NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
36832 Revision of hemodialysis graft CPT · Vascular procedure
Classification Procedure › Vascular › A-V Fistula Creation (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 4,270 services ▼ 15.7% YoY · 4,011 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.1M · $715.65 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
107
Named-group FFS services
2,511
FFS of Medicare
49%
Services YoY
-15.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,033 services

2,511 observed fee-for-service (50%) · ~2,522 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 — 36832 (CY2024)
TX 621 CA 552 VA 277 NY 235 FL 190

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

Named-group submitted charges
$5.7M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.3M
Avg charge / svc
$2,287
Avg allowed / svc
$662
Avg payment / svc
$525
Average charge per group
$486 107 groups · avg submitted charge / service $12,791
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 36832 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 GREENWOOD LEFLORE HOSPITAL GREENWOOD MS GENERAL SURGERY 2 88 $180,048 $2,046 67.2% (662) 453-4641
2 HURWITZ-ROBERTS A MEDICAL CORPORATION GLENDALE CA PHYSICIAN ASSISTANT 7 87 $165,200 $1,899 15.8% (818) 244-4374
3 AMERICAN ACCESS CARE PHYSICIAN PLLC BROOKLYN NY INTERVENTIONAL RADIOLOGY 17 77 $171,633 $2,229 32.8% (718) 369-1444
4 SURGERY ASSOCIATES OF NTX PLLC PLANO TX GENERAL SURGERY 48 57 $114,864 $2,015 9.2% (972) 596-6800
5 VALLEY DIALYSIS ACCESS SURGERY ASSOCIATES, INC. FRESNO CA NURSE PRACTITIONER 2 53 $108,141 $2,040 9.6% (559) 840-1890
6 AMERICAN ACCESS CARE OF SP LLC PHILADELPHIA PA INTERVENTIONAL RADIOLOGY 6 51 $101,179 $1,984 69.9% (215) 462-2100
7 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 49 $151,963 $3,101 67.1% (617) 732-5500
8 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 44 $80,526 $1,830 8.0% (916) 983-7476
9 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 41 $62,156 $1,516 48.8% (316) 263-0296
10 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 38 $74,453 $1,959 45.2% (410) 502-4340
11 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 36 $51,984 $1,444 37.9% —
12 MUSC COMMUNITY PHYSICIANS ORANGEBURG IL NURSE PRACTITIONER 1307 36 $154,080 $4,280 24.3% (803) 395-3400
13 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 35 $62,230 $1,778 5.6% (210) 403-7978
14 HEART HOSPITAL OF SOUTH DAKOTA LLC SIOUX FALLS SD NURSE PRACTITIONER 67 35 $23,407 $669 100.0% (605) 977-7000
15 VHS PHYSICIANS OF MICHIGAN DETROIT MI PHYSICIAN ASSISTANT 232 33 $69,323 $2,101 41.2% —
16 SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION CHULA VISTA CA PODIATRY 9 33 $76,461 $2,317 6.0% (619) 567-7007
17 VASCULAR ACCESS CARE OF EL PASO PLLC EL PASO TX GENERAL SURGERY 2 32 $58,768 $1,837 5.2% (915) 533-1789
18 STARLING PHYSICIANS, PLLC WETHERSFIELD CT NURSE PRACTITIONER 273 32 $70,720 $2,210 59.3% (860) 832-4666
19 KANSAS CITY VASCULAR AND GENERAL SURGERY GROUP LLC OVERLAND PARK KS NURSE PRACTITIONER 22 31 $61,012 $1,968 36.9% (913) 754-2800
20 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 31 $58,156 $1,876 45.6% (502) 629-2398
21 PHYSICIANS CARE OF VIRGINIA PC ROANOKE VA NEPHROLOGY 20 29 $49,735 $1,715 10.5% (540) 527-2737
22 SAINT JOSEPH REGIONAL MEDICAL CENTER INC MISHAWAKA IN NURSE PRACTITIONER 137 29 $45,066 $1,554 46.0% (574) 335-6830
23 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 28 $52,143 $1,862 17.8% —
24 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY MO PHYSICIAN ASSISTANT 435 28 $40,432 $1,444 22.0% —
25 M REZA MIZANI MD PA SAN ANTONIO TX NEPHROLOGY 29 28 $60,214 $2,151 4.5% (210) 265-8155
26 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 27 $30,212 $1,119 54.0% (509) 946-4611
27 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 27 $77,383 $2,866 17.2% (864) 587-3000
