NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
17004 Destruction of precancer skin growth, 15 or more growths CPT · Skin procedure
Classification Procedure › Skin › Destruction Skin Lesion (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 807,938 services ▲ 0.7% YoY · 561,186 beneficiaries (CY2024, Medicare FFS)
Medicare paid $93.9M · $116.26 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
2,321
Named-group FFS services
603,218
FFS of Medicare
49%
Services YoY
+0.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,234,661 services

603,218 observed fee-for-service (49%) · ~631,443 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 — 17004 (CY2024)
CA 153,216 FL 113,504 TX 57,447 NY 42,336 AZ 27,197

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

Named-group submitted charges
$227.1M
Named-group allowed amount
$95.0M
Named-group Medicare payments
$68.9M
Avg charge / svc
$376
Avg allowed / svc
$157
Avg payment / svc
$114
Average charge per group
$100 2,321 groups · avg submitted charge / service $1,528
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 17004 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 J ROBERT WEST MD INC LAS VEGAS CA DERMATOLOGY 140 7,760 $2,914,333 $376 5.1% (702) 258-1001
2 LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC THE VILLAGES FL PHYSICIAN ASSISTANT 192 6,890 $4,160,711 $604 6.1% (352) 753-2812
3 AQUA DERMATOLOGY OF FLORIDA, PA NAPLES FL PHYSICIAN ASSISTANT 184 6,888 $2,384,693 $346 6.1% (239) 596-9075
4 OLIVER STREET 5.01(A) INC TYLER TX PHYSICIAN ASSISTANT 168 6,024 $3,411,928 $566 10.5% (903) 534-6200
5 ALLIANT DERMATOLOGY PA THE VILLAGES FL PHYSICIAN ASSISTANT 11 4,435 $1,080,724 $244 3.9% (352) 399-7295
6 GOLDEN STATE DERMATOLOGY ASSOCIATES, INC. WALNUT CREEK CA DERMATOLOGY 118 4,321 $1,775,925 $411 2.8% (925) 932-7704
7 ROBERT B STRIMLING MD AND ASSOCIATES LLC LAS VEGAS NV DERMATOLOGY 3 4,184 $1,096,110 $262 25.6% (702) 243-6400
8 GEORGIA DERMATOLOGY AND SKIN CANCER CENTER, LLC MACON GA PHYSICIAN ASSISTANT 52 4,025 $573,137 $142 17.1% (478) 745-8581
9 DERMATOLOGY AND SKIN SURGERY APMC SHREVEPORT LA DERMATOLOGY 9 3,842 $911,993 $237 30.8% (318) 222-3278
10 SCHWEIGER DERMATOLOGY PLLC NEW YORK NY PHYSICIAN ASSISTANT 238 3,831 $1,479,742 $386 9.0% (212) 283-3000
11 CENTER FOR DERMATOLOGY PLLC SCOTTSDALE AZ PHYSICIAN ASSISTANT 67 3,471 $1,302,448 $375 12.8% (480) 905-8485
12 ALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP LOS ALAMITOS CA DERMATOLOGY 5 3,457 $670,515 $194 2.3% (562) 598-8593
13 CSI MEDICAL GROUP SARATOGA CA DERMATOLOGY 97 3,326 $1,082,396 $325 2.2% (408) 253-4407
14 FOREFRONT DERMATOLOGY SC PENSACOLA VA PHYSICIAN ASSISTANT 639 3,174 $2,322,768 $732 16.4% (800) 243-7546
15 LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION BISHOP CA PHYSICIAN ASSISTANT 82 2,859 $1,429,674 $500 1.9% (760) 873-8781
16 SUNCOAST SKIN SOLUTIONS LUTZ FL DERMATOLOGY 90 2,852 $940,495 $330 2.5% (813) 321-1786
