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Market snapshot

45380 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

45380 — Biopsy of large bowel using a flexible endoscope

Billing groups
2,173
Named-group FFS services
635,901
FFS of Medicare
49%
Services YoY
-4.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,275,621 services

635,901 observed fee-for-service (50%) · ~639,720 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; 1 state without payer-mix data excluded. How we scale

Top states — 45380 (CY2024)
CA 152,175 FL 104,542 TX 95,399 NY 78,201 NJ 56,601

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

Named-group submitted charges
$761.3M
Named-group allowed amount
$79.6M
Named-group Medicare payments
$64.1M
Avg charge / svc
$1,197
Avg allowed / svc
$125
Avg payment / svc
$101
Average charge per group
$55 2,173 groups · avg submitted charge / service $14,400
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 45380 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 16,396 $13,980,236 $853 17.2% —
2 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 7,066 $10,499,908 $1,486 6.8% (305) 913-0666
3 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 6,694 $5,689,750 $850 6.4% (904) 398-7205
4 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 5,919 $10,329,909 $1,745 3.9% (415) 600-1020
5 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 5,586 $31,966,281 $5,723 7.1% (212) 263-9700
6 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTER PA PHYSICIAN ASSISTANT 259 4,922 $4,306,225 $875 8.9% (717) 869-4600
7 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 4,681 $4,882,183 $1,043 3.1% (310) 534-8400
8 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 4,524 $4,145,520 $916 13.6% (602) 843-1265
9 ILLINOIS GASTROENTEROLOGY GROUP LLC ELGIN IL GASTROENTEROLOGY 114 4,241 $5,280,449 $1,245 8.4% (847) 888-1300
10 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 4,053 $1,661,628 $410 3.9% (941) 794-1980
11 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 4,051 $8,034,291 $1,983 2.7% (916) 681-8852
12 ALLIED DIGESTIVE HEALTH LLC BRICK NJ GASTROENTEROLOGY 274 3,969 $7,119,330 $1,794 7.0% (732) 458-8300
13 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 3,862 $3,862,000 $1,000 9.1% (202) 296-3449
14 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 3,631 $4,644,385 $1,279 7.2% —
15 AUSTIN GASTROENTEROLOGY PLLC AUSTIN TX GASTROENTEROLOGY 80 3,568 $3,191,312 $894 3.7% (512) 454-4588
16 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 3,379 $3,466,126 $1,026 6.7% —
17 CAPITAL DIGESTIVE CARE LLC WASHINGTON VA GASTROENTEROLOGY 238 3,347 $4,247,440 $1,269 10.7% (202) 296-3449
18 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 3,206 $4,841,100 $1,510 8.3% —
19 CONNECTICUT GI PLLC HARTFORD CT GASTROENTEROLOGY 235 3,128 $3,719,507 $1,189 22.1% (860) 246-2571
20 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN TN GASTROENTEROLOGY 154 3,090 $3,231,785 $1,046 12.2% (901) 755-9110
21 WASHINGTON GASTROENTEROLOGY PLLC TACOMA WA PHYSICIAN ASSISTANT 139 2,982 $2,409,256 $808 10.1% (253) 272-5127
22 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 2,943 $7,787,989 $2,646 1.9% (310) 825-7922
23 GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC TOMS RIVER NJ GASTROENTEROLOGY 82 2,796 $5,087,363 $1,820 4.9% (732) 281-1590
24 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 2,736 $2,521,112 $921 19.7% (612) 871-1145
25 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 2,735 $1,647,654 $602 1.8% (714) 871-3006
26 UNITED MEDICAL DOCTORS FALLBROOK CA GASTROENTEROLOGY 160 2,735 $2,947,460 $1,078 1.8% (760) 728-9560
27 GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC FAIRFAX VA GASTROENTEROLOGY 92 2,609 $3,913,500 $1,500 8.4% (703) 698-8960
28 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 2,536 $1,095,552 $432 17.4% (502) 928-1050
