NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
47000 Needle biopsy of liver through skin CPT · Procedure
Classification Procedure Digestive/Gastrointestinal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 18,834 services ▲ 3.4% YoY · 18,561 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.3M · $69.52 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
265
Named-group FFS services
9,976
FFS of Medicare
49%
Services YoY
+3.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~19,640 services

9,976 observed fee-for-service (51%) · ~9,664 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 — 47000 (CY2024)

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

Named-group submitted charges
$7.5M
Named-group allowed amount
$869K
Named-group Medicare payments
$676K
Avg charge / svc
$751
Avg allowed / svc
$87
Avg payment / svc
$68
Average charge per group
$90 265 groups · avg submitted charge / service $4,581
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 47000 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 47000 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 RADIOLOGY ASSOCIATES OF NORTH TEXAS PA FORT WORTH TX DIAGNOSTIC RADIOLOGY 340 331 $137,034 $414 premium 21.8% (817) 321-0470
2 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 331 $385,664 $1,165 premium 21.8% (713) 592-5433
3 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 157 $232,233 $1,479 premium 28.9% (800) 603-0558
4 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 133 $99,100 $745 premium 19.9% (617) 732-5500
5 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 132 $49,420 $374 premium 34.4%
6 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 131 $27,576 $211 premium 37.8% (913) 588-1227
7 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 128 $147,149 $1,150 premium 48.5% (507) 284-2511
8 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 118 $41,593 $352 premium 12.3% (813) 745-4673
9 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 108 $148,886 $1,379 premium 11.2% (904) 953-2000
10 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 103 $114,135 $1,108 premium 10.4%
11 MORI BEAN AND BROOKS INC ORANGE PARK FL DIAGNOSTIC RADIOLOGY 947 99 $115,810 $1,170 premium 10.3% (904) 399-5550
12 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 99 $116,688 $1,179 premium 24.0%
13 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 99 $453,503 $4,581 premium 6.7% (650) 723-4000
14 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 96 $44,640 $465 premium 14.3% (781) 983-9088
15 ADVANCED RADIOLOGY P A BALTIMORE MD DIAGNOSTIC RADIOLOGY 161 95 $27,455 $289 premium 14.7% (888) 972-9700
16 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 92 $114,757 $1,247 premium 6.2% (800) 926-8273
17 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 87 $153,114 $1,760 premium 5.9% (415) 600-1020
18 RADIOLOGY OF HUNSTVILLE PC HUNTSVILLE AL DIAGNOSTIC RADIOLOGY 63 84 $24,696 $294 premium 54.9% 2565390457145
19 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 83 $23,904 $288 premium 12.8% (410) 663-8100
20 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 82 $125,512 $1,531 premium 25.6% (319) 678-8201
21 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 79 $73,894 $935 premium 11.5% (901) 683-0055
22 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 73 $81,062 $1,110 premium 17.7% (501) 202-2093
23 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 73 $17,067 $234 premium 10.9%
24 RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC COLUMBUS OH DIAGNOSTIC RADIOLOGY 243 72 $57,106 $793 premium 13.3% (614) 566-5600
25 HOUSTON RADIOLOGY ASSOCIATED HOUSTON TX DIAGNOSTIC RADIOLOGY 103 72 $51,705 $718 premium 4.7% (281) 206-9020
26 MEDICAL CENTER RADIOLOGISTS INC NORFOLK VA DIAGNOSTIC RADIOLOGY 123 72 $19,872 $276 premium 9.4% (757) 466-6870
27 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 70 $29,263 $418 premium 12.9%
