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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
49450 Replacement of stomach or large bowel 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 5,881 services ▲ 7.2% YoY · 4,664 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.2M · $211.23 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
72
Named-group FFS services
3,055
FFS of Medicare
49%
Services YoY
+7.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,002 services

3,055 observed fee-for-service (51%) · ~2,947 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 — 49450 (CY2024)

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

Named-group submitted charges
$3.5M
Named-group allowed amount
$670K
Named-group Medicare payments
$524K
Avg charge / svc
$1,131
Avg allowed / svc
$219
Avg payment / svc
$172
Average charge per group
$73 72 groups · avg submitted charge / service $3,438
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 49450 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 49450 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 IZUCHUKWU OKPARA MD INC VALENCIA CA PHYSICIAN ASSISTANT 51 339 $341,130 $1,006 premium 11.2% (213) 228-3538
2 ADVANCED SURGEONS AND PHYSICIANS NETWORK INC HOUSTON TX NURSE PRACTITIONER 47 229 $787,251 $3,438 premium 54.9% (713) 795-4884
3 JS WOUND CARE INC NEWHALL CA PHYSICIAN ASSISTANT 4 214 $169,124 $790 premium 7.1% (714) 261-5181
4 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 109 $20,284 $186 premium 100.0%
5 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 96 $154,989 $1,614 premium 41.0%
6 ARAM HARIJAN MD PC LA MESA CA NURSE PRACTITIONER 8 88 $131,824 $1,498 premium 2.9% (858) 717-5029
7 WOUND DOCS APC LONG BEACH CA PHYSICIAN ASSISTANT 21 71 $71,000 $1,000 premium 2.3% (562) 800-3321
8 SNF WOUND CARE LOS ANGELES CA NURSE PRACTITIONER 33 65 $88,075 $1,355 premium 2.1% (310) 270-6181
9 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 63 $198,014 $3,143 premium 2.1% (800) 926-8273
10 NORTHERN VIRGINIA RADIOLOGY CONSULTANTS, PLLC ARLINGTON VA DIAGNOSTIC RADIOLOGY 28 62 $103,298 $1,666 premium 84.9% (517) 481-2442
11 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU HI DIAGNOSTIC RADIOLOGY 648 60 $9,360 $156 premium 78.9% (808) 691-8200
12 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 59 $25,310 $429 premium 21.7% (813) 745-4673
13 ASHOK AMIN M D INC ANAHEIM CA NURSE PRACTITIONER 5 54 $42,120 $780 premium 1.8% (714) 484-1200
14 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 53 $56,558 $1,067 premium 19.2% (215) 456-8242
15 RADIOLOGY ASSOCIATES OF THE MAIN LINE, PC BRYN MAWR NJ DIAGNOSTIC RADIOLOGY 72 51 $14,943 $293 premium 38.1% (484) 337-4371
16 SKILLED FACILITY HEALTH CARE SOLUTIONS INC RICHWOOD CA GENERAL SURGERY 57 50 $41,264 $825 premium 1.7% (979) 265-4794
17 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 50 $10,660 $213 premium 18.1%
18 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 49 $10,780 $220 premium 17.8% (215) 662-2777
19 J M GEISS DO APC SANTA ANA CA NURSE PRACTITIONER 156 48 $65,040 $1,355 premium 1.6% (855) 434-7763
20 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 45 $9,900 $220 premium 64.3% (313) 916-2600
21 SOUTH SHORE RADIOLOGICAL ASSOCIATES INC SOUTH WEYMOUTH MA DIAGNOSTIC RADIOLOGY 36 37 $8,214 $222 premium 15.8% (781) 340-8000
