46600 — Diagnostic exam of anus using an endoscope
60,436 observed fee-for-service (50%) · ~60,840 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
Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market. Average submitted charge / service by billing state, among the highest-volume states; open a bar for that state's ranked market.
- Market position — where this market sits on volume and growth among all state markets, and its rank.
- Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
- Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
- National benchmarks — where each group's volume sits nationally and within its specialty.
- Market structure — how concentrated this market is, and who owns the volume.
- Medicare-wide scaling — the exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.
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 →| # | Physician group | City | St | Specialty | Providers | 46600 svcs | Submitted charges | Avg charge | Medicare $ locked column | Share* | Phone |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | TEXAS ONCOLOGY PA | DALLAS | TX | PHYSICIAN ASSISTANT | 995 | 1,914 | $522,720 | $273 | premium | 29.7% | — |
| 2 | NORTH SHORE-LIJ MEDICAL PC | MANHASSET | NY | PHYSICIAN ASSISTANT | 6294 | 940 | $668,116 | $711 | premium | 10.5% | — |
| 3 | ARIZONA ADVANCED SURGERY LLC | PHOENIX | AZ | GENERAL SURGERY | 89 | 793 | $279,929 | $353 | premium | 24.0% | (602) 340-0201 |
| 4 | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI | NEW YORK | NY | PHYSICIAN ASSISTANT | 2818 | 631 | $233,470 | $370 | premium | 7.0% | (212) 241-4812 |
| 5 | UT PHYSICIANS | HOUSTON | TX | NURSE PRACTITIONER | 1758 | 611 | $223,015 | $365 | premium | 9.5% | (713) 566-5000 |
| 6 | MEDICAL SPECIALISTS OF THE PALM BEACHES INC | ATLANTIS | FL | INTERNAL MEDICINE | 120 | 600 | $138,208 | $230 | premium | 8.8% | (561) 295-6962 |
| 7 | ENDEAVOR HEALTH MEDICAL GROUP | EVANSTON | IL | NURSE PRACTITIONER | 3380 | 559 | $111,593 | $200 | premium | 22.0% | — |
| 8 | NEW YORK UNIVERSITY | NEW YORK | NY | DIAGNOSTIC RADIOLOGY | 5704 | 559 | $689,999 | $1,234 | premium | 6.2% | (212) 263-9700 |
| 9 | CLEVELAND CLINIC | CLEVELAND | OH | PHYSICIAN ASSISTANT | 6828 | 549 | $128,466 | $234 | premium | 28.0% | — |
| 10 | FLORIDA HOSPITAL MEDICAL GROUP INC | MAITLAND | FL | PHYSICIAN ASSISTANT | 1634 | 536 | $189,208 | $353 | premium | 7.8% | (407) 200-2700 |
| 11 | HOAG CLINIC | NEWPORT BEACH | CA | PHYSICIAN ASSISTANT | 436 | 513 | $169,852 | $331 | premium | 5.3% | (949) 791-3370 |
| 12 | NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE | GREENLAWN | NY | DIAGNOSTIC RADIOLOGY | 315 | 488 | $180,560 | $370 | premium | 5.4% | (631) 628-5000 |
| 13 | VIRTUA MEDICAL GROUP, PA | VOORHEES | NJ | PHYSICIAN ASSISTANT | 1662 | 477 | $155,025 | $325 | premium | 11.8% | (856) 247-7260 |
| 14 | SURGONE PC | DENVER | CO | GENERAL SURGERY | 40 | 438 | $134,834 | $308 | premium | 55.9% | (303) 377-6401 |
| 15 | FRANCISCAN PHYSICIAN NETWORK | INDIANAPOLIS | IN | PHYSICIAN ASSISTANT | 1151 | 433 | $95,260 | $220 | premium | 30.3% | — |
| 16 | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC | BOSTON | MA | DIAGNOSTIC RADIOLOGY | 3532 | 417 | $235,119 | $564 | premium | 12.9% | (617) 724-0287 |
| 17 | SUTTER VALLEY MEDICAL FOUNDATION | SACRAMENTO | CA | DIAGNOSTIC RADIOLOGY | 2420 | 415 | $124,041 | $299 | premium | 4.3% | (916) 681-8852 |
| 18 | SCRIPPS HEALTH | LA JOLLA | CA | PHYSICIAN ASSISTANT | 1431 | 412 | $173,184 | $420 | premium | 4.2% | (858) 455-9100 |
| 19 | JEFFREY P LAKE MD INC | ENCINO | CA | COLORECTAL SURGERY (PROCTOLOGY) | 4 | 410 | $82,064 | $200 | premium | 4.2% | (818) 387-8725 |
| 20 | SUMMIT MEDICAL GROUP PA | BERKELEY HEIGHTS | NJ | PHYSICIAN ASSISTANT | 1183 | 402 | $246,426 | $613 | premium | 9.9% | (908) 273-4300 |
| 21 | BOCACARE INC | BOCA RATON | FL | PHYSICIAN ASSISTANT | 199 | 398 | $188,043 | $472 | premium | 5.8% | (561) 955-7100 |
| 22 | ADVANCED DIAGNOSTIC IMAGING PC | NASHVILLE | TN | NURSE PRACTITIONER | 534 | 397 | $168,390 | $424 | premium | 27.9% | (615) 612-2146 |
| 23 | MENORAH MEDICAL GROUP LLC | OVERLAND PARK | KS | GENERAL SURGERY | 22 | 370 | $107,992 | $292 | premium | 59.7% | (913) 345-6901 |
| 24 | COLORECTAL ASSOCIATES OF TEXAS PA | PLANO | TX | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 13 | 367 | $78,017 | $213 | premium | 5.7% | (972) 612-0430 |
| 25 | MAIN LINE HEALTHCARE | BRYN MAWR | PA | NURSE PRACTITIONER | 1157 | 366 | $79,055 | $216 | premium | 10.6% | — |
| 26 | COLON AND RECTAL SPECIALISTS LTD | MECHANICSVILLE | VA | COLORECTAL SURGERY (PROCTOLOGY) | 10 | 365 | $54,750 | $150 | premium | 15.7% | (804) 559-3400 |
| 27 | REGENTS OF THE UNIVERSITY OF CALIFORNIA | SAN DIEGO | CA | DIAGNOSTIC RADIOLOGY | 2057 | 364 | $128,466 | $353 | premium | 3.7% | (800) 926-8273 |
| 28 | PRECISION HEALTHCARE SPECIALISTS, LLC | FORT MYERS | FL | PHYSICIAN ASSISTANT | 100 | 355 | $88,175 | $248 | premium | 5.2% | (239) 291-6970 |
| 29 | HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC | NEPTUNE | NJ | NURSE PRACTITIONER | 1878 | 353 | $143,765 | $407 | premium | 8.7% | (732) 362-3663 |
| 30 | EISENHOWER MEDICAL CENTER | RANCHO MIRAGE | CA | NURSE PRACTITIONER | 457 | 344 | $34,127 | $99 | premium | 3.5% | (760) 340-3911 |
| 31 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC | CORAL SPRINGS | FL | GENERAL SURGERY | 92 | 343 | $121,416 | $354 | premium | 5.0% | (954) 344-3000 |
| 32 | WASHINGTON UNIVERSITY | SAINT LOUIS | MO | NURSE PRACTITIONER | 3070 | 341 | $105,767 | $310 | premium | 31.7% | (314) 747-3000 |
| 33 | FAIRFAX COLON AND RECTAL SURGERY PC | FAIRFAX | VA | COLORECTAL SURGERY (PROCTOLOGY) | 12 | 340 | $128,061 | $377 | premium | 14.6% | (703) 280-2841 |
| 34 | NOVANT HEALTH MEDICAL GROUP, LLC | WINSTON SALEM | NC | PHYSICIAN ASSISTANT | 2389 | 331 | $91,356 | $276 | premium | 20.2% | (704) 384-8200 |
| 35 | ORLANDO HEALTH MEDICAL GROUP INC | ORLANDO | FL | PHYSICIAN ASSISTANT | 2145 | 330 | $113,592 | $344 | premium | 4.8% | (407) 896-1100 |
| 36 | WEILL MEDICAL COLLEGE OF CORNELL | NEW YORK | NY | INTERNAL MEDICINE | 2053 | 330 | $165,000 | $500 | premium | 3.7% | (212) 746-5454 |
