NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
56820 Exam of external female genitals using an endoscope CPT · Other Organ Systems procedure
Classification Procedure › Other Organ Systems (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3,244 services ▼ 2.5% YoY · 2,467 beneficiaries (CY2024, Medicare FFS)
Medicare paid $284K · $87.54 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
48
Named-group FFS services
2,231
FFS of Medicare
49%
Services YoY
-2.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,604 services

2,231 observed fee-for-service (48%) · ~2,373 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 — 56820 (CY2024)
NY 873 FL 469 CA 381 TN 232 OK 115

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

Named-group submitted charges
$935K
Named-group allowed amount
$267K
Named-group Medicare payments
$197K
Avg charge / svc
$419
Avg allowed / svc
$120
Avg payment / svc
$88
Average charge per group
$201 48 groups · avg submitted charge / service $1,194
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 56820 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 399 $229,607 $575 45.7% —
2 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 185 $90,054 $487 48.6% (858) 455-9100
3 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 182 $55,432 $305 38.8% (305) 273-4641
4 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 114 $24,054 $211 49.1% (901) 226-3882
5 SOUTH FLORIDA CENTER FOR GYNECOLOGIC ONCOLOGY P A BOCA RATON FL GYNECOLOGICAL ONCOLOGY 2 104 $49,920 $480 22.2% (561) 997-8991
6 MAYER J SAAD MD PC WESTBURY NY PHYSICIAN ASSISTANT 42 90 $45,000 $500 10.3% (516) 333-1444
7 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 81 $41,280 $510 34.9% (615) 612-2146
8 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 52 $13,832 $266 45.2% (918) 505-3200
9 JOHN RANDOLPH OB/GYN, LLC RICHMOND FL OBSTETRICS/GYNECOLOGY 5 51 $14,169 $278 10.9% (804) 267-6931
10 WK GYNECOLOGIC ONCOLOGY CLINIC SHREVEPORT LA PHYSICIAN ASSISTANT 5 50 $13,250 $265 100.0% (318) 212-8727
11 AFFILIATED ONCOLOGISTS LLC OAK LAWN IL PHYSICIAN ASSISTANT 40 49 $18,081 $369 79.0% (708) 684-5475
12 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 46 $23,147 $503 61.3% (952) 993-3123
13 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 43 $16,340 $380 38.1% —
14 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 37 $13,653 $369 37.0% (201) 996-2210
15 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 37 $8,880 $240 44.6% (573) 882-2667
16 PRIVIA MEDICAL GROUP, LLC ARLINGTON MD NURSE PRACTITIONER 1477 37 $11,988 $324 68.5% —
17 WOMENS CARE FLORIDA LLC TAMPA FL OBSTETRICS/GYNECOLOGY 334 35 $14,105 $403 7.5% (813) 961-7440
18 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 34 $40,596 $1,194 3.9% (212) 263-9700
19 HUDSON MD GROUP FORT LEE NJ INTERNAL MEDICINE 107 30 $11,100 $370 30.0% (201) 224-0011
20 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC JACKSON MS NURSE PRACTITIONER 266 30 $8,040 $268 100.0% (601) 292-4261
21 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 29 $6,409 $221 25.2% (405) 254-9690
22 YORK HOSPITAL YORK WI PHYSICIAN ASSISTANT 216 27 $18,441 $683 100.0% (207) 351-3715
23 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 26 $8,970 $345 44.1% (610) 579-3577
24 BOONE PHYSICIAN SERVICES LLC COLUMBIA MO PHYSICIAN ASSISTANT 236 25 $8,255 $330 30.1% (573) 815-8000
25 BAPTIST MD ANDERSON CANCER PHYSICIANS INC JACKSONVILLE FL PHYSICIAN ASSISTANT 118 24 $7,561 $315 5.1% (904) 202-7300
26 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 24 $6,408 $267 58.5% (502) 629-2398
27 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 23 $5,076 $221 100.0% (719) 776-4780
28 KALISPELL OBSTETRICS AND GYNECOLOGY PLLC KALISPELL MT NURSE PRACTITIONER 5 23 $6,716 $292 100.0% (406) 752-5252
29 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 21 $10,935 $521 25.3% (314) 747-3000
30 CAYUGA MEDICAL ASSOCIATES PC ITHACA WA PHYSICIAN ASSISTANT 292 21 $8,715 $415 100.0% (607) 269-0100
31 NEBRASKA METHODIST HOSPITAL OMAHA NE NURSE PRACTITIONER 129 20 $6,160 $308 100.0% (402) 354-4540
32 CITY OF HOPE MEDICAL GROUP OF ARIZONA LLC GOODYEAR AZ NURSE PRACTITIONER 157 20 $7,480 $374 57.1% (623) 207-3000
33 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 19 $5,480 $288 38.0% (248) 898-5058
34 FAMILYCARE MEDICAL GROUP PC SYRACUSE NY FAMILY PRACTICE 106 19 $4,503 $237 2.2% (315) 472-1488
35 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 18 $11,394 $633 15.9% (713) 592-5433
36 HERDOC LLC EATONTON GA NURSE PRACTITIONER 2 18 $5,357 $298 100.0% (762) 220-1222
37 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES NJ OBSTETRICS/GYNECOLOGY 352 18 $6,480 $360 18.0% (856) 424-3323
38 NORTON HOSPITALS, INC LOUISVILLE KY NURSE PRACTITIONER 136 17 $4,726 $278 41.5% (502) 629-2500
39 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 17 $7,380 $434 14.8% (405) 271-4311
40 THE PRESBYTERIAN HOSPITAL CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 406 17 $6,715 $395 100.0% (704) 384-4000
41 CAPITAL WOMENS CARE LLC ROCKVILLE VA OBSTETRICS/GYNECOLOGY 284 16 $5,705 $357 26.7% (301) 424-1696
42 ALASKA WOMENS CANCER CARE LLC ANCHORAGE NY GYNECOLOGICAL ONCOLOGY 5 16 $8,240 $515 1.8% (907) 562-4673
43 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 15 $6,255 $417 15.0% (973) 971-5596
44 KELLY H ROY MD PC PHOENIX AZ PHYSICIAN ASSISTANT 25 15 $3,750 $250 42.9% (602) 358-8588
45 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 15 $3,015 $201 25.4% —
46 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 15 $4,326 $288 30.0% (248) 477-0552
47 VIRGINIA GYNECOLOGIC ONCOLOGY LLC RICHMOND VA OBSTETRICS/GYNECOLOGY 7 14 $5,586 $399 23.3% (804) 285-4763
48 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 13 $2,665 $205 21.0% —

*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 →