NEVVI Medicare utilization intelligence
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Market snapshot

31536 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31536 — Biopsy of voice box using an endoscope with operating microscope or telescope

Billing groups
24
Named-group FFS services
491
FFS of Medicare
49%
Services YoY
-23.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,002 services

491 observed fee-for-service (49%) · ~511 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 — 31536 (CY2024)

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

Named-group submitted charges
$464K
Named-group allowed amount
$87K
Named-group Medicare payments
$69K
Avg charge / svc
$945
Avg allowed / svc
$177
Avg payment / svc
$140
Average charge per group
$211 24 groups · avg submitted charge / service $2,517
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 31536 services, CY2024
#Physician group City St Specialty Providers 31536 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 EAR NOSE AND THROAT SPECIALTY CARE PLLC DALLAS TX OTOLARYNGOLOGY 8 95 $20,087 $211 premium 87.2% (214) 826-3681
2 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 37 $93,129 $2,517 premium 37.8% (215) 662-2777
3 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 31 $25,730 $830 premium 100.0% (800) 872-2273
4 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION NORFOLK VA OBSTETRICS/GYNECOLOGY 224 24 $10,920 $455 premium 100.0% (757) 446-7900
5 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM MS NURSE PRACTITIONER 2788 21 $34,440 $1,640 premium 43.8% (205) 934-3460
6 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 20 $13,298 $665 premium 100.0% (901) 683-0055
7 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 18 $15,822 $879 premium 31.6%
8 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 18 $15,768 $876 premium 20.2% (305) 689-5437
9 GENESISCARE USA OF FLORIDA LLC CAPE CORAL FL UROLOGY 175 15 $11,142 $743 premium 16.9%
10 PRESCOTT EAR NOSE AND THROAT PLLC PRESCOTT AZ OTOLARYNGOLOGY 5 15 $7,200 $480 premium 100.0%
11 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 15 $9,500 $633 premium 15.3%
12 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 15 $24,600 $1,640 premium 31.2% (601) 815-4775
13 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 14 $25,632 $1,831 premium 24.6% (843) 792-1414
14 BAPTIST HEALTH CENTERS LLC BIRMINGHAM AL NURSE PRACTITIONER 181 14 $8,232 $588 premium 100.0% (205) 795-5390
15 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 14 $9,884 $706 premium 12.8% (903) 606-5560
16 WEST COAST EAR, NOSE AND THROAT, INC CLEARWATER FL OTOLARYNGOLOGY 22 14 $6,060 $433 premium 15.7% (727) 791-1368
17 CAROLINA EAR NOSE AND THROAT-SINUS AND ALLERGY CENTER PA HICKORY NC OTOLARYNGOLOGY 19 13 $7,593 $584 premium 100.0% 8283222183266
18 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 13 $20,064 $1,543 premium 52.0% (203) 688-4242
19 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA SC PHYSICIAN ASSISTANT 3505 13 $32,721 $2,517 premium 22.8% (215) 662-2777
20 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 13 $11,940 $918 premium 48.1%
21 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD PA PHYSICIAN ASSISTANT 1128 12 $9,504 $792 premium 12.2%
22 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 12 $9,240 $770 premium 100.0% (973) 971-5596
23 CONNECTICUT EAR, NOSE AND THROAT ASSOCIATES, P.C. WETHERSFIELD CT OTOLARYNGOLOGY 19 12 $22,092 $1,841 premium 48.0% (860) 493-1950
24 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 12 $10,548 $879 premium 21.1% (803) 744-4900
25 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 11 $8,654 $787 premium 100.0% (417) 347-8200

*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 →