NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
49440 Insertion of stomach tube using fluoroscopic guidance with contrast CPT · Procedure
Classification Procedure Digestive/Gastrointestinal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5,449 services ▼ 6.2% YoY · 5,403 beneficiaries (CY2024, Medicare FFS)
Medicare paid $853K · $156.49 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
97
Named-group FFS services
2,743
FFS of Medicare
49%
Services YoY
-6.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,458 services

2,743 observed fee-for-service (50%) · ~2,715 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 — 49440 (CY2024)

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

Named-group submitted charges
$5.6M
Named-group allowed amount
$536K
Named-group Medicare payments
$424K
Avg charge / svc
$2,046
Avg allowed / svc
$195
Avg payment / svc
$154
Average charge per group
$487 97 groups · avg submitted charge / service $7,686
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 49440 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 49440 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 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 116 $621,345 $5,356 premium 16.8% (904) 953-2000
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 108 $574,275 $5,317 premium 12.5% (415) 600-1020
3 TEXAS RADIOLOGY ASSOCIATES LLP PLANO TX DIAGNOSTIC RADIOLOGY 153 106 $156,668 $1,478 premium 22.2% (469) 814-2000
4 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 105 $51,258 $488 premium 100.0% (913) 588-1227
5 MORI BEAN AND BROOKS INC ORANGE PARK FL DIAGNOSTIC RADIOLOGY 947 83 $284,613 $3,429 premium 12.0% (904) 399-5550
6 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 77 $352,400 $4,577 premium 43.8% (800) 603-0558
7 RADIOLOGY ASSOCIATES OF NORTH TEXAS PA FORT WORTH TX DIAGNOSTIC RADIOLOGY 340 73 $65,116 $892 premium 15.3% (817) 321-0470
8 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 58 $35,254 $608 premium 100.0%
9 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 58 $178,060 $3,070 premium 12.1% (254) 724-2663
10 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 57 $255,057 $4,475 premium 6.6% (800) 926-8273
11 ADVANCED RADIOLOGY P A BALTIMORE MD DIAGNOSTIC RADIOLOGY 161 57 $38,703 $679 premium 33.1% (888) 972-9700
12 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 54 $120,444 $2,230 premium 7.8% (352) 265-8990
13 QUANTUM RADIOLOGY PC MARIETTA GA DIAGNOSTIC RADIOLOGY 104 50 $55,350 $1,107 premium 34.2% (770) 732-4000
14 RADIOLOGY AND MEDICAL IMAGERY OF NEWNAN PC NEWNAN GA DIAGNOSTIC RADIOLOGY 35 48 $41,581 $866 premium 32.9% (770) 400-1000
15 COOPER UNIVERSITY RADIOLOGY PC CAMDEN NJ DIAGNOSTIC RADIOLOGY 68 43 $161,895 $3,765 premium 55.1%
16 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 43 $32,250 $750 premium 27.0% (215) 662-2777
17 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 40 $104,069 $2,602 premium 26.7% (206) 223-6600
18 DIAGNOSTIC IMAGING ASSOCIATES, P.C. DES MOINES IA DIAGNOSTIC RADIOLOGY 21 39 $34,749 $891 premium 39.4% (515) 643-2667
19 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 39 $31,695 $813 premium 5.6% (813) 745-4673
20 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 38 $103,733 $2,730 premium 7.9% (713) 592-5433
21 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 38 $111,762 $2,941 premium 32.5% (402) 559-4000
22 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 38 $43,750 $1,151 premium 22.1% (202) 429-2401
23 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY FL NURSE PRACTITIONER 1815 34 $16,500 $485 premium 4.9% (913) 588-1227
24 RADIOLOGY ASSOCIATES LLC BATON ROUGE LA DIAGNOSTIC RADIOLOGY 79 33 $25,872 $784 premium 50.0% (225) 757-0552
25 MEDICAL IMAGING OF LEHIGH VALLEY PC ALLENTOWN PA DIAGNOSTIC RADIOLOGY 119 32 $20,000 $625 premium 20.1% (610) 770-1606
26 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 31 $102,145 $3,295 premium 23.1% (507) 284-2511
27 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 30 $89,970 $2,999 premium 39.0% (314) 747-3000
