NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery CPT · Procedure
Classification Procedure › Digestive/Gastrointestinal › Colonoscopy - Lesion Removal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 40,459 services ▼ 15.1% YoY · 40,178 beneficiaries (CY2024, Medicare FFS)
Medicare paid $9.1M · $225.79 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
315
Named-group FFS services
20,022
FFS of Medicare
49%
Services YoY
-15.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~40,098 services

20,022 observed fee-for-service (50%) · ~20,076 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 — 45384 (CY2024)
CA 4,487 FL 4,409 TX 3,355 GA 2,334 IL 2,064

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

Named-group submitted charges
$26.1M
Named-group allowed amount
$3.7M
Named-group Medicare payments
$3.0M
Avg charge / svc
$1,301
Avg allowed / svc
$185
Avg payment / svc
$150
Average charge per group
$130 315 groups · avg submitted charge / service $5,313
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 45384 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 DIGESTIVE HEALTHCARE OF GEORGIA ATLANTA GA GASTROENTEROLOGY 34 825 $944,877 $1,145 35.3% 40460335431516
2 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 727 $1,111,769 $1,529 21.7% —
3 SOUTHERN ILLINOIS GI SPECIALISTS LLC CARBONDALE IL GASTROENTEROLOGY 4 540 $729,000 $1,350 26.2% (618) 549-8006
4 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 377 $380,770 $1,010 8.6% (850) 474-8000
5 ALLIED DIGESTIVE HEALTH LLC BRICK NJ GASTROENTEROLOGY 274 377 $635,844 $1,687 20.2% (732) 458-8300
6 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 249 $363,789 $1,461 5.5% (562) 698-0811
7 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 240 $240,000 $1,000 16.2% —
8 NATIONAL PARK GI SERVICES LLC HOT SPRINGS AR GASTROENTEROLOGY 5 238 $238,000 $1,000 17.8% (501) 623-7800
9 CITY OF BROOKINGS BROOKINGS SD NURSE PRACTITIONER 119 232 $30,049 $130 36.1% (605) 692-6351
10 HENDRICK PROVIDER NETWORK ABILENE TX PHYSICIAN ASSISTANT 249 225 $313,425 $1,393 6.7% (325) 672-4372
11 GASTROINTESTINAL SPECIALISTS LLC RICHMOND VA UROLOGY 64 214 $243,375 $1,137 17.7% (804) 285-8206
12 LYNCH SURGICAL GROUP PC TERRE HAUTE IN GENERAL SURGERY 8 213 $300,969 $1,413 34.5% (812) 232-1123
13 GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION MONROE LA GASTROENTEROLOGY 13 201 $193,965 $965 21.1% (318) 325-2634
14 MPV NEW JERSEY MD SERVICES PC NUTLEY NJ INTERNAL MEDICINE 142 193 $294,946 $1,528 10.3% (973) 661-1900
15 NORTH ARKANSAS REGIONAL MEDICAL CENTER HARRISON AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 83 192 $166,103 $865 14.3% (870) 414-4000
16 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD PHYSICIAN ASSISTANT 386 191 $305,600 $1,600 12.9% —
17 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 190 $222,110 $1,169 38.9% (314) 645-6450
18 PREMIER MEDICAL GROUP, LLC BLOOMINGTON IL NURSE PRACTITIONER 10 189 $609,188 $3,223 9.2% (309) 663-9424
19 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 186 $988,218 $5,313 11.3% (212) 263-9700
20 HOOD MEDICAL GROUP GRANBURY TX FAMILY PRACTICE 54 183 $269,925 $1,475 5.5% (817) 578-8904
21 DAYTON GASTROENTEROLOGY, LLC DAYTON OH GASTROENTEROLOGY 75 182 $229,640 $1,262 12.7% (937) 320-5050
22 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 168 $124,964 $744 7.2% —
23 ADIRONDACK MEDICAL CENTER SARANAC LAKE NY PHYSICIAN ASSISTANT 83 162 $163,134 $1,007 9.9% (518) 897-2981
24 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN MS GASTROENTEROLOGY 154 161 $192,286 $1,194 19.9% (901) 755-9110
25 WEST TENNESSEE MEDICAL GROUP INC JACKSON TN NURSE PRACTITIONER 189 157 $182,356 $1,162 10.8% —
26 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 156 $251,628 $1,613 3.5% —
27 CALIFORNIA CARDIOVASCULAR CONSULTANTS FREMONT CA INTERNAL MEDICINE 29 153 $229,500 $1,500 3.4% (510) 796-0222
28 GASTROINTESTINAL CARE OF LONG ISLAND PLLC MASSAPEQUA NY GASTROENTEROLOGY 154 153 $285,540 $1,866 9.3% (516) 795-5523
29 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 153 $130,968 $856 15.5% (316) 263-0296
30 VALLEYCARE GASTROENTEROLOGY MEDICAL GROUP INC PLEASANTON CA GASTROENTEROLOGY 2 149 $178,800 $1,200 3.3% (925) 460-8167
31 UCM MEDICAL GROUP SUB LLC HARVEY IL FAMILY PRACTICE 99 135 $224,115 $1,660 6.5% (708) 333-2300
32 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 134 $149,410 $1,115 24.4% (918) 502-4720
33 CHRIS DEMETRIOU MD PC GARDEN CITY NY GASTROENTEROLOGY 6 129 $258,000 $2,000 7.9% 5166503355109
34 TRIANGLE GASTROENTEROLOGY PLLC RALEIGH NC GASTROENTEROLOGY 3 128 $158,095 $1,235 18.7% (919) 881-9999
35 MERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC DEFIANCE OH NURSE PRACTITIONER 87 123 $54,612 $444 8.6% (419) 784-1414
36 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 120 $122,160 $1,018 8.4% (419) 423-5492
37 CAMC GREENBRIER VALLEY MEDICAL CENTER INC RONCEVERTE WV PHYSICIAN ASSISTANT 78 120 $88,128 $734 44.4% —
38 MAGNOLIA REGIONAL HEALTH CENTER CORINTH MS CARDIOVASCULAR DISEASE (CARDIOLOGY) 15 118 $138,987 $1,178 14.5% (662) 293-1000
39 COLORECTAL ASSOCIATES HONOLULU HI COLORECTAL SURGERY (PROCTOLOGY) 2 118 $174,901 $1,482 16.5% (808) 524-1856
40 USA HEALTH COMMUNITY PROVIDERS LLC MOBILE AL NURSE PRACTITIONER 106 118 $151,427 $1,283 8.8% (251) 266-3580
41 JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY ALTUS OK NURSE PRACTITIONER 47 117 $174,810 $1,494 21.3% (580) 379-6650
42 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 116 $229,424 $1,978 16.1% (803) 395-3400
43 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 114 $177,862 $1,560 2.5% (949) 791-3370
44 GARDEN CITY COLON AND RECTAL SURGICAL PRACTICE PC GARDEN CITY NY COLORECTAL SURGERY (PROCTOLOGY) 3 113 $87,455 $774 6.9% (516) 248-7733
45 COOKEVILLE REGIONAL MEDICAL GROUP INC COOKEVILLE TN NURSE PRACTITIONER 54 112 $84,000 $750 7.7% (931) 783-2143
46 FORT HEALTHCARE INC FORT ATKINSON WI OBSTETRICS/GYNECOLOGY 161 109 $436,327 $4,003 14.4% (920) 563-5500
47 7 HILL GASTROENTEROLOGY P A OCALA FL GASTROENTEROLOGY 5 108 $63,288 $586 2.4% (352) 401-1919
48 GASTROENTEROLOGY SPECIALISTS, INC. TULSA OK GASTROENTEROLOGY 23 108 $91,800 $850 19.6% (918) 940-8900
49 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 107 $296,925 $2,775 5.7% (908) 273-4300
50 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS MS NURSE PRACTITIONER 549 107 $136,194 $1,273 13.2% (901) 226-3882
51 DIGESTIVE AND LIVER CENTER, PA BAY CITY TX GASTROENTEROLOGY 2 105 $309,750 $2,950 3.1% (979) 292-0033
52 JOSEPH M. DUVA MD PC RIVERHEAD NY GASTROENTEROLOGY 2 102 $142,800 $1,400 6.2% (631) 727-6122
53 JOHN F GUARINO MD PA PORT CHARLOTTE FL GENERAL SURGERY 4 102 $23,891 $234 2.3% (941) 391-5102
54 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 101 $157,156 $1,556 3.0% (713) 566-5000
55 MERCY CLINIC PITTSBURG LLC PITTSBURG KS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 43 101 $94,350 $934 10.2% (620) 235-7900
56 COVENANT MEDICAL GROUP INC KNOXVILLE TN NURSE PRACTITIONER 333 101 $77,733 $770 6.9% (865) 632-5885
57 AVERA ST LUKES ABERDEEN SD NURSE PRACTITIONER 169 100 $20,904 $209 15.6% (605) 622-5100
58 FOUNDATION MEDICAL PARTNERS INC NASHUA NH PHYSICIAN ASSISTANT 304 96 $81,312 $847 54.5% (603) 577-2045
59 ASPIRUS RIVERVIEW HOSPITAL AND CLINICS INC WISCONSIN RAPIDS WI PHYSICIAN ASSISTANT 161 92 $323,108 $3,512 12.1% (715) 423-0122
60 COLON AND RECTAL SPECIALISTS LTD MECHANICSVILLE VA COLORECTAL SURGERY (PROCTOLOGY) 10 91 $137,592 $1,512 7.5% (804) 559-3400
61 GASTRO-INTESTINAL CONSULTANTS OF CENTRAL FLORIDA, LLC TAVARES FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 2 90 $92,549 $1,028 2.0% (352) 383-7703
62 EAST TENNESSEE COLON AND RECTAL SURGICAL ASSOCIATES PC KNOXVILLE TN COLORECTAL SURGERY (PROCTOLOGY) 2 89 $99,146 $1,114 6.1% 8653929220230
63 GASTROENTEROLOGY ASSOCIATES OF NORTH-CENTRAL ALABAMA INC BIRMINGHAM AL GASTROENTEROLOGY 91 89 $133,767 $1,503 6.7% (205) 870-0256
64 SCOTLAND REGIONAL HEALTH NETWORK LAURINBURG NC HOSPITALIST 67 89 $175,775 $1,975 13.0% (910) 277-9164
65 PALMETTO GASTROENTEROLOGY AND HEPATOLOGY PA AIKEN SC PHYSICIAN ASSISTANT 4 89 $160,200 $1,800 12.4% (803) 226-9786
66 BEAVER DAM COMMUNITY HOSPITALS INC. BEAVER DAM WI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 73 88 $330,575 $3,757 11.6% (920) 887-7181
67 LIFELONG MEDICAL, P.C. BROOKLYN NY GASTROENTEROLOGY 2 88 $103,169 $1,172 5.4% (718) 645-7020
68 BLUEFIELD GASTROENTEROLOGY PLLC PRINCETON WV NURSE PRACTITIONER 6 87 $44,400 $510 32.2% 30442572431105
69 MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION MURRAY KY NURSE PRACTITIONER 82 87 $47,676 $548 18.5% —
70 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 85 $147,215 $1,732 49.7% (541) 706-7715
71 PARAMVIR S RAHAL MD INC BAKERSFIELD CA PHYSICIAN ASSISTANT 6 84 $100,800 $1,200 1.9% (661) 323-1200
72 LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN NURSE PRACTITIONER 241 84 $88,818 $1,057 13.6% (260) 434-6339
