NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
31615 Exam of windpipe and lung airways through permanent windpipe opening using an endoscope 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 3,260 services ▼ 0.6% YoY · 1,529 beneficiaries (CY2024, Medicare FFS)
Medicare paid $372K · $114.01 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
37
Named-group FFS services
1,601
FFS of Medicare
49%
Services YoY
-0.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,221 services

1,601 observed fee-for-service (50%) · ~1,620 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 — 31615 (CY2024)
NY 1,014 PA 449 TX 370 CA 316 IL 242

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

Named-group submitted charges
$940K
Named-group allowed amount
$198K
Named-group Medicare payments
$153K
Avg charge / svc
$587
Avg allowed / svc
$124
Avg payment / svc
$96
Average charge per group
$171 37 groups · avg submitted charge / service $1,293
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 31615 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 202 $95,950 $475 54.6% (817) 920-0484
2 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 115 $43,010 $374 47.5% (708) 216-8372
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 92 $118,956 $1,293 9.1% —
4 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 86 $66,650 $775 19.2% —
5 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 73 $83,220 $1,140 23.1% (310) 794-1110
6 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 66 $34,716 $526 100.0% (305) 689-5437
7 ENT GROUP OF LOS ANGELES TARZANA NY OTOLARYNGOLOGY 7 53 $15,158 $286 5.2% (818) 609-0600
8 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES PC PHILADELPHIA PA OTOLARYNGOLOGY 9 53 $23,850 $450 11.8% (215) 331-6878
9 UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY PA BALTIMORE MD OTOLARYNGOLOGY 17 51 $20,655 $405 34.0% (410) 328-6866
10 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 51 $28,917 $567 100.0% (617) 523-7900
11 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC BATON ROUGE LA NURSE PRACTITIONER 628 49 $28,550 $583 73.1% (225) 765-1765
12 VHS PHYSICIANS OF MICHIGAN DETROIT MI PHYSICIAN ASSISTANT 232 46 $15,594 $339 100.0% —
13 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 45 $35,232 $783 14.2% (800) 926-8273
14 BUTLER AND BURNS EAR NOSE AND THROAT ASSOCIATES AUSTIN TX OTOLARYNGOLOGY 43 43 $23,349 $543 11.6% (512) 454-0392
15 EAR INSTITUTE OF TEXAS P A SAN ANTONIO TX OTOLARYNGOLOGY 11 40 $14,786 $370 10.8% (210) 363-6936
16 PRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC GREENVILLE SC OTOLARYNGOLOGY 21 37 $16,176 $437 75.5% (864) 572-7001
17 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 37 $24,198 $654 11.7% (800) 872-2273
18 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 35 $11,620 $332 100.0% (513) 584-1000
19 ENT AND ALLERGY ASSOCIATES LLP YONKERS NJ OTOLARYNGOLOGY 429 35 $13,825 $395 61.4% (914) 963-8588
20 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 34 $10,098 $297 10.8% (650) 723-4000
21 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON CA PHYSICIAN ASSISTANT 1692 32 $36,976 $1,156 10.1% (843) 792-1414
22 UT METHODIST PHYSICIANS LLC MEMPHIS TN NURSE PRACTITIONER 125 29 $11,919 $411 100.0% —
23 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 25 $15,125 $605 10.3% (312) 563-2875
24 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 24 $19,680 $820 100.0% (314) 747-3000
25 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 23 $11,544 $502 100.0% (402) 559-4000
26 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 22 $13,860 $630 38.6% (973) 971-5596
27 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 21 $14,747 $702 100.0% (319) 678-8201
28 EAR NOSE AND THROAT SPECIALTY CARE PLLC DALLAS TX OTOLARYNGOLOGY 8 21 $3,601 $171 5.7% (214) 826-3681
29 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 21 $10,500 $500 100.0% —
30 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE GA NURSE PRACTITIONER 2448 20 $4,940 $247 100.0% (502) 928-1050
31 MARYLAND ENT CENTER LLC BALTIMORE MD OTOLARYNGOLOGY 7 20 $12,800 $640 13.3% (410) 554-4455
32 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 19 $11,625 $612 100.0% (913) 588-1227
33 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 19 $10,222 $538 5.1% (254) 724-2663
34 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 18 $5,958 $331 26.9% (318) 675-8700
35 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 17 $9,299 $547 100.0% (503) 494-8311
36 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 15 $8,550 $570 3.3% —
37 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 12 $14,160 $1,180 24.5% (803) 395-3400

*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 →