NEVVI Medicare utilization intelligence
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Market snapshot

31633 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

31633 — Needle biopsy of lobe of lung using an endoscope, each additional lobe

Billing groups
22
Named-group FFS services
357
FFS of Medicare
49%
Services YoY
+28.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~738 services

357 observed fee-for-service (48%) · ~381 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 — 31633 (CY2024)

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

Named-group submitted charges
$89K
Named-group allowed amount
$22K
Named-group Medicare payments
$17K
Avg charge / svc
$250
Avg allowed / svc
$61
Avg payment / svc
$48
Average charge per group
$119 22 groups · avg submitted charge / service $800
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 31633 services, CY2024
#Physician group City St Specialty Providers 31633 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 29 $6,989 $241 premium 40.8% (407) 896-1100
2 NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ PHYSICIAN ASSISTANT 128 25 $4,475 $179 premium 55.6% (520) 202-7770
3 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 24 $10,512 $438 premium 23.1% (800) 926-8273
4 PULMONARY ASSOCIATES OF THE SOUTHEAST PC HOOVER AL NURSE PRACTITIONER 10 22 $3,740 $170 premium 62.9% (205) 802-2000
5 VIRGINIA MASON MEDICAL CENTER SEATTLE MN PHYSICIAN ASSISTANT 879 20 $4,615 $231 premium 100.0% (206) 223-6600
6 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 20 $3,300 $165 premium 44.4% (520) 694-0111
7 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 18 $2,628 $146 premium 100.0%
8 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 16 $6,704 $419 premium 55.2% (317) 338-2345
9 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 15 $3,585 $239 premium 53.6%
10 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 14 $11,200 $800 premium 100.0% (212) 746-5454
11 PROVIDENCE HEALTH AND SERVICES WASHINGTON OLYMPIA WA FAMILY PRACTICE 477 14 $2,646 $189 premium 34.1% (360) 493-4083
12 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 14 $3,234 $231 premium 45.2% (919) 881-0160
13 HEALTHTEXAS PROVIDER NETWORK DALLAS NV PHYSICIAN ASSISTANT 2482 14 $3,441 $246 premium 100.0%
14 PULMONARY CRITICAL CARE AND SLEEP DISORDERS MEDICINE PA PENSACOLA FL PULMONARY DISEASE 3 13 $2,020 $155 premium 18.3% (850) 435-7448
15 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 13 $2,171 $167 premium 12.5% (760) 340-3911
16 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 13 $2,704 $208 premium 52.0% (781) 983-9088
17 COASTAL PULMONARY AND CRITICAL CARE PLC ST PETERSBURG FL PULMONARY DISEASE 9 13 $1,731 $133 premium 18.3% (727) 822-6661
18 BAPTIST HEALTH CENTERS LLC BIRMINGHAM AL NURSE PRACTITIONER 181 13 $2,600 $200 premium 37.1% (205) 795-5390
19 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 13 $2,873 $221 premium 100.0%
20 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 12 $4,752 $396 premium 48.0% (508) 334-1000
21 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 11 $1,309 $119 premium 39.3%
22 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 11 $2,101 $191 premium 100.0% (410) 761-1222

*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 →