| 37 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP | GREENVILLE | SC | NURSE PRACTITIONER | 2447 | 328 | $71,504 | $218 | premium | 23.0% | — |
| 38 | PRACTICE ASSOCIATES MEDICAL GROUP | MORRISTOWN | NJ | NURSE PRACTITIONER | 1404 | 318 | $112,338 | $353 | premium | 7.9% | (973) 971-5596 |
| 39 | OPTUM MEDICAL CARE PC | MOUNT KISCO | NY | INTERNAL MEDICINE | 1040 | 316 | $164,297 | $520 | premium | 3.5% | (914) 241-1050 |
| 40 | SOUTHWEST SURGICAL ASSOCIATES LLP | STAFFORD | TX | GENERAL SURGERY | 20 | 301 | $89,075 | $296 | premium | 4.7% | (713) 772-1200 |
| 41 | BAYSTATE MEDICAL PRACTICES INC | SPRINGFIELD | MA | PHYSICIAN ASSISTANT | 1326 | 297 | $79,514 | $268 | premium | 9.2% | — |
| 42 | TMC MEDICAL NETWORK | TUCSON | AZ | NURSE PRACTITIONER | 273 | 294 | $66,738 | $227 | premium | 8.9% | (520) 324-4230 |
| 43 | SURGICAL ASSOCIATES, P.C. | LINCOLN | NE | GENERAL SURGERY | 12 | 290 | $101,500 | $350 | premium | 36.0% | (402) 441-4760 |
| 44 | CEDARS-SINAI MEDICAL CARE FOUNDATION | LOS ANGELES | CA | PHYSICIAN ASSISTANT | 1699 | 283 | $105,798 | $374 | premium | 2.9% | (310) 423-0674 |
| 45 | LEXINGTON HEALTH INC | WEST COLUMBIA | SC | NURSE PRACTITIONER | 909 | 274 | $88,794 | $324 | premium | 19.2% | (803) 744-4900 |
| 46 | LM PRASAD M.D S.C | PARK RIDGE | IL | COLORECTAL SURGERY (PROCTOLOGY) | 3 | 272 | $129,328 | $475 | premium | 10.7% | (847) 759-1110 |
| 47 | PHYSICIANS CLINIC INC | OMAHA | NE | PHYSICIAN ASSISTANT | 561 | 264 | $67,056 | $254 | premium | 32.8% | (402) 354-8163 |
| 48 | SWEDISH HEALTH SERVICES | SEATTLE | WA | PHYSICIAN ASSISTANT | 1033 | 259 | $94,276 | $364 | premium | 19.7% | — |
| 49 | ATL COLORECTAL SURGERY | ATLANTA | GA | COLORECTAL SURGERY (PROCTOLOGY) | 5 | 254 | $84,398 | $332 | premium | 13.6% | 4045745820105 |
| 50 | NORTH FLORIDA SURGEONS PA | JACKSONVILLE | FL | PHYSICIAN ASSISTANT | 331 | 251 | $64,758 | $258 | premium | 3.7% | (904) 396-1725 |
| 51 | REGENTS UNIV OF CALIFORNIA UCSF | SAN FRANCISCO | CA | PHYSICIAN ASSISTANT | 277 | 250 | $128,000 | $512 | premium | 2.6% | (415) 476-1000 |
| 52 | NORTHWESTERN MEDICAL FACULTY FOUNDATION | CHICAGO | IL | NURSE PRACTITIONER | 4339 | 246 | $82,218 | $334 | premium | 9.7% | — |
| 53 | NORTH FULTON GENERAL SURGERY, PC | ROSWELL | GA | COLORECTAL SURGERY (PROCTOLOGY) | 2 | 242 | $73,350 | $303 | premium | 12.9% | (770) 442-3117 |
| 54 | ADVOCATE HEALTH AND HOSPITALS CORPORATION | BUFFALO GROVE | IL | NURSE PRACTITIONER | 3045 | 241 | $62,901 | $261 | premium | 9.5% | (847) 459-1160 |
| 55 | PIEDMONT PROVIDERS LLC | ATLANTA | GA | PHYSICIAN ASSISTANT | 509 | 237 | $89,206 | $376 | premium | 12.7% | (404) 367-3210 |
| 56 | UMASS MEMORIAL MEDICAL GROUP INC | WORCESTER | MA | PHYSICIAN ASSISTANT | 2483 | 232 | $103,154 | $445 | premium | 7.2% | (508) 334-1000 |
| 57 | BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC | BOSTON | MA | PHYSICIAN ASSISTANT | 2942 | 232 | $138,051 | $595 | premium | 7.2% | (617) 732-5500 |
| 58 | UCLA ASSOCIATED GENERAL SURGEONS | LOS ANGELES | CA | GENERAL SURGERY | 47 | 231 | $146,145 | $633 | premium | 2.4% | (310) 267-7838 |
