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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
91040 Study of esophageal sensation by balloon distension CPT · Test - Miscellaneous
Classification Test › Test - Miscellaneous (CMS RBCS)
First observed 2014
National scale 3,353 services ▲ 16.1% YoY · 3,234 beneficiaries (CY2024, Medicare FFS)
Medicare paid $134K · $39.85 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
80
Named-group FFS services
2,573
FFS of Medicare
49%
Services YoY
+16.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,172 services

2,573 observed fee-for-service (50%) · ~2,599 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 — 91040 (CY2024)
CA 433 IL 405 NY 253 FL 241 TX 225

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

Named-group submitted charges
$1.7M
Named-group allowed amount
$134K
Named-group Medicare payments
$105K
Avg charge / svc
$679
Avg allowed / svc
$52
Avg payment / svc
$41
Average charge per group
$60 80 groups · avg submitted charge / service $10,794
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 91040 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 124 $168,274 $1,357 55.1% —
2 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 93 $14,973 $161 23.0% —
3 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 89 $189,051 $2,124 20.6% (650) 723-4000
4 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 84 $25,200 $300 20.7% —
5 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 75 $10,532 $140 100.0% —
6 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 75 $23,550 $314 29.6% (212) 263-9700
7 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 72 $38,140 $530 16.6% (949) 791-3370
8 KINGMAN HEALTHCARE INC KINGMAN IL DIAGNOSTIC RADIOLOGY 178 68 $13,124 $193 16.8% (928) 263-4722
9 GI PARTNERS OF ILLINOIS LLC LIBERTYVILLE IL GASTROENTEROLOGY 36 66 $23,100 $350 16.3% (630) 952-1400
10 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 64 $16,628 $260 14.8% (415) 600-1020
11 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 58 $6,960 $120 76.3% —
12 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 56 $7,616 $136 12.9% (760) 340-3911
13 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 54 $115,750 $2,144 21.3% (212) 746-5454
14 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 49 $8,630 $176 20.3% (407) 896-1100
15 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM PHYSICIAN ASSISTANT 328 49 $21,496 $439 80.3% (505) 727-7090
16 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 49 $13,972 $285 11.3% (310) 825-7922
17 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 47 $10,575 $225 10.9% (714) 456-7002
18 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 46 $6,850 $149 31.5% (410) 502-4340
19 GASTROENTEROLOGY ASSOCIATES OF SOUTHWEST FLORIDA LLC FORT MYERS FL GASTROENTEROLOGY 59 46 $8,694 $189 19.1% (239) 275-8882
20 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 46 $11,530 $251 18.2% —
21 GASTROENTEROLOGY CONSULTANTS OF AUGUSTA, PC EVANS GA GASTROENTEROLOGY 26 45 $26,955 $599 42.5% (706) 854-8934
22 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 43 $84,968 $1,976 40.6% (404) 778-7525
23 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 42 $7,392 $176 100.0% (919) 684-8111
24 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 39 $99,228 $2,544 23.5% (732) 362-3663
25 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 39 $27,300 $700 60.0% (507) 284-2511
26 MONUMENT HEALTH NETWORK INC SPEARFISH SD FAMILY PRACTICE 166 39 $8,073 $207 73.6% (605) 717-8595
27 SOFI RESEARCH, LLC LONE TREE CO GENERAL SURGERY 2 32 $23,840 $745 26.0% (303) 788-7700
28 ATLANTIC DIGESTIVE SPECIALISTS PLLC SOMERSWORTH NH GASTROENTEROLOGY 18 29 $4,263 $147 100.0% (603) 692-2228
29 ATLANTIC SHORE SURGICAL ASSOCIATES, PC BRICK PA GENERAL SURGERY 16 28 $302,232 $10,794 50.0% (732) 701-4848
30 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 27 $17,550 $650 35.1% (414) 421-8400
31 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 26 $3,108 $120 25.5% (913) 588-1227
32 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 25 $3,725 $149 10.4% (407) 200-2700
33 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 24 $34,032 $1,418 23.5% (314) 747-3000
34 JOHNS HOPKINS UNIVERSITY BALTIMORE LA NURSE PRACTITIONER 2900 24 $5,158 $215 41.4% (410) 502-4340
35 BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC PHOENIX IL PHYSICIAN ASSISTANT 349 23 $3,036 $132 5.7% (602) 839-3927
36 FOX VALLEY SURGICAL ASSOCIATES LTD APPLETON WI NURSE PRACTITIONER 35 22 $4,114 $187 28.6% (920) 731-8131
37 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 22 $4,630 $210 32.8% (617) 732-5500
38 HEALTHTEXAS PROVIDER NETWORK DALLAS LA PHYSICIAN ASSISTANT 2482 22 $29,855 $1,357 37.9% —
