49650 — Repair of groin hernia using an endoscope
33,381 observed fee-for-service (50%) · ~33,385 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
Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market. Average submitted charge / service by billing state, among the highest-volume states; open a bar for that state's ranked market.
- 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 exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.
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.
Notify me at launch →| # | Physician group | City | St | Specialty | Providers | 49650 svcs | Submitted charges | Avg charge | Medicare $ locked column | Share* | Phone |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | NORTH FLORIDA SURGEONS PA | JACKSONVILLE | FL | PHYSICIAN ASSISTANT | 331 | 465 | $1,329,218 | $2,859 | premium | 9.0% | (904) 396-1725 |
| 2 | NEW YORK UNIVERSITY | NEW YORK | NY | DIAGNOSTIC RADIOLOGY | 5704 | 411 | $2,358,232 | $5,738 | premium | 15.2% | (212) 263-9700 |
| 3 | ENDEAVOR HEALTH MEDICAL GROUP | EVANSTON | IL | NURSE PRACTITIONER | 3380 | 371 | $731,566 | $1,972 | premium | 18.9% | — |
| 4 | SUTTER BAY MEDICAL FOUNDATION | PALO ALTO | CA | INTERNAL MEDICINE | 3716 | 360 | $583,644 | $1,621 | premium | 6.2% | (415) 600-1020 |
| 5 | ARIZONA ADVANCED SURGERY LLC | PHOENIX | AZ | GENERAL SURGERY | 89 | 344 | $434,209 | $1,262 | premium | 14.7% | (602) 340-0201 |
| 6 | SCRIPPS HEALTH | LA JOLLA | CA | PHYSICIAN ASSISTANT | 1431 | 342 | $467,310 | $1,366 | premium | 5.9% | (858) 455-9100 |
| 7 | CHS PHYSICIAN PARTNERS PC | ROSLYN | NY | PHYSICIAN ASSISTANT | 734 | 330 | $1,573,750 | $4,769 | premium | 12.2% | — |
| 8 | HEALTHTEXAS PROVIDER NETWORK | DALLAS | TX | PHYSICIAN ASSISTANT | 2482 | 304 | $479,290 | $1,577 | premium | 10.1% | — |
| 9 | HONORHEALTH AMBULATORY | SCOTTSDALE | AZ | PHYSICIAN ASSISTANT | 601 | 295 | $420,050 | $1,424 | premium | 12.6% | — |
| 10 | SUTTER VALLEY MEDICAL FOUNDATION | SACRAMENTO | CA | DIAGNOSTIC RADIOLOGY | 2420 | 272 | $502,848 | $1,849 | premium | 4.7% | (916) 681-8852 |
| 11 | LEE HEALTH SYSTEM INC | FORT MYERS | FL | NURSE PRACTITIONER | 1370 | 260 | $379,213 | $1,459 | premium | 5.1% | (239) 343-9888 |
| 12 | DUPAGE MEDICAL GROUP LTD | GLEN ELLYN | IL | PHYSICIAN ASSISTANT | 1323 | 250 | $463,701 | $1,855 | premium | 12.7% | (630) 469-9200 |
| 13 | POUDRE VALLEY MEDICAL GROUP LLC | COLORADO SPRINGS | CO | PHYSICIAN ASSISTANT | 2390 | 247 | $283,018 | $1,146 | premium | 22.3% | — |
| 14 | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC | ATLANTA | GA | PHYSICIAN ASSISTANT | 368 | 242 | $375,256 | $1,551 | premium | 20.6% | — |
| 15 | NORTH SHORE-LIJ MEDICAL PC | MANHASSET | NY | PHYSICIAN ASSISTANT | 6294 | 241 | $1,198,546 | $4,973 | premium | 8.9% | — |
| 16 | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC | SUN CITY | AZ | PHYSICIAN ASSISTANT | 354 | 236 | $242,379 | $1,027 | premium | 10.1% | (623) 832-4000 |
