NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems Prostate Resection (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 13,739 services ▲ 6.5% YoY · 13,735 beneficiaries (CY2024, Medicare FFS)
Medicare paid $10.3M · $751.11 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
249
Named-group FFS services
10,221
FFS of Medicare
49%
Services YoY
+6.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~20,644 services

10,221 observed fee-for-service (50%) · ~10,423 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 — 55866 (CY2024)

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

Named-group submitted charges
$61.2M
Named-group allowed amount
$9.7M
Named-group Medicare payments
$7.7M
Avg charge / svc
$5,984
Avg allowed / svc
$952
Avg payment / svc
$756
Average charge per group
$704 249 groups · avg submitted charge / service $16,424
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 55866 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 55866 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 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 479 $1,192,282 $2,489 premium 37.9% (407) 200-2700
2 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 256 $3,840,000 $15,000 premium 26.8% (212) 241-4812
3 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 252 $1,146,832 $4,551 premium 26.5% (214) 633-5555
4 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 207 $785,989 $3,797 premium 11.1% (626) 256-4673
5 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 186 $1,357,800 $7,300 premium 10.0% (800) 872-2273
6 UROLOGY SPECIALISTS CHARTERED SIOUX FALLS SD DIAGNOSTIC RADIOLOGY 45 170 $763,922 $4,494 premium 67.5% (605) 336-0635
7 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 153 $1,491,562 $9,749 premium 24.4%
8 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 145 $1,329,259 $9,167 premium 27.8%
9 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 144 $1,508,604 $10,476 premium 11.4% (904) 953-2000
10 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 141 $1,438,857 $10,205 premium 44.3% (507) 284-2511
11 UROLOGY CENTERS OF ALABAMA, PC HOMEWOOD AL UROLOGY 61 140 $400,650 $2,862 premium 85.9% (205) 930-0920
12 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 135 $764,643 $5,664 premium 84.4% (801) 581-2121
13 TENNESSEE UROLOGY ASSOCIATES, PLLC KNOXVILLE TN UROLOGY 27 130 $387,124 $2,978 premium 31.2% (865) 691-3061
14 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 119 $1,493,207 $12,548 premium 12.5% (713) 592-5433
15 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 113 $628,197 $5,559 premium 40.1% (410) 502-4340
16 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 113 $1,598,800 $14,149 premium 11.8% (212) 746-5454
17 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 109 $1,109,075 $10,175 premium 59.9% (908) 273-4300
18 CENTRAL OHIO UROLOGY GROUP, LLC. GAHANNA OH UROLOGY 45 108 $372,898 $3,453 premium 17.2% (614) 396-2684
19 SPOKANE UROLOGY PLLC SPOKANE WA PHYSICIAN ASSISTANT 25 105 $294,910 $2,809 premium 25.9% (509) 747-3147
20 MSKCC SURGERY GROUP NEW YORK NY PHYSICIAN ASSISTANT 373 105 $1,586,317 $15,108 premium 11.0% (212) 639-2000
21 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 102 $213,888 $2,097 premium 10.7% (214) 691-9377
22 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA UROLOGY 48 101 $1,033,639 $10,234 premium 5.4% (310) 794-8492
23 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 98 $1,043,101 $10,644 premium 5.3% (650) 723-4000
24 MISSISSIPPI UROLOGY CLINIC PLLC JACKSON MS PHYSICIAN ASSISTANT 14 93 $673,600 $7,243 premium 67.4% (601) 353-9900
25 UROLOGY NEVADA LTD RENO NV PHYSICIAN ASSISTANT 25 92 $351,752 $3,823 premium 65.2% (775) 322-7811
26 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 91 $1,394,250 $15,321 premium 9.5% (212) 263-9700
27 UCI DEPARTMENT OF UROLOGY ORANGE CA UROLOGY 53 89 $487,816 $5,481 premium 4.8% (714) 456-6054
28 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 89 $526,173 $5,912 premium 4.8% (800) 926-8273
29 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 88 $302,544 $3,438 premium 7.0%
30 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 84 $302,276 $3,599 premium 4.5% (916) 681-8852
31 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 84 $644,000 $7,667 premium 4.5% 3108549898159
32 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 83 $1,035,000 $12,470 premium 33.3% (800) 603-0558
33 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 83 $266,749 $3,214 premium 36.1% (503) 494-8311
34 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 80 $474,320 $5,929 premium 15.1% (215) 662-2777
35 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 78 $585,000 $7,500 premium 14.7% (610) 579-3577
36 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 72 $204,900 $2,846 premium 17.8% (206) 364-0500
37 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 71 $340,575 $4,797 premium 13.4%
38 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 70 $448,057 $6,401 premium 13.2%
39 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 70 $433,893 $6,198 premium 16.8% (615) 322-5000
40 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 69 $283,935 $4,115 premium 22.5% (757) 452-3599
41 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 67 $372,777 $5,564 premium 27.1% (888) 484-3258
42 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 63 $254,961 $4,047 premium 6.6% (512) 788-9688
43 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 60 $256,261 $4,271 premium 3.2% (949) 791-3370
44 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 59 $511,589 $8,671 premium 6.2%
45 AUC UROLOGISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 28 58 $196,937 $3,395 premium 24.6% (843) 347-2450
