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Market snapshot

46600 in VA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

46600 — Diagnostic exam of anus using an endoscope

Billing groups
18
Named-group FFS services
1,488
FFS of Medicare
61%
Services YoY
-1.2%
FFS enrollment -1.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,404 services

1,488 observed fee-for-service (62%) · ~916 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

Named-group submitted charges
$375K
Named-group allowed amount
$167K
Named-group Medicare payments
$124K
Avg charge / svc
$252
Avg allowed / svc
$112
Avg payment / svc
$83
Average charge per group
$86 18 groups · avg submitted charge / service $975
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Specialty market — Colorectal Surgery (Proctology): 705 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 46600 services, CY2024
#Physician group City Specialty Providers 46600 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 COLON AND RECTAL SPECIALISTS LTD MECHANICSVILLE COLORECTAL SURGERY (PROCTOLOGY) 10 365 $54,750 $150 premium 15.7% (804) 559-3400
2 FAIRFAX COLON AND RECTAL SURGERY PC FAIRFAX COLORECTAL SURGERY (PROCTOLOGY) 12 340 $128,061 $377 premium 14.6% (703) 280-2841

*"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 →