NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length CPT · Procedure
Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)
First observed 2023
National scale 1,358 services ▲ 0.5% YoY · 1,346 beneficiaries (CY2024, Medicare FFS)
Medicare paid $578K · $425.33 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
58
Named-group FFS services
1,043
FFS of Medicare
49%
Services YoY
+0.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,119 services

1,043 observed fee-for-service (49%) · ~1,076 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 — 49593 (CY2024)
FL 286 CA 143 NY 111 TX 110 MD 81

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

Named-group submitted charges
$2.0M
Named-group allowed amount
$469K
Named-group Medicare payments
$370K
Avg charge / svc
$1,947
Avg allowed / svc
$450
Avg payment / svc
$354
Average charge per group
$291 58 groups · avg submitted charge / service $5,957
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 49593 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 73 $434,861 $5,957 65.8% (212) 263-9700
2 CAROLINA COLORECTAL SURGERY, PC RALEIGH NC PHYSICIAN ASSISTANT 2 51 $29,536 $579 63.8% (919) 784-6600
3 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 37 $35,383 $956 12.9% —
4 HERITAGE GENERAL AND COLORECTAL SURGERY, PA TEANECK NJ GENERAL SURGERY 2 33 $36,467 $1,105 55.9% (201) 833-2888
5 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 32 $49,344 $1,542 54.2% (623) 832-4000
6 KELLER SURGICAL SPECIALISTS, PA HOUSTON TX GENERAL SURGERY 2 26 $30,700 $1,181 23.6% (281) 955-8884
7 HERITAGE SURGICAL GROUP, LLC TEANECK NJ GENERAL SURGERY 2 26 $15,863 $610 44.1% (201) 833-2888
8 SURGICAL PARTNERS OF OKLAHOMA YUKON OK GENERAL SURGERY 3 25 $29,800 $1,192 67.6% (405) 265-2210
9 VIRGINIA CANCER INSTITUTE INCORPORATED NORTH CHESTERFIELD VA HEMATOLOGY/ONCOLOGY 50 24 $54,312 $2,263 42.1% (804) 330-7990
10 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 24 $33,864 $1,411 46.2% (770) 422-2004
11 SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP INC LAGUNA HILLS CA GENERAL SURGERY 22 23 $24,578 $1,069 16.1% (949) 457-7900
12 DRS ROBERTS AND BRYAN PA ROCKLEDGE FL PHYSICIAN ASSISTANT 14 23 $9,246 $402 8.0% —
13 ST CLAIR MEDICAL SERVICES INC PITTSBURGH PA PHYSICIAN ASSISTANT 195 22 $21,505 $978 66.7% —
14 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 21 $25,577 $1,218 7.3% (321) 434-8878
15 HENRICO SURGICAL SPECIALISTS LLC RICHMOND VA GENERAL SURGERY 27 20 $38,294 $1,915 35.1% (804) 285-9416
16 UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC BEL AIR MD PHYSICIAN ASSISTANT 25 18 $5,230 $291 22.2% (443) 643-1199
17 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 18 $35,388 $1,966 16.4% (903) 606-5560
18 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 18 $10,424 $579 22.5% (919) 350-7270
19 GENESISCARE USA OF FLORIDA LLC CAPE CORAL FL UROLOGY 175 17 $40,594 $2,388 5.9% —
20 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 17 $27,910 $1,642 15.5% (210) 593-5700
21 GOMEZ KOZAR MCELREATH AND SMITH PROFESSIONAL CORPORATION RENO TN GENERAL SURGERY 26 17 $39,100 $2,300 100.0% (775) 323-7500
22 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 16 $65,536 $4,096 5.6% (954) 659-5000
23 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 16 $56,000 $3,500 14.4% (212) 746-5454
24 UCLA ASSOCIATED GENERAL SURGEONS LOS ANGELES CA GENERAL SURGERY 47 16 $67,716 $4,232 11.2% (310) 267-7838
25 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 16 $68,080 $4,255 5.6% (904) 953-2000
26 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 16 $40,074 $2,505 5.6% (561) 955-7100
27 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 16 $63,248 $3,953 5.6% (904) 396-1725
28 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 15 $26,115 $1,741 28.8% —
29 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 15 $16,420 $1,095 57.7% (316) 263-0296
30 MEHTA MEDICAL GROUP PLLC HUMBLE TX INTERNAL MEDICINE 25 15 $18,445 $1,230 13.6% (281) 446-7173
31 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 14 $28,938 $2,067 100.0% (541) 382-2811
32 SURGICAL PHYSICIAN ASSISTANTS LLC MERRITT ISLAND FL PHYSICIAN ASSISTANT 5 14 $8,400 $600 4.9% (321) 806-9222
33 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 14 $38,794 $2,771 53.8% (720) 777-1234
34 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 14 $57,783 $4,127 29.2% —
35 VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA PHYSICIAN ASSISTANT 229 13 $19,500 $1,500 22.8% (540) 536-8000
36 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 13 $11,752 $904 25.0% (770) 219-7777
37 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD CT PHYSICIAN ASSISTANT 419 13 $11,713 $901 100.0% (203) 276-4644
38 WK BOSSIER SURGICAL ASSOCIATES BOSSIER CITY LA GENERAL SURGERY 2 13 $16,407 $1,262 100.0% (318) 746-4460
39 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 13 $15,827 $1,217 16.0% —
40 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 12 $25,116 $2,093 8.4% (916) 681-8852
41 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 12 $14,725 $1,227 8.4% (714) 871-3006
42 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 12 $17,945 $1,495 32.4% (918) 502-4720
43 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 12 $51,313 $4,276 20.3% (800) 603-0558
44 OXFORD SURGICAL AND BARIATRIC CLINIC PLLC OXFORD MS GENERAL SURGERY 3 12 $19,200 $1,600 100.0% (662) 234-4744
45 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 12 $29,433 $2,453 52.2% (617) 732-5500
46 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 12 $7,146 $595 10.9% —
47 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 11 $28,710 $2,610 9.9% (212) 305-8559
48 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 11 $16,037 $1,458 100.0% (417) 347-8200
49 PIEDMONT PHYSICIAN NETWORK LLC ROCK HILL SC PHYSICIAN ASSISTANT 100 11 $15,928 $1,448 50.0% —
50 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 11 $14,093 $1,281 33.3% (484) 526-2400
51 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 11 $13,046 $1,186 3.8% (941) 366-1888
52 RELIANT MEDICAL GROUP INC WORCESTER MA NURSE PRACTITIONER 634 11 $14,300 $1,300 47.8% (508) 363-5000
53 WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC NYACK NY INTERNAL MEDICINE 94 11 $5,551 $505 9.9% (845) 897-8371
54 SOUTHERN SURGICAL ASSOCIATES PA GREENVILLE NC GENERAL SURGERY 3 11 $37,917 $3,447 13.8% (252) 758-2224
55 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 11 $15,382 $1,398 7.7% (949) 791-3370
56 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 11 $20,014 $1,819 50.0% (864) 587-3000
57 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 11 $7,150 $650 7.7% (310) 423-0674
58 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 11 $18,876 $1,716 10.0% (214) 633-5555

*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 →