| 59 | BHS PHYSICIANS NETWORK, INC | SAN ANTONIO | TX | PHYSICIAN ASSISTANT | 696 | 225 | $56,250 | $250 | premium | 3.5% | (210) 614-7414 |
| 60 | TRICITY COLO-RECTAL SURGERY LTD | GILBERT | AZ | COLORECTAL SURGERY (PROCTOLOGY) | 4 | 225 | $26,100 | $116 | premium | 6.8% | (480) 835-5302 |
| 61 | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. | ALBANY | NY | PHYSICIAN ASSISTANT | 480 | 223 | $53,989 | $242 | premium | 2.5% | (518) 525-1852 |
| 62 | ST VINCENT MEDICAL GROUP | LITTLE ROCK | AR | FAMILY PRACTICE | 247 | 223 | $43,262 | $194 | premium | 55.2% | (501) 562-4838 |
| 63 | ARIZONA COLORECTAL EXPERTS LLC | CHANDLER | AZ | COLORECTAL SURGERY (PROCTOLOGY) | 3 | 221 | $53,040 | $240 | premium | 6.7% | (602) 844-5157 |
| 64 | SPECIALTY ASSOCIATES OF WEST HOUSTON PLLC | HOUSTON | TX | PHYSICIAN ASSISTANT | 125 | 219 | $64,725 | $296 | premium | 3.4% | (281) 461-6830 |
| 65 | GENESIS HEALTHCARE PARTNERS PC | TORRANCE | CA | GASTROENTEROLOGY | 211 | 218 | $139,520 | $640 | premium | 2.2% | (310) 534-8400 |
| 66 | MARTIN MEMORIAL MEDICAL CENTER INC | STUART | FL | PHYSICIAN ASSISTANT | 504 | 217 | $96,348 | $444 | premium | 3.2% | (772) 223-5665 |
| 67 | ST LUKES PHYSICIAN GROUP INC | BETHLEHEM | PA | PHYSICIAN ASSISTANT | 2164 | 216 | $33,332 | $154 | premium | 6.3% | (484) 526-2400 |
| 68 | TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC | DALLAS | TX | GASTROENTEROLOGY | 613 | 215 | $38,915 | $181 | premium | 3.3% | — |
| 69 | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC | SUN CITY | AZ | PHYSICIAN ASSISTANT | 354 | 213 | $46,682 | $219 | premium | 6.4% | (623) 832-4000 |
| 70 | VANDERBILT UNIVERSITY MEDICAL CENTER | NASHVILLE | TN | NURSE PRACTITIONER | 3394 | 213 | $57,936 | $272 | premium | 15.0% | (615) 322-5000 |
| 71 | UNIVERSITY OF PENN - MEDICAL GROUP | PHILADELPHIA | PA | PHYSICIAN ASSISTANT | 3505 | 212 | $47,704 | $225 | premium | 6.2% | (215) 662-2777 |
| 72 | LAHEY CLINIC INC | BURLINGTON | MA | NURSE PRACTITIONER | 1400 | 209 | $103,617 | $496 | premium | 6.5% | — |
| 73 | BASS MEDICAL GROUP | WALNUT CREEK | CA | OTOLARYNGOLOGY | 318 | 208 | $54,288 | $261 | premium | 2.1% | — |
| 74 | TENET FLORIDA PHYSICIAN SERVICES LLC | DELRAY BEACH | FL | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 224 | 204 | $51,000 | $250 | premium | 3.0% | (561) 498-4440 |
| 75 | MAYO CLINIC JACKSONVILLE | JACKSONVILLE | FL | NURSE PRACTITIONER | 1587 | 203 | $105,154 | $518 | premium | 3.0% | (904) 953-2000 |
| 76 | IHA HEALTH SERVICES CORPORATION | YPSILANTI | MI | PHYSICIAN ASSISTANT | 1144 | 201 | $36,138 | $180 | premium | 13.4% | — |
| 77 | STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI | HAMPTON BAYS | NY | GENERAL SURGERY | 102 | 200 | $74,370 | $372 | premium | 2.2% | (631) 723-5000 |
| 78 | ANNAPOLIS COLON AND RECTAL SURGEONS LLC | ANNAPOLIS | MD | COLORECTAL SURGERY (PROCTOLOGY) | 2 | 199 | $39,800 | $200 | premium | 10.8% | (410) 573-1699 |
| 79 | DUKE HEALTH INTEGRATED PRACTICE INC | DURHAM | NC | PHYSICIAN ASSISTANT | 3051 | 199 | $41,392 | $208 | premium | 12.1% | (919) 684-8111 |
