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Market snapshot

G0500 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0500 — Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito

Billing groups
421
Named-group FFS services
155,204
FFS of Medicare
49%
Services YoY
-11.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~315,010 services

155,204 observed fee-for-service (49%) · ~159,806 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 — G0500 (CY2024)
CA 54,777 NY 13,644 IA 12,225 MA 11,488 MN 11,150

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

Named-group submitted charges
$18.3M
Named-group allowed amount
$1.1M
Named-group Medicare payments
$825K
Avg charge / svc
$118
Avg allowed / svc
$7
Avg payment / svc
$5
Average charge per group
$0 421 groups · avg submitted charge / service $1,360
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers G0500 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 4,781 $1,195,259 $250 8.7% (415) 600-1020
2 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 4,369 $745,871 $171 8.0% (858) 455-9100
3 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 3,213 $829,621 $258 5.9% (916) 681-8852
4 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 2,973 $519,150 $175 24.3% (515) 343-1000
5 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 2,903 $72,023 $25 36.1% —
6 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 2,840 $735,736 $259 5.2% (805) 681-7500
7 IDAHO GASTROENTEROLOGY ASSOCIATES LLP BOISE ID GASTROENTEROLOGY 26 2,702 $405,300 $150 46.0% (208) 489-1431
8 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 2,383 $111,828 $47 66.1% (252) 634-3278
9 DIGESTIVE HEALTH CLINIC LLC BOISE ID PHYSICIAN ASSISTANT 27 2,383 $262,130 $110 40.5% (208) 489-1900
10 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 2,311 $42,339 $18 22.5% (509) 665-6087
11 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 2,308 $335,365 $145 20.7% (507) 284-2511
12 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 2,189 $237,050 $108 4.0% (916) 983-7476
13 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 2,115 $223,354 $106 24.6% —
14 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 2,024 $131,654 $65 18.2% (952) 993-3123
15 DIGESTIVE DISEASE CONSULTANTS OF LAS CRUCES LLC LAS CRUCES NM GASTROENTEROLOGY 4 1,716 $171,600 $100 56.2% (575) 522-7697
16 WICHITA FALLS GASTROENTEROLOGY ASSOCIATES WICHITA FALLS TX GASTROENTEROLOGY 9 1,695 $127,125 $75 51.0% (940) 687-6870
17 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 1,669 $33,380 $20 16.3% —
18 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 1,655 $107,575 $65 14.4% (617) 732-5500
19 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,629 $465,894 $286 46.5% (800) 603-0558
20 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 1,601 $25,955 $16 2.9% (714) 871-3006
21 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 1,563 $96,204 $62 14.0% (651) 221-3456
22 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 1,544 $90,734 $59 13.4% —
23 IOWA DIGESTIVE DISEASE CENTER PC CLIVE IA GASTROENTEROLOGY 27 1,449 $127,512 $88 11.9% (515) 288-6097
24 BOULDER VALLEY GASTROENTEROLOGY INC. LAFAYETTE CO PHYSICIAN ASSISTANT 32 1,427 $78,485 $55 38.4% (303) 604-5000
25 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 1,371 $26,049 $19 34.5% (616) 885-5000
26 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO NURSE PRACTITIONER 333 1,351 $25,534 $19 34.5% (417) 269-6000
27 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO CA PHYSICIAN ASSISTANT 872 1,306 $360,300 $276 2.4% (858) 499-2600
28 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 1,298 $314,116 $242 19.0% (608) 260-2900
