Who bills the most Removal of external hemorrhoids by rubber banding (46221) to Medicare in Virginia?
Medicare Part B FFS · CY2024 · as published by CMS14 physician groups billed Removal of external hemorrhoids by rubber banding (46221) to Medicare fee-for-service in Virginia in 2024; the top five named groups hold 70% 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 Virginia market — the table below shows the top 100 groups (free tier).
Medicare fee-for-service covers 61% of Medicare in Virginia; Medicare Advantage penetration 25% → 39% since 2020.
| # | Physician group | City | St | Specialty | Providers | 46221 svcs | Share* | Phone |
|---|---|---|---|---|---|---|---|---|
| 1 | CAPITAL DIGESTIVE CARE LLC | WASHINGTON | VA | GASTROENTEROLOGY | 238 | 200 | 16.6% | (202) 296-3449 |
| 2 | WINCHESTER GASTROENTEROLOGY ASSOCIATES | WINCHESTER | VA | PHYSICIAN ASSISTANT | 15 | 107 | 8.9% | 5406671244234 |
| 3 | FAIRFAX COLON AND RECTAL SURGERY PC | FAIRFAX | VA | COLORECTAL SURGERY (PROCTOLOGY) | 12 | 96 | 8.0% | (703) 280-2841 |
| 4 | VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC | ARLINGTON | VA | NURSE PRACTITIONER | 345 | 72 | 6.0% | — |
| 5 | COLON AND RECTAL SPECIALISTS LTD | MECHANICSVILLE | VA | COLORECTAL SURGERY (PROCTOLOGY) | 10 | 53 | 4.4% | (804) 559-3400 |
| 6 | SENTARA MEDICAL GROUP | NORFOLK | VA | PHYSICIAN ASSISTANT | 1404 | 43 | 3.6% | — |
| 7 | INOVA HEALTH CARE SERVICES | FALLS CHURCH | VA | NURSE PRACTITIONER | 1818 | 43 | 3.6% | — |
| 8 | GASTROENTEROLOGY ASSOC OF CENTRAL VIRGINIA INC. | LYNCHBURG | VA | ANESTHESIOLOGY | 24 | 41 | 3.4% | 4343841862643 |
| 9 | MARY WASHINGTON HEALTHCARE PROVIDERS LLC | FREDERICKSBURG | VA | DIAGNOSTIC RADIOLOGY | 267 | 25 | 2.1% | (540) 741-5610 |
| 10 | CAMC GREENBRIER VALLEY MEDICAL CENTER INC | RONCEVERTE | VA | PHYSICIAN ASSISTANT | 78 | 19 | 1.6% | — |
| 11 | BAYVIEW PHYSICIAN SERVICES PC | CHESAPEAKE | VA | PHYSICIAN ASSISTANT | 322 | 18 | 1.5% | (757) 410-4488 |
| 12 | MARTHA JEFFERSON MEDICAL GROUP LLC | CHARLOTTESVILLE | VA | PHYSICIAN ASSISTANT | 192 | 16 | 1.3% | (434) 817-1020 |
| 13 | VALLEY PHYSICIAN ENTERPRISE INC | WINCHESTER | VA | PHYSICIAN ASSISTANT | 229 | 13 | 1.1% | (540) 536-8000 |
| 14 | COLUMBIA HEALTHCARE OF CENTRAL VIRGINIA INC | NORTH CHESTERFIELD | VA | PHYSICIAN ASSISTANT | 30 | 13 | 1.1% | (804) 716-5520 |
*Share of Virginia'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 Virginia — 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 →