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Market snapshot

45382 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

45382 — Control of bleeding of upper large bowel using a flexible endoscope

Billing groups
100
Named-group FFS services
1,995
FFS of Medicare
49%
Services YoY
+0.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,983 services

1,995 observed fee-for-service (50%) · ~1,988 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 — 45382 (CY2024)
CA 943 FL 531 NY 336 AL 333 NE 277

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

Named-group submitted charges
$3.0M
Named-group allowed amount
$503K
Named-group Medicare payments
$399K
Avg charge / svc
$1,490
Avg allowed / svc
$252
Avg payment / svc
$200
Average charge per group
$369 100 groups · avg submitted charge / service $8,188
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 45382 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FAITH REGIONAL PHYSICIAN SERVICES LLC NORFOLK NE NURSE PRACTITIONER 185 186 $326,244 $1,754 67.1% (402) 371-4880
2 UNITED MEDICAL DOCTORS FALLBROOK CA GASTROENTEROLOGY 160 83 $70,550 $850 8.8% (760) 728-9560
3 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 44 $23,364 $531 8.3% (941) 366-1888
4 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 41 $36,613 $893 100.0% (918) 502-4720
5 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 40 $68,880 $1,722 4.2% (925) 296-9720
6 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 40 $21,280 $532 7.5% (941) 794-1980
7 GI PARTNERS OF ILLINOIS LLC LIBERTYVILLE IL GASTROENTEROLOGY 36 40 $64,000 $1,600 25.8% (630) 952-1400
8 KERN GASTROENTEROLOGY MEDICAL GROUP BAKERSFIELD CA GASTROENTEROLOGY 6 39 $46,215 $1,185 4.1% (661) 324-1203
9 KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN PHYSICIAN ASSISTANT 114 39 $58,500 $1,500 44.3% —
10 HILL COUNTRY DIGESTIVE HEALTH PLLC KERRVILLE TX NURSE PRACTITIONER 4 36 $46,800 $1,300 14.8% (830) 257-0375
11 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 35 $286,580 $8,188 10.4% (212) 263-9700
12 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 30 $38,064 $1,269 36.1% (440) 333-3332
13 TEXOMACARE SPECIALTY PHYSICIANS DENISON TX INTERVENTIONAL CARDIOLOGY 37 29 $14,554 $502 11.9% (903) 465-3624
14 LAKE GASTROENTEROLOGY ASSOCIATES LLC TAVARES FL GASTROENTEROLOGY 7 29 $43,500 $1,500 5.5% (352) 383-5200
15 GASTROENTEROLOGY AND LIVER INSTITUTE PC ESCONDIDO CA GASTROENTEROLOGY 2 28 $15,060 $538 3.0% (760) 690-2800
16 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 27 $73,062 $2,706 2.9% (916) 681-8852
17 DIGESTIVE CARE CONSULTANTS TORRANCE CA GASTROENTEROLOGY 15 26 $55,120 $2,120 2.8% (310) 375-1246
18 COLON AND RECTAL ASSOCIATES, LTD ABINGTON PA COLORECTAL SURGERY (PROCTOLOGY) 6 25 $32,500 $1,300 23.4% (215) 517-1250
19 SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC FARMINGTON HILLS MI GASTROENTEROLOGY 6 24 $12,240 $510 25.3% (248) 579-9220
20 PIONEER MEDICAL ASSOCIATES PC WARREN MI INTERNAL MEDICINE 23 24 $19,200 $800 25.3% (586) 573-5890
21 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 23 $15,065 $655 4.3% —
22 JACKSON HOSPITAL AND CLINIC, INC MONTGOMERY AL NURSE PRACTITIONER 120 23 $20,953 $911 6.9% (334) 284-1500
23 MONTANA GASTROENTEROLOGY, PLLC MISSOULA MT GASTROENTEROLOGY 24 22 $16,671 $758 64.7% (406) 541-6844
24 JATINDER S SEKHON MD PC ROCKVILLE MD GASTROENTEROLOGY 2 22 $26,620 $1,210 12.4% (301) 417-9528
25 BLESSING HOSPITAL QUINCY MO NURSE PRACTITIONER 401 21 $37,806 $1,800 61.8% (217) 223-8400
26 ST AGNES HEALTHCARE INC BALTIMORE NY PHYSICIAN ASSISTANT 277 20 $35,000 $1,750 6.0% (667) 234-6000
27 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 20 $41,767 $2,088 24.4% (206) 223-6600
28 GASTROENTEROLOGY AND NUTRITION OF CENTRAL FLORIDA LLC LEESBURG FL GASTROENTEROLOGY 6 20 $30,000 $1,500 3.8% (352) 315-4111
