NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33249 Insertion of implantable defibrillator system CPT · Cardiovascular procedure
Classification Procedure › Cardiovascular › Insertion/Removal/Replacement ICD (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 14,780 services ▼ 13.8% YoY · 14,721 beneficiaries (CY2024, Medicare FFS)
Medicare paid $23.3M · $1578.01 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
338
Named-group FFS services
9,268
FFS of Medicare
49%
Services YoY
-13.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~18,538 services

9,268 observed fee-for-service (50%) · ~9,270 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 — 33249 (CY2024)
FL 1,343 CA 989 TX 953 NY 838 IL 712

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

Named-group submitted charges
$29.6M
Named-group allowed amount
$8.0M
Named-group Medicare payments
$6.4M
Avg charge / svc
$3,196
Avg allowed / svc
$864
Avg payment / svc
$687
Average charge per group
$820 338 groups · avg submitted charge / service $14,491
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 33249 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 190 $1,267,455 $6,671 22.7% —
2 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 175 $299,263 $1,710 25.1% —
3 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 121 $504,752 $4,172 57.3% (612) 863-4000
4 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES PA ATLANTIS FL CARDIAC ELECTROPHYSIOLOGY 14 104 $502,944 $4,836 7.7% (561) 434-0353
5 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 95 $211,565 $2,227 20.6% (615) 269-4545
6 PIEDMONT CARDIOLOGY OF ATLANTA, LLC ATLANTA GA PHYSICIAN ASSISTANT 477 92 $298,555 $3,245 19.1% (404) 605-5000
7 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 91 $260,465 $2,862 9.5% (903) 606-5560
8 MEMORIAL HEALTH CARE SYSTEM INC. CHATTANOOGA TN CARDIOVASCULAR DISEASE (CARDIOLOGY) 56 87 $266,394 $3,062 18.9% (423) 697-2000
9 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 86 $855,184 $9,944 10.3% (212) 263-9700
10 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 85 $393,159 $4,625 11.9% —
11 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 81 $203,796 $2,516 31.3% (405) 608-3800
12 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 79 $234,867 $2,973 17.6% (828) 213-1740
13 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 79 $276,740 $3,503 8.3% —
14 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 74 $253,820 $3,430 13.5% (215) 662-2777
15 ST DAVIDS HEART AND VASCULAR PLLC AUSTIN TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 199 73 $217,629 $2,981 7.7% (512) 899-2028
16 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 72 $201,600 $2,800 12.5% —
17 GRAND STRAND SURGICAL SPECIALISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 51 71 $202,026 $2,845 12.4% (843) 848-1440
18 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 70 $235,523 $3,365 7.1% (858) 455-9100
19 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 70 $267,750 $3,825 10.0% (804) 828-9000
20 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 69 $180,816 $2,621 24.6% (253) 428-2200
21 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE AR NURSE PRACTITIONER 241 68 $182,505 $2,684 22.4% (479) 571-4338
22 INTEGRATED CARDIOLOGY GROUP LLC LINCOLN NE PHYSICIAN ASSISTANT 78 65 $127,985 $1,969 39.4% (402) 483-3333
23 GENERAL PHYSICIAN PC BUFFALO NY PHYSICIAN ASSISTANT 462 63 $94,500 $1,500 7.5% (716) 884-3000
24 TIDALHEALTH SPECIALTY CARE LLC SALISBURY MD NURSE PRACTITIONER 329 62 $111,133 $1,792 13.1% —
25 TRI-CITY CARDIOLOGY CONSULTANTS PC MESA AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 41 62 $115,382 $1,861 14.7% (480) 835-6100
26 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 60 $126,900 $2,115 13.0% (865) 305-6333
27 PHYSICIAN GROUPS LC SAINT LOUIS MO NURSE PRACTITIONER 516 59 $197,046 $3,340 22.3% (314) 273-0195
28 COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC CHARLESTON SC NURSE PRACTITIONER 49 58 $161,811 $2,790 10.1% —
29 BAPTIST HEALTH LITTLE ROCK AR NURSE PRACTITIONER 106 56 $113,456 $2,026 18.5% (501) 227-7596
30 NCHMD INC NAPLES FL NEUROLOGY 515 55 $136,070 $2,474 4.1% (239) 436-5100
31 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 55 $165,286 $3,005 11.4% (770) 422-2004
32 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 55 $177,034 $3,219 7.9% (434) 924-5959
33 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 54 $204,926 $3,795 16.8% —
34 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 53 $360,612 $6,804 29.0% (319) 678-8201
35 JOSEPH A CAPLAN MD PC SUN CITY WEST AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 31 52 $113,848 $2,189 12.3% (623) 876-8816
36 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 56 50 $143,015 $2,860 17.9% (509) 455-8820
37 ADVENTIST PHYSICIAN SERVICES INC ROCKVILLE MD CARDIOVASCULAR DISEASE (CARDIOLOGY) 145 50 $100,507 $2,010 10.6% (301) 670-3000
38 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 50 $192,570 $3,851 7.0% —
39 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 48 $260,880 $5,435 4.9% (916) 983-7476
40 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 46 $158,424 $3,444 17.4% —
41 BAPTIST CARDIOLOGY, INC. JACKSONVILLE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 99 46 $128,916 $2,803 3.4% (904) 399-1171
42 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 46 $79,072 $1,719 32.2% (302) 744-4700
43 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 45 $85,320 $1,896 3.4% (321) 434-8878
44 ST VINCENT INFIRMARY MEDICAL CENTER LITTLE ROCK AR NURSE PRACTITIONER 47 45 $91,350 $2,030 14.9% (501) 255-6000
45 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 45 $76,320 $1,696 6.4% —
