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Market snapshot

92613 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92613 — Evaluation, recording, and interpretation of swallowing using an endoscope

Billing groups
24
Named-group FFS services
2,886
FFS of Medicare
49%
Services YoY
+0.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,901 services

2,886 observed fee-for-service (49%) · ~3,015 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 — 92613 (CY2024)

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

Named-group submitted charges
$446K
Named-group allowed amount
$107K
Named-group Medicare payments
$85K
Avg charge / svc
$155
Avg allowed / svc
$37
Avg payment / svc
$29
Average charge per group
$48 24 groups · avg submitted charge / service $250
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 92613 services, CY2024
#Physician group City St Specialty Providers 92613 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 731 $182,750 $250 premium 62.3% (310) 794-1110
2 EAR, NOSE AND THROAT CONSULTANTS OF NEVADA HENDERSON NV OTOLARYNGOLOGY 15 578 $43,350 $75 premium 100.0% (702) 792-6700
3 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 285 $63,270 $222 premium 60.9% (914) 963-8588
4 EAR INSTITUTE OF TEXAS P A SAN ANTONIO TX OTOLARYNGOLOGY 11 228 $17,763 $78 premium 93.1% (210) 363-6936
5 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 145 $14,935 $103 premium 100.0% (318) 675-8700
6 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 133 $23,147 $174 premium 11.3% (800) 926-8273
7 MIDWEST ENT ALLIANCE PLLC PARK RIDGE IL OTOLARYNGOLOGY 95 124 $12,130 $98 premium 100.0% (847) 674-5585
8 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 104 $23,400 $225 premium 22.2% (212) 746-5454
9 UNIVERSITY HEAD AND NECK SURGEONS ORANGE CA OTOLARYNGOLOGY 27 79 $13,272 $168 premium 6.7% (714) 456-5731
10 ADVOCARE, LLC HADDONFIELD NJ NURSE PRACTITIONER 384 77 $9,394 $122 premium 74.0% (856) 354-2211
11 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 59 $7,906 $134 premium 64.8% (336) 713-9800
12 PEAK ENT ASSOCIATES PROVO UT OTOLARYNGOLOGY 21 48 $4,560 $95 premium 100.0%
13 ENT GROUP OF LOS ANGELES TARZANA CA OTOLARYNGOLOGY 7 37 $2,183 $59 premium 3.2% (818) 609-0600
14 CAROLINA EAR NOSE AND THROAT-SINUS AND ALLERGY CENTER PA HICKORY NC OTOLARYNGOLOGY 19 32 $3,270 $102 premium 35.2% 8283222183266
15 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND CA NURSE PRACTITIONER 2232 31 $2,945 $95 premium 2.6%
16 BEACH CITIES ENTS TORRANCE CA OTOLARYNGOLOGY 5 30 $2,515 $84 premium 2.6% (310) 540-2111
17 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH TN DIAGNOSTIC RADIOLOGY 4291 28 $3,948 $141 premium 100.0%
18 ASSOCIATES IN OTOLARYNGOLOGY OF NJ, LLC WEST ORANGE NJ QUALIFIED AUDIOLOGIST 14 27 $3,375 $125 premium 26.0% (973) 243-0600
19 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON CA INTERNAL MEDICINE 332 22 $3,586 $163 premium 1.9% (925) 462-7060
20 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU GA DIAGNOSTIC RADIOLOGY 648 22 $2,068 $94 premium 100.0% (808) 691-8200
21 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 19 $1,979 $104 premium 1.6% (415) 600-1020
22 J. CHRISTOPHER DAVIS, PLLC BIRMINGHAM AL NURSE PRACTITIONER 7 18 $864 $48 premium 100.0% (205) 877-2705
23 UTMB FACULTY GROUP PRACTICE GALVESTON TX NURSE PRACTITIONER 1068 17 $1,666 $98 premium 6.9% (409) 772-2222
24 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 12 $1,740 $145 premium 100.0% (434) 924-5959

*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 →