NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
40490 Biopsy of lip CPT · Skin procedure
Classification Procedure Skin (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,668 services ▼ 22.3% YoY · 2,481 beneficiaries (CY2024, Medicare FFS)
Medicare paid $220K · $82.35 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
91
Named-group FFS services
2,082
FFS of Medicare
49%
Services YoY
-22.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,305 services

2,082 observed fee-for-service (48%) · ~2,223 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 — 40490 (CY2024)

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

Named-group submitted charges
$495K
Named-group allowed amount
$232K
Named-group Medicare payments
$173K
Avg charge / svc
$238
Avg allowed / svc
$111
Avg payment / svc
$83
Average charge per group
$111 91 groups · avg submitted charge / service $487
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 40490 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 40490 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 THE DERMATOLOGY GROUP LLC COLUMBIA SC DERMATOLOGY 3 165 $37,816 $229 premium 66.3% (803) 254-3376
2 SOUTH NASSAU DERMATOLOGY PC OCEANSIDE NY DERMATOLOGY 11 134 $21,394 $160 premium 36.8% (516) 766-0345
3 CATSKILL DERMATOLOGY, PC MONTICELLO NY DERMATOLOGY 4 85 $17,724 $209 premium 23.4% (845) 794-3030
4 ASSOCIATES IN DERMATOLOGY M D P L FORT MYERS FL DERMATOLOGY 12 57 $14,202 $249 premium 7.3% (239) 936-5425
5 AQUA DERMATOLOGY OF FLORIDA, PA NAPLES FL PHYSICIAN ASSISTANT 184 54 $13,932 $258 premium 6.9% (239) 596-9075
6 PRECISION DERMATOLOGY AND SKIN SURGERY PA ORANGE PARK FL PHYSICIAN ASSISTANT 7 53 $10,971 $207 premium 6.8% (904) 923-6647
7 COSMETIQUE DERMATOLOGY LASER AND PLASTIC SURGERY LLP GREENVALE NY DERMATOLOGY 3 46 $6,566 $143 premium 12.6% (516) 484-9000
8 JACKIE M TRIPP MD PLC DELRAY BEACH FL DERMATOLOGY 2 45 $7,783 $173 premium 5.7% (561) 819-6888
9 CSI MEDICAL GROUP SARATOGA CA DERMATOLOGY 97 41 $9,680 $236 premium 16.0% (408) 253-4407
10 PREMIER DERMATOLOGY, LLC ENGLEWOOD FL DERMATOLOGY 46 35 $8,340 $238 premium 4.5% (941) 474-8811
11 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 35 $16,695 $477 premium 59.3% (601) 264-6000
12 MICHAEL J HAIKEN MD PA FORT MYERS FL NURSE PRACTITIONER 5 34 $8,505 $250 premium 4.3% (239) 768-1400
13 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 32 $10,496 $328 premium 4.1% (863) 680-7780
14 THE DERMATOLOGY CENTER PSC FLORENCE KY DERMATOLOGY 4 31 $5,425 $175 premium 36.9% (859) 525-6770
15 MAIN LINE DERMATOLOGY, INC. WAYNE PA DERMATOLOGY 6 27 $5,176 $192 premium 42.9% (610) 688-3099
16 PALM BEACH DERMATOLOGY LAKE WORTH FL DERMATOLOGY 19 27 $4,752 $176 premium 3.4% (561) 969-7300