| 17 | LEHIGH VALLEY PHYSICIAN GROUP | ALLENTOWN | PA | PHYSICIAN ASSISTANT | 2389 | 213 | $304,980 | $1,432 | premium | 12.0% | — |
| 18 | MARTIN MEMORIAL MEDICAL CENTER INC | STUART | FL | PHYSICIAN ASSISTANT | 504 | 204 | $424,090 | $2,079 | premium | 4.0% | (772) 223-5665 |
| 19 | CEDARS-SINAI MEDICAL CARE FOUNDATION | LOS ANGELES | CA | PHYSICIAN ASSISTANT | 1699 | 199 | $312,215 | $1,569 | premium | 3.4% | (310) 423-0674 |
| 20 | INOVA HEALTH CARE SERVICES | FALLS CHURCH | VA | NURSE PRACTITIONER | 1818 | 191 | $313,212 | $1,640 | premium | 13.2% | — |
| 21 | HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC | NEPTUNE | NJ | NURSE PRACTITIONER | 1878 | 189 | $720,900 | $3,814 | premium | 13.9% | (732) 362-3663 |
| 22 | UTAH SURGICAL ASSOCIATES INC | PROVO | UT | GENERAL SURGERY | 49 | 188 | $207,190 | $1,102 | premium | 37.9% | — |
| 23 | GOMEZ KOZAR MCELREATH AND SMITH PROFESSIONAL CORPORATION | RENO | NV | GENERAL SURGERY | 26 | 188 | $487,175 | $2,591 | premium | 37.0% | (775) 323-7500 |
| 24 | BEEBE PHYSICIAN NETWORK INC. | LEWES | DE | PHYSICIAN ASSISTANT | 295 | 182 | $150,539 | $827 | premium | 56.7% | (302) 645-3525 |
| 25 | PROVIDENCE MEDICAL FOUNDATION | FULLERTON | CA | PHYSICIAN ASSISTANT | 1455 | 176 | $184,939 | $1,051 | premium | 3.0% | (714) 871-3006 |
| 26 | JOHNS HOPKINS UNIVERSITY | BALTIMORE | DC | INTERNAL MEDICINE | 720 | 176 | $226,501 | $1,287 | premium | 75.2% | (410) 550-0100 |
| 27 | NORTH CAROLINA MG LLC | RALEIGH | NC | PHYSICIAN ASSISTANT | 674 | 169 | $220,335 | $1,304 | premium | 13.8% | (919) 881-0160 |
| 28 | LEXINGTON HEALTH INC | WEST COLUMBIA | SC | NURSE PRACTITIONER | 909 | 168 | $212,397 | $1,264 | premium | 14.9% | (803) 744-4900 |
| 29 | BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC | RICHMOND | VA | NURSE PRACTITIONER | 352 | 164 | $245,694 | $1,498 | premium | 11.4% | (804) 764-6000 |
| 30 | TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NEW YORK | NY | NURSE PRACTITIONER | 2273 | 160 | $469,362 | $2,934 | premium | 5.9% | (212) 305-8559 |
| 31 | IHC HEALTH SERVICES INC | MURRAY | UT | PHYSICIAN ASSISTANT | 3944 | 160 | $188,482 | $1,178 | premium | 32.3% | (801) 261-8346 |
| 32 | SMH PHYSICIAN SERVICES INC | SARASOTA | FL | PHYSICIAN ASSISTANT | 766 | 160 | $163,961 | $1,025 | premium | 3.1% | — |
| 33 | NOVANT HEALTH MEDICAL GROUP, LLC | WINSTON SALEM | NC | PHYSICIAN ASSISTANT | 2389 | 158 | $264,088 | $1,671 | premium | 12.9% | (704) 384-8200 |
| 34 | HEALTH FIRST MEDICAL GROUP, LLC | MELBOURNE | FL | NURSE PRACTITIONER | 669 | 157 | $107,278 | $683 | premium | 3.1% | (321) 434-8878 |
| 35 | FRANCISCAN MEDICAL GROUP | TACOMA | WA | PHYSICIAN ASSISTANT | 1407 | 157 | $236,939 | $1,509 | premium | 14.3% | (253) 428-2200 |
| 36 | MULTICARE HEALTH SYSTEM | GIG HARBOR | WA | NURSE PRACTITIONER | 2289 | 156 | $261,986 | $1,679 | premium | 14.2% | — |
| 37 | HOAG CLINIC | NEWPORT BEACH | CA | PHYSICIAN ASSISTANT | 436 | 154 | $273,029 | $1,773 | premium | 2.6% | (949) 791-3370 |
| 38 | BOCACARE INC | BOCA RATON | FL | PHYSICIAN ASSISTANT | 199 | 153 | $289,498 | $1,892 | premium | 3.0% | (561) 955-7100 |
