NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
45390 Removal of large bowel tissue using a flexible endoscope CPT · Procedure
Classification Procedure › Digestive/Gastrointestinal › Lower GI Endoscopy - Other (CMS RBCS)
First observed 2015
National scale 21,478 services ▲ 13.0% YoY · 21,003 beneficiaries (CY2024, Medicare FFS)
Medicare paid $10.2M · $475.85 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
320
Named-group FFS services
12,990
FFS of Medicare
49%
Services YoY
+13.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~25,775 services

12,990 observed fee-for-service (50%) · ~12,785 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 — 45390 (CY2024)
CA 4,409 FL 1,897 NJ 986 NC 973 PA 944

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

Named-group submitted charges
$17.1M
Named-group allowed amount
$4.3M
Named-group Medicare payments
$3.4M
Avg charge / svc
$1,315
Avg allowed / svc
$328
Avg payment / svc
$264
Average charge per group
$350 320 groups · avg submitted charge / service $5,400
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 45390 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 492 $556,944 $1,132 11.2% —
2 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 274 $379,685 $1,386 14.4% (904) 398-7205
3 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 212 $343,675 $1,621 4.8% (310) 825-7922
4 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 191 $179,540 $940 20.9% —
5 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 175 $315,105 $1,801 4.0% (415) 600-1020
6 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 173 $731,917 $4,231 22.2% (212) 263-9700
7 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 172 $175,124 $1,018 3.9% (714) 871-3006
8 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 170 $318,580 $1,874 17.2% (908) 273-4300
9 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 162 $338,743 $2,091 3.7% (916) 681-8852
10 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 157 $149,454 $952 21.7% —
11 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 146 $84,534 $579 31.8% (843) 652-8450
12 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 142 $273,350 $1,925 19.6% —
13 LEWIS GALE PHYSICIANS LLC SALEM VA PHYSICIAN ASSISTANT 196 140 $148,042 $1,057 16.1% —
14 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 137 $144,988 $1,058 7.2% (407) 896-1100
15 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 130 $115,830 $891 2.9% (760) 340-3911
16 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 127 $119,401 $940 17.0% (425) 339-5442
17 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 125 $115,597 $925 42.5% —
18 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 123 $217,080 $1,765 15.8% —
19 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 120 $81,600 $680 6.3% (941) 794-1980
20 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 117 $103,086 $881 19.5% (888) 484-3258
21 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 113 $281,939 $2,495 2.6% (916) 983-7476
22 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 109 $196,737 $1,805 2.5% (800) 926-8273
23 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 107 $76,719 $717 33.4% (502) 928-1050
24 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 107 $157,190 $1,469 2.4% (310) 534-8400
25 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 104 $155,792 $1,498 2.4% (714) 456-7002
26 MERCY MEDICAL CENTER CEDAR RAPIDS IA ANESTHESIOLOGY 306 101 $79,822 $790 29.8% (319) 398-6011
27 MPV NEW JERSEY MD SERVICES PC NUTLEY NJ INTERNAL MEDICINE 142 100 $122,600 $1,226 10.1% (973) 661-1900
28 GENESIS HEALTH SYSTEM DAVENPORT IA NURSE PRACTITIONER 265 96 $108,096 $1,126 28.3% (563) 421-1000
29 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 95 $89,523 $942 10.9% (434) 924-5959
30 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 95 $106,590 $1,122 11.4% (903) 606-5560
31 WILMINGTON GASTROENTEROLOGY ASSOCIATES, PA WILMINGTON NC PHYSICIAN ASSISTANT 21 94 $45,590 $485 9.7% (910) 362-1011
32 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 93 $72,075 $775 25.0% —
33 GASTROENTEROLOGY CONSULTANTS OF ROANOKE VA ANESTHESIOLOGY 16 91 $38,121 $419 10.4% —
34 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 91 $91,783 $1,009 12.2% —
35 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 89 $81,863 $920 14.9% (765) 962-8551
36 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 88 $91,653 $1,042 2.0% (626) 256-4673
37 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 85 $103,230 $1,214 9.8% —
38 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 83 $125,911 $1,517 14.4% (781) 983-9088
39 KANSAS GASTROENTEROLOGY LLC WICHITA KS PHYSICIAN ASSISTANT 20 82 $108,568 $1,324 24.9% (316) 928-8930
40 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 81 $115,625 $1,427 4.3% (305) 913-0666
41 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 80 $106,456 $1,331 1.8% (310) 423-0674
42 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 76 $74,890 $985 58.0% (701) 234-2000
43 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 75 $92,335 $1,231 1.7% (858) 455-9100
44 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 71 $190,865 $2,688 3.7% (904) 953-2000
45 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 70 $70,350 $1,005 3.7% (386) 231-6000
46 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 70 $71,190 $1,017 3.7% —