17 ARIZONA DERMATOLOGY SPECIALISTS, PLLC SURPRISE AZ DERMATOLOGY 6 27 $6,939 $257 premium 33.8% (623) 584-3376
18 TERRENCE T HOPKINS MD, PA BRADENTON FL DERMATOLOGY 2 26 $3,367 $129 premium 3.3%
19 HEIBEL DERMATOLOGY CLINIC LLC LINCOLN NE DERMATOLOGY 3 26 $9,390 $361 premium 65.0% (402) 488-6969
20 KEITH A MACKENZIE DO PC PRESCOTT AZ DERMATOLOGY 3 26 $7,150 $275 premium 32.5% (928) 541-1312
21 J. SCOTT BOSWELL, MD A MEDICAL CORPORATION FRESNO CA NURSE PRACTITIONER 14 25 $5,875 $235 premium 9.8% (559) 439-3000
22 GREAT PLAINS DERMATOLOGY, P.A. HAYS KS DERMATOLOGY 4 23 $4,485 $195 premium 59.0% (785) 625-7546
23 MARK R KAISER M D PA FORT PIERCE FL DERMATOLOGY 2 23 $3,105 $135 premium 2.9% (772) 878-9365
24 CHARLES BLANCHARD STOER MD PA GAINESVILLE FL PHYSICIAN ASSISTANT 5 23 $3,450 $150 premium 2.9% (352) 377-8619
25 ALPINE ALLERGY AND ASTHMA ASSOCIATES INC AUBURN CA PHYSICIAN ASSISTANT 6 22 $4,400 $200 premium 8.6% (530) 888-1016
26 ALLIANT DERMATOLOGY PA THE VILLAGES FL PHYSICIAN ASSISTANT 11 22 $3,944 $179 premium 2.8% (352) 399-7295
27 SKIN WELLNESS PHYSICIANS LLC NAPLES FL DERMATOLOGY 9 22 $4,397 $200 premium 2.8% (239) 732-0044
28 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 21 $8,988 $428 premium 8.2% (760) 340-3911
29 SCHWEIGER DERMATOLOGY PC HOBOKEN NJ PHYSICIAN ASSISTANT 181 21 $7,350 $350 premium 28.4% (212) 283-3000
30 BOWLING GREEN DERMATOLOGY AND SKIN CANCER SPECIALISTS PLLC BOWLING GREEN KY DERMATOLOGY 2 20 $4,870 $243 premium 23.8% (270) 783-8003
31 KATHLEEN VINE MD PC NEW YORK NY PHYSICIAN ASSISTANT 10 20 $5,500 $275 premium 5.5% (646) 421-6064
32 ADVANCED DERMATOLOGY INC. DANA POINT CA DERMATOLOGY 2 20 $4,300 $215 premium 7.8% (949) 248-4547
33 ACADEMIC ALLIANCE IN DERMATOLOGY INC TAMPA FL PHYSICIAN ASSISTANT 46 19 $3,408 $179 premium 2.4% (813) 882-9986
34 MIDTOWN DERMATOLOGY SERVICES PC NEW YORK NY DERMATOLOGY 10 19 $6,650 $350 premium 5.2% 2126867306225
35 EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC SANTA FE NM DERMATOLOGY 29 19 $6,590 $347 premium 50.0% (505) 557-6300
36 EDWARD DIPRETA MD P.C. BRUNSWICK GA PHYSICIAN ASSISTANT 5 19 $3,515 $185 premium 32.8% (912) 265-2142
37 WILMINGTON DERMATOLOGY CENTER PLLC WILMINGTON NC PHYSICIAN ASSISTANT 9 18 $4,068 $226 premium 43.9% (910) 256-4350
38 CAROLINA DERMATOLOGY GRP COLUMBIA SC PHYSICIAN ASSISTANT 24 17 $5,712 $336 premium 6.8% (803) 771-7506
39 CSC ACQUISITION, LLC COLUMBIA SC DERMATOLOGY 17 17 $3,951 $232 premium 6.8% 8037797316205
40 ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC OLIVE BRANCH TN PHYSICIAN ASSISTANT 11 17 $3,948 $232 premium 26.6% (901) 759-2322
41 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 16 $7,799 $487 premium 6.2% (858) 455-9100
