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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
46601 Diagnostic exam of anus with magnification and chemical agent enhancement using an endoscope CPT · Procedure
Classification Procedure Digestive/Gastrointestinal (CMS RBCS)
First observed 2016
National scale 1,626 services ▲ 2.3% YoY · 1,470 beneficiaries (CY2024, Medicare FFS)
Medicare paid $129K · $79.24 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
22
Named-group FFS services
1,074
FFS of Medicare
49%
Services YoY
+2.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,174 services

1,074 observed fee-for-service (49%) · ~1,100 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 — 46601 (CY2024)

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

Named-group submitted charges
$819K
Named-group allowed amount
$107K
Named-group Medicare payments
$77K
Avg charge / svc
$763
Avg allowed / svc
$100
Avg payment / svc
$71
Average charge per group
$285 22 groups · avg submitted charge / service $1,799
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 46601 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 46601 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 391 $348,772 $892 premium 43.3% (415) 476-4029
2 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 159 $62,872 $395 premium 17.6% (760) 340-3911
3 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 124 $223,090 $1,799 premium 13.7% (650) 723-4000
4 UNIVERSITY OF ROCHESTER ROCHESTER NY NURSE PRACTITIONER 954 39 $15,405 $395 premium 27.7% (585) 341-7200
5 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 36 $10,260 $285 premium 76.6% (901) 226-3882
6 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 30 $8,644 $288 premium 31.9% (206) 364-0500
7 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 26 $10,166 $391 premium 19.7%
8 FENWAY COMMUNITY HEALTH CENTER, INC BOSTON MA CLINICAL SOCIAL WORKER 83 26 $14,300 $550 premium 36.6% (617) 267-0900
9 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 25 $8,400 $336 premium 67.6% (305) 689-5437
10 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 24 $10,101 $421 premium 25.5% (206) 223-6600
11 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 24 $11,520 $480 premium 100.0% (720) 777-1234
12 ROSWELL PARK CANCER INSTITUTE BUFFALO NY NURSE PRACTITIONER 502 21 $9,387 $447 premium 14.9% (716) 845-2300
13 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 21 $14,742 $702 premium 100.0% (414) 955-4263
14 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 20 $6,320 $316 premium 100.0%
15 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 15 $7,935 $529 premium 1.7% (800) 926-8273
16 TRISTATE COLON AND RECTAL ASSOCIATES PC HAVERTOWN PA COLORECTAL SURGERY (PROCTOLOGY) 2 15 $6,000 $400 premium 11.4% 61044678823
17 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 14 $4,648 $332 premium 100.0% (336) 713-9800
18 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 14 $16,544 $1,182 premium 1.5% (310) 423-0674
19 SOUTHERN NEVADA HEALTH DISTRICT LAS VEGAS NV NURSE PRACTITIONER 19 13 $5,707 $439 premium 100.0%
20 PRATT MEDICAL GROUP INC BOSTON MA INTERNAL MEDICINE 277 13 $6,005 $462 premium 18.3% (617) 636-5000
21 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 13 $6,177 $475 premium 18.3%
22 CAPITAL DIGESTIVE CARE LLC WASHINGTON DC GASTROENTEROLOGY 238 11 $12,100 $1,100 premium 17.7% (202) 296-3449

*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 →