46 NEBRASKA UROLOGY PC LINCOLN NE UROLOGY 20 56 $321,044 $5,733 premium 28.1% (402) 489-8888
47 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 55 $251,625 $4,575 premium 4.3% (786) 662-0600
48 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 55 $591,470 $10,754 premium 10.6%
49 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 54 $365,226 $6,763 premium 19.1% (410) 825-5454
50 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 52 $153,581 $2,953 premium 12.8%
51 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 48 $205,152 $4,274 premium 20.3%
52 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 48 $473,376 $9,862 premium 2.6% (415) 476-1000
53 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 47 $251,518 $5,351 premium 14.8% (404) 367-3210
54 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 47 $231,783 $4,932 premium 20.3% (913) 588-1227
55 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 47 $68,502 $1,457 premium 24.9% (918) 502-4720
56 MEMORIAL HEALTH PARTNERS FOUNDATION, INC CHATTANOOGA TN NURSE PRACTITIONER 459 47 $239,794 $5,102 premium 11.3% (423) 495-2620
57 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 47 $193,922 $4,126 premium 3.7% (239) 291-6970
58 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 47 $187,214 $3,983 premium 8.9%
59 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 47 $307,077 $6,534 premium 17.8%
60 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 46 $185,150 $4,025 premium 36.2%
61 UROLOGICAL ASSOCIATES PC MOLINE IA UROLOGY 16 45 $107,690 $2,393 premium 34.1% (563) 359-2997
62 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 45 $257,480 $5,722 premium 23.8% (405) 271-4311
63 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 44 $250,800 $5,700 premium 26.8% (314) 747-3000
64 LUBBOCK UROLOGY CLINIC, LLP LUBBOCK TX UROLOGY 9 44 $183,259 $4,165 premium 4.6% (806) 771-5882
65 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 44 $220,947 $5,022 premium 10.9% (509) 665-6087
66 BAPTIST MD ANDERSON CANCER PHYSICIANS INC JACKSONVILLE FL PHYSICIAN ASSISTANT 118 43 $97,213 $2,261 premium 3.4% (904) 202-7300
67 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 43 $300,226 $6,982 premium 3.4% (305) 689-5437
68 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 43 $162,000 $3,767 premium 14.0% (804) 330-9105
69 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 43 $240,610 $5,596 premium 2.3% (310) 829-6789
70 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE NY UROLOGY 60 43 $154,972 $3,604 premium 4.5% (315) 478-4185
71 UROLOGICAL ASSOCIATES OF SAVANNAH, PC SAVANNAH GA PHYSICIAN ASSISTANT 16 42 $271,557 $6,466 premium 13.2% (912) 790-4000
72 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 42 $158,046 $3,763 premium 2.3% (760) 340-3911
73 ARIZONA UROLOGY SPECIALISTS PLLC MESA AZ UROLOGY 81 42 $152,354 $3,627 premium 16.9% (602) 222-1900
74 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 41 $673,402 $16,424 premium 16.1% (414) 421-8400
75 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 40 $132,640 $3,316 premium 21.2%
76 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 40 $471,022 $11,776 premium 15.7%
77 COOPER SURGICAL ASSOCIATES, PA CAMDEN NJ PHYSICIAN ASSISTANT 303 40 $215,520 $5,388 premium 22.0% (856) 270-4100
78 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 38 $276,971 $7,289 premium 50.7% (203) 688-4242
79 HUNTINGTON UROLOGY SPECIALISTS INC PASADENA CA UROLOGY 3 37 $67,777 $1,832 premium 2.0% (626) 486-0184
80 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 37 $190,143 $5,139 premium 16.1% (541) 382-2811
81 ADVANCED UROLOGY OF GA-EAST, PC SNELLVILLE GA UROLOGY 17 37 $180,693 $4,884 premium 11.6% (678) 344-8900
82 UROPARTNERS LLC WESTCHESTER IL UROLOGY 130 35 $274,050 $7,830 premium 6.7% (708) 486-0076
83 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 35 $119,427 $3,412 premium 5.6%
84 REDDING UROLOGIC ASSOCIATES A MEDICAL CORP REDDING CA UROLOGY 4 34 $152,558 $4,487 premium 1.8% (530) 241-3316
85 PROVIDENCE HEALTH AND SERVICES OREGON MEDFORD OR PHYSICIAN ASSISTANT 164 33 $165,000 $5,000 premium 14.3%
86 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 32 $401,024 $12,532 premium 12.5% (608) 287-2050
87 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 32 $167,091 $5,222 premium 6.0% (717) 531-5638
88 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 32 $202,630 $6,332 premium 2.5% (813) 745-4673
89 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 32 $524,000 $16,375 premium 24.8% (313) 916-2600
90 COLUMBUS REGIONAL HEALTH NETWORK WHITEVILLE NC PHYSICIAN ASSISTANT 51 30 $175,410 $5,847 premium 10.3% (910) 640-4064
91 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 30 $174,770 $5,826 premium 11.4% (781) 983-9088
92 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 30 $269,900 $8,997 premium 15.9% (720) 777-1234
93 NORTH IDAHO UROLOGY PLLC COEUR D ALENE ID UROLOGY 9 30 $79,800 $2,660 premium 23.6% (208) 667-0621
94 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 30 $108,344 $3,611 premium 7.4% (253) 428-2200
95 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 29 $140,832 $4,856 premium 7.0% (662) 349-1964
96 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 29 $148,219 $5,111 premium 9.9% (336) 713-9800
97 MID-COLUMBIA MEDICAL CENTER THE DALLES OR PHYSICIAN ASSISTANT 101 29 $70,066 $2,416 premium 12.6%
98 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 29 $239,684 $8,265 premium 5.6% (217) 544-6464
99 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 28 $112,644 $4,023 premium 6.9%
100 FIVE VALLEYS UROLOGY MISSOULA MT UROLOGY 9 28 $126,224 $4,508 premium 28.9% 40672833665651

Showing the top 100 of 249 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 →