NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
57150 Irrigation of vagina and/or application of drug to treat infection 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 11,103 services ▼ 4.2% YoY · 5,172 beneficiaries (CY2024, Medicare FFS)
Medicare paid $424K · $38.20 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
91
Named-group FFS services
7,024
FFS of Medicare
49%
Services YoY
-4.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~14,029 services

7,024 observed fee-for-service (50%) · ~7,005 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 — 57150 (CY2024)

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

Named-group submitted charges
$1.1M
Named-group allowed amount
$375K
Named-group Medicare payments
$273K
Avg charge / svc
$160
Avg allowed / svc
$53
Avg payment / svc
$39
Average charge per group
$67 91 groups · avg submitted charge / service $1,118
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 57150 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 57150 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 INTEGRATED MEDICAL PROFESSIONALS PLLC SEAFORD NY UROLOGY 98 419 $88,543 $211 premium 23.9% (516) 520-8080
2 JENNIFER POLLAK MD PA HOLLYWOOD FL PHYSICIAN ASSISTANT 4 323 $49,742 $154 premium 16.5%
3 CENTER FOR WOMENS HEALTH AND MINIMALLY INVASIVE SURGERY INC CHEVY CHASE MD OBSTETRICS/GYNECOLOGY 3 276 $45,696 $166 premium 92.9% (781) 812-5968
4 THE MEDICAL GROUP OF NEW JERSEY HACKETTSTOWN NJ PHYSICIAN ASSISTANT 274 259 $61,047 $236 premium 24.5% (908) 979-1621
5 VALLEY PHYSICIAN SERVICES PC HOBOKEN NY NURSE PRACTITIONER 606 246 $33,702 $137 premium 14.0% (800) 825-5391
6 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 245 $33,565 $137 premium 23.2% (800) 825-5391
7 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 229 $27,709 $121 premium 32.9% (513) 246-7000
8 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 208 $40,800 $196 premium 19.7% (732) 362-3663
9 MID-ATLANTIC WOMENS CARE PLC NORFOLK VA OBSTETRICS/GYNECOLOGY 153 185 $33,485 $181 premium 84.1% (757) 466-6350
10 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 177 $26,509 $150 premium 9.1% (305) 273-4641
11 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 161 $28,980 $180 premium 9.2% (212) 241-4812
12 ADVANCED UROGYNECOLOGIC CARE PLLC SKOKIE IL CERTIFIED NURSE MIDWIFE (CNM) 2 159 $21,783 $137 premium 22.9% (224) 251-7387
13 FLORIDA WOMAN CARE LLC ORLANDO FL OBSTETRICS/GYNECOLOGY 604 146 $26,426 $181 premium 7.5% (407) 857-2502
14 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 140 $18,480 $132 premium 13.3% (856) 433-2535
15 HEIDI M MCNANEY FLINT MD PA STUART FL NURSE PRACTITIONER 2 136 $14,285 $105 premium 7.0% (727) 781-3815
16 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 124 $21,700 $175 premium 6.3% (407) 200-2700
17 MANATEE GYNECOLOGY LLC BRADENTON FL NURSE PRACTITIONER 8 122 $13,774 $113 premium 6.2% (941) 792-4993
18 GENESIS MEDICAL GROUP, LLC ZANESVILLE OH NURSE PRACTITIONER 254 119 $15,076 $127 premium 17.1% (740) 454-4038
19 WEST COAST OB/GYN, INC. SAN DIEGO CA OBSTETRICS/GYNECOLOGY 14 109 $16,085 $148 premium 8.9% (858) 277-9378
20 UROLOGY OF GREATER ATLANTA LLC STOCKBRIDGE GA UROLOGY 11 100 $12,000 $120 premium 68.0% (770) 474-5281
21 BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA PHYSICIAN ASSISTANT 276 97 $8,924 $92 premium 13.1% (413) 447-2695
22 TOGETHER WOMEN'S HEALTH MEDICAL GROUP, P.C. ROYAL OAK MI OBSTETRICS/GYNECOLOGY 70 94 $11,656 $124 premium 49.0% (248) 584-7600
23 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC BROOKLYN NY PHYSICIAN ASSISTANT 1231 93 $13,525 $145 premium 5.3% (718) 616-5356