17 TOTAL VEIN AND SKIN LLC BOYNTON BEACH FL DERMATOLOGY 15 2,813 $924,790 $329 2.5% (561) 739-5252
18 EPIPHANY DERMATOLOGY PA WACO TX DERMATOLOGY 106 2,715 $1,313,654 $484 4.7% (254) 537-1265
19 BLUE OCEAN DERMATOLOGY LLC PORT ORANGE FL NURSE PRACTITIONER 14 2,699 $664,299 $246 2.4% —
20 ANGELA YEN MOORE MD PA ARLINGTON TX NURSE PRACTITIONER 4 2,674 $458,258 $171 4.7% 8177957546320
21 MOUNTAIN WEST DERM - BLACKHART PLLC RENO NV PHYSICIAN ASSISTANT 105 2,576 $903,068 $351 15.8% (775) 324-0699
22 KATHLEEN VINE MD PC NEW YORK NY PHYSICIAN ASSISTANT 10 2,439 $1,097,550 $450 5.8% (646) 421-6064
23 THE DERMATOLOGY CENTER PSC FLORENCE KY DERMATOLOGY 4 2,418 $604,500 $250 26.9% (859) 525-6770
24 PDP OF TEXAS, PLLC PLANO TX DERMATOLOGY 60 2,366 $886,376 $375 4.1% (214) 987-3376
25 SAM P SMITH DO LLC GILBERT AZ DERMATOLOGY 2 2,291 $398,434 $174 8.4% (480) 646-8660
26 FOREFRONT DERMATOLOGY SC PENSACOLA FL PHYSICIAN ASSISTANT 639 2,274 $1,454,714 $640 2.0% (800) 243-7546
27 SCHWEIGER DERMATOLOGY PC HOBOKEN NJ PHYSICIAN ASSISTANT 181 2,223 $829,795 $373 11.1% (212) 283-3000
28 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 2,216 $1,555,582 $702 1.4% (916) 681-8852
29 PENNSYLVANIA DERMATOLOGY PARTNERS INC READING PA DERMATOLOGY 75 2,206 $558,795 $253 13.8% (610) 288-2908
30 EASTERN DERMATOLOGY PA ELIZABETH CITY NC DERMATOLOGY 20 2,087 $626,100 $300 10.2% (252) 331-1780
31 NEIL L. BELLET M.D. AND LAWRENCE M. WELLS M.D.,LLP MEDFORD NY DERMATOLOGY 2 2,013 $3,075,507 $1,528 4.8% (631) 475-5550
32 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,991 $1,073,279 $539 1.3% (415) 600-1020
33 SKIN AND CANCER ASSOCIATES AVENTURA FL DERMATOLOGY 65 1,982 $1,086,286 $548 1.7% (305) 933-1151
34 ANNE ARUNDEL DERMATOLOGY PA ANNAPOLIS MD PHYSICIAN ASSISTANT 124 1,961 $526,200 $268 13.0% (410) 263-5439
35 AQUA DERMATOLOGY OF ALABAMA PC VESTAVIA HLS AL PHYSICIAN ASSISTANT 39 1,915 $586,876 $306 16.6% —
36 DERMATOLOGY GROUP OF FLORIDA, P.A. MIAMI FL DERMATOLOGY 53 1,903 $568,603 $299 1.7% (305) 585-1111
37 DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC DAYTON OH PHYSICIAN ASSISTANT 115 1,855 $523,411 $282 13.4% (937) 433-7536
38 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,802 $1,202,119 $667 1.2% (858) 455-9100
39 THE DERMATOLOGY GROUP LLC COLUMBIA SC DERMATOLOGY 3 1,796 $560,910 $312 8.6% (803) 254-3376
40 PIEDMONT PLASTIC SURGERY AND DERMATOLOGY PA GASTONIA NC DERMATOLOGY 56 1,702 $660,970 $388 8.3% (704) 866-0106
41 NORTHEAST DERMATOLOGY ASSOCIATES PC NORTH ANDOVER MA PHYSICIAN ASSISTANT 82 1,677 $1,031,374 $615 11.3% (978) 691-5690
42 CUMBERLAND SKIN SURGERY AND DERMATOLOGY LEBANON TN PHYSICIAN ASSISTANT 55 1,661 $761,150 $458 9.4% (615) 449-5771
43 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 1,648 $643,066 $390 16.0% (801) 261-8346
44 THE PALMETTO SKIN AND LASER CENTER LLC ROCK HILL SC DERMATOLOGY 2 1,630 $560,720 $344 7.8% 80332960301030
45 REDWOOD FAM DERMATOLOGY MEDICAL ASSOCIATES - A MEDICAL CORPORATION SANTA ROSA CA PHYSICIAN ASSISTANT 18 1,613 $435,510 $270 1.1% (707) 545-4537
