NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
38525 Biopsy or removal of deep lymph nodes of underarm 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 32,884 services ▼ 5.5% YoY · 32,703 beneficiaries (CY2024, Medicare FFS)
Medicare paid $8.4M · $254.77 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
570
Named-group FFS services
24,260
FFS of Medicare
49%
Services YoY
-5.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~48,502 services

24,260 observed fee-for-service (50%) · ~24,242 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 — 38525 (CY2024)
CA 3,549 TX 2,692 FL 2,547 NY 1,593 PA 1,543

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

Named-group submitted charges
$37.7M
Named-group allowed amount
$6.0M
Named-group Medicare payments
$4.8M
Avg charge / svc
$1,555
Avg allowed / svc
$247
Avg payment / svc
$197
Average charge per group
$216 570 groups · avg submitted charge / service $43,281
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 38525 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 764 $1,260,240 $1,650 28.4% —
2 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 277 $370,132 $1,336 10.9% (813) 745-4673
3 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 225 $899,382 $3,997 8.4% (713) 592-5433
4 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 225 $284,022 $1,262 22.6% —
5 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 213 $273,552 $1,284 6.0% (626) 256-4673
6 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 192 $314,062 $1,636 20.8% (404) 367-3210
7 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 192 $1,579,743 $8,228 12.1% (212) 263-9700
8 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 190 $263,981 $1,389 5.4% (415) 600-1020
9 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 188 $248,490 $1,322 14.2% (847) 459-1160
10 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 182 $157,984 $868 13.0% —
11 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 170 $302,565 $1,780 4.8% (916) 681-8852
12 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 158 $245,315 $1,553 6.2% —
13 IRONWOOD PHYSICIANS PC MESA AZ HEMATOLOGY/ONCOLOGY 114 157 $124,575 $793 15.7% (480) 981-1326
14 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 152 $263,648 $1,735 4.3% (858) 455-9100
15 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 146 $256,451 $1,757 4.1% (310) 423-0674
16 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 144 $175,092 $1,216 26.0% —
17 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 138 $263,374 $1,909 5.4% (561) 955-7100
18 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 130 $239,090 $1,839 3.7% (650) 723-4000
19 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 127 $164,331 $1,294 9.6% —
20 BAPTIST MD ANDERSON CANCER PHYSICIANS INC JACKSONVILLE FL PHYSICIAN ASSISTANT 118 122 $140,670 $1,153 4.8% (904) 202-7300
21 OSU SURGERY, LLC COLUMBUS OH PHYSICIAN ASSISTANT 204 122 $189,720 $1,555 12.8% (614) 293-2101
22 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 121 $149,814 $1,238 8.7% (804) 764-6000
23 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 121 $158,055 $1,306 12.7% —
24 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 120 $135,360 $1,128 4.7% (727) 725-5060
25 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 118 $167,034 $1,416 7.6% (215) 662-2777
26 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 118 $115,430 $978 7.6% —
27 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 112 $165,536 $1,478 4.2% (903) 606-5560
28 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 110 $433,100 $3,937 16.5% (314) 747-3000
29 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 110 $158,238 $1,439 4.3% (904) 396-1725
30 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 108 $131,672 $1,219 7.0% —
31 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 108 $126,030 $1,167 16.2% —
32 RIVER OAKS MANAGEMENT COMPANY LLC FLOWOOD MS NURSE PRACTITIONER 39 108 $194,456 $1,801 44.6% (601) 376-1394
33 BANNER CANCER CENTER SPECIALISTS LLC GILBERT AZ PHYSICIAN ASSISTANT 331 107 $124,341 $1,162 10.7% (480) 256-6444
34 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 107 $211,156 $1,973 4.2% (904) 953-2000
35 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 107 $150,272 $1,404 4.2% (407) 200-2700
36 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 105 $112,035 $1,067 24.5% (918) 502-4720
37 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 105 $290,952 $2,771 6.6% —
38 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 104 $134,850 $1,297 4.1% (239) 291-6970
39 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 102 $130,927 $1,284 9.4% (919) 881-0160
40 WILMINGTON SURGICAL ASSOCIATES PA WILMINGTON NC GENERAL SURGERY 9 101 $89,760 $889 9.3% (910) 763-7363
41 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA SURGICAL ONCOLOGY 14 100 $295,712 $2,957 2.8% (310) 390-4099
42 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 100 $164,856 $1,649 27.5% (507) 284-2511
43 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 99 $142,713 $1,442 9.2% (410) 761-1222
44 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 99 $154,144 $1,557 2.8% (800) 926-8273
45 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 98 $94,625 $966 21.9% (502) 928-1050
46 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 97 $123,843 $1,277 10.5% —