29 RCCH TRIOS HEALTH LLC KENNEWICK WA NURSE PRACTITIONER 66 20 $19,880 $994 24.4% —
30 KESAR FAMILY PLLC SAN ANTONIO TX NURSE PRACTITIONER 4 18 $14,400 $800 7.4% (210) 405-3410
31 PRINCETON MEDICAL GROUP,P.A. PRINCETON NJ INTERNAL MEDICINE 36 18 $32,580 $1,810 32.7% (609) 924-9300
32 ACCESS HEALTH CARE PHYSICIANS LLC SPRING HILL FL NURSE PRACTITIONER 179 18 $22,608 $1,256 3.4% (352) 688-8116
33 UNIVERSITY OF MARYLAND PHYSICIANS PA BALTIMORE MD NURSE PRACTITIONER 396 18 $24,047 $1,336 10.1% (410) 328-7877
34 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE AR NURSE PRACTITIONER 241 17 $17,000 $1,000 29.3% (479) 571-4338
35 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 17 $34,950 $2,056 100.0% (701) 234-2000
36 NORTHWEST HOUSTON GASTROENTEROLOGY PA HOUSTON TX PHYSICIAN ASSISTANT 10 17 $32,300 $1,900 7.0% (832) 632-4070
37 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 17 $31,680 $1,864 3.2% (305) 913-0666
38 SOUTHWEST MEDICAL CONSULTANTS SC OAK LAWN IL GASTROENTEROLOGY 2 16 $15,360 $960 10.3% (708) 636-1818
39 GASTRO CARE INSTITUTE LANCASTER CA GASTROENTEROLOGY 12 16 $9,248 $578 1.7% (661) 529-7550
40 KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY NURSE PRACTITIONER 392 16 $11,744 $734 55.2% (606) 325-6888
41 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY NC PHYSICIAN ASSISTANT 559 16 $35,968 $2,248 37.2% (605) 755-7200
42 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 16 $33,792 $2,112 25.8% —
43 DIGESTIVE DISEASE CONSULTANTS OF ORANGE COUNTY INC IRVINE CA PHYSICIAN ASSISTANT 14 15 $20,250 $1,350 1.6% (949) 612-9090
44 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 15 $34,785 $2,319 4.5% —
45 ST BERNARDS PHYSICIAN CLINICS INC JONESBORO AR NURSE PRACTITIONER 206 15 $24,525 $1,635 25.9% (870) 972-8181
46 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 15 $7,950 $530 21.1% (219) 836-4563
47 ISLANDWIDE GASTROENTEROLOGY PC GARDEN CITY NY GASTROENTEROLOGY 4 15 $5,535 $369 4.5% (516) 222-0067
48 MONTEREY BAY GI CONSULTANTS MEDICAL GROUP INC MONTEREY CA GASTROENTEROLOGY 21 15 $19,080 $1,272 1.6% (831) 375-3577
49 NCHMD INC NAPLES FL NEUROLOGY 515 14 $17,794 $1,271 2.6% (239) 436-5100
50 SOMC MEDICAL CARE FOUNDATION, INC. PORTSMOUTH OH NURSE PRACTITIONER 349 14 $16,240 $1,160 16.9% (740) 356-7290
51 MUSC COMMUNITY PHYSICIANS ORANGEBURG WV NURSE PRACTITIONER 1307 14 $28,058 $2,004 34.1% (803) 395-3400
52 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 14 $8,862 $633 2.6% (727) 725-5060
53 TRICITY COLO-RECTAL SURGERY LTD GILBERT AZ COLORECTAL SURGERY (PROCTOLOGY) 4 14 $12,348 $882 36.8% (480) 835-5302
54 MONTEFIORE NEW ROCHELLE HOSPITAL NEW ROCHELLE NY INTERNAL MEDICINE 64 14 $86,730 $6,195 4.2% (914) 365-4065
55 DIGESTIVE CARE PL BRANDON FL GASTROENTEROLOGY 2 13 $17,026 $1,310 2.4% (813) 685-5100
56 BLOOMINGTON MEDICAL SERVICES LLC WOOSTER OH PHYSICIAN ASSISTANT 98 13 $6,058 $466 15.7% —
57 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 13 $11,700 $900 1.4% —
58 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 13 $32,240 $2,480 3.9% (631) 628-5000
59 COOKEVILLE REGIONAL MEDICAL GROUP INC COOKEVILLE TN NURSE PRACTITIONER 54 13 $15,600 $1,200 14.8% (931) 783-2143
60 GENESIS HEALTH SYSTEM DAVENPORT IA NURSE PRACTITIONER 265 13 $30,368 $2,336 52.0% (563) 421-1000
61 UCM MEDICAL GROUP SUB LLC HARVEY IL FAMILY PRACTICE 99 13 $29,407 $2,262 8.4% (708) 333-2300
62 THE QUEENS MEDICAL CENTER HONOLULU HI NURSE PRACTITIONER 190 13 $13,884 $1,068 52.0% —
63 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 13 $14,144 $1,088 5.3% —
64 PHYSICIAN GROUPS LC SAINT LOUIS MO NURSE PRACTITIONER 516 13 $14,612 $1,124 38.2% (314) 273-0195
65 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 13 $15,431 $1,187 23.6% (843) 652-8450
66 JOSE L. LANTIN, MD, PC YONKERS NY GASTROENTEROLOGY 4 13 $13,000 $1,000 3.9% (914) 375-2300
