NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
57288 Creation of sling around urethra in female to control leakage 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 14,616 services ▲ 0.3% YoY · 14,576 beneficiaries (CY2024, Medicare FFS)
Medicare paid $6.7M · $458.53 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
284
Named-group FFS services
10,086
FFS of Medicare
49%
Services YoY
+0.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~20,304 services

10,086 observed fee-for-service (50%) · ~10,218 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 — 57288 (CY2024)
FL 1,549 CA 1,450 TX 1,386 IL 862 PA 601

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

Named-group submitted charges
$24.5M
Named-group allowed amount
$4.7M
Named-group Medicare payments
$3.7M
Avg charge / svc
$2,431
Avg allowed / svc
$461
Avg payment / svc
$366
Average charge per group
$435 284 groups · avg submitted charge / service $12,337
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 57288 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 268 $613,326 $2,289 18.5% (415) 600-1020
2 UROGYNECOLOGY CONSULTANTS MEDICAL CORPORATION ROSEVILLE CA UNDEFINED PHYSICIAN TYPE (SPECIFY) 4 255 $312,987 $1,227 17.6% (916) 772-5533
3 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 228 $366,137 $1,606 16.5% (713) 512-7500
4 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 212 $328,114 $1,548 13.7% (407) 200-2700
5 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 195 $628,875 $3,225 14.1% —
6 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 158 $332,601 $2,105 31.7% (732) 362-3663
7 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 155 $841,650 $5,430 25.8% (856) 424-3323
8 ILLINOIS UROGYNECOLOGY LTD PARK RIDGE IL OBSTETRICS/GYNECOLOGY 6 148 $247,752 $1,674 17.2% (847) 825-1590
9 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 133 $468,668 $3,524 23.4% —
10 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 129 $454,080 $3,520 35.3% (317) 859-7222
11 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH FL OBSTETRICS/GYNECOLOGY 49 115 $407,370 $3,542 7.4% (561) 616-9988
12 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 109 $174,967 $1,605 26.5% —
13 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 106 $232,354 $2,192 7.3% —
14 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 99 $98,785 $998 6.4% (321) 434-8878
15 VIRGINIA PHYSICIANS FOR WOMEN, LTD NORTH CHESTERFIELD VA OBSTETRICS/GYNECOLOGY 45 93 $84,455 $908 22.7% (804) 897-2100
16 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 91 $291,909 $3,208 22.1% (617) 724-0287
17 WOMAN'S CENTER FOR ADVANCED PELVIC SURGERY PLLP MESA AZ NURSE PRACTITIONER 9 85 $140,063 $1,648 14.7% (480) 834-5111
18 BASINSKI LLC NEWBURGH IN OBSTETRICS/GYNECOLOGY 3 78 $176,125 $2,258 21.4% (812) 853-3500
19 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 78 $194,922 $2,499 9.0% —
20 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 77 $153,494 $1,993 18.8% —
21 VALLEY UROGYNECOLOGY ASSOCIATES LTD PHOENIX AZ OBSTETRICS/GYNECOLOGY 4 74 $133,200 $1,800 12.8% (602) 788-1521
22 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 73 $245,457 $3,362 5.3% (817) 920-0484
23 SEVEN HILLS OB-GYN ASSOCIATES LLC INDIANAPOLIS IN OBSTETRICS/GYNECOLOGY 92 70 $190,013 $2,714 19.2% (317) 865-3600
24 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 69 $143,658 $2,082 5.0% (254) 724-2663
25 PROVIDENCE HEALTH AND SERVICES OREGON MEDFORD OR PHYSICIAN ASSISTANT 164 68 $101,319 $1,490 28.5% —
26 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD CT PHYSICIAN ASSISTANT 419 67 $182,240 $2,720 44.7% (203) 276-4644
