NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
48150 Partial removal of pancreas, bile duct, and small bowel with connection of pancreas to small bowel CPT · Procedure
Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 525 services ▲ 3.1% YoY · 521 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.2M · $2329.84 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
25
Named-group FFS services
471
FFS of Medicare
49%
Services YoY
+3.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~935 services

471 observed fee-for-service (50%) · ~464 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 — 48150 (CY2024)
NY 90 FL 59 TX 50 MA 50 PA 41

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

Named-group submitted charges
$5.6M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$1.1M
Avg charge / svc
$11,856
Avg allowed / svc
$2,925
Avg payment / svc
$2,334
Average charge per group
$4,186 25 groups · avg submitted charge / service $24,640
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 48150 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 37 $517,640 $13,990 74.0% (617) 724-0287
2 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 35 $216,055 $6,173 59.3% —
3 MSKCC SURGERY GROUP NEW YORK NY PHYSICIAN ASSISTANT 373 34 $771,234 $22,683 37.8% (212) 639-2000
4 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 28 $275,558 $9,841 100.0% (410) 502-4340
5 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 27 $429,819 $15,919 100.0% (720) 777-1234
6 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 24 $214,004 $8,917 48.0% (210) 593-5700
7 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 23 $165,271 $7,186 100.0% (973) 971-5596
8 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 17 $122,847 $7,226 100.0% (913) 588-1227
9 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 17 $168,793 $9,929 41.5% (215) 662-2777
10 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 16 $394,240 $24,640 100.0% (414) 955-4263
11 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 15 $130,900 $8,727 30.0% (214) 599-8624
12 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA MN PHYSICIAN ASSISTANT 1103 15 $145,860 $9,724 100.0% (813) 745-4673
13 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 15 $151,609 $10,107 55.6% (206) 364-0500
14 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NY PHYSICIAN ASSISTANT 3051 14 $118,370 $8,455 15.6% (919) 684-8111
15 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 14 $268,366 $19,169 15.6% —
16 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 13 $260,415 $20,032 14.4% (212) 305-8559
17 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 13 $125,405 $9,647 22.0% (813) 745-4673
18 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 12 $181,597 $15,133 29.3% (570) 271-6144
19 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 12 $97,728 $8,144 100.0% (616) 885-5000
20 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 12 $91,272 $7,606 100.0% (502) 629-2398
21 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 12 $124,545 $10,379 29.3% —
22 UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. JACKSONVILLE FL NURSE PRACTITIONER 884 11 $117,562 $10,688 18.6% (904) 244-1680
23 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 11 $174,889 $15,899 22.0% (713) 592-5433
24 THE SURGICAL CLINIC ASSOCIATES, P.A. JACKSON MS GENERAL SURGERY 8 11 $76,659 $6,969 100.0% 6019481411147
25 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 11 $105,677 $9,607 100.0% (805) 681-7500
26 NORTH SHORE-LIJ MEDICAL PC MANHASSET DC PHYSICIAN ASSISTANT 6294 11 $91,696 $8,336 50.0% —
27 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS DC INTERNAL MEDICINE 518 11 $46,050 $4,186 50.0% (248) 477-0552

*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 →