28 CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD PEORIA IL DIAGNOSTIC RADIOLOGY 196 30 $43,770 $1,459 premium 12.1% (309) 655-2000
29 MEDICAL CENTER RADIOLOGISTS INC NORFOLK VA DIAGNOSTIC RADIOLOGY 123 29 $18,502 $638 premium 26.9% (757) 466-6870
30 RADIOLOGY CONSULTANTS OF IOWA PLC CEDAR RAPIDS IA DIAGNOSTIC RADIOLOGY 72 29 $21,170 $730 premium 29.3% (319) 364-0121
31 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 28 $21,140 $755 premium 22.8% (828) 213-1740
32 OMNIRAD MEDICAL GROUP INC SAN JOSE CA INTERVENTIONAL RADIOLOGY 3 27 $31,077 $1,151 premium 3.1% (408) 403-5996
33 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 27 $61,938 $2,294 premium 62.8% (501) 686-8000
34 MEMPHIS RADIOLOGICAL PC MEMPHIS TN DIAGNOSTIC RADIOLOGY 51 27 $26,541 $983 premium 17.6% (901) 561-6000
35 CONCORD RADIOLOGY PLLC WICHITA OK DIAGNOSTIC RADIOLOGY 183 26 $15,418 $593 premium 100.0% (855) 687-7237
36 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 26 $20,540 $790 premium 10.5%
37 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 26 $17,420 $670 premium 36.1% (313) 916-2600
38 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS MS NURSE PRACTITIONER 549 25 $41,350 $1,654 premium 26.6% (901) 226-3882
39 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 24 $26,430 $1,101 premium 32.9%
40 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 23 $76,613 $3,331 premium 9.3% (312) 563-2875
41 ANCILLARY SERVICES OF PRACTICE ASSOCIATES PA MORRISTOWN NJ DIAGNOSTIC RADIOLOGY 97 23 $15,939 $693 premium 29.5% (973) 971-6866
42 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 22 $59,290 $2,695 premium 100.0% (701) 234-2000
43 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 22 $92,246 $4,193 premium 2.5% (916) 983-7476
44 SINGLETON ASSOCIATES PA HOUSTON TX DIAGNOSTIC RADIOLOGY 769 22 $87,340 $3,970 premium 4.6% (855) 504-4544
45 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 22 $15,246 $693 premium 30.6% (616) 363-7272
46 MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC MEMPHIS TN DIAGNOSTIC RADIOLOGY 68 20 $13,400 $670 premium 13.1% (901) 765-2191
47 CHARLESTON RADIOLOGISTS PA MOUNT PLEASANT SC DIAGNOSTIC RADIOLOGY 24 19 $13,300 $700 premium 32.8% (843) 824-0606
48 SOUTH SHORE RADIOLOGICAL ASSOCIATES INC SOUTH WEYMOUTH MA DIAGNOSTIC RADIOLOGY 36 19 $13,167 $693 premium 26.0% (781) 340-8000
49 MORAN ROWEN AND DORSEY INC ORANGE CA DIAGNOSTIC RADIOLOGY 35 18 $16,236 $902 premium 2.1% (714) 628-3305
50 PERMANENTE MEDICAL GROUP INC SANTA CLARA CA INTERNAL MEDICINE 10890 18 $20,718 $1,151 premium 2.1% (408) 851-1000
51 ADVANCED SURGEONS AND PHYSICIANS NETWORK INC HOUSTON TX NURSE PRACTITIONER 47 18 $90,116 $5,006 premium 3.8% (713) 795-4884
52 SOUTH SHORE RADIOLOGICAL ASSOCIATES INC SOUTH WEYMOUTH VA DIAGNOSTIC RADIOLOGY 36 18 $12,474 $693 premium 16.7% (781) 340-8000
53 SOUTH FLORIDA MEDICAL IMAGING PA FORT LAUDERDALE FL DIAGNOSTIC RADIOLOGY 44 17 $13,464 $792 premium 2.5% (954) 267-6650
54 X-RAY MEDICAL GROUP INC LA MESA CA DIAGNOSTIC RADIOLOGY 48 17 $15,725 $925 premium 2.0% (619) 740-4000
55 DRAGHA LLC SCOTTSDALE AZ HOSPITALIST 3 17 $37,678 $2,216 premium 9.7% (480) 750-8130
56 ST JUDE RADIOLOGY MEDICAL GROUP INC FULLERTON CA DIAGNOSTIC RADIOLOGY 61 16 $14,000 $875 premium 1.8% 71499230001805
57 RADIOLOGY ASSOCIATES OF PENSACOLA PA PENSACOLA FL DIAGNOSTIC RADIOLOGY 21 16 $11,360 $710 premium 2.3% (850) 208-6000
58 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 15 $115,290 $7,686 premium 15.3%
59 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 15 $37,650 $2,510 premium 12.7% (866) 633-8255
60 RENAISSANCE MEDICAL FOUNDATION EDINBURG TX DIAGNOSTIC RADIOLOGY 174 15 $8,739 $583 premium 3.1%
61 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 14 $41,916 $2,994 premium 9.6% (404) 367-3210
62 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 14 $11,410 $815 premium 10.4% (612) 863-4000
63 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 14 $30,317 $2,166 premium 100.0% (801) 581-2121
64 PALM DESERT RADIOLOGY MEDICAL GROUP INC RANCHO MIRAGE CA DIAGNOSTIC RADIOLOGY 125 14 $7,714 $551 premium 1.6% (760) 773-1251