24 WK PELVIC AND RECONSTRUCTIVE SURGERY SHREVEPORT LA OBSTETRICS/GYNECOLOGY 2 92 $10,764 $117 premium 68.7% (318) 212-8780
25 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 91 $10,465 $115 premium 4.7% (863) 680-7780
26 BLANCHARD VALLEY MEDICAL PRACTICE LLC FINDLAY OH NURSE PRACTITIONER 78 90 $9,090 $101 premium 12.9% (419) 423-7663
27 WOMENS PELVIC SPECIALTY CARE OF NEW MEXICO LLC ALBUQUERQUE NM NURSE PRACTITIONER 3 89 $7,550 $85 premium 67.9% (505) 888-0443
28 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 89 $17,800 $200 premium 7.3% (310) 423-0674
29 EXCELCARE MEDICAL ASSOCIATES PA TEANECK NJ NURSE PRACTITIONER 199 78 $15,850 $203 premium 7.4% (201) 836-7970
30 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 77 $17,394 $226 premium 51.0% (615) 612-2146
31 RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. SOUTH PITTSBURG TN NURSE PRACTITIONER 2 74 $11,322 $153 premium 49.0% (423) 837-5801
32 VALLEY UROGYNECOLOGY ASSOCIATES LTD PHOENIX AZ OBSTETRICS/GYNECOLOGY 4 70 $8,750 $125 premium 39.1% (602) 788-1521
33 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 69 $7,467 $108 premium 9.3%
34 LUDMILA B BESS MD A PROFESSIONAL CORPORATION LOS ANGELES CA OBSTETRICS/GYNECOLOGY 2 68 $8,272 $122 premium 5.6% 3239348877228
35 UROGYNECOLOGY OF SAN ANTONIO PLLC BOERNE TX OBSTETRICS/GYNECOLOGY 2 67 $5,880 $88 premium 32.8% (830) 355-2343
36 NEW ENGLAND CENTER FOR UROGYNECOLOGY LLC WELLESLEY MA OBSTETRICS/GYNECOLOGY 3 65 $8,232 $127 premium 8.8% (617) 340-6446
37 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 62 $7,921 $128 premium 30.4% (817) 920-0484
38 MAIQUEL CARRASCO OBGYN PC NEW YORK NY OBSTETRICS/GYNECOLOGY 2 62 $18,600 $300 premium 3.5% (212) 772-3722
39 BAY AREA GYNECOLOGY ONCOLOGY INC CAMPBELL CA PHYSICIAN ASSISTANT 10 60 $13,925 $232 premium 4.9% (408) 827-4274
40 ARKANSAS UROLOGY, P.A. RUSSELLVILLE AR UROLOGY 37 58 $7,482 $129 premium 100.0% (501) 219-8900
41 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 57 $9,918 $174 premium 2.9% (407) 896-1100
42 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 55 $12,650 $230 premium 3.1% (631) 751-3000
43 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 53 $8,893 $168 premium 5.0% (973) 971-5596
44 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 51 $9,726 $191 premium 100.0% (405) 271-4311
45 HOWARD UNIVERSITY WASHINGTON DC DIAGNOSTIC RADIOLOGY 176 51 $7,171 $141 premium 100.0% (202) 865-6679
46 MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC TOLEDO OH NURSE PRACTITIONER 341 50 $3,885 $78 premium 7.2% (419) 251-3180
47 MONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC SCHENECTADY NY NURSE PRACTITIONER 6 48 $4,320 $90 premium 2.7% (518) 374-9153
48 TANNER MEDICAL GROUP INC VILLA RICA GA NURSE PRACTITIONER 118 47 $9,776 $208 premium 32.0%
49 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 46 $9,430 $205 premium 3.8% (714) 871-3006
50 GENESIS OB GYN PLLC ORO VALLEY AZ OBSTETRICS/GYNECOLOGY 112 45 $5,129 $114 premium 25.1% (520) 545-0573
51 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH FL OBSTETRICS/GYNECOLOGY 49 45 $8,515 $189 premium 2.3% (561) 616-9988
52 PHYSICIANS FOR WOMEN'S HEALTH, LLC DANBURY CT OBSTETRICS/GYNECOLOGY 320 42 $7,140 $170 premium 72.4% (203) 730-8789
53 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 42 $4,818 $115 premium 31.3% (225) 246-9790
54 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 41 $5,904 $144 premium 5.9% (630) 469-9200
55 ANDOVER OBSTETRICS AND GYNECOLOGICAL ASSOCIATES PC ANDOVER MA OBSTETRICS/GYNECOLOGY 12 39 $6,279 $161 premium 5.3% (978) 475-2731
56 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 38 $3,724 $98 premium 5.5% (513) 751-4222
57 TRI-VALLEY UROLOGY MEDICAL GROUP MURRIETA CA UROLOGY 9 37 $4,493 $121 premium 3.0% (951) 698-1901
