NEVVI Medicare utilization intelligence
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Market snapshot

49650 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

49650 — Repair of groin hernia using an endoscope

Billing groups
688
Named-group FFS services
33,381
FFS of Medicare
49%
Services YoY
+7.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~66,766 services

33,381 observed fee-for-service (50%) · ~33,385 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 — 49650 (CY2024)

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

Named-group submitted charges
$60.5M
Named-group allowed amount
$13.6M
Named-group Medicare payments
$10.7M
Avg charge / svc
$1,812
Avg allowed / svc
$407
Avg payment / svc
$319
Average charge per group
$156 688 groups · avg submitted charge / service $44,160
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 49650 services, CY2024
#Physician group City St Specialty Providers 49650 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 465 $1,329,218 $2,859 premium 9.0% (904) 396-1725
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 411 $2,358,232 $5,738 premium 15.2% (212) 263-9700
3 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 371 $731,566 $1,972 premium 18.9%
4 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 360 $583,644 $1,621 premium 6.2% (415) 600-1020
5 ARIZONA ADVANCED SURGERY LLC PHOENIX AZ GENERAL SURGERY 89 344 $434,209 $1,262 premium 14.7% (602) 340-0201
6 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 342 $467,310 $1,366 premium 5.9% (858) 455-9100
7 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 330 $1,573,750 $4,769 premium 12.2%
8 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 304 $479,290 $1,577 premium 10.1%
9 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 295 $420,050 $1,424 premium 12.6%
10 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 272 $502,848 $1,849 premium 4.7% (916) 681-8852
11 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 260 $379,213 $1,459 premium 5.1% (239) 343-9888
12 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 250 $463,701 $1,855 premium 12.7% (630) 469-9200
13 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 247 $283,018 $1,146 premium 22.3%
14 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 242 $375,256 $1,551 premium 20.6%
15 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 241 $1,198,546 $4,973 premium 8.9%
16 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 236 $242,379 $1,027 premium 10.1% (623) 832-4000
17 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 213 $304,980 $1,432 premium 12.0%
18 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 204 $424,090 $2,079 premium 4.0% (772) 223-5665
19 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 199 $312,215 $1,569 premium 3.4% (310) 423-0674
20 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 191 $313,212 $1,640 premium 13.2%
21 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 189 $720,900 $3,814 premium 13.9% (732) 362-3663
22 UTAH SURGICAL ASSOCIATES INC PROVO UT GENERAL SURGERY 49 188 $207,190 $1,102 premium 37.9%
23 GOMEZ KOZAR MCELREATH AND SMITH PROFESSIONAL CORPORATION RENO NV GENERAL SURGERY 26 188 $487,175 $2,591 premium 37.0% (775) 323-7500
24 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 182 $150,539 $827 premium 56.7% (302) 645-3525
25 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 176 $184,939 $1,051 premium 3.0% (714) 871-3006
26 JOHNS HOPKINS UNIVERSITY BALTIMORE DC INTERNAL MEDICINE 720 176 $226,501 $1,287 premium 75.2% (410) 550-0100
27 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 169 $220,335 $1,304 premium 13.8% (919) 881-0160
28 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 168 $212,397 $1,264 premium 14.9% (803) 744-4900
29 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 164 $245,694 $1,498 premium 11.4% (804) 764-6000
30 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 160 $469,362 $2,934 premium 5.9% (212) 305-8559
31 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 160 $188,482 $1,178 premium 32.3% (801) 261-8346
32 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 160 $163,961 $1,025 premium 3.1%
33 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 158 $264,088 $1,671 premium 12.9% (704) 384-8200
34 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 157 $107,278 $683 premium 3.1% (321) 434-8878
35 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 157 $236,939 $1,509 premium 14.3% (253) 428-2200
36 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 156 $261,986 $1,679 premium 14.2%
37 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 154 $273,029 $1,773 premium 2.6% (949) 791-3370
38 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 153 $289,498 $1,892 premium 3.0% (561) 955-7100
39 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 151 $315,182 $2,087 premium 5.0% (903) 606-5560
40 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 150 $212,660 $1,418 premium 14.2%
41 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM PHYSICIAN ASSISTANT 328 148 $121,024 $818 premium 37.6% (505) 727-7090
42 PREMIER SURGICAL ASSOCIATES PLLC KNOXVILLE TN GENERAL SURGERY 60 146 $176,398 $1,208 premium 20.4% (865) 690-5263
43 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 145 $389,715 $2,688 premium 7.4% (847) 459-1160
44 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 144 $163,135 $1,133 premium 25.1% (405) 254-9690
45 TUCSON PHYSICIAN GROUP HOLDINGS LLC TUCSON AZ INTERNAL MEDICINE 200 143 $173,316 $1,212 premium 6.1% (520) 396-1360
46 TENET FLORIDA PHYSICIAN SERVICES LLC DELRAY BEACH FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 224 143 $117,150 $819 premium 2.8% (561) 498-4440
