NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays 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 3,198 services ▲ 2.4% YoY · 3,145 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.2M · $1008.59 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
90
Named-group FFS services
2,336
FFS of Medicare
49%
Services YoY
+2.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,771 services

2,336 observed fee-for-service (49%) · ~2,435 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 — 61886 (CY2024)
CA 431 TX 413 FL 216 AZ 163 WA 140

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

Named-group submitted charges
$9.1M
Named-group allowed amount
$1.9M
Named-group Medicare payments
$1.5M
Avg charge / svc
$3,905
Avg allowed / svc
$814
Avg payment / svc
$646
Average charge per group
$396 90 groups · avg submitted charge / service $16,144
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 61886 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 95 $300,869 $3,167 85.6% (615) 322-5000
2 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 80 $215,220 $2,690 19.4% (512) 816-8611
3 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 73 $390,560 $5,350 33.8% (352) 265-8990
4 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 67 $318,093 $4,748 16.2% —
5 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 65 $324,136 $4,987 53.7% (507) 284-2511
6 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 62 $271,108 $4,373 100.0% (319) 678-8201
7 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 57 $181,830 $3,190 13.2% (650) 723-4000
8 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 50 $211,000 $4,220 46.7% —
9 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 48 $110,005 $2,292 11.6% (210) 575-8289
10 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 48 $153,936 $3,207 36.4% (717) 531-5638
11 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROSURGERY 46 43 $247,720 $5,761 10.0% (310) 825-5111
12 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 41 $81,763 $1,994 9.5% (858) 455-9100
13 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 41 $126,100 $3,076 100.0% (405) 271-4311
14 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 40 $126,800 $3,170 51.3% (312) 563-2875
15 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 39 $629,616 $16,144 36.8% (212) 263-9700
16 SCL HEALTH MONTANA BILLINGS MT PHYSICIAN ASSISTANT 39 36 $14,258 $396 46.8% (303) 237-5577
17 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 34 $90,687 $2,667 24.3% —
18 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 32 $39,602 $1,238 26.4% (612) 863-4000
19 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 32 $142,592 $4,456 44.4% (617) 732-5500
20 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 32 $74,747 $2,336 7.4% (877) 827-7463
21 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 32 $87,584 $2,737 22.9% —
22 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 31 $51,720 $1,668 54.4% —
23 NEW JERSEY BRAIN AND SPINE PC MONTVALE NJ NEUROSURGERY 36 30 $189,475 $6,316 39.0% (201) 342-2550
24 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 29 $85,318 $2,942 65.9% (503) 494-8311
25 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 29 $129,224 $4,456 40.3% (617) 724-0287
26 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 28 $191,968 $6,856 100.0% (608) 287-2050
27 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA CA PHYSICIAN ASSISTANT 3505 28 $130,452 $4,659 6.5% (215) 662-2777
28 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 28 $67,480 $2,410 66.7% (318) 675-8700
29 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 27 $216,000 $8,000 25.5% (212) 241-4812
30 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 26 $89,700 $3,450 45.6% (314) 747-3000
31 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 26 $53,220 $2,047 50.0% (913) 588-1227
32 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 26 $72,826 $2,801 12.0% —
33 ALEXANDER TAGHVA MD INC MISSION VIEJO CA NEUROSURGERY 2 25 $125,250 $5,010 5.8% (949) 388-7190
34 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 24 $92,760 $3,865 30.8% —
35 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 24 $86,904 $3,621 31.6% (804) 828-9000
36 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 24 $75,730 $3,155 5.6% (800) 926-8273
37 DALLAS NEUROSURGICAL ASSOCIATES PA PLANO TX NEUROSURGERY 14 24 $165,184 $6,883 5.8% (214) 750-3646
38 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 23 $51,244 $2,228 14.1% (520) 694-0111
39 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 23 $68,609 $2,983 21.5% (513) 584-1000
40 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 22 $59,642 $2,711 40.7% —
41 DUKE FORAGE ANSON NEUROSURGICAL LLP HENDERSON NV NEUROSURGERY 10 22 $207,451 $9,430 40.7% (702) 896-0940
42 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 21 $140,026 $6,668 38.9% (404) 778-7525
