NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33430 Replacement of mitral valve on heart-lung machine CPT · Cardiovascular procedure
Classification Procedure › Cardiovascular (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,320 services ▲ 2.5% YoY · 2,311 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.1M · $1786.22 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
76
Named-group FFS services
1,896
FFS of Medicare
49%
Services YoY
+2.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,924 services

1,896 observed fee-for-service (48%) · ~2,028 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 — 33430 (CY2024)
FL 302 CA 232 TX 202 AZ 174 PA 149

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

Named-group submitted charges
$18.8M
Named-group allowed amount
$4.2M
Named-group Medicare payments
$3.4M
Avg charge / svc
$9,937
Avg allowed / svc
$2,235
Avg payment / svc
$1,784
Average charge per group
$3,116 76 groups · avg submitted charge / service $31,136
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 33430 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 129 $1,366,335 $10,592 63.9% —
2 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 109 $604,623 $5,547 36.1% (407) 200-2700
3 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 74 $739,485 $9,993 77.9% (317) 338-2345
4 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 64 $1,075,880 $16,811 53.3% —
5 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 60 $866,158 $14,436 54.5% —
6 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 53 $634,764 $11,977 61.6% (205) 934-3460
7 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 50 $324,484 $6,490 21.6% (916) 681-8852
8 PHOENIX CARDIAC SURGERY PC PHOENIX AZ THORACIC SURGERY 11 50 $186,370 $3,727 28.7% (602) 253-9168
9 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 48 $834,240 $17,380 52.2% (212) 241-4812
10 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 46 $657,353 $14,290 63.9% (704) 667-1000
11 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 41 $224,528 $5,476 17.7% (415) 476-1000
12 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 41 $399,750 $9,750 27.5% (215) 662-2777
13 ARKANSAS HEART HOSPITAL LLC LITTLE ROCK AR NURSE PRACTITIONER 83 40 $200,000 $5,000 61.5% (501) 664-5860
14 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 39 $168,395 $4,318 32.5% (419) 291-2003
15 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 37 $600,223 $16,222 21.3% (800) 603-0558
16 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 37 $292,581 $7,908 21.3% —
17 IMC-CARDIO-THORACIC AND VASCULAR SURGICAL ASSOCIATES LLC MOBILE AL PHYSICIAN ASSISTANT 22 33 $135,000 $4,091 38.4% —
18 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 29 $240,294 $8,286 100.0% —
19 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 26 $218,333 $8,397 36.1% (919) 684-8111
20 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 25 $177,875 $7,115 8.3% (727) 725-5060
21 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 25 $272,021 $10,881 39.1% (617) 724-0287
22 MEMORIALCARE MEDICAL FOUNDATION LONG BEACH CA FAMILY PRACTICE 549 24 $87,566 $3,649 10.3% (562) 346-2222
23 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 23 $393,110 $17,092 7.6% —
24 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 23 $108,005 $4,696 13.2% (623) 832-4000
25 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 22 $160,380 $7,290 7.3% —
26 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 21 $303,219 $14,439 9.1% (650) 723-4000
27 HEART SURGEONS OF KANSAS CITY INC KANSAS CITY MO NURSE PRACTITIONER 36 21 $118,150 $5,626 44.7% (816) 932-2000
28 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 19 $126,198 $6,642 63.3% (615) 269-4545
29 WESLEY PHYSICIANS MEDICAL SPECIALTIES LLC WICHITA KS FAMILY PRACTICE 51 19 $115,558 $6,082 59.4% (316) 260-1690
30 ASANTE PHYSICIAN PARTNERS GRANTS PASS OR NURSE PRACTITIONER 221 18 $142,504 $7,917 58.1% (541) 507-2290
31 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 18 $269,721 $14,984 12.1% —
32 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE NY PHYSICIAN ASSISTANT 578 18 $196,488 $10,916 19.6% —
33 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 18 $173,520 $9,640 7.8% (800) 872-2273
34 PIEDMONT CARDIOLOGY OF ATLANTA, LLC ATLANTA GA PHYSICIAN ASSISTANT 477 17 $168,351 $9,903 43.6% (404) 605-5000
35 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 16 $49,856 $3,116 5.3% (305) 689-5437
36 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 16 $110,000 $6,875 10.7% (215) 456-8242
37 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 15 $192,000 $12,800 31.9% (314) 747-3000
38 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 15 $92,076 $6,138 5.0% (321) 434-8878
39 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 15 $121,228 $8,082 57.7% (402) 559-4000
40 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 15 $169,580 $11,305 31.2% (612) 863-4000
41 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 15 $167,307 $11,154 23.4% —
42 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 15 $142,970 $9,531 6.5% (310) 423-3277
43 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 14 $245,714 $17,551 34.1% —
44 PHYSICIAN PRACTICES OF MSMC LLC MIAMI BEACH FL INTERNAL MEDICINE 176 14 $435,908 $31,136 4.6% —
45 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 14 $91,882 $6,563 100.0% —
46 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 14 $142,436 $10,174 34.1% (973) 971-5596
47 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 14 $121,940 $8,710 38.9% (410) 337-4877
48 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER FL PHYSICIAN ASSISTANT 147 14 $134,526 $9,609 4.6% (561) 747-2234
49 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON RI PHYSICIAN ASSISTANT 2942 14 $169,613 $12,115 100.0% (617) 732-5500
50 NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 361 13 $96,369 $7,413 100.0% (662) 377-3258
51 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 13 $82,832 $6,372 40.6% (913) 588-1227
52 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 13 $229,416 $17,647 14.1% (212) 305-8559
53 LOURDES PHYSICIAN GROUP LLC LAFAYETTE LA NURSE PRACTITIONER 154 13 $87,620 $6,740 50.0% (337) 470-2990
54 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 13 $355,706 $27,362 100.0% (608) 260-2900
55 AP OF NASHVILLE, LLC NASHVILLE AZ PHYSICIAN ASSISTANT 18 13 $93,325 $7,179 7.5% (615) 222-2111
56 PROFESSIONAL SERVICE FUND OF DEBORAH HEART AND LUNG CENTER BROWNS MILLS NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 121 13 $113,100 $8,700 31.7% (609) 893-6611
57 LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER LAKE CHARLES LA NURSE PRACTITIONER 15 13 $124,319 $9,563 50.0% (337) 494-3278
58 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 13 $176,683 $13,591 14.1% —
59 CLEVELAND CLINIC CLEVELAND PA PHYSICIAN ASSISTANT 6828 13 $215,176 $16,552 8.7% —
60 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 13 $123,796 $9,523 41.9% —
61 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 12 $76,884 $6,407 100.0% —
62 CARDIOTHORACIC AND VASCULAR SURGICAL ASSOCIATES S C OAK LAWN IL PHYSICIAN ASSISTANT 48 12 $130,776 $10,898 10.9% (708) 684-8000
63 PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC MECHANICSBURG PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 113 12 $80,376 $6,698 8.1% (717) 731-0101
64 APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH PHYSICIAN ASSISTANT 202 12 $133,755 $11,146 100.0% (603) 334-2065
65 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NURSE PRACTITIONER 42 12 $263,828 $21,986 5.2% (310) 825-9111
66 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 12 $78,878 $6,573 100.0% (304) 598-4865
67 ST ELIZABETH MEDICAL CENTER, INC EDGEWOOD KY NURSE PRACTITIONER 185 12 $81,046 $6,754 100.0% (859) 301-2237
68 NCHMD INC NAPLES FL NEUROLOGY 515 11 $74,195 $6,745 3.6% (239) 436-5100
69 INTEGRATED CARDIOLOGY GROUP LLC LINCOLN NE PHYSICIAN ASSISTANT 78 11 $65,241 $5,931 42.3% (402) 483-3333
70 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 11 $76,538 $6,958 28.2% (770) 422-2004
71 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 11 $100,717 $9,156 36.7% (615) 322-5000
72 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 11 $151,950 $13,814 4.7% (415) 600-1020
73 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 11 $121,610 $11,055 17.2% (617) 732-5500
74 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 11 $189,761 $17,251 10.0% (708) 216-8372
75 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 11 $110,312 $10,028 22.9% (612) 672-7422
76 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 11 $161,892 $14,717 100.0% (860) 724-2579
77 JACK STEPHENS HEART INSTITUTE LLC LITTLE ROCK AR CARDIAC SURGERY 6 11 $55,000 $5,000 16.9% (501) 666-2894
78 HEALTHTEXAS PROVIDER NETWORK DALLAS GA PHYSICIAN ASSISTANT 2482 11 $116,239 $10,567 28.2% —
79 MISSOURI BAPTIST PHYSICIAN SERVICES LLC SAINT LOUIS MO HEMATOLOGY/ONCOLOGY 25 11 $105,660 $9,605 23.4% (314) 996-5544

*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 →