NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
19301 Partial removal of breast CPT · Breast procedure
Classification Procedure › Breast › Mastectomy (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 53,164 services ▲ 1.2% YoY · 49,028 beneficiaries (CY2024, Medicare FFS)
Medicare paid $27.7M · $520.48 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
634
Named-group FFS services
38,011
FFS of Medicare
49%
Services YoY
+1.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~75,894 services

38,011 observed fee-for-service (50%) · ~37,883 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 — 19301 (CY2024)
CA 5,819 FL 3,602 NY 3,334 TX 3,281 PA 2,609

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

Named-group submitted charges
$79.8M
Named-group allowed amount
$23.0M
Named-group Medicare payments
$18.3M
Avg charge / svc
$2,099
Avg allowed / svc
$606
Avg payment / svc
$481
Average charge per group
$240 634 groups · avg submitted charge / service $8,464
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 19301 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 937 $2,269,489 $2,422 28.6% —
2 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 336 $1,290,366 $3,840 10.1% —
3 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 324 $1,212,367 $3,742 9.9% (713) 592-5433
4 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 315 $596,269 $1,893 5.4% (626) 256-4673
5 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 311 $592,021 $1,904 5.3% (858) 455-9100
6 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 301 $610,292 $2,028 13.7% —
7 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 293 $2,062,824 $7,040 8.8% (212) 263-9700
8 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 291 $557,337 $1,915 19.0% —
9 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 291 $627,597 $2,157 5.0% (415) 600-1020
10 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 279 $703,683 $2,522 4.8% (650) 723-4000
11 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 273 $585,868 $2,146 21.8% (404) 367-3210
12 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 271 $526,248 $1,942 7.5% (239) 291-6970
13 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 265 $420,122 $1,585 12.1% (847) 459-1160
14 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 254 $329,472 $1,297 11.7% —
15 MSKCC SURGERY GROUP NEW YORK NY PHYSICIAN ASSISTANT 373 247 $1,207,450 $4,888 7.4% (212) 639-2000
16 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 210 $422,137 $2,010 13.7% (800) 603-0558
17 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 206 $269,190 $1,307 30.1% (913) 588-1227
18 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 197 $564,843 $2,867 5.5% (561) 955-7100
19 IRONWOOD PHYSICIANS PC MESA AZ HEMATOLOGY/ONCOLOGY 114 192 $218,985 $1,141 12.5% (480) 981-1326
20 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 189 $503,140 $2,662 3.2% (916) 681-8852
21 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 187 $346,146 $1,851 9.2% (919) 684-8111
22 THE PRESBYTERIAN HOSPITAL CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 406 183 $177,120 $968 9.0% (704) 384-4000
23 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 179 $429,894 $2,402 3.1% (310) 423-0674
24 BANNER CANCER CENTER SPECIALISTS LLC GILBERT AZ PHYSICIAN ASSISTANT 331 176 $253,236 $1,439 11.5% (480) 256-6444
25 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 174 $547,055 $3,144 4.8% (904) 953-2000
26 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 173 $379,205 $2,192 10.3% (732) 362-3663
27 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 170 $426,666 $2,510 10.2% (973) 971-5596
28 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 170 $328,041 $1,930 8.4% (919) 881-0160
29 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 169 $303,064 $1,793 7.8% (804) 764-6000
30 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 168 $237,878 $1,416 6.4% —
31 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 168 $397,298 $2,365 2.9% (310) 423-3277
32 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 162 $341,098 $2,106 13.3% (206) 364-0500
33 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 161 $332,475 $2,065 6.2% (215) 662-2777
34 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 160 $213,969 $1,337 14.4% —
35 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 160 $268,800 $1,680 6.1% —
36 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 159 $229,103 $1,441 6.1% —
37 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 158 $636,000 $4,025 7.2% —
38 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 158 $320,679 $2,030 4.4% (904) 396-1725
39 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 158 $290,608 $1,839 14.2% (803) 744-4900
40 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 156 $547,794 $3,511 30.7% (860) 724-2579
41 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 153 $324,171 $2,119 27.5% (612) 863-4000
42 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 151 $291,510 $1,931 6.9% —
43 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 148 $285,702 $1,930 4.1% (813) 745-4673
44 CAROLINAS MEDICAL CENTER CHARLOTTE NC PHYSICIAN ASSISTANT 1034 145 $391,423 $2,699 7.2% (704) 355-2000
45 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 145 $180,815 $1,247 4.0% —