27 UROLOGIC SPECIALISTS OF OKLAHOMA INC TULSA OK UROLOGY 44 66 $137,965 $2,090 35.9% (918) 749-8765
28 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 65 $118,300 $1,820 25.9% —
29 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 65 $81,070 $1,247 17.5% (843) 652-8450
30 SOUTHERN SHORES UROGYNECOLOGY AND PELVIC RECONSTRUCTIVE SURGERY PC MYRTLE BEACH SC NURSE PRACTITIONER 2 64 $136,896 $2,139 17.2% (843) 895-2120
31 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 60 $89,953 $1,499 70.6% (801) 261-8346
32 JOSEPH GAUTA MD PA NAPLES FL OBSTETRICS/GYNECOLOGY 4 58 $290,000 $5,000 3.7% (239) 449-7979
33 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 58 $173,710 $2,995 13.6% —
34 SOUTHEASTERN UROGYNECOLOGY AND PELVIC SURGERY LLC MOULTRIE GA NURSE PRACTITIONER 3 58 $131,254 $2,263 14.7% (229) 502-1020
35 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 58 $158,764 $2,737 3.7% (954) 772-2136
36 SUBURBAN GYNECOLOGY LLC PLAINFIELD IL NURSE PRACTITIONER 5 57 $132,810 $2,330 6.6% (815) 717-8727
37 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 55 $86,625 $1,575 14.8% —
38 SVMHS CLINICS SALINAS CA PHYSICIAN ASSISTANT 245 54 $73,465 $1,360 3.7% (831) 422-3636
39 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 53 $160,454 $3,027 77.9% (406) 657-4000
40 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 53 $111,883 $2,111 13.0% —
41 FLORIDA PRACTITIONERS, LLC FORT LAUDERDALE FL PHYSICIAN ASSISTANT 57 53 $131,983 $2,490 3.4% (954) 229-8635
42 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 53 $94,858 $1,790 27.6% (303) 778-5797
43 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 52 $139,360 $2,680 10.4% (800) 825-5391
44 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 52 $83,196 $1,600 10.4% (856) 433-2535
45 UROLOGY OF ST LOUIS INC SAINT LOUIS MO UROLOGY 112 51 $113,258 $2,221 20.3% (314) 567-6071
46 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 50 $161,105 $3,222 8.3% (215) 662-2777
47 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 49 $44,415 $906 52.7% (302) 744-4700
48 UROGYNECOLOGY OF SAN ANTONIO PLLC BOERNE TX OBSTETRICS/GYNECOLOGY 2 49 $68,773 $1,404 3.5% (830) 355-2343
49 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 48 $69,360 $1,445 8.3% (602) 843-1265
50 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 46 $198,198 $4,309 30.7% (203) 688-4242
51 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 46 $120,520 $2,620 9.2% (973) 971-5596
52 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 46 $191,084 $4,154 5.3% —
53 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 46 $116,426 $2,531 3.3% (903) 606-5560
54 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 45 $110,625 $2,458 11.4% (770) 422-2004
55 PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY LLC SCOTTSDALE AZ OBSTETRICS/GYNECOLOGY 2 45 $36,451 $810 7.8% (480) 656-0207
56 GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR PHYSICIAN ASSISTANT 388 45 $136,032 $3,023 18.8% (541) 768-7700
57 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 44 $86,826 $1,973 47.3% —
58 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 43 $91,640 $2,131 10.1% —
59 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 43 $110,601 $2,572 7.2% —
60 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 43 $126,463 $2,941 11.6% (803) 744-4900
61 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 43 $376,895 $8,765 7.6% (212) 263-9700
62 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 43 $98,384 $2,288 31.6% —
63 UROLOGY SPECIALISTS CHARTERED SIOUX FALLS SD DIAGNOSTIC RADIOLOGY 45 42 $103,808 $2,472 39.6% (605) 336-0635
64 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 42 $99,203 $2,362 11.3% (410) 761-1222