47 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 96 $141,606 $1,475 10.1% —
48 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 94 $205,631 $2,188 7.1% —
49 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 94 $124,533 $1,325 6.7% —
50 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 93 $138,775 $1,492 12.8% (732) 362-3663
51 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 93 $149,015 $1,602 2.6% (310) 423-3277
52 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 92 $91,488 $994 6.0% —
53 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 91 $91,000 $1,000 18.2% —
54 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 91 $133,856 $1,471 8.4% (410) 502-4340
55 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 89 $128,904 $1,448 3.5% (813) 615-7075
56 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 88 $83,883 $953 3.5% (321) 434-8878
57 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 88 $192,280 $2,185 9.2% —
58 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 86 $151,254 $1,759 23.7% (612) 863-4000
59 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 85 $136,192 $1,602 3.2% —
60 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY TX NURSE PRACTITIONER 1815 83 $87,609 $1,056 3.1% (913) 588-1227
61 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 83 $184,232 $2,220 3.3% (786) 662-0600
62 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 81 $190,590 $2,353 42.9% (860) 724-2579
63 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 80 $84,041 $1,051 17.0% (913) 588-1227
64 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 79 $109,082 $1,381 8.6% (901) 683-0055
65 MSKCC SURGERY GROUP NEW YORK NY PHYSICIAN ASSISTANT 373 79 $268,550 $3,399 5.0% (212) 639-2000
66 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 78 $491,000 $6,295 4.9% (212) 746-5454
67 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 77 $95,018 $1,234 2.9% (210) 614-7414
68 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER FL PHYSICIAN ASSISTANT 147 77 $115,391 $1,499 3.0% (561) 747-2234
69 ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC LAS VEGAS NV NURSE PRACTITIONER 71 76 $74,115 $975 44.2% (702) 952-2140
70 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 76 $81,354 $1,070 17.8% (405) 254-9690
71 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 75 $187,838 $2,505 11.5% (843) 792-1414
72 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 75 $88,275 $1,177 39.5% (202) 429-2401
73 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 74 $70,050 $947 10.4% (509) 946-4611
74 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 74 $96,250 $1,301 7.4% (800) 603-0558
75 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 74 $129,520 $1,750 10.2% (973) 971-5596
76 UCSF DEPT OF SURGERY SAN FRANCISCO CA GENERAL SURGERY 212 73 $174,697 $2,393 2.1% (415) 476-1000
77 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 72 $66,138 $919 5.2% (434) 947-3033
78 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 72 $87,687 $1,218 6.7% (202) 429-2401
79 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 71 $113,700 $1,601 6.6% (410) 663-8100
80 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 71 $69,069 $973 10.9% (803) 749-5101
81 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 71 $183,388 $2,583 2.6% (214) 633-5555
82 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 69 $224,005 $3,246 18.1% (608) 287-2050
83 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 69 $67,316 $976 7.5% (901) 226-3882
84 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 69 $98,946 $1,434 9.7% (509) 665-6087
85 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 69 $79,131 $1,147 17.8% (515) 343-1000
86 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 69 $59,640 $864 6.4% (443) 481-1000
87 BONAVENTURE MEDICAL FOUNDATION LLC HOFFMAN EST IL DIAGNOSTIC RADIOLOGY 162 68 $85,529 $1,258 5.1% (847) 755-8208
88 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 68 $67,080 $986 12.3% (479) 361-2585
89 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 68 $213,000 $3,132 4.3% (212) 241-4812
90 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 68 $95,946 $1,411 9.6% (206) 364-0500
91 CARILION MEDICAL CENTER ROANOKE VA PHYSICIAN ASSISTANT 964 67 $109,986 $1,642 4.8% (540) 981-7925
92 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 67 $134,971 $2,014 50.0% (605) 332-2883
93 UNIVERSITY SURGICAL ASSOCIATES, PLLC CHATTANOOGA TN GENERAL SURGERY 28 67 $93,772 $1,400 7.3% (423) 267-0466
94 CAROLINAS MEDICAL CENTER CHARLOTTE NC PHYSICIAN ASSISTANT 1034 66 $120,612 $1,827 6.1% (704) 355-2000
95 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 66 $75,636 $1,146 1.9% (805) 681-7500
96 UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES PA BALTIMORE MD GENERAL SURGERY 101 66 $97,217 $1,473 6.1% (410) 328-5191
97 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 66 $113,000 $1,712 4.1% (631) 751-3000
98 STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI HAMPTON BAYS NY GENERAL SURGERY 102 66 $143,880 $2,180 4.1% (631) 723-5000
99 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 65 $85,358 $1,313 10.0% (843) 720-8448
100 THE PRESBYTERIAN HOSPITAL CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 406 65 $64,856 $998 6.0% (704) 384-4000

Showing the top 100 of 570 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 →