28 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 27 $76,963 $2,850 4.3% —
29 SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP INC LAGUNA HILLS CA GENERAL SURGERY 22 26 $31,820 $1,224 4.7% (949) 457-7900
30 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 26 $49,946 $1,921 13.7% (727) 725-5060
31 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 26 $67,834 $2,609 46.4% (205) 934-3460
32 NORMAN REGIONAL PROVIDERS SPECIALTY CARE NORMAN OK NURSE PRACTITIONER 162 25 $44,525 $1,781 26.3% (405) 307-5700
33 VELLORE R RAMAKRISHNAN M.D., P.C. LIVONIA MI VASCULAR SURGERY 3 25 $32,500 $1,300 31.2% (734) 462-8401
34 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC JACKSON ID NURSE PRACTITIONER 266 25 $44,400 $1,776 100.0% (601) 292-4261
35 BAYCARE AURORA LLC GREEN BAY WI NURSE PRACTITIONER 198 25 $211,000 $8,440 33.8% (920) 288-8000
36 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 24 $58,920 $2,455 64.9% (856) 247-7260
37 EAST BAY CARDIOVASCULAR AND THORACIC ASSOCIATES INC DANVILLE CA CARDIAC SURGERY 17 24 $57,864 $2,411 4.3% (925) 676-2600
38 REGIONAL CLINICS OF LONGVIEW LONGVIEW TX NURSE PRACTITIONER 36 24 $50,160 $2,090 3.9% (903) 757-6042
39 AMERICAN ACCESS CARE OF JACKSONVILLE LLC JACKSONVILLE FL INTERVENTIONAL RADIOLOGY 3 24 $46,104 $1,921 12.6% (904) 353-3664
40 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 24 $56,784 $2,366 12.6% (407) 200-2700
41 AKDHC LLC PHOENIX AZ NEPHROLOGY 129 23 $34,201 $1,487 15.5% (602) 200-8288
42 RENALCARE ASSOCIATES, S.C. PEORIA IL NEPHROLOGY 48 23 $24,066 $1,046 15.5% (309) 676-8123
43 SURGICAL ASSOCIATES OF LEXINGTON PLLC LEXINGTON KY GENERAL SURGERY 2 23 $41,745 $1,815 33.8% (859) 523-0026
44 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 22 $48,625 $2,210 100.0% —
45 SOUTHERN CONNECTICUT VASCULAR CENTER LLC STRATFORD CT VASCULAR SURGERY 36 22 $114,400 $5,200 40.7% (203) 210-6340
46 BRADLEY B HILL MD A PROFESSIONAL CORPORATION CAMPBELL CA NURSE PRACTITIONER 5 21 $50,743 $2,416 3.8% (708) 979-9082
47 COLORADO CARDIOVASCULAR SURGICAL ASSOCIATES, P.C. ENGLEWOOD CO VASCULAR SURGERY 5 21 $46,137 $2,197 46.7% (303) 778-6527
48 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 20 $68,824 $3,441 3.2% (713) 566-5000
49 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 19 $83,600 $4,400 15.0% (314) 747-3000
50 PHYSICIAN PRACTICES OF MSMC LLC MIAMI BEACH FL INTERNAL MEDICINE 176 19 $55,822 $2,938 10.0% —
51 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD NY PHYSICIAN ASSISTANT 1128 19 $39,976 $2,104 8.1% —
52 PROVIDENCE HEALTH ALLIANCE WACO TX PHYSICIAN ASSISTANT 121 19 $43,330 $2,281 3.1% (254) 537-6200
53 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 19 $29,830 $1,570 20.0% (405) 254-9690
54 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC OKLAHOMA CITY SC PHYSICIAN ASSISTANT 114 18 $37,943 $2,108 11.5% (405) 951-4345
55 ST JOSEPHS MEDICAL PC LIVERPOOL NY PHYSICIAN ASSISTANT 378 17 $25,381 $1,493 7.2% (315) 475-8402
56 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 16 $63,952 $3,997 27.1% (404) 778-7525
57 NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY, P.C. ALBANY NY NEPHROLOGY 18 16 $19,712 $1,232 6.8% (518) 434-2244
58 JERRY KIM MD INC POMONA CA VASCULAR SURGERY 3 16 $40,014 $2,501 2.9% (909) 973-1148
59 DFW VASCULAR GROUP LLP DESOTO TX VASCULAR SURGERY 5 16 $37,248 $2,328 2.6% (214) 946-5165
60 SURGICAL CLINIC PC OPELIKA AL GENERAL SURGERY 9 16 $25,520 $1,595 28.6% (334) 745-6271
61 LAFAYETTE HEALTH VENTURES INC LAFAYETTE LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 293 15 $26,100 $1,740 9.7% (337) 289-7374
62 MAKRISMD LLC WESTMONT IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 15 $30,015 $2,001 10.1% (630) 323-8690
63 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 15 $32,251 $2,150 2.4% (210) 614-7414
64 LAS VEGAS MEDICAL GROUP LLC LAS VEGAS NV GENERAL SURGERY 48 15 $21,848 $1,457 15.5% (702) 853-3000