39 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 22 $2,222 $101 9.1% —
40 NORTHERN NEVADA MEDICAL GROUP LLC SPARKS NV INTERNAL MEDICINE 89 21 $1,995 $95 100.0% (775) 351-5301
41 SOUTH FLORIDA SURGICAL SPECIALISTS LLC CORAL SPRINGS FL GENERAL SURGERY 92 21 $3,101 $148 8.7% (954) 344-3000
42 CNJ SPECIALTY SURGICAL ASSOCIATE EATONTOWN NJ COLORECTAL SURGERY (PROCTOLOGY) 6 20 $24,000 $1,200 12.0% (732) 389-1331
43 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 20 $3,166 $158 4.6% (858) 455-9100
44 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 20 $4,820 $241 29.9% (508) 334-1000
45 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 19 $4,877 $257 7.5% (631) 628-5000
46 USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL NURSE PRACTITIONER 353 18 $2,862 $159 51.4% (251) 471-7000
47 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM SC PHYSICIAN ASSISTANT 2609 18 $30,834 $1,713 23.7% (336) 713-9800
48 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 18 $1,998 $111 100.0% (801) 261-8346
49 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 17 $5,100 $300 6.7% (212) 305-8559
50 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 17 $53,890 $3,170 22.1% (608) 287-2050
51 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 17 $4,369 $257 13.8% (720) 777-1234
52 GUT PC DOTHAN AL GASTROENTEROLOGY 52 17 $1,020 $60 48.6% (334) 836-1212
53 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 17 $25,840 $1,520 53.1% (513) 584-1000
54 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 16 $15,664 $979 6.6% (904) 953-2000
55 GEORGE N ATIA MD SC BARRINGTON IL GASTROENTEROLOGY 13 16 $28,800 $1,800 4.0% (847) 382-7165
56 UNIVERSITY PHYSICIANS AND SURGEONS, INC HUNTINGTON WV NURSE PRACTITIONER 390 16 $1,600 $100 100.0% (304) 691-8500
57 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 15 $17,637 $1,176 6.7% (214) 599-8624
58 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY FL NURSE PRACTITIONER 1815 15 $1,797 $120 6.2% (913) 588-1227
59 MAYO CLINIC ARIZONA PHOENIX MN PHYSICIAN ASSISTANT 1635 15 $4,350 $290 23.1% (800) 603-0558
60 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 15 $1,485 $99 46.9% —
61 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 15 $6,450 $430 5.9% (212) 241-4812
62 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC JACKSON MS NURSE PRACTITIONER 266 15 $1,290 $86 30.6% (601) 292-4261
63 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 14 $1,680 $120 32.6% (913) 588-1227
64 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 14 $3,867 $276 16.5% (319) 678-8201
65 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 14 $2,128 $152 5.8% —
66 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD PHYSICIAN ASSISTANT 559 14 $2,898 $207 26.4% (605) 755-7200
67 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 14 $2,534 $181 8.4% (973) 971-5596
68 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY IL NURSE PRACTITIONER 1815 13 $1,545 $119 3.2% (913) 588-1227
69 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 13 $3,562 $274 3.2% (847) 459-1160
70 THE MEDICAL GROUP OF NEW JERSEY HACKETTSTOWN NJ PHYSICIAN ASSISTANT 274 13 $7,594 $584 7.8% (908) 979-1621
71 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 13 $14,105 $1,085 7.8% —
72 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 12 $1,666 $139 100.0% (206) 223-6600
73 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 12 $1,800 $150 20.7% (504) 842-3000
74 LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM NURSE PRACTITIONER 96 12 $2,357 $196 19.7% (575) 556-6440
75 KANSAS CITY GASTROENTEROLOGY AND HEPATOLOGY,LLC KANSAS CITY MO GASTROENTEROLOGY 4 12 $718 $60 11.8% (816) 361-0055
76 MAIMONIDES MEDICAL CENTER MMC GASTROENTEROLOGY FPP BROOKLYN NY GASTROENTEROLOGY 14 12 $1,636 $136 4.7% (718) 283-7732
77 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 11 $2,299 $209 16.9% (612) 871-1145
78 PIKEVILLE MEDICAL CENTER INC PIKEVILLE KY NURSE PRACTITIONER 435 11 $759 $69 20.0% —
79 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 11 $2,475 $225 100.0% (865) 305-6333
80 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 11 $1,793 $163 16.4% (781) 983-9088
81 HOAG CLINIC NEWPORT BEACH OR PHYSICIAN ASSISTANT 436 11 $1,837 $167 100.0% (949) 791-3370
82 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 11 $2,079 $189 4.6% (305) 689-5437
83 MEDSTAR MEDICAL GROUP II LLC WASHINGTON TX PHYSICIAN ASSISTANT 3707 11 $2,349 $214 4.9% (202) 429-2401
84 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 11 $2,090 $190 100.0% (313) 916-2600
85 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 11 $3,089 $281 4.6% (352) 265-8990
86 BAYCARE AURORA LLC GREEN BAY WI NURSE PRACTITIONER 198 11 $7,150 $650 14.3% (920) 288-8000

*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 →