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Market snapshot

46221 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

46221 — Removal of external hemorrhoids by rubber banding

Billing groups
391
Named-group FFS services
29,971
FFS of Medicare
49%
Services YoY
+1.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~60,791 services

29,971 observed fee-for-service (49%) · ~30,820 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 — 46221 (CY2024)

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

Named-group submitted charges
$25.0M
Named-group allowed amount
$8.2M
Named-group Medicare payments
$6.2M
Avg charge / svc
$834
Avg allowed / svc
$273
Avg payment / svc
$207
Average charge per group
$222 391 groups · avg submitted charge / service $2,571
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 46221 services, CY2024
#Physician group City St Specialty Providers 46221 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 727 $555,517 $764 premium 18.9%
2 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 722 $1,037,480 $1,437 premium 13.4% (310) 534-8400
3 ENDOSCOPY CENTER OF OCALA INC OCALA FL GASTROENTEROLOGY 19 695 $364,875 $525 premium 12.1% (352) 732-8905
4 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 620 $1,111,772 $1,793 premium 19.9%
5 AJ BIDANI, M.D. PA LARGO FL GASTROENTEROLOGY 2 549 $274,500 $500 premium 9.6%
6 MEDICAL SPECIALISTS OF THE PALM BEACHES INC ATLANTIS FL INTERNAL MEDICINE 120 529 $305,773 $578 premium 9.2% (561) 295-6962
7 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 508 $338,312 $666 premium 13.2%
8 GASTROENTEROLOGY ASSOCIATES OF SOUTHWEST FLORIDA LLC FORT MYERS FL GASTROENTEROLOGY 59 441 $97,902 $222 premium 7.7% (239) 275-8882
9 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 438 $678,024 $1,548 premium 14.1% (212) 241-4812
10 ARIZONA ADVANCED SURGERY LLC PHOENIX AZ GENERAL SURGERY 89 375 $315,375 $841 premium 31.2% (602) 340-0201
11 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 360 $543,240 $1,509 premium 6.7% (415) 476-1000
12 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTER PA PHYSICIAN ASSISTANT 259 350 $350,000 $1,000 premium 12.8% (717) 869-4600
13 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 346 $398,338 $1,151 premium 6.0% (561) 955-7100
14 COLON AND RECTAL ASSOCIATES, LTD ABINGTON PA COLORECTAL SURGERY (PROCTOLOGY) 6 299 $149,500 $500 premium 10.9% (215) 517-1250
15 JAY P DILIBERTO MD INC HUNTINGTON BEACH CA INTERNAL MEDICINE 2 299 $179,998 $602 premium 5.6% (714) 596-2800
16 LUBBOCK GASTROENTEROLOGY AND LIVER ASSOCIATES PLLC LUBBOCK TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 12 284 $243,956 $859 premium 7.4% (806) 696-4440
17 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 278 $207,110 $745 premium 17.7%
18 GCGA PHYSICIANS INC. CINCINNATI OH GASTROENTEROLOGY 76 274 $245,354 $895 premium 21.6% (513) 751-6667
19 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 261 $292,320 $1,120 premium 8.4% (631) 628-5000
20 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 258 $414,864 $1,608 premium 12.2% (908) 273-4300
21 MENORAH MEDICAL GROUP LLC OVERLAND PARK KS GENERAL SURGERY 22 254 $212,987 $839 premium 63.7% (913) 345-6901
22 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD PHYSICIAN ASSISTANT 386 245 $180,075 $735 premium 15.6%
23 ROBERT V JAO MD INC A HAWAII CORPORATION HONOLULU HI GASTROENTEROLOGY 2 244 $100,346 $411 premium 85.6% (808) 263-4665
24 PROFESSIONAL GASTROENTEROLOGY AND NUTRITION ASSOCIATES, P.A. LEESBURG FL GASTROENTEROLOGY 6 239 $322,650 $1,350 premium 4.2%
25 DAVID YAMINI MD INC SANTA MONICA CA GASTROENTEROLOGY 2 236 $590,000 $2,500 premium 4.4% (310) 285-3005
26 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 213 $186,375 $875 premium 36.0%
27 SPECIALTY ASSOCIATES OF WEST HOUSTON PLLC HOUSTON TX PHYSICIAN ASSISTANT 125 212 $178,393 $841 premium 5.5% (281) 461-6830
28 NORTH FULTON GENERAL SURGERY, PC ROSWELL GA COLORECTAL SURGERY (PROCTOLOGY) 2 211 $159,050 $754 premium 12.4% (770) 442-3117
29 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 205 $185,115 $903 premium 3.6% (305) 913-0666