22 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 37 $12,489 $338 premium 15.8%
23 MORI BEAN AND BROOKS INC ORANGE PARK FL DIAGNOSTIC RADIOLOGY 947 35 $44,695 $1,277 premium 12.9% (904) 399-5550
24 COMPREHENSIVE RADIOLOGY SERVICES PLLC HATTIESBURG MS DIAGNOSTIC RADIOLOGY 44 35 $8,750 $250 premium 55.6% (601) 268-8000
25 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 34 $60,758 $1,787 premium 52.3%
26 BMC AFFILIATED PHYSICIANS, INC. BROCKTON MA PHYSICIAN ASSISTANT 525 33 $33,000 $1,000 premium 14.1% (508) 427-3000
27 EMPIRE STATE RADIOLOGY P C PORT JERVIS CA DIAGNOSTIC RADIOLOGY 280 33 $42,141 $1,277 premium 1.1% (718) 223-4685
28 ROBERT MARRIOTT MEDICAL CORP IRVINE CA NURSE PRACTITIONER 61 32 $43,360 $1,355 premium 1.1% (949) 854-9500
29 TRA-MINW P S TACOMA WA DIAGNOSTIC RADIOLOGY 153 32 $70,912 $2,216 premium 43.8% (253) 841-4353
30 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 31 $51,189 $1,651 premium 47.7% (501) 202-2093
31 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 30 $56,910 $1,897 premium 62.5% (701) 234-2000
32 IHS RADIOLOGY MEDICAL GROUP INC SAN DIEGO CA DIAGNOSTIC RADIOLOGY 68 28 $5,712 $204 premium 0.9% (619) 295-9729
33 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 28 $2,057 $73 premium 100.0% (605) 322-5180
34 UNIVERSITY RADIOLOGY ASSOCIATES, LLP SYRACUSE NY DIAGNOSTIC RADIOLOGY 41 27 $8,100 $300 premium 14.9% (315) 464-5189
35 TEXAS RADIOLOGY ASSOCIATES LLP PLANO TX DIAGNOSTIC RADIOLOGY 153 27 $13,095 $485 premium 6.5% (469) 814-2000
36 TRUCARE MEDICAL CORPORATION ORANGE CA PHYSICIAN ASSISTANT 3 26 $26,000 $1,000 premium 0.9% (714) 532-6713
37 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD OH PHYSICIAN ASSISTANT 419 25 $14,564 $583 premium 49.0% (203) 276-4644
38 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 25 $5,150 $206 premium 35.7% (616) 363-7272
39 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 24 $67,128 $2,797 premium 44.4% (404) 778-7525
40 GEM STATE RADIOLOGY LLP BOISE ID DIAGNOSTIC RADIOLOGY 38 22 $3,630 $165 premium 100.0% (208) 367-2161
41 CHRISTIANA CARE HEALTH SERVICES INC NEWARK NY PHYSICIAN ASSISTANT 1537 21 $3,908 $186 premium 11.6%
42 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 21 $62,525 $2,977 premium 42.9% (800) 603-0558
43 BOISE RADIOLOGY GROUP PLLC BOISE FL DIAGNOSTIC RADIOLOGY 62 20 $4,580 $229 premium 7.4% (208) 381-2094
44 PERMANENTE MEDICAL GROUP INC SANTA CLARA CA INTERNAL MEDICINE 10890 20 $7,280 $364 premium 0.7% (408) 851-1000
45 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 19 $4,370 $230 premium 26.4%
46 USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE ND NURSE PRACTITIONER 353 18 $34,146 $1,897 premium 37.5% (251) 471-7000
47 X-RAY MEDICAL GROUP INC LA MESA CA DIAGNOSTIC RADIOLOGY 48 18 $11,610 $645 premium 0.6% (619) 740-4000
48 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILL PA PHYSICIAN ASSISTANT 403 18 $19,440 $1,080 premium 6.5% (844) 542-2273
49 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILL NJ PHYSICIAN ASSISTANT 403 18 $19,440 $1,080 premium 13.4% (844) 542-2273
50 LEXINGTON RADIOLOGY ASSOCIATES WEST COLUMBIA SC DIAGNOSTIC RADIOLOGY 32 17 $4,335 $255 premium 58.6% (803) 791-2365
