NEVVI Medicare utilization intelligence
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Market snapshot

58558 in FL CY2024

Medicare Part B FFS · CY2024 · as published by CMS

58558 — Biopsy of lining of uterus and/or removal of polyp using an endoscope

Billing groups
15
Named-group FFS services
640
FFS of Medicare
43%
Services YoY
-10.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,459 services

640 observed fee-for-service (44%) · ~819 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

Named-group submitted charges
$1.6M
Named-group allowed amount
$393K
Named-group Medicare payments
$310K
Avg charge / svc
$2,553
Avg allowed / svc
$614
Avg payment / svc
$484
Average charge per group
$453 15 groups · avg submitted charge / service $4,722
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 58558 services, CY2024
#Physician group City Specialty Providers 58558 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 VITALMD GROUP HOLDING LLC MIAMI OBSTETRICS/GYNECOLOGY 531 223 $699,185 $3,135 premium 19.7% (305) 273-4641
2 FLORIDA WOMAN CARE LLC ORLANDO OBSTETRICS/GYNECOLOGY 604 75 $337,500 $4,500 premium 6.6% (407) 857-2502
3 COLLIER HMA PHYSICIAN MANAGEMENT LLC NAPLES NURSE PRACTITIONER 95 74 $68,154 $921 premium 6.5%
4 MAYO CLINIC JACKSONVILLE JACKSONVILLE NURSE PRACTITIONER 1587 54 $254,983 $4,722 premium 4.8% (904) 953-2000
5 SOUTH MIAMI GYN ONCOLOGY PHYSICIANS, LLC MIAMI NURSE PRACTITIONER 15 36 $28,440 $790 premium 3.2% (786) 596-1960
6 SMH PHYSICIAN SERVICES INC SARASOTA PHYSICIAN ASSISTANT 766 28 $15,008 $536 premium 2.5%
7 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE NURSE PRACTITIONER 669 26 $12,480 $480 premium 2.3% (321) 434-8878
8 SOUTH FLORIDA CENTER FOR GYNECOLOGIC ONCOLOGY P A BOCA RATON GYNECOLOGICAL ONCOLOGY 2 24 $48,000 $2,000 premium 2.1% (561) 997-8991
9 INTERCOASTAL MEDICAL GROUP INC SARASOTA DIAGNOSTIC RADIOLOGY 187 22 $10,556 $480 premium 1.9% (941) 366-1888
10 JOHN RANDOLPH OB/GYN, LLC RICHMOND OBSTETRICS/GYNECOLOGY 5 17 $29,700 $1,747 premium 1.5% (804) 267-6931
11 CLEVELAND CLINIC FLORIDA WESTON NURSE PRACTITIONER 720 13 $24,973 $1,921 premium 1.1% (954) 659-5000
12 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS HEMATOLOGY/ONCOLOGY 437 13 $45,916 $3,532 premium 1.1% (239) 561-9622
13 MANATEE SPECIALTY PHYSICIAN ALLIANCE LLC BRADENTON PHYSICIAN ASSISTANT 27 12 $5,436 $453 premium 1.1% (941) 746-3115
14 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND PHYSICIAN ASSISTANT 1634 12 $8,640 $720 premium 1.1% (407) 200-2700
15 WOMENS CARE FLORIDA LLC TAMPA OBSTETRICS/GYNECOLOGY 334 11 $45,133 $4,103 premium 1.0% (813) 961-7440

*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 →