NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
47536 Replacement of liver duct drainage tube using imaging guidance with review by radiologist CPT · Procedure
Classification Procedure Digestive/Gastrointestinal (CMS RBCS)
First observed 2016
National scale 1,678 services ▲ 26.5% YoY · 1,146 beneficiaries (CY2024, Medicare FFS)
Medicare paid $157K · $93.75 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
33
Named-group FFS services
1,133
FFS of Medicare
49%
Services YoY
+26.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,196 services

1,133 observed fee-for-service (52%) · ~1,063 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 — 47536 (CY2024)

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

Named-group submitted charges
$1.4M
Named-group allowed amount
$138K
Named-group Medicare payments
$107K
Avg charge / svc
$1,253
Avg allowed / svc
$121
Avg payment / svc
$94
Average charge per group
$312 33 groups · avg submitted charge / service $11,182
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 47536 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 47536 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 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 107 $84,744 $792 premium 48.6%
2 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 73 $40,754 $558 premium 59.3% (617) 732-5500
3 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 55 $144,797 $2,633 premium 27.4% (650) 723-4000
4 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 55 $24,530 $446 premium 25.0%
5 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 49 $19,895 $406 premium 100.0%
6 MEDICAL IMAGING OF LEHIGH VALLEY PC ALLENTOWN PA DIAGNOSTIC RADIOLOGY 119 49 $19,600 $400 premium 16.3% (610) 770-1606
7 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 44 $31,196 $709 premium 21.9% (877) 827-7463
8 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 39 $12,144 $311 premium 100.0% (913) 588-1227
9 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 38 $113,240 $2,980 premium 100.0% (203) 688-4242
10 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 38 $24,510 $645 premium 12.6% (717) 531-5638
11 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 36 $107,568 $2,988 premium 100.0% (507) 284-2511
12 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 36 $21,720 $603 premium 45.6% (734) 763-5459
13 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 33 $63,734 $1,931 premium 100.0% (713) 592-5433
14 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 26 $11,180 $430 premium 32.9% (313) 916-2600
15 UNMC PHYSICIANS OMAHA AZ PHYSICIAN ASSISTANT 1514 24 $45,408 $1,892 premium 100.0% (402) 559-4000
16 NORTH SHORE-LIJ MEDICAL PC MANHASSET PA PHYSICIAN ASSISTANT 6294 24 $19,224 $801 premium 8.0%
17 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 22 $50,490 $2,295 premium 26.5% (608) 287-2050
18 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 22 $11,910 $541 premium 17.9% (617) 724-0287
19 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 22 $10,450 $475 premium 10.9% (800) 872-2273
20 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 21 $10,458 $498 premium 9.5% (312) 563-2875
21 CHRISTIANA CARE HEALTH SERVICES INC NEWARK NY PHYSICIAN ASSISTANT 1537 20 $8,120 $406 premium 31.2%
22 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 19 $21,970 $1,156 premium 8.6% (888) 824-0200
23 TOWER HEALTH MEDICAL GROUP WEST READING PA INTERNAL MEDICINE 590 19 $8,835 $465 premium 6.3% (484) 628-5455
24 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 18 $34,056 $1,892 premium 60.0% (402) 559-4000
25 MEDICAL IMAGING OF LEHIGH VALLEY PC ALLENTOWN MD DIAGNOSTIC RADIOLOGY 119 18 $7,200 $400 premium 35.3% (610) 770-1606
26 RADIOLOGISTS OF UNIV OF ROCHESTER ROCHESTER MI DIAGNOSTIC RADIOLOGY 134 17 $9,350 $550 premium 21.5%
27 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 17 $8,245 $485 premium 5.6% (215) 662-2777
28 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY FL NURSE PRACTITIONER 1815 16 $5,001 $313 premium 100.0% (913) 588-1227
29 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 16 $47,388 $2,962 premium 100.0% (802) 847-0000
30 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 16 $12,816 $801 premium 25.0%
31 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILL NJ PHYSICIAN ASSISTANT 403 16 $18,560 $1,160 premium 50.0% (844) 542-2273
32 EINSTEIN PRACTICE PLAN INC PHILADELPHIA NJ DIAGNOSTIC RADIOLOGY 740 16 $18,560 $1,160 premium 50.0% (215) 456-8242
33 QUANTUM RADIOLOGY PC MARIETTA GA DIAGNOSTIC RADIOLOGY 104 15 $15,900 $1,060 premium 100.0% (770) 732-4000
34 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 15 $17,588 $1,173 premium 5.0% (215) 456-8242
35 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 15 $23,400 $1,560 premium 5.0%
36 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 15 $167,730 $11,182 premium 23.4% (212) 263-9700
37 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 14 $38,320 $2,737 premium 53.8% (319) 678-8201
38 FAIRFAX RADIOLOGICAL CONSULTANTS ALEXANDRIA VA DIAGNOSTIC RADIOLOGY 150 13 $61,514 $4,732 premium 13.4% (703) 698-4444
39 RADIOLOGISTS OF UNIV OF ROCHESTER ROCHESTER NY DIAGNOSTIC RADIOLOGY 134 13 $7,150 $550 premium 20.3%
40 RADIOLOGIC CENTER INC OMAHA NE DIAGNOSTIC RADIOLOGY 20 12 $20,444 $1,704 premium 40.0% (402) 390-0606

*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 →