65 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 42 $130,536 $3,108 17.6% (205) 934-3460
66 ADVANCED GYNECOLOGY PC WATKINSVILLE GA OBSTETRICS/GYNECOLOGY 13 41 $112,184 $2,736 10.4% (678) 344-8900
67 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 40 $60,048 $1,501 2.8% (805) 349-8514
68 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 40 $73,338 $1,833 2.6% (305) 273-4641
69 BERT E GEER DO PC COOKEVILLE TN NURSE PRACTITIONER 6 40 $52,720 $1,318 9.9% (931) 528-9047
70 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 40 $54,920 $1,373 10.8% (443) 481-1000
71 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 40 $71,040 $1,776 35.4% (859) 578-5880
72 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE PA NURSE PRACTITIONER 1878 39 $75,582 $1,938 6.5% (732) 362-3663
73 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 39 $121,714 $3,121 2.5% (561) 955-7100
74 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES IL OBSTETRICS/GYNECOLOGY 352 39 $211,770 $5,430 4.5% (856) 424-3323
75 SUMMA PHYSICIANS LLC AKRON OH NURSE PRACTITIONER 677 39 $57,876 $1,484 9.1% —
76 AUSTIN UROGYNECOLOGY, PLLC AUSTIN TX NURSE PRACTITIONER 3 38 $49,350 $1,299 2.7% (512) 973-8276
77 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 38 $47,434 $1,248 33.6% (502) 937-2209
78 MODOCUROGYN, PLLC MESA AZ NURSE PRACTITIONER 2 38 $57,722 $1,519 6.6% (480) 889-2654
79 VALLEY PHYSICIAN SERVICES PC HOBOKEN NY NURSE PRACTITIONER 606 38 $14,060 $370 6.7% (800) 825-5391
80 FEMALE PELVIC MEDICINE INSTITUTE OF VIRGINIA PC MIDLOTHIAN VA NURSE PRACTITIONER 2 37 $39,967 $1,080 9.0% (804) 523-2533
81 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 37 $191,216 $5,168 7.4% (908) 273-4300
82 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 37 $58,201 $1,573 9.9% (864) 255-1901
83 UROGYNECOLOGY OF OKLAHOMA, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 4 36 $54,650 $1,518 19.6% (405) 400-8188
84 GUTHRIE MEDICAL GROUP PC SAYRE MA PHYSICIAN ASSISTANT 804 36 $116,466 $3,235 8.7% (570) 888-5858
85 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 36 $93,708 $2,603 12.0% (919) 350-7270
86 WOMENS HEALTHCARE ASSOCIATES LLC PORTLAND OR OBSTETRICS/GYNECOLOGY 105 35 $50,531 $1,444 14.6% (503) 734-3700
87 LAKELAND REGIONAL HEALTH SYSTEMS INC LAKELAND FL PHYSICIAN ASSISTANT 493 35 $65,275 $1,865 2.3% (863) 603-6565
88 ELIZABETH A. HUTSON M.D. LTD SPARKS NV NURSE PRACTITIONER 9 35 $91,000 $2,600 24.1% (775) 432-1343
89 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 35 $85,290 $2,437 4.1% (847) 459-1160
90 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 35 $58,473 $1,671 14.6% (503) 239-6673
91 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 35 $66,724 $1,906 2.3% (352) 726-9707
92 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 34 $55,352 $1,628 9.3% (888) 484-3258
93 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 34 $98,940 $2,910 6.0% (631) 628-5000
94 PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC POUGHKEEPSIE NY NURSE PRACTITIONER 131 34 $67,864 $1,996 6.0% —
95 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 34 $49,605 $1,459 23.4% —
96 UROLOGY CENTERS OF ALABAMA, PC HOMEWOOD AL UROLOGY 61 34 $57,000 $1,676 14.3% (205) 930-0920
97 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 33 $61,152 $1,853 2.3% (858) 455-9100
98 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 33 $75,702 $2,294 2.1% (386) 231-6000
99 GREAT LAKES PHYSICIAN PC CHEEKTOWAGA NY PHYSICIAN ASSISTANT 69 32 $57,920 $1,810 5.6% (716) 844-5000
100 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 32 $53,056 $1,658 2.3% (512) 788-9688

Showing the top 100 of 284 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 →