47 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 142 $224,406 $1,580 premium 12.6% (843) 720-8448
48 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 142 $204,437 $1,440 premium 8.0%
49 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 140 $134,035 $957 premium 41.8% (502) 928-1050
50 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 137 $950,640 $6,939 premium 5.1% (212) 746-5454
51 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 135 $133,420 $988 premium 9.3%
52 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 132 $185,250 $1,403 premium 4.9% (845) 703-6999
53 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 131 $146,255 $1,116 premium 27.1% (316) 263-0296
54 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 129 $227,370 $1,763 premium 9.5% (973) 971-5596
55 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 128 $152,474 $1,191 premium 2.2% (760) 340-3911
56 BOONE PHYSICIAN SERVICES LLC COLUMBIA MO PHYSICIAN ASSISTANT 236 123 $118,794 $966 premium 11.6% (573) 815-8000
57 SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP INC LAGUNA HILLS CA GENERAL SURGERY 22 122 $77,790 $638 premium 2.1% (949) 457-7900
58 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 116 $168,125 $1,449 premium 3.9% (254) 724-2663
59 WENTWORTH DOUGLASS PHYSICIAN CORPORATION DOVER NH PHYSICIAN ASSISTANT 429 115 $129,964 $1,130 premium 32.2%
60 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 113 $217,140 $1,922 premium 8.3% (856) 247-7260
61 NCHMD INC NAPLES FL NEUROLOGY 515 112 $161,490 $1,442 premium 2.2% (239) 436-5100
62 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 112 $124,469 $1,111 premium 2.2% (727) 725-5060
63 UCLA ASSOCIATED GENERAL SURGEONS LOS ANGELES CA GENERAL SURGERY 47 112 $371,330 $3,315 premium 1.9% (310) 267-7838
64 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 112 $102,098 $912 premium 19.5% (405) 751-5555
65 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 111 $535,509 $4,824 premium 24.4% (608) 287-2050
66 PALM BEACH GENERAL SURGERY LLC MIAMI FL PHYSICIAN ASSISTANT 70 108 $167,616 $1,552 premium 2.1% (305) 854-4400
67 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 107 $145,966 $1,364 premium 5.4% (630) 933-4800
68 BASSAM SAYEGH MD PA JUPITER FL GENERAL SURGERY 2 107 $138,090 $1,291 premium 2.1% (561) 743-7766
69 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 106 $212,066 $2,001 premium 42.6% (612) 863-4000
70 SURGICAL ASSOCIATES OF LA JOLLA MEDICAL GROUP, INC. LA JOLLA CA GENERAL SURGERY 5 104 $161,245 $1,550 premium 1.8% (858) 452-5054
71 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 104 $100,970 $971 premium 7.7% (443) 481-1000
72 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 101 $134,715 $1,334 premium 8.6% (770) 219-7777
73 LAKELAND SURGICAL CLINIC PLLC JACKSON MS GENERAL SURGERY 15 100 $124,875 $1,249 premium 22.9% (601) 982-3202
74 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 100 $149,020 $1,490 premium 9.4%
75 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 100 $238,788 $2,388 premium 1.7% (925) 296-9720
76 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 99 $144,632 $1,461 premium 17.3% (918) 502-4720
77 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 99 $167,384 $1,691 premium 7.3% (410) 663-8100
78 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 99 $85,490 $864 premium 30.5%
79 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 98 $165,522 $1,689 premium 8.4% (404) 367-3210
80 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 94 $154,926 $1,648 premium 3.1% (817) 281-2977
81 MANATEE SPECIALTY PHYSICIAN ALLIANCE LLC BRADENTON FL PHYSICIAN ASSISTANT 27 93 $50,637 $544 premium 1.8% (941) 746-3115
82 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 93 $116,257 $1,250 premium 3.1% (210) 593-5700
83 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 93 $123,415 $1,327 premium 20.2%
84 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 87 $265,713 $3,054 premium 3.7% (800) 603-0558
85 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 87 $181,250 $2,083 premium 7.8%
86 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 86 $120,484 $1,401 premium 7.6%
87 AUSTIN SURGEONS PLLC AUSTIN TX GENERAL SURGERY 7 85 $109,408 $1,287 premium 2.8%
88 MERCY CLINIC SURGICAL SPECIALISTS LLC SAINT LOUIS MO PHYSICIAN ASSISTANT 177 85 $98,016 $1,153 premium 8.0% (314) 567-5850
89 VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC SUMMERFIELD FL DIAGNOSTIC RADIOLOGY 196 85 $246,352 $2,898 premium 1.7% (352) 255-3615
90 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 84 $165,984 $1,976 premium 6.2% (410) 502-4340
91 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 84 $89,153 $1,061 premium 1.4% (559) 583-4695
92 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 84 $122,656 $1,460 premium 4.7%
93 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 83 $89,945 $1,084 premium 7.6% (509) 946-4611
94 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 82 $120,423 $1,469 premium 1.4%
95 TAMPA BAY SURGICAL GROUP LLP TAMPA FL GENERAL SURGERY 20 82 $192,891 $2,352 premium 1.6%
96 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 82 $529,162 $6,453 premium 18.1% (414) 421-8400
97 SOUTH FLORIDA SURGICAL SPECIALISTS LLC CORAL SPRINGS FL GENERAL SURGERY 92 82 $115,609 $1,410 premium 1.6% (954) 344-3000
98 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 82 $89,485 $1,091 premium 7.3% (843) 652-8450
99 PROGRESSIVE SURGICAL ASSOCIATES SC NEW LENOX IL GENERAL SURGERY 10 82 $203,770 $2,485 premium 4.2% (815) 717-8730
100 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM PHYSICIAN ASSISTANT 1369 81 $82,468 $1,018 premium 20.6% (505) 841-1234

Showing the top 100 of 688 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 →