NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
31600 Incision of windpipe for insertion of breathing tube (older than 2 years) CPT · Other Organ Systems procedure
Classification Procedure › Other Organ Systems (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,534 services ▼ 17.6% YoY · 1,511 beneficiaries (CY2024, Medicare FFS)
Medicare paid $357K · $232.78 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
54
Named-group FFS services
965
FFS of Medicare
49%
Services YoY
-17.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,959 services

965 observed fee-for-service (49%) · ~994 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 — 31600 (CY2024)
CA 247 NY 202 FL 119 NJ 98 IL 88

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$279K
Named-group Medicare payments
$223K
Avg charge / svc
$1,545
Avg allowed / svc
$290
Avg payment / svc
$231
Average charge per group
$450 54 groups · avg submitted charge / service $5,645
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 31600 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 44 $119,240 $2,710 78.6% (215) 662-2777
2 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 41 $92,578 $2,258 20.3% —
3 ARKANSAS OTOLARYNGOLOGY CENTER PA LITTLE ROCK AR OTOLARYNGOLOGY 27 36 $36,000 $1,000 44.4% (501) 221-5050
4 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 32 $68,992 $2,156 36.4% —
5 CLEVELAND CLINIC CLEVELAND MN PHYSICIAN ASSISTANT 6828 30 $70,890 $2,363 100.0% —
6 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 27 $46,953 $1,739 100.0% (205) 934-3460
7 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 26 $51,844 $1,994 38.8% (713) 566-5000
8 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO DC NURSE PRACTITIONER 4339 26 $61,231 $2,355 63.4% —
9 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 26 $61,438 $2,363 40.6% —
10 NORTH FLORIDA SURGICAL ASSOCIATES LLC GAINESVILLE FL GENERAL SURGERY 51 24 $31,045 $1,294 20.2% (352) 333-4000
11 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 23 $38,893 $1,691 35.9% —
12 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS HOT SPRINGS AR NURSE PRACTITIONER 192 22 $15,510 $705 27.2% —
13 SOLTERO AND YASUDA ASSOCIATES CARDIOTHORACIC AND VASCULAR SURGERY MEDI NORTHRIDGE CA THORACIC SURGERY 5 22 $28,600 $1,300 8.9% (818) 993-4471
14 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 21 $42,168 $2,008 65.6% (843) 792-1414
15 ADVOCARE, LLC HADDONFIELD NJ NURSE PRACTITIONER 384 20 $20,040 $1,002 20.4% (856) 354-2211
16 MIDWEST PULMONARY CRITICAL CARE AND SLEEP CONSULTANTS LLC PALOS HEIGHTS IL PULMONARY DISEASE 33 19 $19,580 $1,030 21.6% (708) 371-8006
17 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NY NURSE PRACTITIONER 1404 18 $16,746 $930 8.9% (973) 971-5596
18 AMBOY MEDICAL PRACTICE PC STATEN ISLAND NY INTERNAL MEDICINE 180 18 $18,000 $1,000 8.9% (718) 818-1058
19 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS CA NURSE PRACTITIONER 4250 17 $45,973 $2,704 6.9% (888) 484-3258
20 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 17 $32,997 $1,941 17.3% —
21 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 16 $16,192 $1,012 6.5% (559) 459-6000
22 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 16 $18,486 $1,155 13.4% (954) 772-2136
23 MID MICHIGAN EAR NOSE AND THROAT PC EAST LANSING MI QUALIFIED AUDIOLOGIST 25 16 $12,912 $807 40.0% (517) 324-4911
