NEVVI Medicare utilization intelligence

On the fee-for-service record this fell to about 0.8× its 2015 level — but MA-adjusted, the total held near 1.1×: a shrinking share, not a shrinking market.

Medicare reported an estimated 4.4 million Lower GI Endoscopy - Other services in the United States in 2024

Published Jul 2026 · CMS Part B PUF 📋 Cite See the data →
Medicare Lower GI Endoscopy - Other services · fee-for-service record vs MA-adjusted total · 2015–2024
20152016201720182019202020212022202320242.2 million4.4 millionFee-for-service recordMA-adjusted total (est.)
Two series: the measured fee-for-service record and the MA-adjusted estimated total (FFS × total÷FFS enrollment). Their gap is Medicare Advantage's share, which the public file does not itemize by procedure. A services-volume count — billed services, not a count of procedures, visits, transports, or people. Cells under 11 beneficiaries withheld by CMS. Excludes commercial payers.
Utilization rate · per 1,000 fee-for-service beneficiaries · 2015–2024
201520162017201820192020202120222023202479
Billed Lower GI Endoscopy - Other services per 1,000 fee-for-service beneficiaries — an enrollment-independent rate that isolates utilization from the shrinking fee-for-service pool. Assumption-free, so it is NOT scaled to total Medicare.
Share of the published Digestive/Gastrointestinal families · billed services · 2024
Upper GI EndoscopyUpper GI Endoscopy: 2.3M2.3MLower GI Endoscopy - Ot…Lower GI Endoscopy - Other: 2.2M2.2MColonoscopy - Lesion Re…Colonoscopy - Lesion Removal: 1.6M1.6MCholecystectomy - Lapar…Cholecystectomy - Laparoscopic: 51K51KHernia Repair - Laparos…Hernia Repair - Laparoscopic (any site): 47K47KHernia Repair - Open (i…Hernia Repair - Open (inguinal): 16K16K
This family is 2nd of 6 published Digestive/Gastrointestinal families — about 36% of their combined billed services. A share of billed fee-for-service services, assumption-free (not scaled).

In 2024, Medicare's fee-for-service record carried about 2.2 million Lower GI Endoscopy - Other billed services in the United States; scaled for Medicare Advantage — roughly half of Medicare enrollment — that is an estimated 4.4 million services, or about 79 per 1,000 fee-for-service beneficiaries.

This counts reported Medicare Lower GI Endoscopy - Other SERVICES — billed services, not procedures, visits, transports, or people. A single episode can bill several services, and one person can be served many times, so this is a volume of billed services and nothing more. On the fee-for-service record the 2024 volume was about 2.2 million billed services; scaled to total Medicare enrollment it is an estimated 4.4 million. Assumption-free, that is about 79 Lower GI Endoscopy - Other services per 1,000 fee-for-service beneficiaries. Across 2015–2024 the estimated total moved about 1.1 times (about 0.8 times on the fee-for-service record alone, before the Medicare Advantage adjustment).

What this is

Reported Medicare fee-for-service Lower GI Endoscopy - Other billed services, 2015 to 2024, scaled to total Medicare enrollment, with the assumption-free per-1,000-beneficiary rate stated alongside.

What it is not

Not a count of procedures, visits, transports, or people (a services-volume count — one episode can bill several services), not Medicare Advantage measured directly, not all-payer, and not a care-quality or need signal. The scaled figures are estimates: the calculation assumes MA per-capita utilization ≈ FFS; MA plans may manage utilization differently. The per-1,000 rate is on the fee-for-service record and is not scaled.