46 PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC TOLEDO OH CARDIOVASCULAR DISEASE (CARDIOLOGY) 79 45 $120,240 $2,672 12.0% (419) 842-3000
47 WKMC CARDIOVASCULAR CONSULTANTS SHREVEPORT LA NURSE PRACTITIONER 35 45 $95,856 $2,130 18.7% (318) 631-6400
48 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 44 $209,305 $4,757 10.5% (317) 338-2345
49 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 44 $95,865 $2,179 42.7% (208) 381-4210
50 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 44 $159,393 $3,623 7.7% (803) 744-4900
51 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 43 $129,301 $3,007 10.8% (856) 247-7260
52 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 43 $248,239 $5,773 10.8% —
53 ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY PHYSICIAN ASSISTANT 480 43 $78,577 $1,827 5.1% (518) 525-1852
54 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 43 $83,854 $1,950 7.8% —
55 HEARTLAND CARDIOLOGY, LLC WICHITA KS NURSE PRACTITIONER 27 43 $89,096 $2,072 12.3% (316) 686-5300
56 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 42 $357,000 $8,500 5.0% (631) 444-1560
57 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 42 $175,075 $4,168 9.1% (615) 322-5000
58 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 114 42 $105,966 $2,523 16.2% (405) 951-4345
59 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 41 $163,352 $3,984 7.1% (843) 777-2000
60 CARDIOVASCULAR INSTITUTE OF CENTRAL FLORIDA LLC OCALA FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 69 41 $85,385 $2,083 3.1% (352) 622-4251
61 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 40 $154,680 $3,867 4.0% (925) 296-9720
62 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 39 $143,637 $3,683 3.9% (916) 681-8852
63 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 39 $105,060 $2,694 3.9% (714) 871-3006
64 HH HEART CENTER, LLC HUNTSVILLE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 90 39 $120,900 $3,100 52.7% (256) 265-2372
65 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 38 $80,978 $2,131 11.1% (248) 898-5058
66 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 38 $103,327 $2,719 2.8% (813) 751-3375
67 ANMED HEALTH ANDERSON SC FAMILY PRACTICE 343 37 $89,762 $2,426 6.4% —
68 ATLANTICARE PHYSICIAN GROUP PA EGG HARBOR TOWNSHIP NJ NURSE PRACTITIONER 507 36 $70,056 $1,946 9.1% —
69 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 36 $111,324 $3,092 6.5% (484) 526-2400
70 PROVIDENCE HEALTH AND SERVICES WASHINGTON OLYMPIA WA FAMILY PRACTICE 477 36 $99,972 $2,777 12.9% (360) 493-4083
71 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 36 $78,300 $2,175 11.2% —
72 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 36 $102,384 $2,844 7.5% —
73 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 36 $143,910 $3,998 6.5% —
74 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 35 $87,045 $2,487 10.2% (616) 885-5000
75 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 35 $97,595 $2,788 3.7% (817) 281-2977
76 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 34 $144,772 $4,258 2.5% (239) 343-9888
77 RMH MEDICAL GROUP LLC ROCKINGHAM VA PHYSICIAN ASSISTANT 263 34 $58,314 $1,715 4.9% (540) 689-1110
78 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 34 $81,056 $2,384 3.4% (760) 340-3911
79 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 34 $62,220 $1,830 8.1% (219) 836-4563
80 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 34 $66,096 $1,944 5.9% (864) 255-1901
81 ECONFINA CARDIOLOGY GROUP PA PANAMA CITY FL NURSE PRACTITIONER 17 34 $92,000 $2,706 2.5% (850) 769-0329
82 ADVANCED CARDIOVASCULAR SPECIALISTS SHREVEPORT LA CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 33 $64,812 $1,964 13.7% (318) 798-9400
83 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 32 $155,776 $4,868 51.6% (605) 332-2883
84 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 32 $168,608 $5,269 4.5% (309) 683-5050
85 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 32 $75,680 $2,365 12.1% —
86 CAROMONT MEDICAL GROUP INC GASTONIA NC NURSE PRACTITIONER 425 32 $139,142 $4,348 7.1% (704) 865-3848
87 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 32 $92,544 $2,892 20.5% (601) 815-4775
88 HENDRICK PROVIDER NETWORK ABILENE TX PHYSICIAN ASSISTANT 249 31 $79,205 $2,555 3.3% (325) 672-4372
89 CHAS PHYSICIAN SERVICES LLC COLUMBIA MO CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 31 $74,400 $2,400 11.7% (573) 256-7700
90 ST BERNARDS PHYSICIAN CLINICS INC JONESBORO AR NURSE PRACTITIONER 206 31 $53,932 $1,740 10.2% (870) 972-8181
91 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 31 $253,155 $8,166 5.4% (803) 395-3400
92 KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY NURSE PRACTITIONER 392 31 $80,228 $2,588 21.7% (606) 325-6888
93 HEART RHYTHM CONSULTANTS PA SARASOTA FL NURSE PRACTITIONER 5 31 $59,681 $1,925 2.3% (941) 484-6758
94 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 31 $112,127 $3,617 4.4% (630) 469-9200
95 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 31 $87,916 $2,836 6.6% (410) 337-4877
96 GEORGIA HEART INSTITUTE LLC GAINESVILLE GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 128 31 $108,686 $3,506 6.4% (770) 534-2020
97 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 30 $87,570 $2,919 2.2% —
98 HEART HOSPITAL OF SOUTH DAKOTA LLC SIOUX FALLS SD NURSE PRACTITIONER 67 30 $24,607 $820 48.4% (605) 977-7000
99 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 30 $84,000 $2,800 7.2% —
100 CARDIOLOGY SPECIALISTS OF ACADIANA, LLC LAFAYETTE LA CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 29 $101,500 $3,500 12.0% 3372699777139

Showing the top 100 of 338 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 →