46 REDDING DERMATOLOGY MEDICAL GROUP INC REDDING CA PHYSICIAN ASSISTANT 14 1,602 $562,348 $351 1.0% (530) 241-1111
47 ADVANCED DERMATOLOGY OF COLORADO PC FORT COLLINS CO PHYSICIAN ASSISTANT 64 1,586 $962,532 $607 13.3% (970) 484-3050
48 FOREFRONT DERMATOLOGY SC PENSACOLA AL PHYSICIAN ASSISTANT 639 1,584 $1,146,109 $724 13.7% (800) 243-7546
49 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 1,564 $1,019,263 $652 20.3% (601) 264-6000
50 MINARETS MEDICAL GROUP, INC. FRESNO CA DERMATOLOGY 4 1,533 $344,925 $225 1.0% (559) 438-6577
51 DIXIE DERMATOLOGY A PROFESSIONAL CORPORATION SAINT GEORGE UT PHYSICIAN ASSISTANT 2 1,496 $356,469 $238 14.5% (435) 674-3552
52 ESTERO DERMATOLOGY AND SKIN SURGERY CENTER, LLC ESTERO FL NURSE PRACTITIONER 8 1,482 $552,786 $373 1.3% (239) 390-3376
53 MOSKOWITZ DERMATOLOGY MD PLLC OVIEDO FL NURSE PRACTITIONER 4 1,476 $239,693 $162 1.3% (407) 542-0100
54 SOUTHWEST SKIN SPECIALISTS LLC SCOTTSDALE AZ DERMATOLOGY 50 1,448 $825,360 $570 5.3% (602) 494-1817
55 SILVER FALLS DERMATOLOGY LLC PORT ANGELES WA PHYSICIAN ASSISTANT 98 1,434 $575,644 $401 12.1% (503) 362-8385
56 ACADEMIC ALLIANCE IN DERMATOLOGY INC TAMPA FL PHYSICIAN ASSISTANT 46 1,429 $368,348 $258 1.3% (813) 882-9986
57 HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA WICHITA KS PHYSICIAN ASSISTANT 29 1,427 $383,895 $269 26.0% —
58 SOUTHEAST DERMATOLOGY, P.A. PASADENA TX DERMATOLOGY 11 1,417 $393,926 $278 2.5% (281) 991-5944
59 BOONE DERMATOLOGY CLINIC BOONE NC PHYSICIAN ASSISTANT 12 1,413 $365,981 $259 6.9% (828) 264-4553
60 EDGAR S. MACIAS, M.D., INC FRESNO CA NURSE PRACTITIONER 11 1,396 $426,450 $305 0.9% (559) 431-2397
61 SANJIV K SAINI MD LLC EDGEWATER MD DERMATOLOGY 4 1,367 $706,113 $517 9.0% 4109567777124
62 WOODRUFF INSTITUTE LLC NAPLES FL DERMATOLOGY 22 1,356 $240,113 $177 1.2% 2395969337610
63 CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER APC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 16 1,345 $344,410 $256 0.9% (760) 423-4000
64 FOREFRONT DERMATOLOGY - PACIFIC, P.C. THOUSAND OAKS CA DERMATOLOGY 25 1,340 $521,644 $389 0.9% (805) 497-1694
65 DERMATOLOGY PC WEST DES MOINES IA PHYSICIAN ASSISTANT 14 1,321 $478,905 $363 15.9% (515) 241-2000
66 KIM TANG MD INC LAKE FOREST CA PHYSICIAN ASSISTANT 5 1,302 $495,038 $380 0.8% 9497708115121
67 DEERFIELD DERMATOLOGY ASSOCIATES, LTD. DEERFIELD IL PATHOLOGY 16 1,300 $455,686 $351 7.4% (847) 480-0004
68 GEORGIA SKIN CANCER AND AESTHEITIC DERMATOLOGY, LLC WATKINSVILLE GA PHYSICIAN ASSISTANT 26 1,295 $713,100 $551 5.5% 70654358583207
69 OLIVER STREET 5.01(A) INC TYLER OK PHYSICIAN ASSISTANT 168 1,294 $737,580 $570 16.1% (903) 534-6200
70 DERMATOLOGY ASSOCIATES OF ORANGE COUNTY INC NEWPORT BEACH CA DERMATOLOGY 2 1,262 $389,264 $308 0.8% (949) 706-7766
71 SKIN SURGERY CENTER PA WINSTON SALEM NC PHYSICIAN ASSISTANT 73 1,244 $563,261 $453 6.1% (336) 724-2434
72 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 1,230 $542,801 $441 1.1% (305) 273-4641