67 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE DC PHYSICIAN ASSISTANT 386 13 $24,440 $1,880 100.0% —
68 TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC CRESTVIEW HILLS KY GASTROENTEROLOGY 18 13 $11,050 $850 44.8% (859) 341-3575
69 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY KS PHYSICIAN ASSISTANT 435 12 $8,472 $706 100.0% —
70 ARIZONA GASTROINTESTINAL ASSOCIATES PLC SCOTTSDALE AZ GASTROENTEROLOGY 35 12 $11,100 $925 31.6% (480) 219-6662
71 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 12 $22,218 $1,852 11.2% (570) 888-5858
72 BLUEFIELD GASTROENTEROLOGY PLLC PRINCETON WV NURSE PRACTITIONER 6 12 $10,200 $850 29.3% 30442572431105
73 DIGESTIVE DISEASES ASSOCIATES OF TAMPA BAY LLC BRANDON FL INTERNAL MEDICINE 5 12 $7,356 $613 2.3% (813) 653-3359
74 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 12 $10,768 $897 4.9% (806) 358-0200
75 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK LUBBOCK TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 374 12 $18,696 $1,558 4.9% (806) 743-2800
76 G I ASSOCIATES OF WEST ALABAMA PC TUSCALOOSA AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 22 12 $13,464 $1,122 3.6% (205) 759-2920
77 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 12 $25,692 $2,141 7.7% —
78 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND NY PHYSICIAN ASSISTANT 1634 12 $9,396 $783 3.6% (407) 200-2700
79 DIGESTIVE DISEASES CENTER OF FLORIDA PLLC PANAMA CITY FL NURSE PRACTITIONER 17 12 $14,100 $1,175 2.3% (850) 763-5409
80 OLYMPIC MEDICAL PHYSICIANS PORT ANGELES WA PHYSICIAN ASSISTANT 100 11 $7,807 $710 13.4% (360) 565-0999
81 FOUNDATION MEDICAL PARTNERS INC NASHUA NH PHYSICIAN ASSISTANT 304 11 $11,440 $1,040 100.0% (603) 577-2045
82 DIGESTIVE AND LIVER DISEASE SPECIALISTS A MEDICAL GROUP INC ANAHEIM CA GASTROENTEROLOGY 3 11 $14,200 $1,291 1.2% (714) 758-0403
83 CENTRAL CALIFORNIA FACULTY MEDICAL GROUP INC FRESNO CA EMERGENCY MEDICINE 252 11 $11,375 $1,034 1.2% (559) 459-6000
84 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 11 $11,242 $1,022 20.0% —
85 BERKSHIRE FACULTY SERVICES INC PITTSFIELD VA PHYSICIAN ASSISTANT 276 11 $10,450 $950 17.7% (413) 447-2695
86 NORTH VALLEY G.I. CONSULTANTS SIMI VALLEY CA GASTROENTEROLOGY 2 11 $10,450 $950 1.2% (805) 526-6016
87 DIGESTIVE DISEASE CARE, PC RICHMOND HILL NY GASTROENTEROLOGY 37 11 $15,400 $1,400 3.3% (516) 750-8000
88 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 11 $21,640 $1,967 15.5% (765) 962-8551
89 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 11 $18,305 $1,664 10.3% (570) 271-6144
90 NEW YORK QUEENS MEDICINE AND SURGERY, P.C. FLUSHING NY PHYSICIAN ASSISTANT 408 11 $31,889 $2,899 3.3% (718) 670-2468
91 SCOPE MEDICAL GROUP PLLC BLOOMFIELD TOWNSHIP MI GASTROENTEROLOGY 2 11 $5,008 $455 11.6% —
92 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 11 $8,881 $807 20.8% (508) 771-1800
93 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 11 $35,607 $3,237 3.3% —
94 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 11 $26,103 $2,373 4.5% (903) 606-5560
95 GALEN MEDICAL GROUP, PC CHATTANOOGA TN NURSE PRACTITIONER 123 11 $27,094 $2,463 12.5% (423) 643-2500
96 UPMC COMMUNITY MEDICINE INC PITTSBURGH PA FAMILY PRACTICE 749 11 $11,341 $1,031 10.3% (412) 281-0322
97 HEALTHONE CLINIC SERVICES - MEDICAL SPECIALTIES LLC DENVER AL PHYSICIAN ASSISTANT 19 11 $18,766 $1,706 3.3% (303) 329-7876
98 PROFESSIONAL GASTROENTEROLOGY AND NUTRITION ASSOCIATES, P.A. LEESBURG FL GASTROENTEROLOGY 6 11 $16,500 $1,500 2.1% —
99 PIEDMONT COLORECTAL ASSOCIATES, PC ATLANTA GA COLORECTAL SURGERY (PROCTOLOGY) 7 11 $10,835 $985 40.7% (404) 351-7900
100 BARNABAS HEALTH MULTISPECIALTY WEST ORANGE NJ GASTROENTEROLOGY 21 11 $54,846 $4,986 20.0% (973) 731-4600

*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 →