NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
57250 Repair of herniated rectum into vaginal wall 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 5,077 services ▲ 4.5% YoY · 5,069 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.4M · $267.87 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
125
Named-group FFS services
3,585
FFS of Medicare
49%
Services YoY
+4.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,363 services

3,585 observed fee-for-service (49%) · ~3,778 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 — 57250 (CY2024)
FL 516 CA 494 TX 398 PA 296 OH 289

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

Named-group submitted charges
$6.2M
Named-group allowed amount
$1.1M
Named-group Medicare payments
$908K
Avg charge / svc
$1,738
Avg allowed / svc
$318
Avg payment / svc
$253
Average charge per group
$387 125 groups · avg submitted charge / service $7,365
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 57250 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 119 $218,614 $1,837 24.1% —
2 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 118 $159,580 $1,352 73.8% (732) 362-3663
3 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 116 $91,253 $787 22.5% (321) 434-8878
4 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 97 $242,500 $2,500 24.4% —
5 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 91 $157,453 $1,730 22.9% (713) 512-7500
6 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 88 $111,210 $1,264 17.8% (415) 600-1020
7 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 73 $83,293 $1,141 34.0% (843) 652-8450
8 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE PA NURSE PRACTITIONER 1878 68 $113,236 $1,665 23.0% (732) 362-3663
9 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 60 $96,480 $1,608 20.8% —
10 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 60 $91,380 $1,523 31.4% (615) 269-4545
11 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 56 $98,000 $1,750 71.8% —
12 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 55 $105,215 $1,913 10.7% (386) 231-6000
13 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 55 $146,501 $2,664 48.2% (720) 777-1234
14 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 53 $80,509 $1,519 10.7% (858) 455-9100
15 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 53 $60,260 $1,137 10.3% (407) 200-2700
16 UROGYNECOLOGY CONSULTANTS MEDICAL CORPORATION ROSEVILLE CA UNDEFINED PHYSICIAN TYPE (SPECIFY) 4 52 $49,420 $950 10.5% (916) 772-5533
17 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 51 $145,350 $2,850 17.2% (215) 662-2777
18 PROVIDENCE HEALTH AND SERVICES OREGON MEDFORD OR PHYSICIAN ASSISTANT 164 51 $60,089 $1,178 52.0% —
19 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 45 $120,978 $2,688 34.9% (617) 724-0287
20 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 44 $55,681 $1,265 71.0% —
21 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 43 $80,410 $1,870 14.5% (856) 424-3323
22 BASINSKI LLC NEWBURGH IN OBSTETRICS/GYNECOLOGY 3 42 $56,440 $1,344 43.3% (812) 853-3500
23 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 42 $74,760 $1,780 10.6% (210) 614-7414
24 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 42 $51,648 $1,230 35.0% (502) 937-2209
25 BERT E GEER DO PC COOKEVILLE TN NURSE PRACTITIONER 6 39 $46,956 $1,204 20.4% (931) 528-9047
26 UROLOGY CENTERS OF ALABAMA, PC HOMEWOOD AL UROLOGY 61 39 $39,000 $1,000 30.7% (205) 930-0920
27 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 38 $112,675 $2,965 59.4% (507) 284-2511
28 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 38 $72,314 $1,903 67.9% —