43 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 21 $42,588 $2,028 24.4% (919) 684-8111
44 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 21 $56,070 $2,670 24.4% (502) 937-2209
45 NORTH SHORE-LIJ MEDICAL PC MANHASSET TX PHYSICIAN ASSISTANT 6294 21 $207,795 $9,895 5.1% —
46 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 20 $56,736 $2,837 26.0% (732) 362-3663
47 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 20 $48,440 $2,422 100.0% (501) 686-8000
48 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 20 $78,640 $3,932 9.3% (305) 689-5437
49 MHS PHYSICIANS OF TEXAS HUMBLE TX NEUROLOGY 114 20 $37,840 $1,892 4.8% (281) 319-8530
50 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 19 $48,640 $2,560 22.1% (859) 257-1412
51 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 19 $60,230 $3,170 25.0% (434) 924-5959
52 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 18 $45,270 $2,515 12.9% (206) 223-6600
53 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 18 $72,090 $4,005 16.8% (614) 293-8000
54 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 18 $75,744 $4,208 4.2% (415) 600-1020
55 ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP GRAND RAPIDS MI PHYSICIAN ASSISTANT 495 18 $53,424 $2,968 56.2% (616) 685-5050
56 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 18 $84,390 $4,688 58.1% (860) 724-2579
57 UT PHYSICIANS HOUSTON TX NEUROLOGY 202 18 $36,738 $2,041 4.4% (713) 486-8000
58 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 18 $93,735 $5,208 4.2% (310) 423-3277
59 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 16 $33,792 $2,112 12.1% —
60 NEUROSURGICAL ASSOCIATES PC KNOXVILLE TN PHYSICIAN ASSISTANT 44 16 $59,184 $3,699 14.4% (865) 524-1869
61 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 16 $42,000 $2,625 21.1% —
62 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS CA PHYSICIAN ASSISTANT 3200 16 $55,728 $3,483 3.7% (214) 633-5555
63 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 15 $30,345 $2,023 100.0% (207) 885-9905
64 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 15 $23,831 $1,589 14.2% (212) 746-5454
65 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 15 $30,330 $2,022 17.4% (502) 629-2398
66 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 15 $65,895 $4,393 36.6% (720) 777-1234
67 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 15 $46,630 $3,109 34.1% (503) 239-6673
68 CAREPOINT NEUROSURGERY PLLC ENGLEWOOD CO NEUROSURGERY 6 15 $59,130 $3,942 36.6% (303) 515-2023
69 NEW YORK UNIVERSITY NEW YORK NJ DIAGNOSTIC RADIOLOGY 5704 15 $242,160 $16,144 19.5% (212) 263-9700
70 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 15 $41,778 $2,785 10.7% (206) 364-0500
71 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 14 $52,836 $3,774 3.2% (916) 681-8852
72 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND WA PHYSICIAN ASSISTANT 588 14 $7,791 $556 10.0% —
73 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 14 $47,712 $3,408 33.3% 22576922002164
74 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE IL PHYSICIAN ASSISTANT 1159 14 $27,806 $1,986 17.9% (208) 381-4210
75 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 14 $35,532 $2,538 13.2% (518) 262-3277
76 FORT WORTH BRAIN AND SPINE INSTITUTE, LLP FORT WORTH TX NEUROSURGERY 11 14 $27,552 $1,968 3.4% (817) 878-5333
77 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 13 $56,810 $4,370 41.9% (203) 688-4242
78 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 13 $38,142 $2,934 15.1% (336) 713-9800
79 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 13 $54,977 $4,229 3.0% (310) 829-6789
80 UNIVERSITY OF UTAH SURGICAL SERVICES SALT LAKE CITY TX PHYSICIAN ASSISTANT 45 12 $43,080 $3,590 2.9% (801) 585-7575
81 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA NEUROSURGERY 27 12 $45,888 $3,824 2.8% (714) 456-7004
82 NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C. RIDGEWOOD NJ NEUROSURGERY 44 12 $94,476 $7,873 15.6% (201) 327-8600
83 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 11 $37,950 $3,450 6.7% (602) 406-3181
84 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 11 $27,159 $2,469 2.7% (254) 724-2663
85 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 11 $48,807 $4,437 5.1% (954) 659-5000
86 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 11 $24,590 $2,235 20.4% (770) 422-2004
87 UNIVERSITY OF ROCHESTER NEUROSURGERY GROUP ROCHESTER NY NEUROSURGERY 48 11 $41,910 $3,810 10.4% —
88 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 11 $32,307 $2,937 15.3% (781) 983-9088
89 INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO PHYSICIAN ASSISTANT 294 11 $21,783 $1,980 26.8% (970) 242-3535
90 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 11 $27,588 $2,508 12.8% (984) 215-5556
91 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 11 $8,948 $813 100.0% (605) 322-5180

*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 →