| 80 | GASTRO HEALTH, LLC | MIAMI | FL | GASTROENTEROLOGY | 256 | 198 | $81,378 | $411 | premium | 2.9% | (305) 913-0666 |
| 81 | MEDICAL ASSOCIATES OF ENGLEWOOD PC | ENGLEWOOD | NY | INTERNAL MEDICINE | 550 | 198 | $70,565 | $356 | premium | 2.2% | (201) 894-3158 |
| 82 | ROPER SAINT FRANCIS PHYSICIANS NETWORK | CHARLESTON | SC | PHYSICIAN ASSISTANT | 539 | 196 | $53,049 | $271 | premium | 13.7% | (843) 720-8448 |
| 83 | OHIOHEALTH CORPORATION | COLUMBUS | OH | PHYSICIAN ASSISTANT | 2282 | 192 | $50,571 | $263 | premium | 9.8% | — |
| 84 | INTERCOASTAL MEDICAL GROUP INC | SARASOTA | FL | DIAGNOSTIC RADIOLOGY | 187 | 191 | $46,413 | $243 | premium | 2.8% | (941) 366-1888 |
| 85 | ST. JOHN PHYSICIANS, INC. | TULSA | OK | NURSE PRACTITIONER | 263 | 189 | $36,422 | $193 | premium | 30.3% | — |
| 86 | COLON RECTAL SURGICAL ASSOCIATES, LLC | ELLICOTT CITY | MD | COLORECTAL SURGERY (PROCTOLOGY) | 2 | 188 | $37,525 | $200 | premium | 10.2% | (410) 730-1712 |
| 87 | MICHIGAN HEALTHCARE PROFESSIONALS PC | FARMINGTON HILLS | MI | INTERNAL MEDICINE | 518 | 186 | $40,920 | $220 | premium | 12.4% | (248) 477-0552 |
| 88 | TRISTATE COLON AND RECTAL ASSOCIATES PC | HAVERTOWN | PA | COLORECTAL SURGERY (PROCTOLOGY) | 2 | 183 | $25,620 | $140 | premium | 5.3% | 61044678823 |
| 89 | UNIVERSITY HOSPITALS MEDICAL GROUP INC | CLEVELAND | OH | NURSE PRACTITIONER | 2232 | 171 | $22,914 | $134 | premium | 8.7% | — |
| 90 | INTEGRIS AMBULATORY CARE CORPORATION | OKLAHOMA CITY | OK | PHYSICIAN ASSISTANT | 698 | 171 | $41,653 | $244 | premium | 27.4% | (405) 751-5555 |
| 91 | BEEBE PHYSICIAN NETWORK INC. | LEWES | DE | PHYSICIAN ASSISTANT | 295 | 169 | $49,511 | $293 | premium | 48.1% | (302) 645-3525 |
| 92 | CLINIC FOR COLON AND RECTAL SURGERY, P.A. | HUNTSVILLE | AL | COLORECTAL SURGERY (PROCTOLOGY) | 5 | 168 | $21,980 | $131 | premium | 52.2% | (256) 533-6070 |
| 93 | PALM BEACH GENERAL SURGERY LLC | MIAMI | NY | PHYSICIAN ASSISTANT | 70 | 168 | $53,176 | $317 | premium | 1.9% | (305) 854-4400 |
| 94 | PROVIDENCE HEALTH AND SERVICES WASHINGTON | SPOKANE | WA | PHYSICIAN ASSISTANT | 771 | 167 | $61,790 | $370 | premium | 12.7% | — |
| 95 | VALLEY PHYSICIAN SERVICES PC | HOBOKEN | NJ | NURSE PRACTITIONER | 606 | 166 | $65,736 | $396 | premium | 4.1% | (800) 825-5391 |
| 96 | WHITE PLAINS PHYSICIAN SERVICES PC | WHITE PLAINS | NY | PHYSICIAN ASSISTANT | 383 | 165 | $80,688 | $489 | premium | 1.8% | (914) 681-0600 |
| 97 | STANFORD HEALTH CARE | STANFORD | CA | DIAGNOSTIC RADIOLOGY | 3039 | 164 | $44,056 | $269 | premium | 1.7% | (650) 723-4000 |
| 98 | BERKSHIRE FACULTY SERVICES INC | PITTSFIELD | MA | PHYSICIAN ASSISTANT | 276 | 163 | $31,133 | $191 | premium | 5.0% | (413) 447-2695 |
| 99 | FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC | DAYTONA BEACH | FL | PHYSICIAN ASSISTANT | 588 | 163 | $57,539 | $353 | premium | 2.4% | (386) 231-6000 |
| 100 | NORTHWEST ALLIED PHYSICIANS LLC | TUCSON | AZ | PHYSICIAN ASSISTANT | 128 | 162 | $39,852 | $246 | premium | 4.9% | (520) 202-7770 |
Showing the top 100 of 595 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 →