| 39 | CHRISTUS TRINITY CLINIC | TYLER | TX | NURSE PRACTITIONER | 1495 | 151 | $315,182 | $2,087 | premium | 5.0% | (903) 606-5560 |
| 40 | SAINT LUKES PHYSICIAN GROUP INC | KANSAS CITY | MO | NURSE PRACTITIONER | 1228 | 150 | $212,660 | $1,418 | premium | 14.2% | — |
| 41 | SOUTHWEST MEDICAL ASSOCIATES, LLC | ALBUQUERQUE | NM | PHYSICIAN ASSISTANT | 328 | 148 | $121,024 | $818 | premium | 37.6% | (505) 727-7090 |
| 42 | PREMIER SURGICAL ASSOCIATES PLLC | KNOXVILLE | TN | GENERAL SURGERY | 60 | 146 | $176,398 | $1,208 | premium | 20.4% | (865) 690-5263 |
| 43 | ADVOCATE HEALTH AND HOSPITALS CORPORATION | BUFFALO GROVE | IL | NURSE PRACTITIONER | 3045 | 145 | $389,715 | $2,688 | premium | 7.4% | (847) 459-1160 |
| 44 | MERCY CLINIC OKLAHOMA COMMUNITIES | OKLAHOMA CITY | OK | PHYSICIAN ASSISTANT | 642 | 144 | $163,135 | $1,133 | premium | 25.1% | (405) 254-9690 |
| 45 | TUCSON PHYSICIAN GROUP HOLDINGS LLC | TUCSON | AZ | INTERNAL MEDICINE | 200 | 143 | $173,316 | $1,212 | premium | 6.1% | (520) 396-1360 |
| 46 | TENET FLORIDA PHYSICIAN SERVICES LLC | DELRAY BEACH | FL | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 224 | 143 | $117,150 | $819 | premium | 2.8% | (561) 498-4440 |
| 47 | ROPER SAINT FRANCIS PHYSICIANS NETWORK | CHARLESTON | SC | PHYSICIAN ASSISTANT | 539 | 142 | $224,406 | $1,580 | premium | 12.6% | (843) 720-8448 |
| 48 | MAIN LINE HEALTHCARE | BRYN MAWR | PA | NURSE PRACTITIONER | 1157 | 142 | $204,437 | $1,440 | premium | 8.0% | — |
| 49 | BAPTIST HEALTH MEDICAL GROUP INC | LOUISVILLE | KY | NURSE PRACTITIONER | 2448 | 140 | $134,035 | $957 | premium | 41.8% | (502) 928-1050 |
| 50 | WEILL MEDICAL COLLEGE OF CORNELL | NEW YORK | NY | INTERNAL MEDICINE | 2053 | 137 | $950,640 | $6,939 | premium | 5.1% | (212) 746-5454 |
| 51 | SENTARA MEDICAL GROUP | NORFOLK | VA | PHYSICIAN ASSISTANT | 1404 | 135 | $133,420 | $988 | premium | 9.3% | — |
| 52 | CRYSTAL RUN HEALTHCARE PHYSICIANS LLP | MIDDLETOWN | NY | NURSE PRACTITIONER | 372 | 132 | $185,250 | $1,403 | premium | 4.9% | (845) 703-6999 |
| 53 | WICHITA SURGICAL SPECIALISTS PA | WICHITA | KS | GENERAL SURGERY | 60 | 131 | $146,255 | $1,116 | premium | 27.1% | (316) 263-0296 |
| 54 | PRACTICE ASSOCIATES MEDICAL GROUP | MORRISTOWN | NJ | NURSE PRACTITIONER | 1404 | 129 | $227,370 | $1,763 | premium | 9.5% | (973) 971-5596 |
| 55 | EISENHOWER MEDICAL CENTER | RANCHO MIRAGE | CA | NURSE PRACTITIONER | 457 | 128 | $152,474 | $1,191 | premium | 2.2% | (760) 340-3911 |
| 56 | BOONE PHYSICIAN SERVICES LLC | COLUMBIA | MO | PHYSICIAN ASSISTANT | 236 | 123 | $118,794 | $966 | premium | 11.6% | (573) 815-8000 |
| 57 | SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP INC | LAGUNA HILLS | CA | GENERAL SURGERY | 22 | 122 | $77,790 | $638 | premium | 2.1% | (949) 457-7900 |
| 58 | SCOTT AND WHITE CLINIC | TEMPLE | TX | PHYSICIAN ASSISTANT | 2435 | 116 | $168,125 | $1,449 | premium | 3.9% | (254) 724-2663 |
