Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

49329 Other procedure on abdomen using an endoscope CPT · Procedure

Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 577 services ▲ 35.8% YoY · 484 beneficiaries (CY2024, Medicare FFS)

Medicare paid $348K · $603.32 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

505

FFS of Medicare

49%

Services YoY

+35.8%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~981 services

505 observed fee-for-service (51%) · ~476 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 — 49329 (CY2024)

MD 104 OH 93 NM 88 CA 81 SC 51

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

Named-group submitted charges

$1.8M

Named-group allowed amount

$415K

Named-group Medicare payments

$332K

Avg charge / svc

$3,512

Avg allowed / svc

$823

Avg payment / svc

$657

Average charge per group

$555–1,466

$1,466–2,378

$2,378–3,289

$3,289–4,200

$4,200–5,111

$5,111–6,023

$6,023–6,934

$6,934+

$555 18 groups · avg submitted charge / service $9,085

Market analyticsPlatform

a taste of the twelve-year trend layer

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 payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

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.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 49329 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	49329 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	SOUTHWEST MEDICAL ASSOCIATES, LLC	ALBUQUERQUE	NM	PHYSICIAN ASSISTANT	328	88	$275,703	$3,133	premium	100.0%	(505) 727-7090
2	OHIOHEALTH CORPORATION	COLUMBUS	OH	PHYSICIAN ASSISTANT	2282	78	$297,206	$3,810	premium	83.9%	—
3	CITY OF HOPE MEDICAL FOUNDATION	DUARTE	CA	NURSE PRACTITIONER	942	39	$229,679	$5,889	premium	48.1%	(626) 256-4673
4	WICHITA SURGICAL SPECIALISTS PA	WICHITA	KS	GENERAL SURGERY	60	38	$39,562	$1,041	premium	100.0%	(316) 263-0296
5	LUMINIS HEALTH MEDICAL GROUP, LLC	ANNAPOLIS	MD	PHYSICIAN ASSISTANT	544	38	$161,336	$4,246	premium	36.5%	(443) 481-1000
6	UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL	CHARLESTON	SC	PHYSICIAN ASSISTANT	1692	36	$87,981	$2,444	premium	70.6%	(843) 792-1414
7	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS	DALLAS	TX	PHYSICIAN ASSISTANT	3200	30	$72,910	$2,430	premium	73.2%	(214) 633-5555
8	SOUTHERN CALIFORNIA MULTI-SPECIALTY CENTER INC	SHERMAN OAKS	CA	VASCULAR SURGERY	16	23	$140,138	$6,093	premium	28.4%	(818) 900-6480
9	INOVA HEALTH CARE SERVICES	FALLS CHURCH	VA	NURSE PRACTITIONER	1818	19	$10,545	$555	premium	100.0%	—
10	ROPER SAINT FRANCIS PHYSICIANS NETWORK	CHARLESTON	SC	PHYSICIAN ASSISTANT	539	15	$65,070	$4,338	premium	29.4%	(843) 720-8448
11	SUMMA PHYSICIANS LLC	AKRON	OH	NURSE PRACTITIONER	677	15	$23,994	$1,600	premium	16.1%	—
12	JOHNS HOPKINS UNIVERSITY	BALTIMORE	MD	NURSE PRACTITIONER	2900	13	$11,197	$861	premium	12.5%	(410) 502-4340
13	KENTUCKY MEDICAL SERVICES FOUNDATION, INC	LEXINGTON	KY	DIAGNOSTIC RADIOLOGY	989	13	$18,096	$1,392	premium	100.0%	(859) 257-1412
14	FLORIDA HOSPITAL MEDICAL GROUP INC	MAITLAND	FL	PHYSICIAN ASSISTANT	1634	13	$62,335	$4,795	premium	100.0%	(407) 200-2700
15	WASHINGTON UNIVERSITY	SAINT LOUIS	MO	NURSE PRACTITIONER	3070	12	$109,025	$9,085	premium	50.0%	(314) 747-3000
16	MERCY CLINIC SPRINGFIELD COMMUNITIES	SPRINGFIELD	MO	PHYSICIAN ASSISTANT	1128	12	$91,517	$7,626	premium	50.0%	—
17	IHC HEALTH SERVICES INC	MURRAY	UT	PHYSICIAN ASSISTANT	3944	12	$42,201	$3,517	premium	100.0%	(801) 261-8346
18	VIRTUOSA PLLC	LIVE OAK	TX	OBSTETRICS/GYNECOLOGY	4	11	$34,990	$3,181	premium	26.8%	(210) 878-0090

*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 →