29 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 37 $41,144 $1,112 12.8% (513) 751-4222
30 SOUTHERN SHORES UROGYNECOLOGY AND PELVIC RECONSTRUCTIVE SURGERY PC MYRTLE BEACH SC NURSE PRACTITIONER 2 37 $65,712 $1,776 17.2% (843) 895-2120
31 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 35 $46,008 $1,315 33.7% (405) 751-5555
32 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 35 $57,050 $1,630 11.8% —
33 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 33 $48,741 $1,477 27.5% (859) 578-5880
34 GWINNETT PHYSICIAN GROUP, LLC LAWRENCEVILLE GA OBSTETRICS/GYNECOLOGY 120 32 $60,224 $1,882 28.6% (678) 312-3290
35 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 32 $63,936 $1,998 8.0% (254) 724-2663
36 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 31 $53,528 $1,727 6.0% (305) 273-4641
37 UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY OF KANSAS CITY LLC OVERLAND PARK KS NURSE PRACTITIONER 4 31 $37,818 $1,220 32.6% 9132623000103
38 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 30 $41,040 $1,368 26.3% —
39 STAR CLINIC LLC PEORIA AZ OBSTETRICS/GYNECOLOGY 8 30 $45,930 $1,531 20.5% (623) 271-8666
40 MCRICHLANDS PLLC WILDWOOD FL NURSE PRACTITIONER 2 29 $62,205 $2,145 5.6% (352) 633-0703
41 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 29 $100,804 $3,476 41.4% (608) 287-2050
42 CHRIST HOSPITAL MEDICAL SPECIALISTS LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 129 29 $35,884 $1,237 10.0% (513) 241-4774
43 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 28 $91,555 $3,270 58.3% (319) 678-8201
44 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 28 $41,972 $1,499 13.0% (864) 255-1901
45 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 26 $48,330 $1,859 23.2% (770) 422-2004
46 GUTHRIE MEDICAL GROUP PC SAYRE MA PHYSICIAN ASSISTANT 804 26 $34,475 $1,326 20.2% (570) 888-5858
47 IHA OLMA SPECIALTY 1 LLC LIVONIA MI PSYCHIATRY 71 25 $32,725 $1,309 27.2% (734) 655-2692
48 UROLOGIC SPECIALISTS OF OKLAHOMA INC TULSA OK UROLOGY 44 25 $49,375 $1,975 24.0% (918) 749-8765
49 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 25 $62,100 $2,484 19.7% (205) 934-3460
50 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 24 $35,232 $1,468 8.3% —
51 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 24 $40,960 $1,707 8.1% —
52 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 23 $43,385 $1,886 67.6% —
53 JOSEPH GAUTA MD PA NAPLES FL OBSTETRICS/GYNECOLOGY 4 23 $55,200 $2,400 4.5% (239) 449-7979
54 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 23 $46,851 $2,037 19.0% —
55 BRONSON METHODIST HOSPITAL KALAMAZOO MI PHYSICIAN ASSISTANT 728 23 $31,717 $1,379 25.0% —
56 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO CA PHYSICIAN ASSISTANT 872 22 $48,468 $2,203 4.5% (858) 499-2600
57 TOGETHER WOMEN'S HEALTH MEDICAL GROUP OF ALABAMA PC BIRMINGHAM AL OBSTETRICS/GYNECOLOGY 23 22 $25,960 $1,180 17.3% (205) 877-2950
58 SUMMA PHYSICIANS LLC AKRON OH NURSE PRACTITIONER 677 22 $27,104 $1,232 7.6% —
59 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 21 $29,925 $1,425 21.6% (888) 484-3258
60 SEVEN HILLS OB-GYN ASSOCIATES LLC INDIANAPOLIS IN OBSTETRICS/GYNECOLOGY 92 21 $33,600 $1,600 21.6% (317) 865-3600
61 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 20 $30,060 $1,503 9.3% —
62 UROGYNECOLOGY OF OKLAHOMA, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 4 20 $20,500 $1,025 19.2% (405) 400-8188
63 GUNDERSEN LUTHERAN MEDICAL CENTER INC LA CROSSE WI PHYSICIAN ASSISTANT 901 20 $216,600 $10,830 28.6% (608) 783-7300
64 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 19 $38,798 $2,042 6.6% —
65 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 19 $37,582 $1,978 15.8% (859) 257-1412
66 ADVANCED UROGYNECOLOGY OF MICHIGAN PC DEARBORN MI OBSTETRICS/GYNECOLOGY 2 19 $21,736 $1,144 20.7% (313) 982-0200
67 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 18 $26,114 $1,451 32.1% (509) 946-4611
68 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 18 $25,110 $1,395 3.5% —
69 ELIZABETH A. HUTSON M.D. LTD SPARKS NV NURSE PRACTITIONER 9 18 $29,592 $1,644 29.0% (775) 432-1343
70 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 18 $26,640 $1,480 3.6% (925) 296-9720
71 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 18 $42,552 $2,364 43.9% (630) 469-9200
72 GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR PHYSICIAN ASSISTANT 388 18 $39,767 $2,209 18.4% (541) 768-7700
73 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 17 $30,000 $1,765 11.6% (800) 603-0558
74 FEMALE PELVIC MEDICINE INSTITUTE OF VIRGINIA PC MIDLOTHIAN VA NURSE PRACTITIONER 2 17 $15,226 $896 14.0% (804) 523-2533
75 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 17 $33,643 $1,979 7.9% (843) 720-8448
76 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 17 $33,941 $1,997 13.2% (508) 973-5919
77 COMMUNITY MEMORIAL HEALTH SYSTEM VENTURA CA FAMILY PRACTICE 190 16 $31,792 $1,987 3.2% (805) 652-5011
78 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON PA PHYSICIAN ASSISTANT 2942 16 $42,552 $2,660 5.4% (617) 732-5500
79 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 16 $68,544 $4,284 5.5% —
80 HOLSTON MEDICAL GROUP PC BRISTOL TN NURSE PRACTITIONER 244 15 $19,185 $1,279 7.9% (423) 844-7000
81 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 15 $20,385 $1,359 10.3% (602) 843-1265
82 MISSISSIPPI UROLOGY CLINIC PLLC JACKSON MS PHYSICIAN ASSISTANT 14 15 $19,500 $1,300 25.0% (601) 353-9900
83 PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY LLC SCOTTSDALE AZ OBSTETRICS/GYNECOLOGY 2 15 $5,801 $387 10.3% (480) 656-0207
84 UROGYNECOLOGY ASSOCIATES LLC FLOWOOD MS NURSE PRACTITIONER 3 15 $25,937 $1,729 25.0% (769) 243-6141
85 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 15 $34,044 $2,270 2.9% (954) 772-2136
86 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 15 $19,875 $1,325 3.0% (800) 872-2273
87 INNOVIS HEALTH LLC FARGO ND NURSE PRACTITIONER 565 14 $24,306 $1,736 100.0% (701) 364-6600
88 BLANCHARD VALLEY MEDICAL PRACTICE LLC FINDLAY OH NURSE PRACTITIONER 78 14 $21,798 $1,557 4.8% (419) 423-7663
89 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 14 $21,322 $1,523 3.5% (817) 920-0484
90 BILLINGS CLINIC BILLINGS MN PHYSICIAN ASSISTANT 811 14 $31,025 $2,216 21.9% (406) 657-4000
91 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 14 $29,988 $2,142 5.3% (336) 713-9800
92 GRANGER MEDICAL CLINIC PC WEST VALLEY CITY UT PHYSICIAN ASSISTANT 193 14 $19,684 $1,406 100.0% (801) 965-3600
93 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 14 $26,054 $1,861 6.5% (803) 744-4900
94 KANSAS CITY WOMENS CLINIC GROUP LLC OVERLAND PARK KS OBSTETRICS/GYNECOLOGY 2 14 $28,906 $2,065 14.7% (913) 498-6000
95 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 14 $20,662 $1,476 4.7% —
96 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 14 $21,630 $1,545 8.8% (856) 433-2535
97 LAKELAND REGIONAL HEALTH SYSTEMS INC LAKELAND FL PHYSICIAN ASSISTANT 493 13 $20,163 $1,551 2.5% (863) 603-6565
98 CAPITAL HEALTH MEDICAL GROUP PENNINGTON NJ NURSE PRACTITIONER 439 13 $68,432 $5,264 8.1% (609) 537-6000
99 LEWIS GALE PHYSICIANS LLC SALEM VA PHYSICIAN ASSISTANT 196 13 $29,005 $2,231 10.7% —
100 SOUTHERN UROGYNECOLOGY LLC WEST COLUMBIA SC CERTIFIED NURSE MIDWIFE (CNM) 5 13 $36,788 $2,830 6.0% (803) 457-7000

Showing the top 100 of 125 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 →