46 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 142 $926,500 $6,525 4.3% (212) 746-5454
47 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 142 $355,394 $2,503 3.9% (786) 662-0600
48 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 142 $211,875 $1,492 7.9% —
49 PREMIER SURGICAL ASSOCIATES PLLC KNOXVILLE TN GENERAL SURGERY 60 142 $309,855 $2,182 11.3% (865) 690-5263
50 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 141 $238,854 $1,694 3.9% (727) 725-5060
51 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 139 $147,062 $1,058 5.3% —
52 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 138 $480,365 $3,481 24.8% (507) 284-2511
53 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 133 $260,032 $1,955 9.6% —
54 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 133 $251,370 $1,890 11.9% (843) 720-8448
55 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 133 $337,780 $2,540 4.1% —
56 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 132 $188,742 $1,430 14.7% (314) 747-3000
57 BAPTIST MD ANDERSON CANCER PHYSICIANS INC JACKSONVILLE FL PHYSICIAN ASSISTANT 118 132 $236,789 $1,794 3.7% (904) 202-7300
58 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 128 $272,742 $2,131 3.6% (407) 200-2700
59 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 127 $276,306 $2,176 47.9% (605) 332-2883
60 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 126 $373,760 $2,966 11.3% (843) 792-1414
61 UTAH SURGICAL ASSOCIATES INC PROVO UT GENERAL SURGERY 49 125 $118,806 $950 28.2% —
62 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 125 $225,437 $1,803 14.0% —
63 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 124 $187,362 $1,511 12.8% —
64 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 124 $193,103 $1,557 2.1% (949) 791-3370
65 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 120 $160,357 $1,336 10.8% (803) 749-5101
66 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 120 $171,720 $1,431 18.4% (502) 928-1050
67 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 119 $229,152 $1,926 9.8% —
68 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 119 $175,525 $1,475 4.6% (570) 271-6144
69 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 115 $277,290 $2,411 5.3% (434) 924-5959
70 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 115 $390,195 $3,393 11.9% (720) 777-1234
71 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 115 $237,327 $2,064 9.1% (901) 683-0055
72 OSU SURGERY, LLC COLUMBUS OH PHYSICIAN ASSISTANT 204 115 $284,520 $2,474 8.3% (614) 293-2101
73 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 115 $37,401 $325 43.4% (605) 322-5180
74 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 114 $186,180 $1,633 20.7% (918) 502-4720
75 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 114 $517,273 $4,537 2.0% (800) 926-8273
76 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 113 $285,684 $2,528 19.2% —
77 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 113 $150,933 $1,336 9.8% —
78 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 111 $226,168 $2,038 3.1% (813) 615-7075
79 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 110 $446,485 $4,059 6.6% —
80 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 110 $245,392 $2,231 6.7% —
81 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 110 $375,288 $3,412 7.9% —
82 COLUMBIA HEALTHCARE OF CENTRAL VIRGINIA INC NORTH CHESTERFIELD VA PHYSICIAN ASSISTANT 30 109 $132,600 $1,217 5.0% (804) 716-5520
83 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA SURGICAL ONCOLOGY 14 109 $472,902 $4,339 1.9% (310) 390-4099
84 RIVER OAKS MANAGEMENT COMPANY LLC FLOWOOD MS NURSE PRACTITIONER 39 109 $172,329 $1,581 38.8% (601) 376-1394
85 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 108 $121,356 $1,124 8.6% (901) 226-3882
86 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 108 $231,155 $2,140 6.0% (410) 761-1222
87 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 107 $229,881 $2,148 6.0% (410) 502-4340
88 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 107 $223,576 $2,089 8.6% —
89 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 107 $142,814 $1,335 7.7% —
90 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 106 $220,692 $2,082 2.9% (407) 896-1100
91 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 106 $133,518 $1,260 2.9% (321) 434-8878
92 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 106 $216,801 $2,045 2.9% (772) 223-5665
93 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 105 $165,890 $1,580 1.8% (925) 296-9720
94 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER FL PHYSICIAN ASSISTANT 147 105 $237,229 $2,259 2.9% (561) 747-2234
95 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 105 $182,532 $1,738 7.6% (937) 395-8646
96 ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC LAS VEGAS NV NURSE PRACTITIONER 71 104 $167,370 $1,609 41.4% (702) 952-2140
97 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 104 $169,350 $1,628 11.7% —
98 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 103 $158,476 $1,539 9.0% (248) 898-5058
99 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 103 $139,635 $1,356 18.7% (405) 254-9690
100 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 102 $218,085 $2,138 15.6% (502) 937-2209

Showing the top 100 of 634 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 →