28 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 69 $38,985 $565 premium 8.1%
29 QUANTUM RADIOLOGY PC MARIETTA GA DIAGNOSTIC RADIOLOGY 104 69 $60,444 $876 premium 16.4% (770) 732-4000
30 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 69 $39,606 $574 premium 4.7% (626) 256-4673
31 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 68 $19,310 $284 premium 73.9%
32 RADIOLOGY CONSULTANTS OF TULSA, INC. TULSA OK DIAGNOSTIC RADIOLOGY 34 68 $18,071 $266 premium 17.8% (918) 743-8838
33 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 65 $57,460 $884 premium 8.5% (434) 924-5959
34 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 64 $56,640 $885 premium 12.3%
35 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 64 $6,836 $107 premium 41.6% (605) 322-5180
36 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 63 $27,342 $434 premium 7.4%
37 EVANSVILLE RADIOLOGY PC EVANSVILLE IN DIAGNOSTIC RADIOLOGY 29 62 $30,628 $494 premium 13.7% (812) 422-3254
38 NORTHSIDE RADIOLOGY ASSOCIATES LLC ATLANTA GA DIAGNOSTIC RADIOLOGY 370 62 $82,770 $1,335 premium 14.7% (404) 851-6577
39 COMMONWEALTH RADIOLOGY PC RICHMOND VA DIAGNOSTIC RADIOLOGY 49 60 $21,900 $365 premium 7.8% (804) 288-8327
40 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 60 $55,530 $926 premium 46.5% (701) 234-2000
41 CHARLOTTE RADIOLOGY PA CHARLOTTE NC DIAGNOSTIC RADIOLOGY 218 59 $40,061 $679 premium 13.7% (704) 362-1945
42 TEXAS RADIOLOGY ASSOCIATES LLP PLANO TX DIAGNOSTIC RADIOLOGY 153 59 $44,191 $749 premium 3.9% (469) 814-2000
43 DIAGNOSTIC X-RAY PHYSICIANS, PSC LOUISVILLE KY DIAGNOSTIC RADIOLOGY 36 59 $30,915 $524 premium 18.2% (502) 893-1000
44 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 58 $81,432 $1,404 premium 13.8% (404) 778-7525
45 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 58 $29,464 $508 premium 20.1% (504) 842-3000
46 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 58 $58,290 $1,005 premium 37.9% (205) 934-3460
47 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 58 $18,265 $315 premium 55.8% (801) 261-8346
48 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 56 $37,912 $677 premium 3.8% (800) 872-2273
49 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 55 $28,303 $515 premium 8.2%
50 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 55 $13,320 $242 premium 8.5% (202) 429-2401
51 OSU RADIOLOGY LLC COLUMBUS OH DIAGNOSTIC RADIOLOGY 174 54 $16,740 $310 premium 9.9% (614) 293-8315
52 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 53 $17,967 $339 premium 12.3% (828) 213-1740
53 RADIOLOGY CONSULTANTS PC OMAHA NE DIAGNOSTIC RADIOLOGY 46 53 $25,917 $489 premium 14.3% (402) 717-4760
54 ANCILLARY SERVICES OF PRACTICE ASSOCIATES PA MORRISTOWN NJ DIAGNOSTIC RADIOLOGY 97 53 $15,953 $301 premium 13.8% (973) 971-6866
55 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 52 $9,984 $192 premium 3.5% (530) 332-4470
56 RADIOLOGY CONSULTANTS OF IOWA PLC CEDAR RAPIDS IA DIAGNOSTIC RADIOLOGY 72 52 $29,900 $575 premium 16.2% (319) 364-0121
57 COOPER UNIVERSITY RADIOLOGY PC CAMDEN NJ DIAGNOSTIC RADIOLOGY 68 51 $40,341 $791 premium 13.3%
58 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 50 $33,000 $660 premium 7.5% (617) 724-0287
59 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 50 $39,800 $796 premium 5.1%
60 X-RAY ASSOCIATES OF LOUISVILLE PSC LOUISVILLE KY DIAGNOSTIC RADIOLOGY 55 49 $29,232 $597 premium 15.1% (502) 897-8121
61 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 49 $22,050 $450 premium 15.2% (734) 763-5459
62 PALM DESERT RADIOLOGY MEDICAL GROUP INC RANCHO MIRAGE CA DIAGNOSTIC RADIOLOGY 125 48 $37,824 $788 premium 3.2% (760) 773-1251
63 WINCHESTER RADIOLOGISTS PC WINCHESTER VA DIAGNOSTIC RADIOLOGY 79 47 $23,323 $496 premium 6.1% (540) 686-1600
64 DIAGNOSTIC IMAGING ASSOCIATES, P.C. DES MOINES IA DIAGNOSTIC RADIOLOGY 21 47 $21,009 $447 premium 14.7% (515) 643-2667