65 MEDSTAR MEDICAL GROUP II LLC WASHINGTON PA PHYSICIAN ASSISTANT 3707 14 $9,646 $689 premium 8.8% (202) 429-2401
66 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 13 $60,762 $4,674 premium 2.7% (713) 566-5000
67 RADIOLOGY CONSULTANTS PC OMAHA NE DIAGNOSTIC RADIOLOGY 46 13 $8,203 $631 premium 11.1% (402) 717-4760
68 EASTPOINTE RADIOLOGISTS PC DETROIT MI DIAGNOSTIC RADIOLOGY 105 13 $9,389 $722 premium 18.1% (313) 343-3248
69 UNIVERSITY RADIOLOGY ASSOCIATES, LLP SYRACUSE NY DIAGNOSTIC RADIOLOGY 41 13 $11,700 $900 premium 11.0% (315) 464-5189
70 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 13 $11,921 $917 premium 35.1%
71 EMPIRE STATE RADIOLOGY P C PORT JERVIS CA DIAGNOSTIC RADIOLOGY 280 13 $51,610 $3,970 premium 1.5% (718) 223-4685
72 RADIOLOGY AND IMAGING SPECIALISTS OF LAKELAND LAKELAND FL DIAGNOSTIC RADIOLOGY 71 13 $20,709 $1,593 premium 1.9% (863) 687-1100
73 TRA-MINW P S TACOMA WA DIAGNOSTIC RADIOLOGY 153 13 $9,100 $700 premium 8.7% (253) 841-4353
74 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 13 $6,552 $504 premium 13.8% (601) 815-4775
75 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 13 $36,998 $2,846 premium 6.4% (574) 647-7275
76 NORTHWEST IOWA HOSPITAL CORPORATION SIOUX CITY SD NURSE PRACTITIONER 117 13 $36,062 $2,774 premium 54.2% (712) 279-3500
77 WEST COUNTY RADIOLOGICAL GROUP INC SAINT LOUIS MO DIAGNOSTIC RADIOLOGY 104 12 $35,988 $2,999 premium 15.6% (314) 941-5600
78 CROUSE MEDICAL PRACTICE PLLC SYRACUSE NY PHYSICIAN ASSISTANT 187 12 $15,627 $1,302 premium 10.2%
79 FORT WAYNE RADIOLOGY ASSOCIATES LLC FORT WAYNE IN DIAGNOSTIC RADIOLOGY 35 12 $9,432 $786 premium 5.9% (260) 266-1000
80 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 12 $8,184 $682 premium 8.0% (509) 665-6087
81 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 12 $15,456 $1,288 premium 4.8%
82 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 12 $6,972 $581 premium 6.8% (602) 406-6017
83 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 12 $10,165 $847 premium 16.4% (617) 724-0287
84 EAST VALLEY RADIOLOGY ASSOCIATES PLLC CHANDLER MN DIAGNOSTIC RADIOLOGY 31 12 $16,260 $1,355 premium 9.0% (480) 728-3000
85 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 12 $8,400 $700 premium 52.2% (304) 598-4865
86 MICHIGAN INSTITUTE OF UROLOGY PC SAINT CLAIR SHORES WI UROLOGY 84 12 $8,040 $670 premium 12.2% (586) 771-4820
87 RADIOLOGY OF INDIANA P C INDIANAPOLIS IN DIAGNOSTIC RADIOLOGY 116 12 $7,980 $665 premium 5.9% (317) 579-2150
88 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 11 $57,090 $5,190 premium 12.8% (203) 688-4242
89 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 11 $33,780 $3,071 premium 6.4% (410) 502-4340
90 PALM VALLEY MULTI-SPECIALTY MEDICAL GROUP PC PALM DESERT CA PHYSICIAN ASSISTANT 16 11 $9,327 $848 premium 1.3% (760) 760-4343
91 ASHLAND HOSPITAL CORPORATION ASHLAND KY NURSE PRACTITIONER 170 11 $6,369 $579 premium 50.0% (606) 324-8060
92 LEXINGTON RADIOLOGY ASSOCIATES WEST COLUMBIA MI DIAGNOSTIC RADIOLOGY 32 11 $7,623 $693 premium 15.3% (803) 791-2365
93 DIAGNOSTIC IMAGING ASSOCIATES, P.C. DES MOINES TX DIAGNOSTIC RADIOLOGY 21 11 $9,801 $891 premium 2.3% (515) 643-2667
94 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD OH PHYSICIAN ASSISTANT 419 11 $10,469 $952 premium 29.7% (203) 276-4644
95 RADIOLOGISTS OF UNIV OF ROCHESTER ROCHESTER NY DIAGNOSTIC RADIOLOGY 134 11 $9,405 $855 premium 9.3%
96 HAMPTON ROADS RADIOLOGY ASSOCIATES PC VIRGINIA BEACH VA DIAGNOSTIC RADIOLOGY 37 11 $10,692 $972 premium 10.2% (757) 916-9630
97 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 11 $47,311 $4,301 premium 10.2% (804) 828-9000
98 FIRST UROLOGY PSC LOUISVILLE KY UROLOGY 55 11 $5,874 $534 premium 50.0% (812) 282-3899
99 CAROLINA RADIOLOGY ASSOCIATES LLC MYRTLE BEACH SC DIAGNOSTIC RADIOLOGY 63 11 $13,145 $1,195 premium 19.0% (843) 692-1916
100 COUNTY OF SANTA CLARA SAN JOSE CA INTERNAL MEDICINE 1001 11 $9,629 $875 premium 1.3% (408) 885-5000

Showing the top 100 of 97 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 →