29 CHESAPEAKE DIGESTIVE ASSOCIATES, PC ANNAPOLIS MD GASTROENTEROLOGY 37 2,440 $3,660,000 $1,500 5.8% 4102244887421
30 GI PARTNERS OF ILLINOIS LLC LIBERTYVILLE IL GASTROENTEROLOGY 36 2,286 $3,429,000 $1,500 4.5% (630) 952-1400
31 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 2,258 $5,631,452 $2,494 4.0% (908) 273-4300
32 CENTERS FOR GASTROENTEROLOGY FORT COLLINS CO GASTROENTEROLOGY 32 2,187 $1,985,071 $908 10.6% (970) 207-9773
33 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 2,169 $2,898,586 $1,336 4.3% (630) 469-9200
34 GASTROINTESTINAL CARE OF LONG ISLAND PLLC MASSAPEQUA NY GASTROENTEROLOGY 154 2,111 $3,538,135 $1,676 2.7% (516) 795-5523
35 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 2,055 $2,192,956 $1,067 1.4% —
36 WEST CENTRAL GASTROENTEROLOGY LLP CLEARWATER FL GASTROENTEROLOGY 83 2,038 $1,346,442 $661 1.9% (727) 347-0005
37 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 2,036 $2,932,252 $1,440 1.3% —
38 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 1,999 $4,761,990 $2,382 2.6% —
39 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,961 $3,507,876 $1,789 1.3% (858) 455-9100
40 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 1,941 $3,170,106 $1,633 2.5% (914) 241-1050
41 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 1,905 $2,337,908 $1,227 3.4% (856) 247-7260
42 CONSULTANTS IN GASTROENTEROLOGY PA WEST COLUMBIA SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 37 1,876 $2,080,484 $1,109 7.3% (803) 794-4585
43 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,870 $2,386,078 $1,276 3.7% (847) 459-1160
44 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 1,852 $2,433,528 $1,314 5.8% (617) 421-1000
45 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 1,840 $2,562,427 $1,393 1.9% —
46 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,799 $3,021,338 $1,679 5.4% (800) 603-0558
47 GCGA PHYSICIANS INC. CINCINNATI OH GASTROENTEROLOGY 76 1,702 $2,507,570 $1,473 4.4% (513) 751-6667
48 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 1,699 $3,564,497 $2,098 1.1% (650) 723-4000
49 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 1,694 $2,527,361 $1,492 3.1% (215) 662-2777
50 CHARLOTTE GASTROENTEROLOGY AND HEPATOLOGY PLLC CHARLOTTE NC GASTROENTEROLOGY 76 1,658 $1,698,414 $1,024 4.6% (704) 377-4009
51 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 1,627 $2,269,665 $1,395 1.7% (254) 724-2663
52 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 1,613 $3,853,450 $2,389 9.8% (608) 287-2050
53 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 1,609 $1,203,933 $748 2.9% —
54 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 1,593 $1,536,418 $964 11.2% (203) 739-7118
55 DIGESTIVE HEALTHCARE OF GEORGIA ATLANTA GA GASTROENTEROLOGY 34 1,591 $1,642,268 $1,032 4.8% 40460335431516
56 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 1,590 $1,365,810 $859 5.1% —
57 SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC. SANTA MARIA CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 23 1,588 $1,468,900 $925 1.0% (805) 922-6581
58 GASTROENTEROLOGY ASSOCIATES, PA GREENVILLE SC GASTROENTEROLOGY 58 1,588 $1,321,216 $832 6.2% (864) 232-7338
59 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 1,518 $853,322 $562 4.6% —
60 PUGET SOUND GASTROENTEROLOGY PLLC KIRKLAND WA GASTROENTEROLOGY 59 1,513 $2,269,500 $1,500 5.1% (425) 899-4500
61 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 1,494 $2,413,804 $1,616 1.0% (310) 423-0674
62 ANNE ARUNDEL GASTROENTEROLOGY ASSOCIATES, P.A. ANNAPOLIS MD GASTROENTEROLOGY 20 1,490 $1,243,880 $835 3.5% (615) 770-6600
63 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 1,487 $4,081,815 $2,745 1.0% (415) 476-1000
64 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 1,481 $1,417,177 $957 2.7% (484) 526-2400