29 NORTH VALLEY GASTROENTEROLOGY MEDICAL GROUP INC YUBA CITY CA GASTROENTEROLOGY 3 1,283 $27,501 $21 2.3% (530) 671-3671
30 PORTLAND GASTROENTEROLOGY ASSOCIATES PA PORTLAND ME GASTROENTEROLOGY 22 1,263 $34,380 $27 58.7% 2077737964232
31 GENESIS MEDICAL GROUP, LLC ZANESVILLE OH NURSE PRACTITIONER 254 1,254 $15,424 $12 14.6% (740) 454-4038
32 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 1,225 $68,600 $56 11.9% (425) 339-5442
33 HUNTERDON GASTROENTEROLOGY ASSOCIATES, PA FLEMINGTON NJ GASTROENTEROLOGY 12 1,190 $242,760 $204 88.1% 90878864481101
34 UNIVERSITY GASTROENTEROLOGY, LLC PROVIDENCE RI GASTROENTEROLOGY 100 1,152 $86,400 $75 50.2% (401) 421-8800
35 GASTROENTEROLOGY ASSOCIATES OF NORTHERN NEW YORK PC GLENS FALLS NY GASTROENTEROLOGY 11 1,142 $114,200 $100 8.4% (518) 793-5034
36 WASHINGTON GASTROENTEROLOGY PLLC TACOMA WA PHYSICIAN ASSISTANT 139 1,106 $103,722 $94 10.7% (253) 272-5127
37 LOS PALOS GASTROENTEROLOGY SPECIALISTS INC SALINAS CA GASTROENTEROLOGY 5 1,103 $110,300 $100 2.0% (831) 424-8888
38 BUFFALO MEDICAL GROUP, P.C. WILLIAMSVILLE NY PHYSICIAN ASSISTANT 237 1,099 $74,775 $68 8.1% (716) 630-1000
39 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 1,069 $155,951 $146 54.0% —
40 ST LUKES METHODIST HOSPITAL CEDAR RAPIDS IA NURSE PRACTITIONER 82 1,056 $149,156 $141 8.6% (319) 368-5757
41 PARAMVIR S RAHAL MD INC BAKERSFIELD CA PHYSICIAN ASSISTANT 6 1,037 $77,775 $75 1.9% (661) 323-1200
42 TRI-CITIES DIGESTIVE HEALTH CENTER, P.S. KENNEWICK WA GASTROENTEROLOGY 5 1,031 $103,100 $100 10.0% (509) 460-5500
43 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 975 $265,200 $272 8.5% (508) 334-1000
44 TUCSON GASTROENTEROLOGY SPECIALISTS, PC TUCSON AZ GASTROENTEROLOGY 6 962 $131,198 $136 27.5% (520) 327-3454
45 SOUTH DENVER GASTROENTEROLOGY, P.C LONE TREE CO GASTROENTEROLOGY 53 961 $24,025 $25 25.8% (303) 788-8888
46 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 937 $30,921 $33 7.7% (515) 239-4400
47 RUTLAND HOSPITAL, INC. RUTLAND VT NURSE PRACTITIONER 189 913 $26,477 $29 24.5% (802) 775-7111
48 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 907 $147,791 $163 1.7% (650) 723-4000
49 CITRUS VALLEY GASTROENTEROLOGY A MEDICAL CORPORATION COVINA CA GASTROENTEROLOGY 7 887 $182,412 $206 1.6% (626) 960-2326
50 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 869 $28,677 $33 8.5% —
51 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 824 $246,592 $299 6.7% (319) 678-8201
52 NORTHWEST GASTROENTEROLOGY PROFESSIONAL LLC BELLINGHAM WA GASTROENTEROLOGY 13 812 $17,864 $22 7.9% (360) 734-1420
53 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 791 $126,164 $160 40.0% (801) 581-2121
54 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 772 $38,600 $50 46.6% (225) 246-9790
55 COVENANT MEDICAL CENTER INC WATERLOO IA NURSE PRACTITIONER 233 772 $118,888 $154 6.3% —
56 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 769 $22,688 $30 8.9% (614) 293-8000
57 OLYMPIA MULTI SPECIALTY CLINIC OLYMPIA WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 20 759 $15,220 $20 7.4% (360) 754-1727
58 COVINGTON MENZ LYCHE AND LIN MEDICAL GP VENTURA CA GASTROENTEROLOGY 9 756 $18,900 $25 1.4% (805) 641-6525
59 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 752 $10,528 $14 19.2% —
60 CLEARWATER GASTROENTEROLOGY LEWISTON ID GASTROENTEROLOGY 2 751 $27,040 $36 12.8% (208) 743-4373
61 GASTROINTESTINAL CARE OF LONG ISLAND PLLC MASSAPEQUA NY GASTROENTEROLOGY 154 736 $66,842 $91 5.4% (516) 795-5523
62 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 698 $217,740 $312 6.8% (309) 683-5050
63 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 698 $38,085 $55 1.3% (310) 534-8400
64 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 686 $123,727 $180 6.2% (507) 389-8509