| 59 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION | DOVER | NH | PHYSICIAN ASSISTANT | 429 | 115 | $129,964 | $1,130 | premium | 32.2% | — |
| 60 | VIRTUA MEDICAL GROUP, PA | VOORHEES | NJ | PHYSICIAN ASSISTANT | 1662 | 113 | $217,140 | $1,922 | premium | 8.3% | (856) 247-7260 |
| 61 | NCHMD INC | NAPLES | FL | NEUROLOGY | 515 | 112 | $161,490 | $1,442 | premium | 2.2% | (239) 436-5100 |
| 62 | BAYCARE MEDICAL GROUP, INC. | CLEARWATER | FL | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 1526 | 112 | $124,469 | $1,111 | premium | 2.2% | (727) 725-5060 |
| 63 | UCLA ASSOCIATED GENERAL SURGEONS | LOS ANGELES | CA | GENERAL SURGERY | 47 | 112 | $371,330 | $3,315 | premium | 1.9% | (310) 267-7838 |
| 64 | INTEGRIS AMBULATORY CARE CORPORATION | OKLAHOMA CITY | OK | PHYSICIAN ASSISTANT | 698 | 112 | $102,098 | $912 | premium | 19.5% | (405) 751-5555 |
| 65 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | MADISON | WI | PHYSICIAN ASSISTANT | 2523 | 111 | $535,509 | $4,824 | premium | 24.4% | (608) 287-2050 |
| 66 | PALM BEACH GENERAL SURGERY LLC | MIAMI | FL | PHYSICIAN ASSISTANT | 70 | 108 | $167,616 | $1,552 | premium | 2.1% | (305) 854-4400 |
| 67 | CENTRAL DUPAGE PHYSICIAN GROUP | WHEATON | IL | PHYSICIAN ASSISTANT | 1097 | 107 | $145,966 | $1,364 | premium | 5.4% | (630) 933-4800 |
| 68 | BASSAM SAYEGH MD PA | JUPITER | FL | GENERAL SURGERY | 2 | 107 | $138,090 | $1,291 | premium | 2.1% | (561) 743-7766 |
| 69 | ALLINA HEALTH SYSTEM | MINNEAPOLIS | MN | PHYSICIAN ASSISTANT | 3855 | 106 | $212,066 | $2,001 | premium | 42.6% | (612) 863-4000 |
| 70 | SURGICAL ASSOCIATES OF LA JOLLA MEDICAL GROUP, INC. | LA JOLLA | CA | GENERAL SURGERY | 5 | 104 | $161,245 | $1,550 | premium | 1.8% | (858) 452-5054 |
| 71 | LUMINIS HEALTH MEDICAL GROUP, LLC | ANNAPOLIS | MD | PHYSICIAN ASSISTANT | 544 | 104 | $100,970 | $971 | premium | 7.7% | (443) 481-1000 |
| 72 | NORTHEAST GEORGIA PHYSICIANS GROUP INC | GAINESVILLE | GA | PHYSICIAN ASSISTANT | 901 | 101 | $134,715 | $1,334 | premium | 8.6% | (770) 219-7777 |
| 73 | LAKELAND SURGICAL CLINIC PLLC | JACKSON | MS | GENERAL SURGERY | 15 | 100 | $124,875 | $1,249 | premium | 22.9% | (601) 982-3202 |
| 74 | MERCY CLINIC SPRINGFIELD COMMUNITIES | SPRINGFIELD | MO | PHYSICIAN ASSISTANT | 1128 | 100 | $149,020 | $1,490 | premium | 9.4% | — |
| 75 | JOHN MUIR PHYSICIAN NETWORK | WALNUT CREEK | CA | FAMILY PRACTICE | 489 | 100 | $238,788 | $2,388 | premium | 1.7% | (925) 296-9720 |
| 76 | WARREN CLINIC INC | TULSA | OK | NURSE PRACTITIONER | 772 | 99 | $144,632 | $1,461 | premium | 17.3% | (918) 502-4720 |
| 77 | ST PAUL PLACE SPECIALISTS, INC. | BALTIMORE | MD | PHYSICIAN ASSISTANT | 337 | 99 | $167,384 | $1,691 | premium | 7.3% | (410) 663-8100 |
| 78 | KOOTENAI HEALTH INC | COEUR D ALENE | ID | PHYSICIAN ASSISTANT | 383 | 99 | $85,490 | $864 | premium | 30.5% | — |
| 79 | PIEDMONT PROVIDERS LLC | ATLANTA | GA | PHYSICIAN ASSISTANT | 509 | 98 | $165,522 | $1,689 | premium | 8.4% | (404) 367-3210 |
| 80 | TEXAS HEALTH PHYSICIANS GROUP | FORT WORTH | TX | PHYSICIAN ASSISTANT | 1350 | 94 | $154,926 | $1,648 | premium | 3.1% | (817) 281-2977 |
| 81 | MANATEE SPECIALTY PHYSICIAN ALLIANCE LLC | BRADENTON | FL | PHYSICIAN ASSISTANT | 27 | 93 | $50,637 | $544 | premium | 1.8% | (941) 746-3115 |
| 82 | SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC | SAN ANTONIO | TX | HEMATOLOGY/ONCOLOGY | 39 | 93 | $116,257 | $1,250 | premium | 3.1% | (210) 593-5700 |
| 83 | NORTHEAST MEDICAL GROUP INC | NEW HAVEN | CT | PHYSICIAN ASSISTANT | 1380 | 93 | $123,415 | $1,327 | premium | 20.2% | — |
| 84 | MAYO CLINIC ARIZONA | PHOENIX | AZ | PHYSICIAN ASSISTANT | 1635 | 87 | $265,713 | $3,054 | premium | 3.7% | (800) 603-0558 |
| 85 | CLEVELAND CLINIC | CLEVELAND | OH | PHYSICIAN ASSISTANT | 6828 | 87 | $181,250 | $2,083 | premium | 7.8% | — |
| 86 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP | GREENVILLE | SC | NURSE PRACTITIONER | 2447 | 86 | $120,484 | $1,401 | premium | 7.6% | — |
| 87 | AUSTIN SURGEONS PLLC | AUSTIN | TX | GENERAL SURGERY | 7 | 85 | $109,408 | $1,287 | premium | 2.8% | — |
| 88 | MERCY CLINIC SURGICAL SPECIALISTS LLC | SAINT LOUIS | MO | PHYSICIAN ASSISTANT | 177 | 85 | $98,016 | $1,153 | premium | 8.0% | (314) 567-5850 |
| 89 | VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC | SUMMERFIELD | FL | DIAGNOSTIC RADIOLOGY | 196 | 85 | $246,352 | $2,898 | premium | 1.7% | (352) 255-3615 |
| 90 | JOHNS HOPKINS UNIVERSITY | BALTIMORE | MD | NURSE PRACTITIONER | 2900 | 84 | $165,984 | $1,976 | premium | 6.2% | (410) 502-4340 |
| 91 | ADVENTIST HEALTH PHYSICIANS NETWORK | HANFORD | CA | NURSE PRACTITIONER | 651 | 84 | $89,153 | $1,061 | premium | 1.4% | (559) 583-4695 |
| 92 | LANCASTER GENERAL MEDICAL GROUP | LANCASTER | PA | PHYSICIAN ASSISTANT | 580 | 84 | $122,656 | $1,460 | premium | 4.7% | — |
| 93 | KADLEC REGIONAL MEDICAL CENTER | RICHLAND | WA | PHYSICIAN ASSISTANT | 382 | 83 | $89,945 | $1,084 | premium | 7.6% | (509) 946-4611 |
| 94 | BASS MEDICAL GROUP | WALNUT CREEK | CA | OTOLARYNGOLOGY | 318 | 82 | $120,423 | $1,469 | premium | 1.4% | — |
| 95 | TAMPA BAY SURGICAL GROUP LLP | TAMPA | FL | GENERAL SURGERY | 20 | 82 | $192,891 | $2,352 | premium | 1.6% | — |
| 96 | AURORA MEDICAL GROUP, INC. | MILWAUKEE | WI | DIAGNOSTIC RADIOLOGY | 3696 | 82 | $529,162 | $6,453 | premium | 18.1% | (414) 421-8400 |
| 97 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC | CORAL SPRINGS | FL | GENERAL SURGERY | 92 | 82 | $115,609 | $1,410 | premium | 1.6% | (954) 344-3000 |
| 98 | GEORGETOWN PHYSICIAN ASSOCIATES, LLC | MURRELLS INLET | SC | FAMILY PRACTICE | 230 | 82 | $89,485 | $1,091 | premium | 7.3% | (843) 652-8450 |
| 99 | PROGRESSIVE SURGICAL ASSOCIATES SC | NEW LENOX | IL | GENERAL SURGERY | 10 | 82 | $203,770 | $2,485 | premium | 4.2% | (815) 717-8730 |
| 100 | PRESBYTERIAN HEALTHCARE SERVICES | ALBUQUERQUE | NM | PHYSICIAN ASSISTANT | 1369 | 81 | $82,468 | $1,018 | premium | 20.6% | (505) 841-1234 |
Showing the top 100 of 688 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 →