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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
46607 Biopsy of anus with magnification and chemical agent enhancement using an endoscope CPT · Procedure
Classification Procedure Digestive/Gastrointestinal (CMS RBCS)
First observed 2015
National scale 1,392 services ▼ 3.0% YoY · 1,236 beneficiaries (CY2024, Medicare FFS)
Medicare paid $149K · $107.35 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
31
Named-group FFS services
1,081
FFS of Medicare
49%
Services YoY
-3.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,135 services

1,081 observed fee-for-service (51%) · ~1,054 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 — 46607 (CY2024)

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

Named-group submitted charges
$991K
Named-group allowed amount
$156K
Named-group Medicare payments
$115K
Avg charge / svc
$917
Avg allowed / svc
$144
Avg payment / svc
$106
Average charge per group
$160 31 groups · avg submitted charge / service $2,481
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 46607 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 46607 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 256 $318,976 $1,246 premium 51.9% (415) 476-4029
2 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 104 $16,606 $160 premium 21.1% (760) 340-3911
3 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 76 $39,140 $515 premium 52.8% (212) 241-4812
4 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 68 $108,460 $1,595 premium 64.8% (410) 502-4340
5 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 48 $31,056 $647 premium 57.1% (720) 777-1234
6 GREATER BALTIMORE COLORECTAL SPECIALISTS LLC TOWSON MD COLORECTAL SURGERY (PROCTOLOGY) 2 37 $18,500 $500 premium 35.2% (410) 296-1661
7 DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO INTERNAL MEDICINE 831 36 $9,119 $253 premium 42.9%
8 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 35 $23,240 $664 premium 67.3% (503) 494-8311
9 FENWAY COMMUNITY HEALTH CENTER, INC BOSTON MA CLINICAL SOCIAL WORKER 83 34 $25,500 $750 premium 28.6% (617) 267-0900
10 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 33 $75,919 $2,301 premium 6.7% (650) 723-4000
11 GEORGE N ATIA MD SC BARRINGTON IL GASTROENTEROLOGY 13 30 $18,000 $600 premium 100.0% (847) 382-7165
12 SPECIALTY ASSOCIATES OF WEST HOUSTON PLLC HOUSTON TX PHYSICIAN ASSISTANT 125 28 $52,464 $1,874 premium 63.6% (281) 461-6830
13 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 22 $13,684 $622 premium 64.7% (407) 200-2700
14 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 21 $26,355 $1,255 premium 14.6% (866) 633-8255
15 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 19 $14,250 $750 premium 13.2% (212) 746-5454
16 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 17 $8,959 $527 premium 15.5%
17 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 17 $11,126 $654 premium 14.3%
18 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 17 $7,140 $420 premium 32.7%
19 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 17 $7,140 $420 premium 15.5%
20 UNIVERSITY OF ROCHESTER ROCHESTER NY NURSE PRACTITIONER 954 16 $5,296 $331 premium 11.1% (585) 341-7200
21 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 16 $39,696 $2,481 premium 36.4%
22 ATL COLORECTAL SURGERY ATLANTA GA COLORECTAL SURGERY (PROCTOLOGY) 5 16 $16,000 $1,000 premium 100.0% 4045745820105
23 SOUTHERN NEVADA HEALTH DISTRICT LAS VEGAS NV NURSE PRACTITIONER 19 16 $9,712 $607 premium 100.0%
24 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 14 $11,579 $827 premium 51.9% (952) 993-3123
25 TRISTATE COLON AND RECTAL ASSOCIATES PC HAVERTOWN PA COLORECTAL SURGERY (PROCTOLOGY) 2 14 $7,700 $550 premium 12.7% 61044678823
26 UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC MINNEAPOLIS MN DIAGNOSTIC RADIOLOGY 620 13 $17,524 $1,348 premium 48.1% (612) 672-7422
27 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 13 $7,358 $566 premium 2.6% (925) 296-9720
28 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 13 $28,067 $2,159 premium 10.9% (617) 724-0287
29 ROCHESTER COLON AND RECTAL SURGEONS PC ROCHESTER NY COLORECTAL SURGERY (PROCTOLOGY) 10 12 $5,140 $428 premium 8.3% (585) 222-6566
30 SOUTH FLORIDA SURGICAL SPECIALISTS LLC CORAL SPRINGS FL GENERAL SURGERY 92 12 $7,620 $635 premium 35.3% (954) 344-3000
31 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 11 $9,712 $883 premium 2.2% (800) 926-8273

*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 →