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Medicare California · CY2024

Who bills the most Removal of external hemorrhoids by rubber banding (46221) to Medicare in California?

Medicare Part B FFS · CY2024 · as published by CMS
36
Billing groups
3,396
Named-group FFS services
$3,556,870
Named-group submitted charges
$1,047
Avg charge / service
$306
Avg allowed / service
54%
Top-5 concentration
0%
Independent share

36 physician groups billed Removal of external hemorrhoids by rubber banding (46221) to Medicare fee-for-service in California in 2024; the top five named groups hold 54% of that volume, and independent (non-hospital-affiliated) groups deliver 0%.

46221 — Removal of external hemorrhoids by rubber banding · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole California market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 49% of Medicare in California; Medicare Advantage penetration 45% → 51% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 46221 svcs Share*Phone
1 GENESIS HEALTHCARE PARTNERS PC TORRANCECAGASTROENTEROLOGY 211 722 13.4% (310) 534-8400
2 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCOCAPHYSICIAN ASSISTANT 277 360 6.7% (415) 476-1000
3 JAY P DILIBERTO MD INC HUNTINGTON BEACHCAINTERNAL MEDICINE 2 299 5.6% (714) 596-2800
4 DAVID YAMINI MD INC SANTA MONICACAGASTROENTEROLOGY 2 236 4.4% (310) 285-3005
5 SCRIPPS HEALTH LA JOLLACAPHYSICIAN ASSISTANT 1431 200 3.7% (858) 455-9100
6 SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC. SANTA MARIACACERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 23 195 3.6% (805) 922-6581
7 GASTROENTEROLOGY MEDICAL CLINIC FOLSOMCAGASTROENTEROLOGY 8 166 3.1% (916) 983-4444
8 MINIMALLY INVASIVE MEDICAL GROUP MISSION VIEJOCACERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 114 2.1% (949) 333-2224
9 DIGESTIVE CARE ASSOCIATES, A MEDICAL CORPORATION SAN CARLOSCAGASTROENTEROLOGY 6 101 1.9% (650) 596-8800
10 SUTTER BAY MEDICAL FOUNDATION PALO ALTOCAINTERNAL MEDICINE 3716 93 1.7% (415) 600-1020
11 SAN FRANCISCO SURGICAL SAN FRANCISCOCAGENERAL SURGERY 5 89 1.7% (415) 213-7971
12 JEFFREY P LAKE MD INC ENCINOCACOLORECTAL SURGERY (PROCTOLOGY) 4 82 1.5% (818) 387-8725
13 EISENHOWER MEDICAL CENTER RANCHO MIRAGECANURSE PRACTITIONER 457 74 1.4% (760) 340-3911
14 TAM H LE MD INC FOUNTAIN VALLEYCACOLORECTAL SURGERY (PROCTOLOGY) 2 66 1.2% (714) 861-4560
15 THE SURGERY GROUP OF LOS ANGELES PC Los AngelesCACOLORECTAL SURGERY (PROCTOLOGY) 3 52 1.0%
16 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELESCAPHYSICIAN ASSISTANT 1699 52 1.0% (310) 423-0674
17 PROVIDENCE MEDICAL FOUNDATION FULLERTONCAPHYSICIAN ASSISTANT 1455 44 0.8% (714) 871-3006
18 STANFORD HEALTH CARE STANFORDCADIAGNOSTIC RADIOLOGY 3039 43 0.8% (650) 723-4000
19 MADHU K. KRIS, M.D., INC. MERCEDCAGASTROENTEROLOGY 3 43 0.8% (209) 384-3115
20 ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO INC SAN DIEGOCACARDIOVASCULAR DISEASE (CARDIOLOGY) 146 39 0.7% (619) 359-6600
21 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEKCAFAMILY PRACTICE 489 30 0.6% (925) 296-9720
22 PRAHALAD B JAJODIA MD INC FRESNOCAGASTROENTEROLOGY 2 29 0.5% (559) 431-8888
23 DIGESTIVE DISEASE CONSULTANTS OF ORANGE COUNTY INC IRVINECAPHYSICIAN ASSISTANT 14 27 0.5% (949) 612-9090
24 COTTAGE MEDICAL FOUNDATION GOLETACAINTERNAL MEDICINE 74 26 0.5% (805) 879-4240
25 BASS MEDICAL GROUP WALNUT CREEKCAOTOLARYNGOLOGY 318 23 0.4%
26 ANNAPOLIS COLON AND RECTAL SURGEONS LLC ANNAPOLISCACOLORECTAL SURGERY (PROCTOLOGY) 2 23 0.4% (410) 573-1699
27 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTOCADIAGNOSTIC RADIOLOGY 2420 21 0.4% (916) 681-8852
28 SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP INC LAGUNA HILLSCAGENERAL SURGERY 22 20 0.4% (949) 457-7900
29 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDACADIAGNOSTIC RADIOLOGY 1317 19 0.4%
30 PETAR VUKASIN M D INC GLENDALECACOLORECTAL SURGERY (PROCTOLOGY) 3 18 0.3% (818) 244-8161
31 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOMCADIAGNOSTIC RADIOLOGY 1197 17 0.3% (916) 983-7476
32 SURGICAL ASSOCIATES OF MONTEREY BAY MEDICAL CORPORATION SANTA CRUZCAGENERAL SURGERY 7 17 0.3% (831) 464-9962
33 GLENDALE ADVENTIST MEDICAL CENTER GLENDALECAANESTHESIOLOGY 100 16 0.3% (818) 863-4099
34 ASSOCIATED SURGEONS OF SAN LUIS OBISPO PISMO BEACHCAGENERAL SURGERY 9 15 0.3% (805) 546-0411
35 SAINT AGNES MEDICAL FOUNDATION FRESNOCAINTERNAL MEDICINE 155 14 0.3% (559) 450-5777
36 SUTTER COAST HOSPITAL CRESCENT CITYCAINTERNAL MEDICINE 26 11 0.2% (707) 464-6715

*Share of California's disclosed Medicare-FFS services for 46221, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 46221 in California — including groups registered elsewhere ("City" is each 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.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

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 →