NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
38500 Biopsy or removal of lymph nodes CPT · Other Organ Systems procedure
Classification Procedure › Other Organ Systems › Lymph Node Biopsy (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,035 services ▼ 8.6% YoY · 1,014 beneficiaries (CY2024, Medicare FFS)
Medicare paid $271K · $261.54 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
31
Named-group FFS services
740
FFS of Medicare
49%
Services YoY
-8.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,507 services

740 observed fee-for-service (49%) · ~767 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 — 38500 (CY2024)
FL 133 SC 101 IN 71 MS 58 PA 54

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

Named-group submitted charges
$674K
Named-group allowed amount
$107K
Named-group Medicare payments
$85K
Avg charge / svc
$911
Avg allowed / svc
$144
Avg payment / svc
$114
Average charge per group
$450 31 groups · avg submitted charge / service $3,305
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 38500 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 101 $65,621 $650 100.0% —
2 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 49 $42,336 $864 100.0% (405) 254-9690
3 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 48 $34,986 $729 36.1% (239) 561-9622
4 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 40 $41,880 $1,047 30.1% (786) 662-0600
5 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 39 $26,076 $669 100.0% —
6 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 38 $63,298 $1,666 100.0% (952) 928-2900
7 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 33 $30,555 $926 56.9% (601) 264-6000
8 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 28 $33,180 $1,185 70.0% (508) 334-1000
9 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 25 $18,346 $734 100.0% (210) 593-5700
10 COMMUNITY PHYSICIAN NETWORK SPECIALTY CARE LLC INDIANAPOLIS LA NURSE PRACTITIONER 239 24 $17,420 $726 100.0% (317) 621-8000
11 DEDICATED TO WOMEN OB-GYN, P.A. DOVER DE OBSTETRICS/GYNECOLOGY 15 24 $22,200 $925 100.0% (302) 674-0223
12 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 22 $13,896 $632 40.7% (717) 782-2100
13 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 21 $10,551 $502 63.6% (740) 568-2214
14 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 20 $23,612 $1,181 37.0% (570) 271-6144
15 HOAG CLINIC NEWPORT BEACH AL PHYSICIAN ASSISTANT 436 20 $18,480 $924 47.6% (949) 791-3370
16 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 18 $15,048 $836 100.0% (856) 247-7260
17 BAPTIST HEALTH SERVICES FORT SMITH AR FAMILY PRACTICE 107 16 $14,314 $895 100.0% (479) 709-7250
18 BRYAN HOSPITAL KEARNEY KEARNEY NE PHYSICIAN ASSISTANT 112 15 $10,500 $700 100.0% (308) 865-2263
19 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 14 $25,200 $1,800 100.0% (800) 603-0558
20 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 14 $12,460 $890 53.8% (336) 713-9800
21 MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI PHYSICIAN ASSISTANT 469 14 $12,416 $887 56.0% (989) 633-8018
22 OCH PROFESSIONAL SERVICES STARKVILLE MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 33 13 $9,022 $694 22.4% (662) 615-2830
23 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 13 $9,165 $705 100.0% (304) 388-5432
24 SOMC MEDICAL CARE FOUNDATION, INC. PORTSMOUTH OH NURSE PRACTITIONER 349 12 $5,400 $450 36.4% (740) 356-7290
25 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 12 $39,660 $3,305 22.2% (215) 662-2777
26 WILMINGTON SURGICAL ASSOCIATES PA WILMINGTON NC GENERAL SURGERY 9 12 $8,052 $671 46.2% (910) 763-7363
27 SJC ONCOLOGY SERVICES - GEORGIA, LLC SAVANNAH GA NURSE PRACTITIONER 25 11 $14,880 $1,353 100.0% —
28 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 11 $9,922 $902 100.0% (434) 924-5959
29 BAPTIST HEALTH CENTERS LLC BIRMINGHAM AL NURSE PRACTITIONER 181 11 $10,230 $930 26.2% (205) 795-5390
30 MUNSON MEDICAL CENTER TRAVERSE CITY MI PHYSICIAN ASSISTANT 378 11 $6,832 $621 44.0% (231) 935-8000
31 THE EAST ALABAMA HEALTH CARE AUTHORITY OPELIKA AL NURSE PRACTITIONER 110 11 $8,244 $749 26.2% (334) 528-6931

*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 →