42 NEW RIVER DERMATOLOGY PLC BLACKSBURG VA PHYSICIAN ASSISTANT 9 16 $3,310 $207 premium 100.0% (540) 953-2210
43 MOSKOWITZ DERMATOLOGY MD PLLC OVIEDO FL NURSE PRACTITIONER 4 16 $1,910 $119 premium 2.0% (407) 542-0100
44 DERM SURGERY ASSOCIATES P.A. BELLAIRE TX DERMATOLOGY 22 15 $3,000 $200 premium 12.1% 7137919966130
45 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 15 $4,190 $279 premium 35.7% (617) 523-7900
46 J ROBERT WEST MD INC LAS VEGAS CA DERMATOLOGY 140 14 $3,794 $271 premium 5.5% (702) 258-1001
47 DALTON DERMATOLOGY AND DAY SPA, LLC DALTON GA PHYSICIAN ASSISTANT 3 14 $1,878 $134 premium 24.1% (706) 226-7546
48 DERMATOLOGY ASSOCIATES OF DENISON, PLLC DENISON TX DERMATOLOGY 4 14 $2,758 $197 premium 11.3% (903) 463-2223
49 DERMATOLOGY ASSOCIATES OF THE PALM BEACHES PLLC WEST PALM BEACH FL DERMATOLOGY 13 14 $5,247 $375 premium 1.8%
50 LANCE H BROWN MD PLLC NEW YORK NY DERMATOLOGY 2 14 $4,918 $351 premium 3.8% (212) 924-7546
51 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 14 $5,208 $372 premium 35.0% (402) 354-8163
52 SIPERSTEIN DERMATOLOGY GROUP PLLC BOYNTON BEACH FL DERMATOLOGY 18 14 $2,678 $191 premium 1.8% 5613647774327
53 DERMATOLOGY ASSOCIATES PA HUNTSVILLE AL DERMATOLOGY 5 14 $3,444 $246 premium 100.0% (256) 539-2741
54 DERMATOLOGY SPECIALISTS OF AUGUSTA, INC EVANS GA PHYSICIAN ASSISTANT 6 14 $3,696 $264 premium 24.1% (706) 650-7546
55 ARKANSAS DERMATOLOGY PLLC HEBER SPRINGS AR PHYSICIAN ASSISTANT 20 14 $1,915 $137 premium 100.0% (501) 362-3100
56 HUBBELL DERMATOLOGY AND AESTHETICS A PROFESSIONAL MEDICAL CORPORATION LAFAYETTE LA DERMATOLOGY 5 14 $1,559 $111 premium 100.0% (337) 981-6065
57 DERMATOLOGY PARTNERS OF THE NORTH SHORE LLC NORTHBROOK IL DERMATOLOGY 13 14 $3,607 $258 premium 23.3% (847) 272-4433
58 FEINSTEIN MEDICAL, LLC DELRAY BEACH FL DERMATOLOGY 7 14 $2,370 $169 premium 1.8% (561) 498-4407
59 SKIN AND CANCER ASSOCIATES AVENTURA FL DERMATOLOGY 65 14 $3,752 $268 premium 1.8% (305) 933-1151
60 PRINCETON DERMATOLOGY ASSOCIATESPC PRINCETON NJ DERMATOLOGY 16 14 $6,258 $447 premium 18.9% (609) 683-4999
61 SHANNON CLINIC SAN ANGELO TX NURSE PRACTITIONER 515 14 $5,208 $372 premium 11.3% (325) 747-1511
62 THE PALMETTO SKIN AND LASER CENTER LLC ROCK HILL SC DERMATOLOGY 2 14 $2,870 $205 premium 5.6% 80332960301030
63 KRIS L HOWARD MD PA ODESSA TX DERMATOLOGY 2 14 $1,646 $118 premium 11.3% (432) 563-3113
64 ROBERTA D SENGELMANN MD INC SANTA BARBARA CA DERMATOLOGY 5 13 $3,494 $269 premium 5.1% (805) 770-3999
65 HIGH PLAINS DERMATOLOGY CENTER, P.A. AMARILLO TX DERMATOLOGY 3 13 $1,586 $122 premium 10.5% (806) 355-9866
66 CALIFORNIA DERMATOLOGY GROUP PC SOLVANG CA DERMATOLOGY 2 13 $3,485 $268 premium 5.1% (805) 892-8222
67 SELECTSKINMD LLC VERO BEACH FL DERMATOLOGY 2 13 $2,445 $188 premium 1.7% (772) 567-1164
