) 688-5460
28 VLADIMIR ZELENKO MD PC MONROE NY PHYSICIAN ASSISTANT 11 69 $64,479 $934 4.0% (845) 782-0000
29 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 66 $18,285 $277 12.2% —
30 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 61 $18,389 $301 59.2% (803) 395-3400
31 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 60 $16,515 $275 3.5% (914) 681-0600
32 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 54 $39,150 $725 39.4% (910) 662-6000
33 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 50 $21,870 $437 8.2% (732) 362-3663
34 LAS VEGAS UROLOGY LLP LAS VEGAS NV UROLOGY 50 49 $11,053 $226 55.7% (702) 233-0727
35 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 47 $10,445 $222 8.7% —
36 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 46 $17,367 $378 2.2% (559) 459-6000
37 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 45 $23,735 $527 2.1% (858) 455-9100
38 PREMIER SURGICAL ASSOCIATES PLLC KNOXVILLE TN GENERAL SURGERY 60 43 $26,876 $625 13.8% (865) 690-5263
39 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 40 $9,320 $233 100.0% (501) 562-4838
40 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA RADIATION ONCOLOGY 31 40 $25,130 $628 1.9% (310) 825-9304
41 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 40 $14,400 $360 100.0% —
42 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 38 $15,086 $397 1.8% (714) 871-3006
43 ALABAMA COLON AND RECTAL INSTITUTE, P.C. BIRMINGHAM AL COLORECTAL SURGERY (PROCTOLOGY) 4 38 $6,840 $180 100.0% (205) 458-5000
44 BARNABAS HEALTH MEDICAL GROUP, PC NEWARK NJ PSYCHIATRY 254 38 $21,964 $578 6.2% (973) 926-7814
45 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 35 $36,398 $1,040 2.0% (212) 263-9700
46 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 34 $14,280 $420 60.7% (404) 367-3210
47 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 34 $13,430 $395 17.7% (314) 747-3000
48 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 34 $13,600 $400 21.8% —
49 CHRIST HOSPITAL MEDICAL SPECIALISTS LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 129 33 $7,854 $238 16.9% (513) 241-4774
50 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 33 $7,755 $235 6.1% (215) 456-8242
51 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 33 $23,925 $725 24.1% (704) 384-8200
52 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 32 $11,168 $349 1.5% —
53 SURGONE PC DENVER CO GENERAL SURGERY 40 31 $10,254 $331 100.0% (303) 377-6401
54 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NY INTERNAL MEDICINE 550 30 $13,200 $440 1.7% (201) 894-3158
55 SURGICAL ASSOCIATES, P.C. LINCOLN NE GENERAL SURGERY 12 26 $9,776 $376 11.0% (402) 441-4760
56 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 26 $13,432 $517 13.9% (561) 955-7100
57 ALASKA COLORECTAL SURGERY, PC ANCHORAGE AK COLORECTAL SURGERY (PROCTOLOGY) 3 26 $17,992 $692 100.0% (907) 222-1401
58 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 26 $15,600 $600 1.5% (212) 241-4812
59 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD PHYSICIAN ASSISTANT 386 26 $8,710 $335 4.5% —
60 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 25 $6,725 $269 24.3% —
61 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 25 $7,140 $286 10.6% (402) 559-4000
62 DELAWARE MEDICAL ASSOCIATES PA WILMINGTON DE INTERNAL MEDICINE 4 24 $3,600 $150 100.0% (302) 234-2200
63 CLINICA LAS AMERICAS GUAYNABO, INC BAYAMON PR GENERAL PRACTICE 50 23 $5,750 $250 100.0% (787) 789-1996
64 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 21 $6,405 $305 6.8% (865) 305-6333
65 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 20 $11,700 $585 10.7% (772) 223-5665
66 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 19 $5,814 $306 3.5% —
67 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 18 $9,792 $544 0.9% (916) 681-8852
68 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 18 $4,032 $224 2.2% —
69 COMMONWEALTH PHYSICIAN NETWORK LLC NANTICOKE PA PHYSICIAN ASSISTANT 63 18 $5,580 $310 3.3% (570) 735-7474
70 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 18 $6,858 $381 9.6% (407) 200-2700
71 ANMED HEALTH ANDERSON SC FAMILY PRACTICE 343 17 $5,984 $352 16.5% —
72 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 17 $12,427 $731 1.0% (212) 271-4364
73 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 16 $5,600 $350 10.3% —
74 COLORECTAL ASSOCIATES HONOLULU HI COLORECTAL SURGERY (PROCTOLOGY) 2 16 $3,564 $223 100.0% (808) 524-1856
75 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 16 $6,768 $423 0.8% (949) 791-3370
76 SBH PHYSICIANS PC BRONX NY PHYSICIAN ASSISTANT 178 16 $6,825 $427 0.9% (718) 960-6214
77 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK MA PHYSICIAN ASSISTANT 2818 16 $9,600 $600 59.3% (212) 241-4812
78 ST. JOHN PHYSICIANS, INC. TULSA OK NURSE PRACTITIONER 263 15 $3,870 $258 100.0% —
79 PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL NURSE PRACTITIONER 450 15 $4,050 $270 8.0% (305) 585-1111
80 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 14 $1,670 $119 100.0% (208) 381-4210
81 PROVIDENCE HEALTH AND SERVICES- WASHINGTON EVERETT WA PHYSICIAN ASSISTANT 521 13 $5,174 $398 8.3% (425) 297-5234
82 IMAD AL-NAKSHABENDI M D P A BRANDON FL GASTROENTEROLOGY 4 13 $1,950 $150 7.0% (813) 972-3750
83 GARDEN CITY COLON AND RECTAL SURGICAL PRACTICE PC GARDEN CITY NY COLORECTAL SURGERY (PROCTOLOGY) 3 13 $2,705 $208 0.8% (516) 248-7733
84 ADVANCED SURGICAL CARE OF NORTHERN ILLINOIS, LTD BARRINGTON IL GENERAL SURGERY 9 13 $4,651 $358 43.3% (847) 381-8161
85 SAINT PETERS UNIVERSITY HOSPITAL NEW BRUNSWICK NJ INTERNAL MEDICINE 143 12 $2,640 $220 2.0% (732) 745-8600
86 SAINT AGNES MEDICAL FOUNDATION FRESNO CA INTERNAL MEDICINE 155 12 $3,372 $281 0.6% (559) 450-5777
87 OPTUM MEDICAL CARE PC MOUNT KISCO MA INTERNAL MEDICINE 1040 11 $11,000 $1,000 40.7% (914) 241-1050
88 MANHATTAN COLORECTAL SURGEONS LLC NEW YORK NY COLORECTAL SURGERY (PROCTOLOGY) 2 11 $3,080 $280 0.6% (212) 675-2997
89 SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP INC LAGUNA HILLS CA GENERAL SURGERY 22 11 $3,080 $280 0.5% (949) 457-7900
90 ARNOT OGDEN MEDICAL CENTER ELMIRA NY NURSE PRACTITIONER 215 11 $517 $47 0.6% (607) 735-4633
91 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 11 $4,112 $374 2.0% —
92 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 11 $2,486 $226 0.5% (310) 829-6789
93 PREMIER HEALTH ASSOCIATES LLC SPARTA NJ INTERNAL MEDICINE 45 11 $1,985 $180 1.8% (973) 729-2121
94 ARIZONA COLORECTAL EXPERTS LLC CHANDLER AZ COLORECTAL SURGERY (PROCTOLOGY) 3 11 $3,274 $298 4.1% (602) 844-5157

*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 →