65 UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP SAN FRANCISCO CA INTERNAL MEDICINE 593 683 $18,441 $27 1.2% (628) 206-4774
66 SILVER SUMMIT MEDICAL CORPORATION BAKERSFIELD CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 680 $51,000 $75 1.2% (661) 327-4455
67 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 671 $61,732 $92 5.5% —
68 SAN DIEGO DIGESTIVE DISEASE CONSULTANTS INC A MEDICAL GROUP SAN DIEGO CA GASTROENTEROLOGY 12 670 $31,088 $46 1.2% (858) 292-7527
69 RELIANT MEDICAL GROUP INC WORCESTER MA NURSE PRACTITIONER 634 669 $105,033 $157 5.8% (508) 363-5000
70 GUTHRIE MEDICAL GROUP PC SAYRE NY PHYSICIAN ASSISTANT 804 643 $29,516 $46 4.7% (570) 888-5858
71 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 640 $67,712 $106 8.0% —
72 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 626 $93,900 $150 16.0% (573) 331-3000
73 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS NY GASTROENTEROLOGY 613 621 $10,151 $16 4.6% —
74 STOCKWELL REISMAN PAULK AND TAYLOR PA TALLAHASSEE FL GASTROENTEROLOGY 15 616 $7,392 $12 24.6% (850) 877-2105
75 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 615 $14,802 $24 33.3% (570) 888-5858
76 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 608 $100,120 $165 16.3% (802) 847-0000
77 DANIEL RHEEM, M.D., INC. LOS ANGELES CA GASTROENTEROLOGY 2 605 $90,750 $150 1.1% (213) 381-3630
78 ASANTE PHYSICIAN PARTNERS GRANTS PASS OR NURSE PRACTITIONER 221 600 $10,354 $17 28.4% (541) 507-2290
79 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 599 $10,782 $18 5.8% (360) 882-2778
80 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 589 $57,974 $98 39.6% —
81 UNM MEDICAL GROUP INC ALBUQUERQUE NM FAMILY PRACTICE 1089 587 $17,724 $30 19.2% (505) 272-2111
82 ST LUKES METHODIST HOSPITAL CEDAR RAPIDS AR NURSE PRACTITIONER 82 573 $80,691 $141 48.7% (319) 368-5757
83 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE WI NURSE PRACTITIONER 799 560 $96,880 $173 8.2% (715) 838-5222
84 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 557 $34,801 $62 30.1% —
85 MUNSON MEDICAL CENTER TRAVERSE CITY MI PHYSICIAN ASSISTANT 378 552 $9,156 $17 13.9% (231) 935-8000
86 DIGESTIVE HEALTH ASSOCIATES RENO NV CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 36 525 $52,500 $100 79.7% (775) 829-7600
87 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 521 $115,141 $221 14.5% (919) 684-8111
88 COUNTY OF SANTA CLARA SAN JOSE CA INTERNAL MEDICINE 1001 516 $52,667 $102 0.9% (408) 885-5000
89 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 515 $122,925 $239 0.9% (800) 926-8273
90 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 494 $8,892 $18 4.3% (781) 983-9088
91 SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC WEST BURLINGTON IA NURSE PRACTITIONER 293 490 $6,370 $13 4.0% (319) 768-1000
92 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 487 $82,474 $169 59.7% (701) 234-2000
93 CARLE HEALTH CARE INCORPORATED URBANA IL NURSE PRACTITIONER 1528 472 $167,560 $355 4.6% (888) 712-2753
94 NNM GASTROENTEROLOGY ASSOCIATES PA SANTA FE NM GASTROENTEROLOGY 12 463 $138,900 $300 15.2% (505) 983-5631
95 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 450 $38,700 $86 13.5% (254) 724-2663
96 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 441 $29,212 $66 3.6% (515) 461-9786
97 HO S BAE M D INC LOS ANGELES CA GASTROENTEROLOGY 4 439 $102,726 $234 0.8% (213) 368-0360
98 SAN JOSE GASTROENTEROLOGY, INC. SAN JOSE CA GASTROENTEROLOGY 11 436 $64,205 $147 0.8% (408) 347-9001
99 DIGESTIVE CARE ASSOCIATES, A MEDICAL CORPORATION SAN CARLOS CA GASTROENTEROLOGY 6 435 $130,500 $300 0.8% (650) 596-8800
100 DIGESTIVE HEALTH ASSOCIATES P.C. STONEHAM MA GASTROENTEROLOGY 9 434 $17,360 $40 3.8% (781) 518-9053

Showing the top 100 of 421 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 →