65 VASCULAR AND INTERVENTIONAL SPECIALISTS OF ORANGE COUNTY, INC. ORANGE CA GENERAL SURGERY 8 15 $23,925 $1,595 2.7% (714) 560-4450
66 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 15 $62,605 $4,174 9.6% (803) 395-3400
67 CALDWELL MEMORIAL HOSPITAL INC LENOIR NC NURSE PRACTITIONER 213 15 $40,110 $2,674 9.4% (828) 394-6722
68 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 114 15 $18,459 $1,231 15.8% (405) 951-4345
69 NKDHC RUDNITSKY PLLC LAS VEGAS NV NEPHROLOGY 45 15 $26,670 $1,778 15.5% (702) 732-2438
70 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 15 $31,800 $2,120 2.7% (800) 872-2273
71 THOMAS J LOMIS M D INC A PROFESSIONAL CORPORATION VAN NUYS CA GENERAL SURGERY 12 14 $25,919 $1,851 2.5% (818) 782-3255
72 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 14 $22,134 $1,581 2.5% (530) 332-4470
73 NORTH TEXAS SURGICAL SPECIALISTS PLLC FORT WORTH TX GENERAL SURGERY 32 14 $30,324 $2,166 2.3% (682) 224-3748
74 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 14 $24,444 $1,746 2.5% (760) 340-3911
75 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 14 $10,058 $718 10.7% (601) 264-6000
76 PADUCAH VASCULAR INSTITUTE PLLC PADUCAH KY NURSE PRACTITIONER 3 14 $30,436 $2,174 20.6% (270) 845-4300
77 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 14 $179,075 $12,791 9.5% (866) 974-2673
78 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 13 $29,653 $2,281 2.4% (916) 681-8852
79 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 13 $30,875 $2,375 35.1% (732) 362-3663
80 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 13 $84,310 $6,485 8.8% (888) 824-0200
81 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 13 $55,744 $4,288 8.3% (843) 792-1414
82 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON IL NURSE PRACTITIONER 951 13 $24,999 $1,923 8.8% (601) 815-4775
83 Q-HEALTH PARTNERS PLLC HOUSTON TX NEPHROLOGY 21 13 $33,487 $2,576 2.1% (713) 520-6875
84 SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION WEST HILLS CA VASCULAR SURGERY 4 13 $78,000 $6,000 2.4% (818) 345-6126
85 COLORADO CARDIOVASCULAR SURGICAL ASSOCIATES, P.C. ENGLEWOOD LA VASCULAR SURGERY 5 13 $26,803 $2,062 8.4% (303) 778-6527
86 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 12 $21,876 $1,823 1.9% (214) 599-8624
87 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 12 $20,940 $1,745 26.7% —
88 LAFAYETTE HEALTH VENTURES INC LAFAYETTE TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 293 12 $26,472 $2,206 1.9% (337) 289-7374
89 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM RI PHYSICIAN ASSISTANT 3051 12 $35,544 $2,962 46.2% (919) 684-8111
90 KANSAS CITY VASCULAR AND GENERAL SURGERY GROUP LLC OVERLAND PARK MO NURSE PRACTITIONER 22 12 $23,954 $1,996 9.4% (913) 754-2800
91 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 12 $20,880 $1,740 1.9% (254) 724-2663
92 COMPLEX VEIN AND VASCULAR SPECIALISTS PLLC DALLAS TX VASCULAR SURGERY 2 12 $17,628 $1,469 1.9% (469) 780-2300
93 HATTIESBURG CLINIC PA HATTIESBURG AR FAMILY PRACTICE 530 12 $43,104 $3,592 100.0% (601) 264-6000
94 CARDIOTHORACIC AND VASCULAR SURGEONS,PA AUSTIN TX PHYSICIAN ASSISTANT 34 12 $5,838 $486 1.9% (512) 447-2211
95 A AND V DOCTORS PLLC EL PASO TX INTERNAL MEDICINE 7 12 $22,903 $1,909 1.9% (915) 307-7800
96 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 12 $47,424 $3,952 26.7% (720) 777-1234
97 MOWERY CLINIC LLC SALINA KS OBSTETRICS/GYNECOLOGY 22 12 $16,800 $1,400 14.3% —
98 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 12 $35,562 $2,964 16.4% —
99 PREFERRED VASCULAR SERVICES NORTHWEST LLC MARIETTA GA NEPHROLOGY 13 12 $26,867 $2,239 20.3% (404) 554-2196
100 AMERICAN ACCESS CARE OF MIAMI, LLC MIAMI FL VASCULAR SURGERY 6 12 $26,904 $2,242 6.3% (305) 670-1044

Showing the top 100 of 107 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 →