73 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 1,230 $627,268 $510 2.1% (254) 724-2663
74 SOUTHERN DERMATOLOGY PA RALEIGH NC PHYSICIAN ASSISTANT 51 1,228 $323,370 $263 6.0% (919) 782-2152
75 DERRINGTON DERMATOLOGY PA NORTH CHARLESTON SC DERMATOLOGY 2 1,202 $491,618 $409 5.7% (843) 459-8400
76 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 1,200 $453,600 $378 1.1% (863) 680-7780
77 CARLE HEALTH CARE INCORPORATED URBANA IL NURSE PRACTITIONER 1528 1,171 $1,053,900 $900 6.6% (888) 712-2753
78 DERM SURGERY ASSOCIATES P.A. BELLAIRE TX DERMATOLOGY 22 1,165 $346,500 $297 2.0% 7137919966130
79 MAY RIVER DERMATOLOGY BLUFFTON SC PHYSICIAN ASSISTANT 20 1,156 $217,301 $188 5.5% (843) 837-4400
80 DERMATOLOGY OF BOCA LLC BOCA RATON FL DERMATOLOGY 3 1,141 $240,618 $211 1.0% (561) 362-8000
81 THOMAS DERMATOLOGY LAS VEGAS NV PHYSICIAN ASSISTANT 34 1,137 $330,779 $291 7.0% (702) 430-5333
82 DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA TALLAHASSEE FL PHYSICIAN ASSISTANT 39 1,135 $669,267 $590 1.0% (850) 877-4134
83 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 1,135 $680,709 $600 0.7% (760) 340-3911
84 WACCAMAW DERMATOLOGY LLC MYRTLE BEACH SC NURSE PRACTITIONER 26 1,108 $345,684 $312 5.3% (843) 449-0453
85 NAPLES DERMATOLOGY PA NAPLES FL DERMATOLOGY 2 1,107 $197,896 $179 1.0% (239) 261-3082
86 IOWA DERMATOLOGY CLINIC PLC WEST DES MOINES IA NURSE PRACTITIONER 23 1,100 $433,509 $394 13.3% (515) 226-3116
87 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 1,098 $857,538 $781 8.0% —
88 DERMATOLOGY CENTER OF NORTH MS PA TUPELO MS PHYSICIAN ASSISTANT 7 1,089 $476,982 $438 14.1% 66284462721005
89 DERMATOLOGY ASSOCIATES OF BAY COUNTY PA PANAMA CITY FL PHYSICIAN ASSISTANT 11 1,077 $270,524 $251 0.9% (850) 769-1668
90 ASSOCIATES IN DERMATOLOGY M D P L FORT MYERS FL DERMATOLOGY 12 1,070 $361,004 $337 0.9% (239) 936-5425
91 SAN LUIS DERMATOLOGY, INC. SAN LUIS OBISPO CA DERMATOLOGY 6 1,069 $197,127 $184 0.7% (805) 541-2650
92 PRIME MEDICAL GROUP PLLC LITTLE ROCK AR PHYSICIAN ASSISTANT 16 1,068 $315,192 $295 14.3% (501) 227-8422
93 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 1,060 $369,940 $349 0.9% (941) 366-1888
94 SKIN AND BEAUTY CENTER INC NORTHRIDGE CA DERMATOLOGY 33 1,055 $400,042 $379 0.7% (818) 886-3884
95 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 1,052 $369,463 $351 13.0% —
96 BAY DERMATOLOGY AND COSMETIC SURGERY P A PORT RICHEY FL PHYSICIAN ASSISTANT 23 1,043 $338,326 $324 0.9% (727) 841-8505
97 CLEAVER DERMATOLOGY PC KIRKSVILLE MO DERMATOLOGY 6 1,027 $270,882 $264 9.4% (660) 627-7546
98 ADVANCED DERMATOLOGY PC EAST SETAUKET NY PHYSICIAN ASSISTANT 70 1,027 $404,700 $394 2.4% (631) 689-3188
99 PARKS DERMATOLOGY CENTER LLC ORMOND BEACH FL PHYSICIAN ASSISTANT 16 1,026 $242,867 $237 0.9% (386) 677-9044
100 MOUNTAIN WEST DERM - BLACKHART PLLC RENO TX PHYSICIAN ASSISTANT 105 1,021 $355,390 $348 1.8% (775) 324-0699

Showing the top 100 of 2,321 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 →