65 SARATOGA SCHENECTADY GASTROENTEROLOGY ASSOCIATES, PC BURNT HILLS NY GASTROENTEROLOGY 32 1,480 $984,904 $665 1.9% (518) 831-1500
66 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 1,477 $1,913,417 $1,295 2.6% —
67 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 1,476 $1,166,116 $790 5.8% —
68 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 1,472 $1,736,910 $1,180 4.6% (617) 732-5500
69 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 1,449 $2,520,811 $1,740 1.0% (916) 983-7476
70 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 1,393 $3,638,848 $2,612 1.3% (772) 223-5665
71 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 1,388 $1,826,876 $1,316 1.5% (903) 606-5560
72 TROY GASTROENTEROLOGY PC ROCHESTER HILLS MI GASTROENTEROLOGY 44 1,361 $947,046 $696 5.7% (248) 844-9710
73 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 1,358 $1,207,625 $889 6.9% (314) 645-6450
74 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 1,351 $1,452,829 $1,075 1.4% —
75 DIGESTIVE HEALTH PARTNERS PA ASHEVILLE NC GASTROENTEROLOGY 65 1,350 $2,700,000 $2,000 3.8% (828) 254-0881
76 UTAH GASTROENTEROLOGY LLC SALT LAKE CITY UT GASTROENTEROLOGY 75 1,337 $1,975,386 $1,477 16.3% (801) 944-3188
77 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 1,335 $775,602 $581 16.3% (801) 261-8346
78 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN MS GASTROENTEROLOGY 154 1,315 $1,365,407 $1,038 8.5% (901) 755-9110
79 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 1,308 $1,459,424 $1,116 5.2% (615) 322-5000
80 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 1,288 $1,922,823 $1,493 10.5% (503) 239-6673
81 SOUTHEAST VALLEY GASTROENTEROLOGY CONSULTANTS, P.C. CHANDLER AZ PHYSICIAN ASSISTANT 32 1,283 $725,411 $565 3.9% (480) 899-9800
82 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 1,264 $718,341 $568 4.3% (253) 428-2200
83 DIGESTIVE HEALTH SPECIALISTS LLC INDEPENDENCE MO GASTROENTEROLOGY 75 1,256 $1,063,832 $847 6.4% (816) 478-4887
84 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 1,243 $2,341,740 $1,884 1.6% (212) 241-4812
85 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 1,237 $2,443,219 $1,975 1.3% (713) 592-5433
86 GASTROENTEROLOGY ASSOCIATES OF SOUTHWEST FLORIDA LLC FORT MYERS FL GASTROENTEROLOGY 59 1,224 $1,081,451 $884 1.2% (239) 275-8882
87 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 1,202 $769,157 $640 1.1% (407) 200-2700
88 NEW YORK GASTROENTEROLOGY ASSOCIATES LLP NEW YORK NY GASTROENTEROLOGY 25 1,200 $2,454,500 $2,045 1.5% (212) 996-6633
89 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 1,200 $2,239,892 $1,867 1.1% (904) 953-2000
90 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 1,198 $644,524 $538 0.8% (760) 340-3911
91 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 1,195 $1,442,070 $1,207 1.1% (407) 896-1100
92 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 1,181 $2,286,437 $1,936 2.3% (217) 544-6464
93 MONTANA GASTROENTEROLOGY, PLLC MISSOULA MT GASTROENTEROLOGY 24 1,179 $743,310 $630 30.3% (406) 541-6844
94 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 1,152 $712,854 $619 2.1% (717) 782-2100
95 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 1,149 $2,139,389 $1,862 0.8% (800) 926-8273
96 RICHMOND GASTROENTEROLOGY ASSOCIATES, INC. NORTH CHESTERFIELD VA GASTROENTEROLOGY 37 1,145 $1,253,612 $1,095 3.7% (804) 330-4021
97 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 1,141 $746,793 $655 9.1% (405) 254-9690
98 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 1,129 $1,380,757 $1,223 8.2% (504) 842-3000
99 LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC PIKESVILLE MD GASTROENTEROLOGY 55 1,127 $1,756,611 $1,559 2.7% (410) 602-7782
100 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 1,108 $1,259,796 $1,137 3.5% (781) 983-9088

Showing the top 100 of 2,173 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →