NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

45388 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

45388 — Destruction of polyp or growth of large bowel using a flexible endoscope

Billing groups
120
Named-group FFS services
6,032
FFS of Medicare
49%
Services YoY
-16.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~12,358 services

6,032 observed fee-for-service (49%) · ~6,326 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 — 45388 (CY2024)
CA 1,598 AL 1,479 FL 1,115 AR 735 NH 604

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

Named-group submitted charges
$11.0M
Named-group allowed amount
$2.9M
Named-group Medicare payments
$2.4M
Avg charge / svc
$1,826
Avg allowed / svc
$482
Avg payment / svc
$395
Average charge per group
$500 120 groups · avg submitted charge / service $9,232
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 45388 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FOUNDATION MEDICAL PARTNERS INC NASHUA NH PHYSICIAN ASSISTANT 304 604 $630,576 $1,044 100.0% (603) 577-2045
2 GARDEN CITY COLON AND RECTAL SURGICAL PRACTICE PC GARDEN CITY NY COLORECTAL SURGERY (PROCTOLOGY) 3 333 $1,510,889 $4,537 63.1% (516) 248-7733
3 MOHAMMED A ARMAN MD PC DEARBORN MI INTERNAL MEDICINE 2 292 $270,100 $925 60.5% (313) 724-9170
4 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 256 $210,688 $823 23.0% (386) 231-6000
5 HH DIGESTIVE DISEASE CENTER HUNTSVILLE AL NURSE PRACTITIONER 20 241 $196,820 $817 16.3% (256) 536-9031
6 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD PHYSICIAN ASSISTANT 386 191 $231,110 $1,210 43.7% —
7 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 186 $195,300 $1,050 25.3% (501) 562-4838
8 YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC PRESCOTT AZ NURSE PRACTITIONER 120 179 $97,130 $543 37.5% (928) 771-3704
9 ALABAMA COLON AND GASTRO PC HUNTISVILLE AL NURSE PRACTITIONER 7 157 $408,315 $2,601 10.6% (256) 261-2826
10 THE CENTER FOR COLON AND DIGESTIVE DISEASE P C HUNTSVILLE AL NURSE PRACTITIONER 14 151 $137,274 $909 10.2% (256) 533-6488
11 CLINIC FOR COLON AND RECTAL SURGERY, P.A. HUNTSVILLE AL COLORECTAL SURGERY (PROCTOLOGY) 5 133 $122,390 $920 9.0% (256) 533-6070
12 GASTRO-INTESTINAL CONSULTANTS OF CENTRAL FLORIDA, LLC TAVARES FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 2 112 $335,831 $2,998 10.0% (352) 383-7703
13 KENNETH H. TOZER II, MD MILAN TN FAMILY PRACTICE 2 108 $69,012 $639 48.6% (731) 686-7004
14 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 92 $71,933 $782 5.8% (714) 871-3006
15 OM P. CHAURASIA, MD, INC. MISSION VIEJO CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 7 88 $142,560 $1,620 5.5% (949) 365-8836
16 CENTRAL ARKANSAS GASTROENTEROLOGY CLINIC, PA LITTLE ROCK AR GASTROENTEROLOGY 2 82 $451,000 $5,500 11.2% (501) 664-7200
17 ASANTE PHYSICIAN PARTNERS GRANTS PASS OR NURSE PRACTITIONER 221 78 $62,990 $808 27.4% (541) 507-2290
18 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 76 $44,384 $584 28.7% (502) 928-1050
19 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 75 $141,300 $1,884 4.7% —
20 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 70 $85,740 $1,225 4.4% (310) 534-8400
21 NATIONAL PARK GI SERVICES LLC HOT SPRINGS AR GASTROENTEROLOGY 5 68 $81,600 $1,200 9.3% (501) 623-7800
22 ARIZONA GASTROINTESTINAL ASSOCIATES PLC SCOTTSDALE AZ GASTROENTEROLOGY 35 68 $44,948 $661 14.3% (480) 219-6662
23 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 64 $82,846 $1,294 46.0% (417) 347-8200
24 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND WA PHYSICIAN ASSISTANT 588 64 $45,184 $706 37.6% —
25 TEXAS GASTRO CONSULTANTS PA TOMBALL TX GASTROENTEROLOGY 5 64 $74,240 $1,160 16.1% (281) 351-6464
26 DAVID YAMINI MD INC SANTA MONICA CA GASTROENTEROLOGY 2 63 $352,800 $5,600 3.9% (310) 285-3005
27 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 60 $168,900 $2,815 22.6% (252) 634-3278
28 RAJA M DIN MD PLLC GREENBELT MD GASTROENTEROLOGY 2 56 $54,936 $981 12.8% 3015652250109
29 FMC MEDICAL CLINIC - FAYETTE LLC FAYETTE AL NURSE PRACTITIONER 6 56 $42,000 $750 3.8% (205) 932-5966
30 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 54 $41,326 $765 13.6% (210) 593-5700
31 DAVID W. RITTER, MD PA GREENVILLE TX GENERAL SURGERY 5 54 $135,270 $2,505 13.6% (972) 412-7700
32 THE MONROE CLINIC, INC. MONROE WI NURSE PRACTITIONER 197 54 $210,816 $3,904 60.7% (608) 324-2000
33 BEAR CREEK SURGERY PA, PC ASHLAND OR PHYSICIAN ASSISTANT 2 54 $79,164 $1,466 18.9% (541) 488-4464
34 SONORA COMMUNITY HOSPITAL SONORA CA PHYSICIAN ASSISTANT 139 52 $378,535 $7,280 3.3% —
35 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 44 $242,684 $5,516 2.8% (415) 600-1020
36 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 42 $47,964 $1,142 2.6% (559) 583-4695
37 GRADY MEMORIAL HOSPITAL CHICKASHA OK EMERGENCY MEDICINE 48 42 $46,452 $1,106 100.0% (405) 224-2300
38 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 41 $99,548 $2,428 2.6% (916) 681-8852
39 DECATUR DIGESTIVE DISEASES PC DECATUR AL GASTROENTEROLOGY 6 40 $52,000 $1,300 2.7% (256) 351-2116
40 RAJIV BANSAL MD PC NEW HYDE PARK NY ANESTHESIOLOGY 3 40 $360,000 $9,000 7.6% (516) 437-6900
41 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 40 $25,280 $632 3.6% —
42 HARRISBURG GASTROENTEROLOGY, LTD. HARRISBURG PA GASTROENTEROLOGY 10 38 $33,250 $875 34.2% (717) 545-9811
43 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 37 $53,400 $1,443 24.3% (440) 333-3332
44 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 34 $24,038 $707 7.1% (623) 832-4000
45 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 34 $27,812 $818 20.0% —
46 GRAHAM HOSPITAL ASSOCIATION CANTON IL NURSE PRACTITIONER 123 32 $18,153 $567 36.8% (309) 647-0201
47 MARSHALL MEDICAL CENTER SOUTH MEDICAL SPECIALISTS OF NORTH ALABAMA GUNTERSVILLE AL GASTROENTEROLOGY 5 29 $27,550 $950 2.0% (256) 571-8810
48 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 28 $55,384 $1,978 1.8% (714) 456-7002
49 PROVIDENCE HEALTH AND SERVICES WASHINGTON OLYMPIA WA FAMILY PRACTICE 477 28 $22,904 $818 16.5% (360) 493-4083
50 COMMONSPIRIT KANSAS INC GARDEN CITY KS NURSE PRACTITIONER 74 28 $19,771 $706 30.8% (620) 272-2222
51 GI ASSOCIATES OF DELAWARE PA DOVER DE PATHOLOGY 4 27 $35,900 $1,330 50.0% (302) 678-5008
52 SURGICAL INSTITUTE OF SOUTH DAKOTA PC SIOUX FALLS SD GENERAL SURGERY 23 26 $54,470 $2,095 65.0% (605) 334-0393
53 CRESTWOOD PHYSICIAN SERVICES, LLC HUNTSVILLE AL FAMILY PRACTICE 37 26 $18,524 $712 1.8% (256) 882-3100
54 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 26 $75,972 $2,922 9.8% (252) 635-6777
55 NATCHEZ MEDICAL ASSOCIATES, LLC DICKSON TN NURSE PRACTITIONER 5 25 $34,355 $1,374 11.3% (615) 441-4503
56 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 24 $44,836 $1,868 11.4% (843) 777-2000
57 SHOALS HEALTH GROUP LLC MUSCLE SHOALS AL PSYCHIATRY 12 23 $21,850 $950 1.6% (256) 629-1062
58 OUTER BANKS PROFESSIONAL SERVICES, LLC NAGS HEAD VA PHYSICIAN ASSISTANT 155 23 $30,751 $1,337 11.3% —
59 MERCY CLINIC GASTROENTEROLOGY LLC SAINT LOUIS MO GASTROENTEROLOGY 64 22 $23,980 $1,090 15.8% (314) 251-2880
60 GASTROINTESTINAL CARE OF LONG ISLAND PLLC MASSAPEQUA NY GASTROENTEROLOGY 154 22 $176,836 $8,038 4.2% (516) 795-5523
61 AUSTIN GASTROENTEROLOGY PLLC AUSTIN TX GASTROENTEROLOGY 80 21 $26,481 $1,261 5.3% (512) 454-4588
62 DR PROSPER ABITBOL PA BOCA RATON FL GASTROENTEROLOGY 2 21 $10,500 $500 1.9% (561) 955-7100
63 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 21 $193,872 $9,232 10.3% —
64 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 20 $178,820 $8,941 5.0% (903) 606-5560
65 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 20 $174,910 $8,746 23.0% —
66 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 19 $11,588 $610 20.9% (316) 263-0296
67 EAST CAROLINA GASTROENTEROLOGY PA JACKSONVILLE NC PATHOLOGY 2 19 $21,150 $1,113 7.2% (910) 353-6158
68 MEDICAL SPECIALISTS OF THE PALM BEACHES INC ATLANTIS FL INTERNAL MEDICINE 120 19 $10,507 $553 1.7% (561) 295-6962
69 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 18 $21,600 $1,200 1.1% (916) 983-7476
70 M HAITHAM AL-MIDANI MD PC BURTON MI GASTROENTEROLOGY 3 18 $59,464 $3,304 3.7% (810) 743-0680
71 CHRIS DEMETRIOU MD PC GARDEN CITY NY GASTROENTEROLOGY 6 18 $72,000 $4,000 3.4% 5166503355109
72 SHC MEDICAL CENTER TOPPENISH TOPPENISH WA NURSE PRACTITIONER 42 18 $21,600 $1,200 10.6% (509) 865-3105
73 WEST CENTRAL GASTROENTEROLOGY LLP CLEARWATER FL GASTROENTEROLOGY 83 18 $125,712 $6,984 1.6% (727) 347-0005
74 LI GASTROENTEROLOGY ENDOSCOPY PC GREENVALE NY ANESTHESIOLOGY 6 18 $117,000 $6,500 3.4% (516) 636-5010
75 COLON - RECTAL SURGERY ASSOCIATES PC AIKEN SC COLORECTAL SURGERY (PROCTOLOGY) 2 16 $30,401 $1,900 7.6% (803) 648-1171
76 KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY NURSE PRACTITIONER 392 16 $12,288 $768 6.0% (606) 325-6888
77 AMG-SOUTHERN TENNESSEE LLC WINCHESTER TN NURSE PRACTITIONER 52 16 $8,192 $512 7.2% (931) 967-3966
78 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 16 $22,000 $1,375 17.6% (785) 354-9591
79 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 16 $13,920 $870 1.4% (850) 416-2400
80 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS LA GASTROENTEROLOGY 613 16 $18,288 $1,143 12.5% —
81 COMPREHENSIVE GI SOLUTIONS PLLC FARMINGTON HILLS MI GASTROENTEROLOGY 12 16 $13,600 $850 3.3% (248) 557-9650
82 BAXTER COUNTY REGIONAL HOSPITAL INC MOUNTAIN HOME AR NURSE PRACTITIONER 88 16 $15,840 $990 2.2% (870) 421-6023
83 DIGESTIVE DISEASE CARE, PC RICHMOND HILL NY GASTROENTEROLOGY 37 15 $65,779 $4,385 2.8% (516) 750-8000
84 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY KS NURSE PRACTITIONER 1228 15 $28,870 $1,925 16.5% —
85 SAINT FRANCIS PHYSICIAN NETWORK, LLC MEMPHIS TN PHYSICIAN ASSISTANT 75 15 $14,925 $995 6.8% (901) 680-9205
86 PALMETTO GASTROENTEROLOGY AND HEPATOLOGY PA AIKEN SC PHYSICIAN ASSISTANT 4 15 $27,000 $1,800 7.1% (803) 226-9786
87 PRAIRIE LAKES HEALTH CARE SYSTEM INC WATERTOWN SD PHYSICIAN ASSISTANT 126 14 $23,926 $1,709 35.0% (605) 882-4743
88 ABBEVILLE COUNTY MEMORIAL HOSPITAL ABBEVILLE SC NURSE PRACTITIONER 33 14 $18,564 $1,326 6.6% —
89 CONWAY HOSPITAL INC CONWAY SC PHYSICIAN ASSISTANT 124 14 $9,872 $705 6.6% (843) 347-8041
90 PEYTON P BEROOKIM MD INC BEVERLY HILLS CA GASTROENTEROLOGY 2 14 $75,000 $5,357 0.9% (310) 271-1122
91 LEWIS GALE PHYSICIANS LLC SALEM VA PHYSICIAN ASSISTANT 196 14 $20,670 $1,476 6.9% —
92 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 14 $10,803 $772 8.2% (253) 428-2200
93 ARCH HEALTH PARTNERS INC POWAY CA PHYSICIAN ASSISTANT 161 13 $47,764 $3,674 0.8% (858) 485-0050
94 ADIRONDACK MEDICAL CENTER SARANAC LAKE NY PHYSICIAN ASSISTANT 83 13 $13,468 $1,036 2.5% (518) 897-2981
95 GI ENDOSCOPY PRACTICE LLC RIVERDALE NJ GASTROENTEROLOGY 2 13 $58,500 $4,500 4.0% (973) 248-1550
96 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 13 $10,517 $809 52.0% —
97 ARIEL MALAMUD A MEDICAL CORPORATION LOS ANGELES CA GASTROENTEROLOGY 2 13 $31,573 $2,429 0.8% (213) 440-2040
98 MOUNT CARMEL HEALTHPROVIDERS TWO LLC COLUMBUS OH NURSE PRACTITIONER 235 13 $7,981 $614 8.6% (614) 234-6000
99 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 13 $31,998 $2,461 6.2% (803) 395-3400
100 GASTROENTEROLOGY ASSOCIATES PA LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 29 13 $14,859 $1,143 1.8% (501) 664-6980

Showing the top 100 of 120 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 →