NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
55880 High-intensity ultrasound destruction of cancerous tissue in prostate gland, accessed through rectum using ultrasound guidance CPT · Treatment - Miscellaneous
Classification Treatment Treatment - Miscellaneous (CMS RBCS)
First observed 2021
National scale 565 services ▲ 65.7% YoY · 562 beneficiaries (CY2024, Medicare FFS)
Medicare paid $487K · $861.18 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
22
Named-group FFS services
363
FFS of Medicare
49%
Services YoY
+65.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~736 services

363 observed fee-for-service (49%) · ~373 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 — 55880 (CY2024)

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

Named-group submitted charges
$1.6M
Named-group allowed amount
$356K
Named-group Medicare payments
$281K
Avg charge / svc
$4,300
Avg allowed / svc
$981
Avg payment / svc
$774
Average charge per group
$2,134 22 groups · avg submitted charge / service $13,441
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 55880 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 55880 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 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA UROLOGY 48 39 $166,819 $4,277 premium 29.3% (310) 794-8492
2 MSKCC SURGERY GROUP NEW YORK NY PHYSICIAN ASSISTANT 373 22 $165,000 $7,500 premium 45.8% (212) 639-2000
3 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 21 $45,948 $2,188 premium 100.0%
4 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 20 $45,280 $2,264 premium 34.5% (888) 484-3258
5 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 19 $68,058 $3,582 premium 63.3% (919) 684-8111
6 WK ADVANCED UROLOGY BOSSIER CITY LA NURSE PRACTITIONER 3 19 $40,793 $2,147 premium 61.3% (318) 212-7335
7 UROLOGY ASSOCIATES PC NASHVILLE TN UROLOGY 43 19 $47,500 $2,500 premium 51.4% (615) 250-9200
8 MEMORIAL HEALTH PARTNERS FOUNDATION, INC CHATTANOOGA TN NURSE PRACTITIONER 459 18 $41,400 $2,300 premium 48.6% (423) 495-2620
9 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 16 $64,000 $4,000 premium 50.0% (617) 732-5500
10 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 15 $56,939 $3,796 premium 100.0% (800) 603-0558
11 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 15 $201,615 $13,441 premium 11.3% (650) 723-4000
12 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 15 $60,619 $4,041 premium 100.0% (561) 955-7100
13 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 15 $193,350 $12,890 premium 31.2% (212) 263-9700
14 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 14 $48,558 $3,468 premium 42.4% (717) 531-5638
15 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 13 $51,994 $4,000 premium 100.0% (410) 502-4340
16 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 13 $28,548 $2,196 premium 9.8% (949) 791-3370
17 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 12 $36,000 $3,000 premium 52.2% (512) 788-9688
18 WK ARKLATEX UROLOGY AND PROSTATE CANCER INSTITUTE BOSSIER CITY LA NURSE PRACTITIONER 5 12 $25,604 $2,134 premium 38.7% (318) 212-7160
19 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 12 $35,763 $2,980 premium 52.2% (206) 364-0500
20 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 12 $39,804 $3,317 premium 9.0% (800) 872-2273
21 SPOKANE UROLOGY PLLC SPOKANE WA PHYSICIAN ASSISTANT 25 11 $31,311 $2,846 premium 47.8% (509) 747-3147
22 SANDEEP G MISTRY MD PA ROUND ROCK TX UROLOGY 7 11 $66,000 $6,000 premium 47.8% (512) 238-0762

*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 →