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Market snapshot

G0121 in SC CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0121 — Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Billing groups
35
Named-group FFS services
3,140
FFS of Medicare
54%
Services YoY
+1.7%
FFS enrollment -1.6%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,746 services

3,140 observed fee-for-service (55%) · ~2,606 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

Named-group submitted charges
$2.9M
Named-group allowed amount
$532K
Named-group Medicare payments
$532K
Avg charge / svc
$932
Avg allowed / svc
$169
Avg payment / svc
$169
Average charge per group
$445 35 groups · avg submitted charge / service $1,602
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Specialty market — Colorectal Surgery (Proctology): 188 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Colorectal Surgery (Proctology) across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0121 services, CY2024
#Physician group City Specialty Providers G0121 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 COLON - RECTAL SURGERY ASSOCIATES PC AIKEN COLORECTAL SURGERY (PROCTOLOGY) 2 188 $141,940 $755 premium 3.1% (803) 648-1171

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →