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Market snapshot

49452 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

49452 — Replacement of stomach-to-small bowel tube using fluoroscopic guidance with contrast

Billing groups
16
Named-group FFS services
745
FFS of Medicare
49%
Services YoY
+4.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,640 services

745 observed fee-for-service (45%) · ~895 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 — 49452 (CY2024)

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

Named-group submitted charges
$964K
Named-group allowed amount
$95K
Named-group Medicare payments
$74K
Avg charge / svc
$1,295
Avg allowed / svc
$128
Avg payment / svc
$99
Average charge per group
$295 16 groups · avg submitted charge / service $5,823
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 49452 services, CY2024
#Physician group City St Specialty Providers 49452 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 226 $407,104 $1,801 premium 79.9% (352) 265-8990
2 CAMBRIA SOMERSET RADIOLOGY AND NUCLEAR MEDICINE GROUP INC JOHNSTOWN PA DIAGNOSTIC RADIOLOGY 38 79 $74,655 $945 premium 38.9% (814) 536-7226
3 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 70 $30,590 $437 premium 63.6% (616) 363-7272
4 BLUE RIDGE HEALTHCARE MEDICAL GROUP INC MORGANTON NC NURSE PRACTITIONER 221 52 $37,492 $721 premium 100.0% (828) 580-3278
5 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE TN NURSE PRACTITIONER 1912 52 $93,638 $1,801 premium 100.0% (352) 265-8990
6 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 34 $13,065 $384 premium 100.0%
7 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 30 $32,609 $1,087 premium 100.0%
8 TEXAS RADIOLOGY ASSOCIATES LLP PLANO MI DIAGNOSTIC RADIOLOGY 153 26 $29,952 $1,152 premium 23.6% (469) 814-2000
9 SUSQUEHANNA PHYSICIAN SERVICES WILLIAMSPORT PA PHYSICIAN ASSISTANT 608 25 $23,625 $945 premium 12.3% (570) 326-8005
10 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 23 $6,785 $295 premium 5.0% (612) 863-4000
11 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 20 $20,235 $1,012 premium 9.9% (215) 456-8242
12 CHRISTIANA CARE HEALTH SERVICES INC NEWARK NY PHYSICIAN ASSISTANT 1537 15 $5,764 $384 premium 22.4%
13 TEXAS RADIOLOGY ASSOCIATES LLP PLANO TX DIAGNOSTIC RADIOLOGY 153 15 $17,280 $1,152 premium 100.0% (469) 814-2000
14 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 14 $9,527 $680 premium 12.7% (734) 763-5459
15 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 13 $5,641 $434 premium 100.0%
16 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 13 $26,146 $2,011 premium 13.1% (501) 202-2093
17 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 13 $75,700 $5,823 premium 28.3% (800) 603-0558
18 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 13 $5,406 $416 premium 100.0% (206) 364-0500
19 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 12 $49,188 $4,099 premium 44.4% (608) 287-2050

*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 →