24 PULMONARY ASSOCIATES INC LAS VEGAS NV NURSE PRACTITIONER 14 15 $8,145 $543 100.0% (702) 384-5101
25 TJH MEDICAL SERVICES PC JAMAICA NY INTERNAL MEDICINE 211 15 $19,005 $1,267 7.4% (718) 206-6797
26 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 15 $12,540 $836 36.6% (202) 429-2401
27 WK ORAL AND MAXILLOFACIAL SURGERY INSTITUTE SHREVEPORT LA MAXILLOFACIAL SURGERY 4 14 $10,388 $742 50.0% (318) 212-5944
28 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 14 $15,890 $1,135 56.0% (573) 882-2667
29 MONTEFIORE MEDICAL CENTER BRONX LA PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 14 $61,810 $4,415 50.0% (866) 633-8255
30 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 14 $12,810 $915 35.9% (731) 422-0213
31 LONG ISLAND THORACIC SURGERY P.C. LYNBROOK NY GENERAL SURGERY 2 13 $8,918 $686 6.4% (516) 255-5013
32 SURGERY ASSOCIATES OF HOUSTON, LLP HOUSTON TX GENERAL SURGERY 5 13 $16,445 $1,265 19.4% (713) 981-7777
33 UT METHODIST PHYSICIANS LLC MEMPHIS TN NURSE PRACTITIONER 125 13 $13,408 $1,031 33.3% —
34 CHI HEALTH CLINIC PHYSICIAN ENTERPRISE-ANESTHESIA LLC OMAHA NE CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 218 13 $10,673 $821 100.0% (402) 717-4866
35 UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ INTERNAL MEDICINE 381 12 $67,740 $5,645 12.2% (973) 972-5004
36 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 12 $14,616 $1,218 4.9% —
37 VHS PHYSICIANS OF MICHIGAN DETROIT MI PHYSICIAN ASSISTANT 232 12 $12,408 $1,034 30.0% —
38 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 12 $17,942 $1,495 52.2% (404) 778-7525
39 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 12 $14,112 $1,176 21.4% —
40 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 12 $10,188 $849 14.8% (501) 202-2093
41 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 12 $26,880 $2,240 5.9% (212) 746-5454
42 CENTENNIAL SURGICAL CLINIC, LLC NASHVILLE TN CARDIAC SURGERY 15 12 $13,392 $1,116 30.8% (615) 342-1000
43 MICHAEL A KIA DO PC FLINT MI GENERAL SURGERY 4 12 $9,360 $780 30.0% (810) 275-0661
44 LAWNWOOD HEALTHCARE SPECIALISTS LLC MIAMI FL PHYSICIAN ASSISTANT 47 12 $5,400 $450 10.1% (305) 559-1334
45 BAPTIST ENT SPECIALISTS INC JACKSONVILLE FL OTOLARYNGOLOGY 2 12 $9,381 $782 10.1% (904) 202-6028
46 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 12 $7,440 $620 100.0% (219) 836-4563
47 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 12 $13,872 $1,156 4.9% (310) 423-3277
48 TORRANCE MEMORIAL MEDICAL CENTER TORRANCE CA DIAGNOSTIC RADIOLOGY 53 11 $9,504 $864 4.5% (310) 517-4785
49 LAKELAND SURGICAL CLINIC PLLC JACKSON MS GENERAL SURGERY 15 11 $19,800 $1,800 100.0% (601) 982-3202
50 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 11 $10,750 $977 11.2% (732) 362-3663
51 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA GA NURSE PRACTITIONER 814 11 $10,659 $969 47.8% —
52 LEWIS GALE PHYSICIANS LLC SALEM VA PHYSICIAN ASSISTANT 196 11 $13,560 $1,233 100.0% —
53 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 11 $13,948 $1,268 12.5% (630) 933-4800
54 ST. JOHN PHYSICIANS, INC. TULSA OK NURSE PRACTITIONER 263 11 $9,702 $882 16.4% —
55 INTERNAL MEDICINE OF MORRIS COUNTY LLC DENVILLE NJ INTERNAL MEDICINE 44 11 $10,674 $970 11.2% (973) 927-5788
56 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 11 $13,695 $1,245 11.2% —

*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 →