30 SOUTHERN ILLINOIS GI SPECIALISTS LLC CARBONDALE IL GASTROENTEROLOGY 4 201 $150,750 $750 premium 13.8% (618) 549-8006
31 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 200 $100,000 $500 premium 14.8% (252) 634-3278
32 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 200 $174,987 $875 premium 3.7% (858) 455-9100
33 CAPITAL DIGESTIVE CARE LLC WASHINGTON VA GASTROENTEROLOGY 238 200 $155,000 $775 premium 16.6% (202) 296-3449
34 DIGESTIVE HEALTH SPECIALISTS LLC INDEPENDENCE MO GASTROENTEROLOGY 75 198 $155,232 $784 premium 24.4% (816) 478-4887
35 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 198 $257,598 $1,301 premium 48.8% (612) 871-1145
36 SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC. SANTA MARIA CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 23 195 $136,500 $700 premium 3.6% (805) 922-6581
37 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 191 $101,044 $529 premium 13.1%
38 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 178 $158,072 $888 premium 11.3% (301) 982-9800
39 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 172 $80,054 $465 premium 3.0%
40 DIGESTIVE HEALTH PARTNERS PA ASHEVILLE NC GASTROENTEROLOGY 65 170 $170,000 $1,000 premium 12.5% (828) 254-0881
41 SOUTHWEST GASTROENTEROLOGY ASSOCIATES ALBUQUERQUE NM GASTROENTEROLOGY 27 167 $64,510 $386 premium 66.8% (505) 999-1600
42 GASTROENTEROLOGY MEDICAL CLINIC FOLSOM CA GASTROENTEROLOGY 8 166 $71,800 $433 premium 3.1% (916) 983-4444
43 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 165 $143,220 $868 premium 9.7%
44 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 157 $91,374 $582 premium 2.7% (941) 794-1980
45 DIGESTIVE CARE OF EVANSVILLE PC NEWBURGH IN NURSE PRACTITIONER 27 153 $144,116 $942 premium 20.5% (812) 477-6103
46 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 147 $151,851 $1,033 premium 6.9% (973) 971-5596
47 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 140 $202,300 $1,445 premium 4.5% (914) 241-1050
48 ADVANCED SURGICAL CARE OF NORTHERN ILLINOIS, LTD BARRINGTON IL GENERAL SURGERY 9 136 $107,800 $793 premium 9.3% (847) 381-8161
49 PREMIER MEDICAL GROUP, LLC BLOOMINGTON IL NURSE PRACTITIONER 10 135 $257,979 $1,911 premium 9.3% (309) 663-9424
50 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 131 $66,900 $511 premium 20.9% (248) 477-0552
51 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 126 $147,995 $1,175 premium 20.3% (615) 612-2146
52 SOUTH FLORIDA SURGICAL SPECIALISTS LLC CORAL SPRINGS FL GENERAL SURGERY 92 126 $108,770 $863 premium 2.2% (954) 344-3000
53 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN MS GASTROENTEROLOGY 154 125 $115,975 $928 premium 38.7% (901) 755-9110
54 DIGESTIVE HEALTHCARE OF GEORGIA ATLANTA GA GASTROENTEROLOGY 34 121 $83,248 $688 premium 7.1% 40460335431516
55 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NY INTERNAL MEDICINE 550 117 $121,095 $1,035 premium 3.8% (201) 894-3158
56 METRO COLON AND RECTAL SURGERY PC BETHESDA MD COLORECTAL SURGERY (PROCTOLOGY) 2 116 $58,000 $500 premium 7.4% (240) 858-6764
57 MINIMALLY INVASIVE MEDICAL GROUP MISSION VIEJO CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 114 $68,650 $602 premium 2.1% (949) 333-2224
58 TRISTATE COLON AND RECTAL ASSOCIATES PC HAVERTOWN PA COLORECTAL SURGERY (PROCTOLOGY) 2 113 $45,200 $400 premium 4.1% 61044678823
59 NORTHEASTERN GASTROENTEROLOGY ASSOCIATES, PC HONESDALE PA PHYSICIAN ASSISTANT 8 112 $56,000 $500 premium 4.1% (570) 253-3391
60 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 111 $65,823 $593 premium 14.9%
61 ARIZONA COLORECTAL EXPERTS LLC CHANDLER AZ COLORECTAL SURGERY (PROCTOLOGY) 3 111 $72,594 $654 premium 9.2% (602) 844-5157
62 COLON RECTAL SURGICAL ASSOCIATES, LLC ELLICOTT CITY MD COLORECTAL SURGERY (PROCTOLOGY) 2 110 $62,974 $572 premium 7.0% (410) 730-1712
63 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 109 $46,325 $425 premium 17.4% (248) 898-5058
64 EXCELCARE MEDICAL ASSOCIATES PA TEANECK NJ NURSE PRACTITIONER 199 109 $109,000 $1,000 premium 5.2% (201) 836-7970
65 CONWAY HOSPITAL INC CONWAY SC PHYSICIAN ASSISTANT 124 107 $115,335 $1,078 premium 13.2% (843) 347-8041