65 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 47 $43,922 $934 premium 12.7% (402) 559-4000
66 RADIOLOGY ASSOCIATES OF RICHMOND INC RICHMOND VA DIAGNOSTIC RADIOLOGY 70 46 $28,886 $628 premium 6.0% (804) 272-8806
67 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 46 $67,344 $1,464 premium 6.7% (615) 322-5000
68 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 46 $44,482 $967 premium 4.7% (708) 216-8372
69 RADIOLOGIC CENTER INC OMAHA NE DIAGNOSTIC RADIOLOGY 20 46 $26,042 $566 premium 12.4% (402) 390-0606
70 RADIOLOGY LTD LLC TUCSON AZ DIAGNOSTIC RADIOLOGY 102 45 $128,025 $2,845 premium 8.3% (520) 290-4842
71 ROSWELL PARK CANCER INSTITUTE BUFFALO NY NURSE PRACTITIONER 502 44 $47,240 $1,074 premium 4.9% (716) 845-2300
72 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 44 $76,472 $1,738 premium 4.9%
73 RADIOLOGY ASSOCIATES OF PENSACOLA PA PENSACOLA FL DIAGNOSTIC RADIOLOGY 21 44 $14,300 $325 premium 4.6% (850) 208-6000
74 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 43 $51,156 $1,190 premium 13.8% (509) 665-6087
75 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY FL NURSE PRACTITIONER 1815 42 $8,832 $210 premium 4.4% (913) 588-1227
76 CAROLINA RADIOLOGY ASSOCIATES LLC MYRTLE BEACH SC DIAGNOSTIC RADIOLOGY 63 41 $17,097 $417 premium 10.7% (843) 692-1916
77 BOONE PHYSICIAN SERVICES LLC COLUMBIA MO PHYSICIAN ASSISTANT 236 39 $8,151 $209 premium 7.5% (573) 815-8000
78 BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA NURSE PRACTITIONER 40 39 $11,652 $299 premium 5.1% (804) 288-8900
79 TOWER HEALTH MEDICAL GROUP WEST READING PA INTERNAL MEDICINE 590 38 $21,888 $576 premium 4.5% (484) 628-5455
80 MSKCC RADIOLOGY GROUP NEW YORK NY DIAGNOSTIC RADIOLOGY 199 38 $25,650 $675 premium 4.3% (646) 888-5300
81 AVERA MCKENNAN SIOUX FALLS WA NURSE PRACTITIONER 964 38 $3,525 $93 premium 12.2% (605) 322-5180
82 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 36 $8,316 $231 premium 6.6% (520) 694-0111
83 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 36 $42,012 $1,167 premium 3.6% (312) 563-2875
84 HAMPTON ROADS RADIOLOGY ASSOCIATES PC VIRGINIA BEACH VA DIAGNOSTIC RADIOLOGY 37 36 $18,000 $500 premium 4.7% (757) 916-9630
85 CAPE RADIOLOGY GROUP PC CAPE GIRARDEAU MO DIAGNOSTIC RADIOLOGY 53 33 $23,860 $723 premium 6.3% (573) 334-6071
86 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 33 $10,890 $330 premium 3.9%
87 SUMMIT RADIOLOGY P C FORT WAYNE IN DIAGNOSTIC RADIOLOGY 104 33 $11,616 $352 premium 7.3% (260) 432-1568
88 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 33 $8,346 $253 premium 2.2% (210) 450-7044
89 RADIOLOGISTS PA FORT SMITH AR DIAGNOSTIC RADIOLOGY 19 32 $9,152 $286 premium 7.8% (479) 474-1616
90 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 32 $27,232 $851 premium 7.4% (919) 684-8111
91 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 32 $33,560 $1,049 premium 2.2% (916) 983-7476
92 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 32 $36,162 $1,130 premium 8.4% (405) 271-4311
93 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 32 $27,520 $860 premium 25.6% (304) 388-5432
94 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 32 $22,912 $716 premium 8.3% (864) 255-1901
95 RADIOLOGY OF INDIANA P C INDIANAPOLIS IN DIAGNOSTIC RADIOLOGY 116 32 $11,200 $350 premium 7.0% (317) 579-2150
96 RADIOLOGY ASSOCIATES INC ELIZABETHTOWN KY DIAGNOSTIC RADIOLOGY 57 30 $8,160 $272 premium 9.3% (270) 706-1212
97 DIAGNOSTIC IMAGING ASSOCIATES, P.C. DES MOINES TX DIAGNOSTIC RADIOLOGY 21 30 $13,410 $447 premium 2.0% (515) 643-2667
98 AMERICAN RADIOLOGY CONSULTANTS PLLC DALLAS TX DIAGNOSTIC RADIOLOGY 121 30 $10,230 $341 premium 2.0% (214) 820-3216
99 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 30 $41,337 $1,378 premium 55.6% (802) 847-0000
100 RADIOLOGY ASSOCIATES OF ABILENE PA ABILENE TX DIAGNOSTIC RADIOLOGY 25 30 $11,070 $369 premium 2.0% (325) 670-2000

Showing the top 100 of 265 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 →