51 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 17 $27,786 $1,634 premium 100.0% (765) 962-8551
52 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS MS NURSE PRACTITIONER 549 17 $19,907 $1,171 premium 27.0% (901) 226-3882
53 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 17 $7,310 $430 premium 23.6% (217) 544-6464
54 SINGLETON ASSOCIATES PA HOUSTON TX DIAGNOSTIC RADIOLOGY 769 16 $20,432 $1,277 premium 3.8% (855) 504-4544
55 RADIOLOGY ASSOCIATES OF CLEARWATER CLEARWATER NY DIAGNOSTIC RADIOLOGY 53 16 $5,632 $352 premium 8.8% (727) 441-3711
56 EINSTEIN PRACTICE PLAN INC PHILADELPHIA NJ DIAGNOSTIC RADIOLOGY 740 16 $17,280 $1,080 premium 11.9% (215) 456-8242
57 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE NM PHYSICIAN ASSISTANT 386 16 $26,800 $1,675 premium 59.3%
58 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 16 $14,324 $895 premium 100.0% (202) 429-2401
59 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 15 $28,315 $1,888 premium 20.5% (206) 223-6600
60 RADIOLOGY ASSOCIATES OF NORTH TEXAS PA FORT WORTH TX DIAGNOSTIC RADIOLOGY 340 15 $4,050 $270 premium 3.6% (817) 321-0470
61 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 15 $32,569 $2,171 premium 0.5% (916) 983-7476
62 QUANTUM RADIOLOGY PC MARIETTA GA DIAGNOSTIC RADIOLOGY 104 15 $4,860 $324 premium 27.8% (770) 732-4000
63 SONORAN RADIOLOGY LTD MESA AZ DIAGNOSTIC RADIOLOGY 474 15 $19,155 $1,277 premium 30.6% (832) 915-2534
64 MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC MEDFORD NJ DIAGNOSTIC RADIOLOGY 424 15 $4,204 $280 premium 11.2% (781) 395-4909
65 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 15 $7,515 $501 premium 30.0% (202) 429-2401
66 RADIOLOGY ASSOCIATES OF TALLAHASSEE PA TALLAHASSEE FL DIAGNOSTIC RADIOLOGY 29 14 $2,954 $211 premium 5.1% (850) 878-4127
67 MGM PHYSICIAN ASSISTANT INC RIVERSIDE CA PHYSICIAN ASSISTANT 7 14 $14,000 $1,000 premium 0.5% (310) 619-7370
68 ASSOCIATED RADIOLOGISTS OF THE FINGER LAKES PC ELMIRA NY DIAGNOSTIC RADIOLOGY 9 14 $4,550 $325 premium 7.7% (607) 737-4100
69 CALIFORNIA WOUND HEALING MEDICAL GROUP INC. ALHAMBRA CA NURSE PRACTITIONER 14 13 $13,000 $1,000 premium 0.4% (323) 264-7796
70 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 13 $3,900 $300 premium 5.6% (781) 983-9088
71 POTOMAC UROLOGY CENTER, LLC WOODBRIDGE MD UROLOGY 17 13 $8,837 $680 premium 26.0% (703) 680-2111
72 ASHLAND HOSPITAL CORPORATION ASHLAND KY NURSE PRACTITIONER 170 12 $2,292 $191 premium 100.0% (606) 324-8060
73 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 12 $3,540 $295 premium 41.4% (803) 395-3400
74 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 12 $14,100 $1,175 premium 100.0% (901) 226-3882
75 MEDSTAR MEDICAL GROUP II LLC WASHINGTON PA PHYSICIAN ASSISTANT 3707 12 $5,348 $446 premium 4.3% (202) 429-2401
76 RADIOLOGY ASSOCIATES OF THE MAIN LINE, PC BRYN MAWR PA DIAGNOSTIC RADIOLOGY 72 11 $3,223 $293 premium 4.0% (484) 337-4371
77 HOUSTON RADIOLOGY ASSOCIATED HOUSTON TX DIAGNOSTIC RADIOLOGY 103 11 $7,222 $657 premium 2.6% (281) 206-9020
78 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 11 $29,579 $2,689 premium 15.1% (804) 828-9000
79 RADIOLOGY ASSOCIATES OF ALBUQUERQUE PA ALBUQUERQUE NM DIAGNOSTIC RADIOLOGY 101 11 $2,662 $242 premium 40.7% (505) 332-5827

*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 →