58 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 37 $7,363 $199 premium 22.3% (205) 934-3460
59 AUGUSTA MEDICAL GROUP FISHERSVILLE VA PHYSICIAN ASSISTANT 424 35 $3,220 $92 premium 15.9% (540) 332-5595
60 CENTURY MEDICAL AND DENTAL CENTER INC BROOKLYN NY PHYSICIAN ASSISTANT 104 34 $2,277 $67 premium 1.9% (718) 650-2233
61 COMMUNITY HEALTH PROGRAMS INC GREAT BARRINGTON MA NURSE PRACTITIONER 47 34 $4,080 $120 premium 4.6% (413) 528-8580
62 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 34 $6,576 $193 premium 2.8% (800) 926-8273
63 VALLEY PERINATAL SERVICES LLC GLENDALE MI OBSTETRICS/GYNECOLOGY 52 32 $3,040 $95 premium 16.7% (480) 756-6000
64 BONAVENTURE MEDICAL FOUNDATION LLC HOFFMAN EST IL DIAGNOSTIC RADIOLOGY 162 31 $3,813 $123 premium 4.5% (847) 755-8208
65 OTERO COUNTY HOSPITAL ASSOCIATION ALAMOGORDO NM DIAGNOSTIC RADIOLOGY 236 30 $4,200 $140 premium 22.9% (505) 439-6100
66 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 29 $4,147 $143 premium 1.7% (914) 682-0700
67 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OBSTETRICS/GYNECOLOGY 54 28 $6,741 $241 premium 2.3% (310) 794-7274
68 LOWCOUNTRY UROLOGY CLINICS, PA CHARLESTON SC UROLOGY 14 27 $3,510 $130 premium 100.0% (843) 766-4070
69 MIRA WOMENS HEALTH AND MIDWIFERY BOCA RATON FL OBSTETRICS/GYNECOLOGY 10 27 $4,887 $181 premium 1.4% (561) 488-1801
70 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 25 $8,050 $322 premium 1.4%
71 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 25 $3,348 $134 premium 12.3% (512) 324-7300
72 UNIVERSITY UROLOGY ASSOCIATES ROCHESTER NY PHYSICIAN ASSISTANT 64 24 $3,696 $154 premium 1.4% (585) 275-4507
73 EAST NORRITON WOMEN'S HEALTHCARE EAST NORRITON PA OBSTETRICS/GYNECOLOGY 2 24 $6,000 $250 premium 3.3% (610) 239-8970
74 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 24 $26,832 $1,118 premium 1.4% (212) 263-9700
75 UTMB FACULTY GROUP PRACTICE GALVESTON TX NURSE PRACTITIONER 1068 23 $2,714 $118 premium 11.3% (409) 772-2222
76 MCRICHLANDS PLLC WILDWOOD FL NURSE PRACTITIONER 2 21 $2,961 $141 premium 1.1% (352) 633-0703
77 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 21 $4,271 $203 premium 100.0% (765) 962-8551
78 GABRIELA OLARU OBGYN PC NEW YORK NY OBSTETRICS/GYNECOLOGY 3 21 $6,300 $300 premium 1.2% (212) 772-3722
79 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 21 $2,618 $125 premium 7.1%
80 BAY MEDICAL CARE SERVICES PLLC STATEN ISLAND NY INTERNAL MEDICINE 2 20 $1,448 $72 premium 1.1% (718) 273-2700
81 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 20 $3,105 $155 premium 1.6%
82 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 19 $1,731 $91 premium 2.6%
83 WOMENS CARE FLORIDA LLC TAMPA FL OBSTETRICS/GYNECOLOGY 334 17 $2,720 $160 premium 0.9% (813) 961-7440
84 GRIFFIN FACULTY PHYSICIANS INC DERBY CT PHYSICIAN ASSISTANT 121 16 $1,600 $100 premium 27.6% (203) 732-1352
85 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 15 $4,125 $275 premium 100.0% (952) 993-3123
86 LIFELINE MEDICAL ASSOCIATES LLC DENVILLE PA OBSTETRICS/GYNECOLOGY 150 15 $4,500 $300 premium 2.1%
87 ROBERT B KLEIN MD INC NORTHRIDGE CA UROLOGY 2 15 $1,500 $100 premium 1.2% (818) 885-9400
88 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 14 $2,172 $155 premium 1.9% (617) 421-1000
89 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 14 $2,520 $180 premium 0.8%
90 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 14 $3,656 $261 premium 1.9% (617) 724-0287
91 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 12 $990 $82 premium 9.2% 50572443003208
92 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 11 $1,584 $144 premium 1.6%

*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 →