66 WINCHESTER GASTROENTEROLOGY ASSOCIATES WINCHESTER VA PHYSICIAN ASSISTANT 15 107 $76,505 $715 premium 8.9% 5406671244234
67 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 105 $94,290 $898 premium 6.7% (410) 337-4877
68 ATHENS GASTROENTEROLOGY ASSOCIATION ATHENS GA GASTROENTEROLOGY 6 101 $75,800 $750 premium 5.9% (706) 613-1625
69 DIGESTIVE CARE ASSOCIATES, A MEDICAL CORPORATION SAN CARLOS CA GASTROENTEROLOGY 6 101 $50,500 $500 premium 1.9% (650) 596-8800
70 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 101 $53,025 $525 premium 7.5% (910) 295-5511
71 GASTROINTESTINAL SPECIALISTS A M C SHREVEPORT LA GASTROENTEROLOGY 35 101 $110,054 $1,090 premium 17.7% (318) 631-9121
72 GASTROENTEROLOGY ASSOCIATES KINGSPORT TN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 27 100 $58,149 $581 premium 16.1% (423) 246-6777
73 BARNABAS HEALTH MEDICAL GROUP, PC NEWARK NJ PSYCHIATRY 254 100 $127,000 $1,270 premium 4.7% (973) 926-7814
74 UTAH GASTROENTEROLOGY LLC SALT LAKE CITY UT GASTROENTEROLOGY 75 98 $76,244 $778 premium 49.7% (801) 944-3188
75 ATHENS DIGESTIVE HEALTHCARE ASSOCIATES WATKINSVILLE GA NURSE PRACTITIONER 4 98 $67,326 $687 premium 5.8% (706) 850-4985
76 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 96 $71,328 $743 premium 7.6%
77 DIGESTIVE DISEASE GROUP PA GREENWOOD SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 14 96 $38,400 $400 premium 11.8% 86422736362222
78 TRICITY COLO-RECTAL SURGERY LTD GILBERT AZ COLORECTAL SURGERY (PROCTOLOGY) 4 96 $28,624 $298 premium 8.0% (480) 835-5302
79 FAIRFAX COLON AND RECTAL SURGERY PC FAIRFAX VA COLORECTAL SURGERY (PROCTOLOGY) 12 96 $85,579 $891 premium 8.0% (703) 280-2841
80 HUNTERDON GASTROENTEROLOGY ASSOCIATES, PA FLEMINGTON NJ GASTROENTEROLOGY 12 95 $129,390 $1,362 premium 4.5% 90878864481101
81 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 93 $102,207 $1,099 premium 1.7% (415) 600-1020
82 LM PRASAD M.D S.C PARK RIDGE IL COLORECTAL SURGERY (PROCTOLOGY) 3 90 $40,554 $451 premium 6.2% (847) 759-1110
83 SAN FRANCISCO SURGICAL SAN FRANCISCO CA GENERAL SURGERY 5 89 $46,280 $520 premium 1.7% (415) 213-7971
84 CAROLINA COLORECTAL SURGERY, PC RALEIGH NC PHYSICIAN ASSISTANT 2 89 $44,500 $500 premium 6.6% (919) 784-6600
85 PRINCETON SURGICAL ASSOCIATES PA PLAINSBORO NJ GENERAL SURGERY 8 88 $81,488 $926 premium 4.2%
86 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 87 $65,685 $755 premium 2.3% (210) 614-7414
87 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE DC PHYSICIAN ASSISTANT 337 84 $71,776 $854 premium 50.6% (410) 663-8100
88 GENESIS HEALTH SYSTEM DAVENPORT IA NURSE PRACTITIONER 265 84 $66,864 $796 premium 20.8% (563) 421-1000
89 ACCESS HEALTH CARE PHYSICIANS LLC SPRING HILL FL NURSE PRACTITIONER 179 84 $42,924 $511 premium 1.5% (352) 688-8116
90 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 83 $51,310 $618 premium 3.0%
91 JEFFREY P LAKE MD INC ENCINO CA COLORECTAL SURGERY (PROCTOLOGY) 4 82 $41,000 $500 premium 1.5% (818) 387-8725
92 DIGESTIVE DISEASES CENTER OF FLORIDA PLLC PANAMA CITY FL NURSE PRACTITIONER 17 81 $48,600 $600 premium 1.4% (850) 763-5409
93 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 80 $61,360 $767 premium 6.3%
94 ST AGNES HEALTHCARE INC BALTIMORE MD PHYSICIAN ASSISTANT 277 78 $47,489 $609 premium 5.0% (667) 234-6000
95 DOMINGO E GALLIANO JR PA PORT CHARLOTTE FL COLORECTAL SURGERY (PROCTOLOGY) 3 78 $39,936 $512 premium 1.4% (941) 625-3411
96 GASTROINTESTINAL CARE OF LONG ISLAND PLLC MASSAPEQUA NY GASTROENTEROLOGY 154 78 $81,840 $1,049 premium 2.5% (516) 795-5523
97 NNM GASTROENTEROLOGY ASSOCIATES PA SANTA FE LA GASTROENTEROLOGY 12 78 $39,000 $500 premium 13.7% (505) 983-5631
98 GASTROENTEROLOGY CONSULTANTS LTD RENO NV CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 38 77 $38,500 $500 premium 14.5% (775) 329-4600
99 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 76 $62,015 $816 premium 1.3% (305) 273-4641
100 CAROLINA DIGESTIVE HEALTH ASSOCIATES PA CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 76 $60,800 $800 premium 5.6% (704) 372-7974

Showing the top 100 of 391 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 →