47 BOULDER VALLEY GASTROENTEROLOGY INC. LAFAYETTE CO PHYSICIAN ASSISTANT 32 65 $102,960 $1,584 17.5% (303) 604-5000
48 DIGESTIVE HEALTH PARTNERS PA ASHEVILLE NC GASTROENTEROLOGY 65 64 $160,000 $2,500 6.6% (828) 254-0881
49 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 63 $78,285 $1,243 6.9% (410) 502-4340
50 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 63 $229,887 $3,649 1.4% (650) 723-4000
51 MEDICAL ASSOCIATES OF BREVARD LLC MELBOURNE FL NURSE PRACTITIONER 82 63 $56,070 $890 3.3% (321) 622-8730
52 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 62 $79,336 $1,280 1.4% (310) 423-3277
53 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 61 $88,650 $1,453 6.3% (252) 634-3278
54 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 61 $69,235 $1,135 6.5% (215) 662-2777
55 CAROMONT MEDICAL GROUP INC GASTONIA NC NURSE PRACTITIONER 425 61 $56,975 $934 6.3% (704) 865-3848
56 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 59 $52,510 $890 7.1% (214) 599-8624
57 MONTEREY BAY GI CONSULTANTS MEDICAL GROUP INC MONTEREY CA GASTROENTEROLOGY 21 59 $91,450 $1,550 1.3% (831) 375-3577
58 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 57 $84,531 $1,483 21.0% (612) 871-1145
59 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 57 $44,118 $774 6.0% (717) 782-2100
60 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 57 $57,285 $1,005 3.0% (407) 200-2700
61 MIDWEST GASTROINTESTINAL ASSOCIATES PC OMAHA NE GASTROENTEROLOGY 53 55 $96,910 $1,762 30.6% —
62 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 55 $94,688 $1,722 9.5% —
63 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 54 $40,500 $750 7.5% (312) 563-2875
64 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 53 $39,210 $740 15.1% (913) 588-1227
65 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 53 $141,029 $2,661 19.5% (507) 284-2511
66 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 51 $95,370 $1,870 1.2% (925) 296-9720
67 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 51 $97,161 $1,905 11.1% (843) 792-1414
68 BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC. BURLINGTON MA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 257 51 $86,606 $1,698 8.8% (781) 744-8400
69 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 49 $52,080 $1,063 10.7% —
70 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 49 $61,797 $1,261 10.7% (843) 777-2000
71 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 49 $33,047 $674 5.6% —
72 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 48 $72,803 $1,517 2.5% (239) 343-9888
73 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 47 $35,250 $750 1.1% (800) 872-2273
74 ELLIOT PROFESSIONAL SERVICES MANCHESTER NH PHYSICIAN ASSISTANT 394 45 $50,790 $1,129 39.5% (603) 552-1670
75 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 45 $30,600 $680 7.5% (219) 836-4563
76 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 44 $38,280 $870 8.2% —
77 SOUTHWEST GENERAL MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 238 43 $29,025 $675 8.1% —
78 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 42 $56,871 $1,354 7.3% (561) 955-7100
79 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 42 $48,048 $1,144 4.3% —
80 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 42 $46,620 $1,110 14.9% (313) 916-2600
81 ST JOSEPHS MEDICAL GROUP PC PATERSON NJ NURSE PRACTITIONER 228 41 $46,400 $1,132 4.2% (973) 754-6331
82 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 41 $138,908 $3,388 4.2% (919) 684-8111
83 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 41 $47,541 $1,160 13.0% (770) 422-2004
84 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 41 $36,326 $886 18.6% (501) 686-8000
85 PUBLIC HOSPITAL DIST NO 1 SKAGIT MOUNT VERNON WA PHYSICIAN ASSISTANT 314 40 $28,040 $701 5.4% (360) 428-2500
86 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 40 $45,400 $1,135 4.1% (910) 296-0941
87 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 39 $36,849 $945 4.1% —
88 CHARLOTTE GASTROENTEROLOGY AND HEPATOLOGY PLLC CHARLOTTE NC GASTROENTEROLOGY 76 38 $73,367 $1,931 3.9% (704) 377-4009
89 GASTROINTESTINAL SPECIALISTS LLC RICHMOND VA UROLOGY 64 37 $54,300 $1,468 4.2% (804) 285-8206
90 BRONSON METHODIST HOSPITAL KALAMAZOO MI PHYSICIAN ASSISTANT 728 37 $37,074 $1,002 13.1% —
91 HAZEL HAWKINS MEMORIAL HOSPITAL HOLLISTER CA PHYSICIAN ASSISTANT 52 36 $49,500 $1,375 0.8% 83163726262601
92 MOHAMMED A ARMAN MD PC DEARBORN MI INTERNAL MEDICINE 2 36 $34,200 $950 12.8% (313) 724-9170
93 NORTH SHORE-LIJ MEDICAL PC MANHASSET PA PHYSICIAN ASSISTANT 6294 36 $69,120 $1,920 3.8% —
94 YUMA REGIONAL MEDICAL CENTER YUMA AZ PHYSICIAN ASSISTANT 388 36 $20,368 $566 12.2% (928) 336-1815
95 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 35 $45,496 $1,300 4.8% (847) 459-1160
96 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 35 $55,650 $1,590 4.5% (212) 746-5454
97 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 35 $42,838 $1,224 3.7% (717) 531-5638
98 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM PHYSICIAN ASSISTANT 1369 34 $23,664 $696 100.0% (505) 841-1234
99 COOKEVILLE REGIONAL MEDICAL GROUP INC COOKEVILLE TN NURSE PRACTITIONER 54 34 $30,600 $900 17.7% (931) 783-2143
100 ILLINOIS GASTROENTEROLOGY GROUP LLC ELGIN IL GASTROENTEROLOGY 114 34 $47,940 $1,410 4.7% (847) 888-1300

Showing the top 100 of 320 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 →