68 COMPREHENSIVE DERMATOLOGY, P.C. WOODMERE NY DERMATOLOGY 2 13 $3,575 $275 premium 3.6% (516) 295-3838
69 DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA TALLAHASSEE FL PHYSICIAN ASSISTANT 39 13 $4,173 $321 premium 1.7% (850) 877-4134
70 BERNARDO DERMATOLOGY MEDICAL GROUP INC POWAY CA DERMATOLOGY 8 13 $2,600 $200 premium 5.1% (858) 451-3311
71 TARANTOLA DERMATOLOGY INC PENSACOLA FL DERMATOLOGY 2 13 $2,722 $209 premium 1.7% (850) 439-5394
72 BILLINGS DERMATOLOGY PC BILLINGS IN PHYSICIAN ASSISTANT 4 13 $3,214 $247 premium 48.1% (406) 294-9515
73 SALLI SMITH SLONE, MD, PSC DANVILLE KY PHYSICIAN ASSISTANT 3 13 $2,193 $169 premium 15.5% (859) 236-0916
74 GOLDEN STATE DERMATOLOGY ASSOCIATES, INC. WALNUT CREEK CA DERMATOLOGY 118 13 $4,067 $313 premium 5.1% (925) 932-7704
75 CALVERT DERMATOLOGY, LLC PRINCE FREDERICK MD NURSE PRACTITIONER 3 13 $3,562 $274 premium 54.2% (410) 535-4561
76 ALPHA DERMATOLOGY OF PENNSYLVANIA LLC SELLERSVILLE PA PHYSICIAN ASSISTANT 4 12 $2,304 $192 premium 19.0% (215) 257-0196
77 ATLANTIC DERMATOLOGIC ASSOCIATES, LLP LYNBROOK NY PHYSICIAN ASSISTANT 10 12 $3,300 $275 premium 3.3% (516) 599-4242
78 TLK DERMATOLOGY PLLC ASHEBORO NC PHYSICIAN ASSISTANT 17 12 $2,040 $170 premium 29.3% (336) 625-8410
79 ARTIUS DERMATOLOGY ASSOCIATES PC PORTERVILLE CA PHYSICIAN ASSISTANT 19 12 $2,301 $192 premium 4.7% (559) 781-1812
80 SCOTT D GLAZER MD SC BUFFALO GROVE IL DERMATOLOGY 6 12 $5,100 $425 premium 20.0% (847) 459-6611
81 DERMATOLOGY ASSOCIATES OF BAY COUNTY PA PANAMA CITY FL PHYSICIAN ASSISTANT 11 12 $3,335 $278 premium 1.5% (850) 769-1668
82 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 12 $4,063 $339 premium 1.5% (813) 751-3375
83 ADVANCED DERMATOLOGY OF MARYLAND PC ROCKVILLE MD PHYSICIAN ASSISTANT 44 11 $4,906 $446 premium 45.8% (239) 465-4916
84 SOUTHWEST SKIN SPECIALISTS LLC SCOTTSDALE AZ DERMATOLOGY 50 11 $4,576 $416 premium 13.8% (602) 494-1817
85 DERMATOLOGY OF BOCA LLC BOCA RATON FL DERMATOLOGY 3 11 $1,700 $155 premium 1.4% (561) 362-8000
86 DERMATOLOGY AND MOHS SURGERY INSTITUTE LTD BLOOMINGTON IL PHYSICIAN ASSISTANT 8 11 $4,048 $368 premium 18.3% (309) 451-3376
87 CAROLINE R. PRICE MD PA Greenville SC DERMATOLOGY 2 11 $1,244 $113 premium 4.4%
88 DERMATOLOGY ASSOCIATES OF GEORGIA, LLC DECATUR GA DERMATOLOGY 13 11 $4,180 $380 premium 19.0% (404) 321-4600
89 K WADE FOSTER MD PA LAKE WALES FL NURSE PRACTITIONER 16 11 $2,147 $195 premium 1.4% (863) 676-3411
90 JEFFREY A KLEIN MD INC SAN JUAN CAPISTRANO CA DERMATOLOGY 4 11 $2,160 $196 premium 4.3% (949) 248-1632
91 PDP OF TEXAS, PLLC PLANO TX DERMATOLOGY 60 11 $2,794 $254 premium 8.9% (214) 987-3376

*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 →