NEVVI Medicare utilization intelligence
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Market snapshot

46500 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

46500 — Injection of hemorrhoid

Billing groups
35
Named-group FFS services
5,229
FFS of Medicare
49%
Services YoY
+4.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,263 services

5,229 observed fee-for-service (46%) · ~6,034 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 — 46500 (CY2024)

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

Named-group submitted charges
$3.7M
Named-group allowed amount
$1.6M
Named-group Medicare payments
$1.3M
Avg charge / svc
$708
Avg allowed / svc
$315
Avg payment / svc
$242
Average charge per group
$226 35 groups · avg submitted charge / service $1,888
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 46500 services, CY2024
#Physician group City St Specialty Providers 46500 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SALEEBY AND WESSELS MDS PA RALEIGH NC COLORECTAL SURGERY (PROCTOLOGY) 3 1,110 $604,950 $545 premium 100.0% (919) 787-2542
2 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 986 $823,988 $836 premium 82.0% (813) 751-3375
3 COLON AND RECTAL ASSOCIATES, LTD ABINGTON PA COLORECTAL SURGERY (PROCTOLOGY) 6 775 $310,000 $400 premium 75.0% (215) 517-1250
4 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 452 $452,000 $1,000 premium 26.4% (631) 628-5000
5 JEFFREY P LAKE MD INC ENCINO CA COLORECTAL SURGERY (PROCTOLOGY) 4 246 $123,000 $500 premium 4.2% (818) 387-8725
6 SAN FRANCISCO SURGICAL SAN FRANCISCO CA GENERAL SURGERY 5 176 $80,960 $460 premium 3.0% (415) 213-7971
7 GARDEN CITY COLON AND RECTAL SURGICAL PRACTICE PC GARDEN CITY NY COLORECTAL SURGERY (PROCTOLOGY) 3 161 $78,808 $489 premium 9.4% (516) 248-7733
8 NEWMAN MEMORIAL HOSPITAL, INC SHATTUCK ME FAMILY PRACTICE 22 120 $69,600 $580 premium 100.0%
9 JEFFREY P LAKE MD INC ENCINO NY COLORECTAL SURGERY (PROCTOLOGY) 4 98 $49,000 $500 premium 5.7% (818) 387-8725
10 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 90 $169,246 $1,881 premium 1.5% (415) 476-1000
11 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 89 $142,845 $1,605 premium 5.2% (914) 241-1050
12 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 80 $56,080 $701 premium 1.4%
13 ANNAPOLIS COLON AND RECTAL SURGEONS LLC ANNAPOLIS CA COLORECTAL SURGERY (PROCTOLOGY) 2 80 $40,000 $500 premium 1.4% (410) 573-1699
14 MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC JACKSONVILLE FL PSYCHIATRY 50 71 $58,378 $822 premium 5.9% (904) 725-0200
15 GENERAL PHYSICIAN PC BUFFALO NY PHYSICIAN ASSISTANT 462 66 $26,400 $400 premium 3.9% (716) 884-3000
16 SURGONE PC DENVER CO GENERAL SURGERY 40 53 $43,000 $811 premium 30.8% (303) 377-6401
17 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 52 $34,060 $655 premium 5.0%
18 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 45 $56,407 $1,253 premium 3.7% (561) 955-7100
19 PECONIC BAY PRIMARY MEDICAL CARE RIVERHEAD NY PHYSICIAN ASSISTANT 71 44 $42,944 $976 premium 2.6% (631) 727-1600
20 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 44 $43,560 $990 premium 51.8% (410) 337-4877
21 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 42 $56,154 $1,337 premium 100.0% (203) 739-7118
22 VLADIMIR ZELENKO MD PC MONROE NY PHYSICIAN ASSISTANT 11 40 $75,528 $1,888 premium 2.3% (845) 782-0000
23 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 30 $32,370 $1,079 premium 39.0% (503) 239-6673
24 OPTUM MEDICAL CARE PC MOUNT KISCO MA INTERNAL MEDICINE 1040 26 $41,730 $1,605 premium 100.0% (914) 241-1050
25 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 25 $21,403 $856 premium 64.1%
26 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 22 $27,103 $1,232 premium 100.0% (615) 612-2146
27 SAN FRANCISCO SURGICAL SAN FRANCISCO OR GENERAL SURGERY 5 22 $10,120 $460 premium 28.6% (415) 213-7971
28 MEDICAL SPECIALISTS OF THE PALM BEACHES INC ATLANTIS FL INTERNAL MEDICINE 120 22 $13,761 $626 premium 1.8% (561) 295-6962
29 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 21 $15,309 $729 premium 14.6% (973) 971-5596
30 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 20 $15,460 $773 premium 13.9% (800) 825-5391
31 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 20 $32,100 $1,605 premium 1.2%
32 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 19 $6,745 $355 premium 1.8% (717) 782-2100
33 SALINE CLINICS LLC BENTON PA PHYSICIAN ASSISTANT 24 17 $9,748 $573 premium 1.6% (501) 776-6000
34 MCALLEN GASTROENTEROLOGY CLINIC LP MCALLEN TX GASTROENTEROLOGY 2 16 $6,650 $416 premium 48.5% (956) 661-1333
35 LM PRASAD M.D S.C PARK RIDGE IL COLORECTAL SURGERY (PROCTOLOGY) 3 14 $3,164 $226 premium 35.9% (847) 759-1110
36 THAKKAR PATEL AND AVALOS MD'S LLC SEBRING FL GASTROENTEROLOGY 15 12 $6,000 $500 premium 1.0% (863) 385-5179
37 THE SURGERY GROUP OF LOS ANGELES PC Los Angeles CA COLORECTAL SURGERY (PROCTOLOGY) 3 12 $4,766 $397 premium 0.2%
38 UCLA ASSOCIATED GENERAL SURGEONS LOS ANGELES CA GENERAL SURGERY 47 11 $16,440 $1,495 premium 0.2% (310) 267-7838

*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 →