73 PARAGON CHICO MEDICAL GROUP INC CHICO CA RADIATION ONCOLOGY 10 81 $37,618 $464 1.8% (530) 691-5920
74 ALABAMA COLON AND RECTAL INSTITUTE, P.C. BIRMINGHAM AL COLORECTAL SURGERY (PROCTOLOGY) 4 80 $104,900 $1,311 6.0% (205) 458-5000
75 ASCENSION MEDICAL GROUP PROMED KALAMAZOO MI PHYSICIAN ASSISTANT 260 80 $107,280 $1,341 9.2% (269) 226-5165
76 RICHARDSON AND BAKER PC JASPER AL GENERAL SURGERY 5 80 $91,840 $1,148 6.0% (205) 221-4916
77 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 80 $349,600 $4,370 10.5% (414) 421-8400
78 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 79 $89,112 $1,128 11.6% (704) 384-8200
79 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 78 $80,964 $1,038 1.8% (239) 343-9888
80 BRYAN HOSPITAL KEARNEY KEARNEY NE PHYSICIAN ASSISTANT 112 78 $112,008 $1,436 26.9% (308) 865-2263
81 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 76 $59,280 $780 1.7% —
82 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 75 $90,750 $1,210 3.2% (404) 367-3210
83 GASTROENTEROLOGY SPECIALISTS OF FREDERICK, P.A. FREDERICK MD GASTROENTEROLOGY 3 72 $95,040 $1,320 4.9% —
84 COLUMBUS SURGICAL SPECIALISTS, LLC COLUMBUS GA GENERAL SURGERY 5 71 $143,065 $2,015 3.0% (706) 984-7400
85 NEWTON HEALTHCARE CORPORATION NEWTON KS PHYSICIAN ASSISTANT 53 71 $69,154 $974 7.2% (316) 283-2700
86 RICHMOND MULTI-SPECIALTY LLC FREDERICKSBURG VA NURSE PRACTITIONER 12 70 $60,940 $871 5.8% (540) 834-5450
87 OUR LADY OF THE ANGELS HOSPITAL INC BOGALUSA LA NURSE PRACTITIONER 75 70 $75,867 $1,084 7.4% (985) 730-6706
88 ALOMERE HEALTH ALEXANDRIA MN PHYSICIAN ASSISTANT 114 69 $98,325 $1,425 30.3% (320) 762-1511
89 LINCOLN SURGICAL ASSOCIATES, LTD. SHILOH IL GENERAL SURGERY 25 69 $82,800 $1,200 3.3% (618) 277-7400
90 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 69 $69,942 $1,014 1.6% (727) 725-5060
91 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 69 $47,955 $695 12.5% (405) 254-9690
92 CONNECTICUT GI PLLC HARTFORD CT GASTROENTEROLOGY 235 68 $86,020 $1,265 66.0% (860) 246-2571
93 AMBERWELL ATCHISON ASSOCIATION ATCHISON KS PHYSICIAN ASSISTANT 53 68 $80,017 $1,177 6.9% —
94 SAINT FRANCIS PHYSICIAN NETWORK, LLC MEMPHIS TN PHYSICIAN ASSISTANT 75 65 $57,525 $885 4.5% (901) 680-9205
95 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 63 $31,059 $493 13.4% (502) 928-1050
96 OUTER BANKS PROFESSIONAL SERVICES, LLC NAGS HEAD NC PHYSICIAN ASSISTANT 155 63 $67,158 $1,066 9.2% —
97 ADVENTIST HEALTH MENDOCINO COAST FORT BRAGG CA DIAGNOSTIC RADIOLOGY 60 62 $74,400 $1,200 1.4% (707) 961-1234
98 UNITED MEDICAL DOCTORS FALLBROOK CA GASTROENTEROLOGY 160 62 $43,400 $700 1.4% (760) 728-9560
99 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 62 $72,860 $1,175 4.3% (440) 333-3332
100 UVA COMMUNITY HEALTH MEDICAL GROUP LLC MANASSAS VA NURSE PRACTITIONER 345 61 $68,808 $1,128 5.0% (703) 396-5292

Showing the top 100 of 315 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 →