NEVVI Medicare utilization intelligence
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Market snapshot

46500 nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

46500 — Injection of hemorrhoid

Billing groups
37
Named-group FFS services
5,176
FFS of Medicare
49%
Services YoY
+4.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,717 services

5,176 observed fee-for-service (48%) · ~5,541 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — 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
$3.6M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.3M
Avg charge / svc
$700
Avg allowed / svc
$326
Avg payment / svc
$251
Average charge per group
$226 37 groups · avg submitted charge / service $3,065
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Specialty market — Colorectal Surgery (Proctology): 2,337 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Colorectal Surgery (Proctology) across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 46500 services, CY2023
#Physician group City St Specialty Providers 46500 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 SALEEBY AND WESSELS MDS PA RALEIGH NC COLORECTAL SURGERY (PROCTOLOGY) 3 1,208 $658,360 $545 premium 100.0% (919) 787-2542
2 COLON AND RECTAL ASSOCIATES, LTD ABINGTON PA COLORECTAL SURGERY (PROCTOLOGY) 6 558 $223,200 $400 premium 76.4% (215) 517-1250
3 GARDEN CITY COLON AND RECTAL SURGICAL PRACTICE PC GARDEN CITY NY COLORECTAL SURGERY (PROCTOLOGY) 3 186 $78,137 $420 premium 11.7% (516) 248-7733
4 JEFFREY P LAKE MD INC ENCINO CA COLORECTAL SURGERY (PROCTOLOGY) 4 166 $83,000 $500 premium 3.0% (818) 387-8725
5 ANNAPOLIS COLON AND RECTAL SURGEONS LLC ANNAPOLIS CA COLORECTAL SURGERY (PROCTOLOGY) 2 104 $52,000 $500 premium 1.9% (410) 573-1699
6 JEFFREY P LAKE MD INC ENCINO NY COLORECTAL SURGERY (PROCTOLOGY) 4 73 $36,500 $500 premium 4.6% (818) 387-8725
7 LM PRASAD M.D S.C PARK RIDGE IL COLORECTAL SURGERY (PROCTOLOGY) 3 22 $4,972 $226 premium 47.8% (847) 759-1110
8 THE SURGERY GROUP OF LOS ANGELES PC Los Angeles CA COLORECTAL SURGERY (PROCTOLOGY) 3 20 $7,943 $397 premium 0.4%

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →