NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33534 Coronary artery bypass using artery graft, 2 grafts CPT · Cardiovascular procedure
Classification Procedure › Cardiovascular (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,616 services ▼ 1.8% YoY · 1,613 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.3M · $1419.05 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
51
Named-group FFS services
1,213
FFS of Medicare
49%
Services YoY
-1.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,402 services

1,213 observed fee-for-service (50%) · ~1,189 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 — 33534 (CY2024)
NY 185 NC 168 IL 114 MA 103 DC 96

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

Named-group submitted charges
$11.3M
Named-group allowed amount
$2.1M
Named-group Medicare payments
$1.7M
Avg charge / svc
$9,287
Avg allowed / svc
$1,772
Avg payment / svc
$1,415
Average charge per group
$999 51 groups · avg submitted charge / service $28,938
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 33534 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 68 $198,555 $2,920 40.5% (910) 662-6000
2 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 62 $404,054 $6,517 100.0% —
3 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 60 $258,760 $4,313 58.3% —
4 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 53 $1,138,652 $21,484 81.5% (608) 260-2900
5 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 53 $740,993 $13,981 46.5% —
6 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 46 $1,088,498 $23,663 24.9% (212) 263-9700
7 CARDIOTHORACIC SURGERY, LLC CHESTERFIELD MO NURSE PRACTITIONER 13 41 $190,937 $4,657 71.9% (314) 434-3049
8 ST JOSEPHS MEDICAL PC LIVERPOOL NY PHYSICIAN ASSISTANT 378 39 $168,948 $4,332 21.1% (315) 475-8402
9 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 38 $295,108 $7,766 20.5% —
10 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 30 $117,169 $3,906 100.0% (701) 234-2000
11 MEDICAL FACULTY ASSOCIATES, INC WASHINGTON DC PHYSICIAN ASSISTANT 685 29 $214,600 $7,400 30.2% (202) 715-4000
12 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 26 $247,104 $9,504 15.5% (704) 667-1000
13 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 25 $118,500 $4,740 65.8% (502) 928-1050
14 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 25 $80,064 $3,203 100.0% (801) 261-8346
15 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 24 $175,992 $7,333 30.0% (817) 281-2977
16 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 23 $389,827 $16,949 57.5% —
17 TRISTAR CARDIOVASCULAR SURGERY LLC NASHVILLE TN PHYSICIAN ASSISTANT 14 21 $141,159 $6,722 42.9% (615) 342-6840
18 SIU PHYSICIANS AND SURGEONS INC SPRINGFIELD IL NURSE PRACTITIONER 321 20 $578,760 $28,938 17.5% (217) 545-8000
19 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 18 $124,280 $6,904 62.1% (732) 362-3663
20 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 18 $127,764 $7,098 17.5% (781) 983-9088
21 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON MI PHYSICIAN ASSISTANT 560 18 $29,783 $1,655 32.1% (910) 662-6000
22 THE CHRIST HOSPITAL CARDIOVASCULAR ASSOCIATES LLC CINCINNATI OH NURSE PRACTITIONER 144 17 $95,931 $5,643 42.5% —
23 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 16 $126,400 $7,900 27.1% (215) 662-2777
24 NORTHSTARR CARDIOTHORACIC SURGERY LLC ANCHORAGE IN PHYSICIAN ASSISTANT 13 16 $486,346 $30,397 53.3% (907) 917-2200
25 VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC SUMMERFIELD FL DIAGNOSTIC RADIOLOGY 196 16 $207,377 $12,961 40.0% (352) 255-3615
26 EAST CAROLINA UNIVERSITY GREENVILLE NC NURSE PRACTITIONER 491 16 $172,776 $10,798 9.5% (252) 744-1406
27 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 15 $248,130 $16,542 100.0% (404) 778-7525
28 SURGICAL SPECIALISTS OF CLEAR LAKE PLLC WEBSTER TX GENERAL SURGERY 11 15 $109,355 $7,290 18.8% (281) 332-4596
29 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 15 $163,912 $10,927 46.9% (406) 657-4000
30 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 15 $147,275 $9,818 21.1% (415) 600-1020
31 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 15 $79,185 $5,279 30.6% (615) 269-4545
32 BRONSON METHODIST HOSPITAL KALAMAZOO MI PHYSICIAN ASSISTANT 728 15 $67,674 $4,512 26.8% —
33 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 14 $75,740 $5,410 100.0% (918) 502-4720
34 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 14 $142,480 $10,177 46.7% (317) 338-2345
35 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON PA NURSE PRACTITIONER 292 14 $95,774 $6,841 23.7% (410) 337-4877
36 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 14 $141,708 $10,122 13.6% (617) 732-5500
37 PROVIDENCE HEALTH AND SERVICES- WASHINGTON EVERETT WA PHYSICIAN ASSISTANT 521 13 $60,041 $4,619 100.0% (425) 297-5234
38 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 13 $74,698 $5,746 36.1% (520) 694-0111
39 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 13 $104,946 $8,073 54.2% (203) 739-7118
40 MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC PADUCAH NM NURSE PRACTITIONER 142 13 $47,346 $3,642 100.0% —
41 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 13 $82,596 $6,354 32.5% (407) 200-2700
42 BANNER HEALTH PHYSICIANS WEST LLC CASPER WY FAMILY PRACTICE 97 12 $55,164 $4,597 100.0% —
43 ST FRANCIS MEDICAL GROUP LLC MONROE LA NURSE PRACTITIONER 165 12 $60,432 $5,036 50.0% (318) 966-6500
44 NORTHSTARR CARDIOTHORACIC SURGERY LLC ANCHORAGE LA PHYSICIAN ASSISTANT 13 12 $405,288 $33,774 50.0% (907) 917-2200
45 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 12 $74,892 $6,241 33.3% (602) 406-6017
46 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 12 $92,412 $7,701 7.1% (336) 713-9800
47 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 12 $25,187 $2,099 20.3% —
48 MAIN LINE HEALTHCARE BRYN MAWR IL NURSE PRACTITIONER 1157 12 $66,680 $5,557 10.5% —
49 CLEVELAND CLINIC CLEVELAND TX PHYSICIAN ASSISTANT 6828 12 $203,388 $16,949 15.0% —
50 DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE IL PHYSICIAN ASSISTANT 192 11 $70,628 $6,421 9.6% —
51 NCHMD INC NAPLES FL NEUROLOGY 515 11 $58,850 $5,350 27.5% (239) 436-5100
52 CONCORD HOSPITAL INC CONCORD NH PHYSICIAN ASSISTANT 552 11 $87,330 $7,939 100.0% —
53 NORTHSTARR CARDIOTHORACIC SURGERY LLC ANCHORAGE AK PHYSICIAN ASSISTANT 13 11 $74,303 $6,755 100.0% (907) 917-2200
54 COLLIER HMA PHYSICIAN MANAGEMENT LLC NAPLES CT NURSE PRACTITIONER 95 11 $40,150 $3,650 45.8% —
55 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 11 $189,200 $17,200 5.9% (212) 241-4812
56 NEW YORK UNIVERSITY NEW YORK NJ DIAGNOSTIC RADIOLOGY 5704 11 $191,154 $17,378 37.9% (212) 263-9700
57 BENEFIS HOSPITALS INC GREAT FALLS AZ PHYSICIAN ASSISTANT 400 11 $10,984 $999 30.6% (406) 455-5000

*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 →